Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
TR-3873
Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 3823 .................. DATE: ...S.~ptembez~..28,19 ISSUED TO .......... 3.~. Braider ................................................... Aut'hodzatio. Pursuant to the provisions of Chapter 615 of the Laws mc the State of NeW york 1893; and Chapter 404 of the Laws of the State of New york 1952; and the Southold Town Ordinance' en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATER5 AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with 'the Resolution of The Board adopted afa meM'ing held on .$.ep~.emb.e~ 27 19....9.0, and in consideration of the sum Of $_: .......... paid by of ....................................................................................... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: To construct approx. 354' of timber retaining wall above MHW Line. The Southern most 215' will be backfilled w/stone tt~e remaining 139' will be backfilled with clean sand whichwill trucked in from an upland source. The applicant also b~l in accordance with {'he c]etailed specifications as presented in the originating application, proposes to construct a ~ X14' float & a 6' X 36~ float onto existin~ dock. ~ IN WITNESS WHEREOF, The sa,d Board of TrusteesUhere- by causes its Corporate Seal to be' affixed, and these presents to be subscribed by a majority of the said Board as of this dat,e. TERMS and CONDITIONS The Permittee John Braider re~ding at Gl~11 ~nnd T,nn~: ~*r~npnr? ~T. ¥., as part of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1. That the said Board of TrUStees and the Town of Southold are released from any and all damages, or c/alm~ for damages, of suits arising directly or indirectly as a result of any oper. ation performed pursuant to this permit, and the said Permittee will, at his or- her own expense, defend any and all guch suits initiated by third parties, and the said Pe~ngttee assmms full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Permit is valid for a period of 24 mos. which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Pe~aiittee wishes :to maintain the structure or project involved, to provide evidence to anyone concerned that auth- orization was originally obtained. 4. That .the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future 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 obstrocnon to tree navigation, the said Perm;tree will be requlred~ upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permlttee ot the completion of the work auth- orized. 9. That the Permittee will obtain all other permits and consents .that may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain same. ~'~" ~LL MOORINGS AND S~KES MUST DISPLAY ~ISIBLE M~0RING NUMBERS '~ALL DOCKS AND BULKttEADS MUST DISPLAY VISIBLE PERMIT NUMBERS Board Of Southold 'Town Trustees SOUTHOLD, NEW YORK Mooring # PERMIT .~10. ..;~.2..6 ............. DATE: . J...u.r~....2.8.,...198~ ISSUED TO .....~,.a....t_..h...a...m.. S....a..g..cl., &.....G.,~..azg.~..r....,..i..~c..i~.....~g.~ ........................ Autl nri ati n 0ohn Braider Pursuant fo the provisions oF ~hapfer 615 of_.fhe Laws of the State of New Yor~, 1893; and Chapter 404 of ~he'Laws of the State of New Yorl~ 1952; and the Southold Tow~ Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OT~HER MATERIALS FROM.. LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at.a meefing"hel~l-on ..~.~.g.h....2_.~, 19....8..~.., and in consideration of the sum of $ ..~...4.0_.:..~g...]:: paid by ..... ~.~.~.h~.m......~ ~.n..~ ....~ ....Q.~.~.v....e..~.,.....Ln....c,~.....~.~....~...o...b.~....~ ~.~.$.d..e..~. ...... of ..... G~c.e.en~.o.r.~ .......... N. ~f. and.subject fo the Terms and Conditions listed on the reverse side hereof, of Soufhold Town Trustees authori~zes and permits the following: Application approved to construct ~-50'x6'float dock, 30'x6' walk and a.14' x 6' ramp with 2 spiles in Gull Pond, with the prpvision that the total distance out into the w~ter does not exceed aJJ Jn accordance wHh the defaiJed specifJcaHons as'presented Jn the orJginaflng application. -..' :*50' unle..s.s..q?_..e.d_ ga, n be establish, ed for ~f~ater IN WI/NESS WHEREOF, The said Board of'Trustees h.ere- by causes, ifs Corporate. Seal fo be aft?ed, and these p~;esenfs fo be subscr,bed by a malority of the sa~,Board as / ............ / .................... ; ............................ = ....... ........ ~, . · :r;;;;~=~'~''~'~'' TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, NEW YORK =WETLANDS PERMIT This Wetlands Permit No ...... .1.,5...7. ......... has beech granted by the Southold Town Board according to ~nformation furnished in AoDlication No. 190 filed by A,,~, , .....~ .......................... ravel, Inc., on beha'l[ .................... ~ cant Latham Sand $ of John L. Braider March 12 19..8.~ ..... A map of the proposed work will bekept on file in the Town Clerk's Office under the application number given. - Install dock and float assembl , Permit granted to do the following work .............................................. y . Location of property on which work to be done Gull Pond Lanb; Gre~nDort; Creek, Bay or Harl~or fronting property Gull Pond Size of work: Length ..TotaJ ......... .7..8..,.e..e.~t .................................. , ' '. Width 6 feet. . ........................... Height Above High Water 2 ft. 6 in. - stationary, dock~ 12 inches - floRt Depth Below LowWater , "C ...................................................................... Yards to be Excavated.... ..... .....none ........ .................~ ......... .'. ;""~ ............................................ Yards to be Filled none Manner in which material is to be removed or deposited ..... T.T.T ............................. : ................................. Intended use of property ...~...e..s.i..d..e..n.~i.a..l...~....P.r.i.v..a..t,.e.... Conditions if any THE TOTAL LENGTH OF .'I[..H.~.....D..O...C...K....~..I..A..y....N...O..'[.~..XTEND l~10.1~ 50 FEET OFFSHORE. . . ~ _' Expiration Date April 2~1, ~985 IF WORK .H;AS NOT C..O~!..MEN.~.ED BY-~&ID D~TI~, Number of Inspections Requ ired ..2...?....T...O...W. N C .L. ER..K. COMPLETED. Inspection Fees ..... ~,.ID(~ ............................................................................. .:....~ ............................. Liability Policies in the Amount of ....................................................................... ~..,. .............................. The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no. responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall r~ot commence operations here- under until such approval has been obtained in writing. The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Town Clerk upon receipt by the Town Clerk of written notice from such other governmental or municipal authorities of .its refusal or disapproval. PETER S. DANOWSKI. JR. ROBERT F. KOZAKIEWlCZ PETER S. DANOWSKI, J~ 616 BOANOKE AVENUE !/~1 P.o. Bo×779 lull RIVERHEAD, NY 11901 lro March 25, 1993 Board of Trustees Town of Southold 53095 Main Road Southold, New York 11971 Re: John Braider SCTM #: 1000-35-3-12.6 & 12.7 Dear Board of Trustees: By letter dated July 10, 1992, this Board denied without prejudice the above-named applicant's request to permit a boat house at his dock. On behalf of Mr. Braider, it is respectfully requested that the hearing be re-opened to permit Mr. Braider, or his representative, to be heard, as provided for in Section 97-32 of the Code of the Town of Southold (hereafter, "Town Code"). Briefly, Mr. Braider was served with a Notice of Violation dated April 24, 1992 and filed on April 27, 1992 with your office. Within 10 days of that Notice's filing, Mr. Braider sought permission from this Board for the boat cover. Based upon review of this Board's file, Mr. Braider's letter was filed directly after the filing of the Notice of Violation, which was prepared by Bay Constable Dzenkowski. · The letter of Mr. Braider should have been treated as a request for a hearing, as outlined in Section 97-32 of the Town Code. Pursuant to that section, the applicant or his representative must be given an opportunity to be heard. This procedure was not adhered to by this Board. It is respectfully requested that this Board grant the applicant an opportunity to show cause why such notice should be modified or rescInded. The structure in question will not adversely affect wetlands and will not substantially run contrary to the standards promulgated at Section 97.28 of the Town Code. ~ Annexed hereto is a copy of the Notice of Violation. /~/ery.t. KJly yours~/ .. RFK/lis Encs. cc. Town Attorney's Office cc. Justice Court, Town of $outhold cc. Mr. John Braider NOTICE ~J Police Dept. - Bay Constable Town of Southold Peconic, New York 11958. NOTICE OF VIOLATION To: autho'rized agent of owner) A.. 534 Main St., Nort~.~ort N.~.. 11768 aaress:-'-~X55~5~-S~-~5~-or authorized agent, of owner) Please take notice there exists a violation of the Code of the Town of Southold, Chapter 97 Article---~ ....... Section-9z--~o- ........ at premises hereinafter described in that-A~-~clGu~%r-Na~zm~e~-0~J~g~- __~Zh~£h~aP~zmi~ ....... You are therefore directed and ordered to co~ply with the following:___A~Rly_to the Southold Town Board of Trustees for a permit to leave this structure or remove if directed to do so. on or before 15th ~.~y 92 ..... day of ................ , 19 The premises to whiCh this Notice of Violation refers are situated at: Gull Pond La.~, Greenport ~own of Southold, Suffolk County, N:¥. (Suff. County ~i'ax Map Designation: Dist.1000 35 12.6,7 Section: ....... -a---Block: 3 Lot: ....... ~ Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine or imprison~nent 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 notice of violation should be modified or rescinded,. Bay Constable, Tow~ of Southold, NY HARVEY A. ARNOFF Town Attorney MATTHEW G. KIERNAN Assistant Town Attorney OFFICE OF THE TOWN ATTORNEY TOWN OF $OUTHOLD MEMORANDUM SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 TO: FROM: DATE: RE: Donald Dzenkowski. Bay Constable Matthew G. Kiernan. Assistant Town September It. 1992 John Braider Annexed hereto, please find a copy of a Notice of Appearance and Demand for Supporting Deposition with regard to the above-referenced matter. Kindly prepare a long-form information for this matter and return, same to my office prior to September 11. 1992. Should you have any questions, please feel free to contact me. cc: Jay Bredemeyer ~ PETER S. DANOWSKI. JR, ROBERT F KOZAKIEWICZ LAW OFFICES PETER S, DANOWSKI, JR. 616 ROANOKE AVENUE P. O. BOX 779 RIVERHEAD. NY 11901 (5161 727-4900 FAX (516) 727-7451 MICHAEL T. CLIFFORD OF COUNSEL September 3, 1992 Southold Town Justice Court Town Hall - Main Road Southold, New York 11971 Re: People v. John Braider Dear Sir or Madam: In connection with the above matter, enclosed find our Notice of Appearance and Demand for Supporting Deposition and waiver of defendant's right to be personally present. Please be advised that my client hereby enters a plea of not guilty in regard to this matter, which is returnable before your Court on September 11, 1992 at 9:30 A.M. Very truly yours, PETER S. DANOWSKI, JR. PSD:gsg Encl.s. cc: Matthew Kiernan, Southold Town Attorney TOWN OF SOUTHOLD : JUSTICE COURT COUNTY OF SUFFOLK : STATE OF NEW YORK THE PEOPLE OF THE STATE OF NEW YORK, NOTICE OF APPEARANCE AND DEMAND FOR SUPPORTING - against - JOHN BRAIDER, DEPOSITION Defendant. SIR: PLEASE TAKE NOTICE, that I have been retained by the Defendant, JOHN BRAIDER, and appear for the Defendant in the above-entitled action, and hereby demand t~a~ there be served upon him a supporting deposition of the complainant police officer, containing allegations of fact, based either upon personal knowledge or upon information and belief, providing reasonable cause to believe that the defendant committed the offense(s) charged, and, that copies of all papers in this action be served on me at my office. Dated: TO: Riverhead, New York August 27, 1992 PETER S. DANO~SKI, JR. Attorney for the Defendant 616 Roanoke Avenue P.O. Box 779 Riverhead, New York 11901 (516) 727 - 4900 Matthew Kiernan, Esq. Southold Town Attorney Town Hall, Main Road Southold, New York 11971 POLICE OEPARTMENT~SOUTHOLD Pe~mi,~ IWw York 11958 YOU ARE DIREC~i'ED TO APPEAR to a~swer ~Js mmmonz 9:30 A.M. a~ TOWN JU~:T/CE COURT ~in R~. Rout. 25, ~u~oJd, N.Y. 11971 ....... AA; ................. O~ the Town u~ S~uth~d. N,Y., ia ma~ ~ th. ................... . Town SUMMONS N? 1726 on Frldiv,. Ves~,gi Ri& No, HulZ Coloe YOUR FAILURE TO APPEAR AS DIRECTED MAY RESULT IN A WARRANT FOR YOUR ARREST. STATE OF NEW YORK ) )ss.: COUNTY OF SUFFOLK ) JOHN L. BRAIDER, being duly sworn, deposes and says: That he is the defendant with'regard to a charge of failing to comply with a Notice of Violation, in violation of Section 97-31 Subdiv. f of the Wetland Ordinance of the Town of Southold. Attached hereto and made a part hereof is a copy of the accusatory instrument. That the undersigned has discussed this matter with his attorney, the law firm of PETER S. DANOWSKI, JR., ESQ., and does hereby waive a right to be personally present at the time of plea, sentence, hearing or other Court proceeding. That the undersigned has authorized his attorney to make all appearances, enter any plea and accept any sentence with regard to this charge. Sworn to before me this Notary Public , 1992 RITA SCOT] FOX NOTARY PUBLIC. State o! New No. (]tF04832201 Suffolk Coun~ Commission Exp~es ~ 30. POI-lC~= 0EFARTMEN?. TOWN OF SOUTHOI.~ I~o~mi~, New York 11ES8 SUMMONS NO· 1726 YOU ARE DIRECTED TO APPEAR to 9:30 A.M. ~ TOWN JUSTICE COURT ~in R~, Ro~e 25, ~u~=M, N.Y. 11971 ~t N~ ~0~ B~ ~34 ~ ~T~v .......................... HOR~O~T N. ~. I D Of a viol*lion Of I ~ of ibm T~ of Sou~d. N.Y., i~ ~at ~ ~.. ~ daf o~ YOUR FAILURE TO APPEAR AS DIRECTED MAY RESULT IN A WARRANT FOR YOUR ARREST. TRUSTEES John M. Bredemeyer, HI; President Henry P. Smith, Vice President Albert 1. Kmpsld, Jr. John L. ~ednoski, Jr. John B. Tuthill Telephone (516)765-1892 Fax (5163 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOI.D SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 August 8, 1991 Glenn Just J.M.O. Consulting P.O. Box 447 Quogue, NY 11959 Re: Amendment of Permit No. -3837 SCTM #100035-3-p/o 12.6, 12.7 Dear Mr. Just: The following action was taken by the Board of Town Trustees during their regular meeting held on August 1, 1991 regarding your request to amend the above permit. RESOLVED that the Town Trustees Approve the request of Glenn Just on behalf of John Braider to amend pezmit number 3845 to state the following: The retaining wall shall be 12~w~wi~t"h t~ 15' returns and the float on the dock shall be 4' X 14~. ~Y~'~3 All other terms and conditions in~~nal permit granted shall remain. ' The amended permit shall take effect upon\receipt of pa!anent of the following fees: No fees. Very truly yours, John M. Bredemeyer, III President, Board of Trustees cc: CAC Bldg. Dept. j.m.o, consulting p.o. box 447 quoguE, n.y. 11959 (516) 653-0607 TOWN OF $OUTHOLD June 14~ 1991 Mr. John M~ Bredmeyer~ iii, Pres±dent Southampton Town Hall 5:~095 Main Road P.O~ Box 1].79 Southold~ NY 11971 Dear ._~rmdmeyer_. .. At this point in time on behalf of John Braider we wish to amend the application regarding the above mentioned number,, i am enclosing for' your review copies of the site ~lan which depict that Mr. Braider is now planning on installing i20' of timber retaining wall with a 15' return at either end. This structure will ther~ be backfitleo with aprox. 15~0c.y. of clean sand which shall be trucked in from an upland source. Please note that Mr'~ Braider is now also request±ng approval to install 6'x:.!,6' and a 4'x14' float at the site, GEJ E Sincerely, Glenn E~ Just TRUSTEES - .~2 John M. Bredemeyer, IIL President Albert J. tGmpsld, Jr., V~ce Pr~dem Hen~, ~ Sm~h ~ohn B, ~athi~ ~l~iam G. ~b¢~on Telephone (516) 765-18~ Fax (516) 765-I823 BOAI~ OF TOWN TRUSTEES TOWN OF $OUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road EO. Box 1179 Southold. New York 11971 July !0~ 1992 John Braider 534 Main Street Northport, NY 11768 RE: John Braider SCTM %1000-35-3-12.6/12.7 Dear Mr. Braider: On May 28, 1992 the Southoid Towm Trustees denied without prejudice your request to permit a boat house of frame and "canvas" construction over your dock on Gull Pond, Greenport. The reasons for this denial discussed at the meeting were: I. Our permission for you to construct a dock in the first instance was a liberal interpretation by this Board of the zoning Code in that the Town Code re,aires a principle residence on your property before you are granted a dock approval. We believe you donot have a principle residence on your property. 2. The recently approved ~mendment permitting you to enlarge your dock places it among one of the largest structures ever approved in Southold for over public land. Much discussion was had whe~ we recently approved this exp~nsion~ we didso reluctantly and modified your request reducing the: size of the structure from what was pro~osedo 3. The Trustees know of no other boat houses in Southold Town and do not wish to establish a precedent for such structures which we believe excessively cover our property and may diminish marine productivity of the waterways we steward for the people of the Town. As the Board has properly concluded its consideration of you~ request for this structure, we must now request that you remove this structure within 30 days of this letter. Absent voluntary removal of this structure we will be left no alternative but to proceed with legal action in this matter. May we suggest you~ check with the building department such that you might be able to continue use of this structure as an attack~ent to you existing land based boat house~ If you should have any ~aestions surrounding this matter~ please do not hesitate to call. Very truly yours~ John M. Bredemeyer~ III President~ Board of Trustees JMB:jmt cc: Bay Constabl~~ Building Dept~ JOHN L. BRAIDER 534 MAIN STREET NORTHPORT, NY 11768 May 4, 1992 Board of TrUstees Town of Bouthold Peoonio, NY 11958 Gentlemen AMENDMENT TO PERMIT At the time that I filed for my original permit and subsequently had my docks built and installed, I had no idea that I was going to cover my boat in the fashion I chose, it was only after the docks were in place that the idea came to me. It never occured to me that this cover would require a permit. Z understand after visiting your office on Friday that an amendment to my permit is necessary to include this cover~ Please consider this letter a request for that amendment, since i would like to continue using the cover during the summer. I plan to leave the top on during the summer and roll up the sides. During the winter, of course, the sides will come down. I have enclosed the necessary $35 fee as instructed. Thank you in advance for your approval. 5.i nc e'r~l y, k_~/JLB: js To: 2ohr~ %raider NOTICE Police Dept. - Bay Constable Town of Southold Peconic, New York 11958 ~ NOTICE OF VIOLATION Aoril 24- Date: '[OWR OF SOUTHOL_DD -22 .............. , 19 ..... (Owner. or authorized agent of owner) A_~ ~41~air.~t,..Nor~h~ort.NoTo 1!76~ maress: ....... ~- (Address of owner or authorized agent of owner) Please tame notice there exists a violation of the Code of the · c7-9f~ Town of Southold, Chapter 97 Article--~ ....... Sectzon-= ............ at premises hereinafter described in YOU are therefore directed and ordered to copply with the following: __ £.o_.z~% to,_t~a~_ So_u~t~2 ±_~_ ~2~.~_~22:~_o~r_~2o~_z_rc~_s3e_e_s_2~_o~_.a_3~r_~=~_ ........... no laava this ~ructu.r~ o_%_r_eDo_xLa_~j_d~f~ct_e~_~o_!~o_~o_~_ ...................... on or before day df ~'? , 19 ~= The premises to which this Notice of Violation refers are situated at: Gull. Pond Lz~ ~-reenport .... f~own of $outhold, Suffolk County, N:~'. (Suffo County Tax Map Desig'nation: Dist.-'~ 35 3 Section: ~---Block: 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 Boa'rd 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 ther'eto a copy of the Notice of. Violation upon which a Hearing is requested and shall set forth the reasons why Such no/~ce of viola~on should be modified or resginded,~ //j,/~///~// ' Bay Constable,'/~own of Southold, NY Applicant proposes to construct approx. 130' of timber retaining wall ~ and two 15' timber retaining walls above the HHW line, to backfill structure with approx, t30c.y, of clean sand which shall be trucked in from an upland source and to install a 4'xi'4' float & a 6'x36' float at an existing docking facility in Gull Pond, Greenport, Town of Southold, County of Suffolk, ~ew York. SCA LE x.. -,,. bEC'T/ON ............ SCALE I~ I0~ Applicant proposes to construct approx. 130' of timber retaining wall and two 15' timber retaining walls above the MHW line, to backfill structure with approx. 130c.y. of clean sand which shall be trucked in from an upland source and two install a 4'x14' float & and 6'x36' float at a~ existing docking facility in Gull Pond, Greenport, Town of Southold, County of Suffolk, New York. TRUSTEES John M. Bredemeyer, III. President Henry P. Smith. Vice President Albert J. Krupski. Jr. John L, Bednoski. Jr. John B. Tuthil] Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTT L. HARRIS Sup~. isor Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 October 2, 1990 Glenn Just J.M.O. Consulting P.O. Box 447 Quogue, NY 11959 Re: John Braider, SCTM #1000-35-3-p/o12.6, 12.7 Dear Dear Mr. Just: The following action was taken by the Board of Town Trustees during its regular meeting held on September 27, 1990 regarding the above matter: WHEREAS, GLENN JUST, J.M.O. CONSULTING IN BEHALF OF JOHN L. BRAIDER applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated June 11, 1990 and, WHEREAS said application was' referred to the Southold Town Conservation Advisory Council for their findings and reco~.uendations, and, WHEREAS, a public hearing was held by the Town Trustees with respect to said application on August 23, 1990 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW, THEREFORE BE IT RESOLVED THAT GLENN JUST, J.M.O. CONSULTANT IN BEHALF OF JOHN BRAIDER BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: Construct approximately 354' of timber retaining wall above MHW Line. The southern Most 215' will be backfilled with stone; the remaining 139' will be backfilled with clean sand which will be trucked in from an upland source. The applicant also proposes to cons=ruc= a 6' X 14' float and a 6' X 36' float onto existing dock SUBJECT TO the following: 1. The permittee is to move the crescent shaped northerly e e section of the retaining section approximately ten feet (10') landward so it is placed at the edge of the lawn at the topographical crest of the bluff and not in the vegetated wetlands below. There shall be NO injury to high tide bush or Spartina species in that section. The remaining structure shall be built as per plan of J.M.O. Consultant. The applicant is to install a drywell(s) for roof runoff from the storage building as discussed with Mr. Braider. Ail un-vegetated sections of the beach except for twenty feet (20') of the applicants choice shall be replanted with Spartina alterniflora in a five foot (5') wide swath starting at M.H.W. Plants shall be on 12" centers maximum spacing. There shall be an additional inspection of the revegetation and aforementioned amendments with a fee of thirty-five ($35.00) due now. This permit will expire two years from the date it is signed if work has not commenced by said date. Fees must be paid, if applicable, and pezmit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Permit will be issued upon palanent of the following fees for work to be done below Mean High Water Mark: Inspection Fee $35.00 12' X 36' = $432.00 Total $467.00 Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:jb cc: Bldg. Dept. Conservation Advisory Council file ~® TRUSTEES John M. Bredemeyer, III. President Henry P. Smith, Vice President Albert J. Krupski, Jr John L. Bednoski. Jr. John B. Tuthill Telephone 15161 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTF L. HARRIS Supervisor .. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516t 765-1800 August 27, 1990 Glenn Just J.M.O. Consultanting P.O. Box 447 Quogue, NY 11959 RE: John Braider, SCTM ~1000-35-3-p/o12.6,12.7 Dear Mr. Just: A public hearing was held on Thursday, August 23, 1990 at the regular meeting of the Board of Trustees. The following action was taken: RESOLVED that the Southold Town Board of Trustees table any action on this project in order to meet with the applicant and agent at the site on September 18, 1990 at 8:30 a.m. Please notify this office if the above mentioned time and date is o.k. truly yours, John M. Bredemeyer, III President, Board of Trustees JMB: jmt cc: C.A.C. John Braider NORTH FO K NY RO 4 I£NTAL COUNCIL Route 25 at Love Lane, PO Box 799, Mattituck, NY [1952 516~298-8880 COMMENTS TO THE SOUTHOLD TRUSTEES CONCERNING APPLICATION 6-4-90-35 OF JOHN BRAIDER TO CONSTRUCT A 354' RETAINING WALL SUBMITTED BY THE NORTH FORK ENVIRONMENTAL COUNCIL, INC. AUGUST 23, 1990 The North Fork Environmental Council requests that the application be denied and that the applicant follow the recommendations of the Conservation Advisory Council. We are concerned that this application received a negative declaration Under SEQRA. Due to the potential for distUrbance to threatened or non-threatened species on site, and due to the potential for cumulative impac~t on Gull Pond generally, we believe'that either a positive declaration or a conditioned negative declaration should have been issued. Gull Pond is a sheltered body 'of water and normally does not · experience wave/tidal action necessitating such a large str'ucture as proposed. Indeed, it is our understanding that if Gull Pond were to experience a storm surge, wave energy would "bounce" off the retaining wall and damage other beach and marsh areas. It therefore makes more sense to re-vegetate currently eroded areas belongiing to the applicant in order to absorb intermittent storm surges. We believe erosion Control for this situation can be more effectively achieved through the use of plantings of spartina and other salt-tolerant vegetation native to the North Fork. Additionally, the upland portion of the applicant's property should be thoroughly evaluated to determine possible origins of erosion. If erosion is originating on the upland portion of the property, a planting scheme should be developed and implemented there also. We believe that this technique would not. only be a benefit to the natural environment of Gull Pond but would also be much less expensive for the applicant. We would refer to the applicant the excellent publication Long Island Native Plants for Landscaping: A Source BOok, to the Cooperative Extension Service, and of course, to the Trustees for assistance with this approach. non-profit organization for the preservation of land, sea,air and quality of life printed on 100% recycled, paper TRUSTEES John M. Bredemey~r, III, President Henry P. Smith, Vice President Albert J. Krupski, Jr. John L. Bednoski. Jr. John B~ Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 1197t Fax (516) 765-t823 Telephone (516) 765-1800 S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 6-4-90-35-3-p/o 12.~. & 12.6 NAME: JOHN L. BRAIDER DATE: July 26, 1990 RESOLVED that pursuant to 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 Trustees, as Lead Agency for the action described below, has determined that the project will not have a significant effect on the_ environment. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. TYPE OF ACTION: Unlisted in CEA DESCRIPTION OF ACTION: Construct approximately 354' of timber retaining wall above MHW Line. The southern most 215' will be backfilled with stone; the remaining 139' will be backfilled with clean sand which will be trucked in from an upland source. The applicant also proposes to construct a 6' x 14' float and a 6' x 36' float onto existing dock LOCATION: Gull Pond Lane on Gull Pond in Greenport, NY Tax map No. 1000-35-3-p/o 12.~'& 12.6 REASONS SUPPORTING THIS DETERMINATION: 1. An on site inspection has been conducted by the Board of Trustees. 2. An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. cc: Planning Dept. Bui !ding Dept. Zoning Dept. C.A.C N.Y.S.D.E.C. Army Corps of Engineers Telephone (516) 765-1801 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 To.' From: Dated: Re: SOUTHOLD TOWN CONSERVATION ADVISORY COUNI Southold Town Trustees Southold Town CAC July 25, 1990 Wetland Applications Recommendations TOWN OF SOUTHOLD The CAC made the following recommendations at its meeting of July 19, 1990: RESOLVED to recommend to the Southold Town Trustees disapproval of Wetland Application No. 6-4-90-35-3-p/o 12.5 & 12.6 of John Braide~. The CAC disapproves the requested 354 ' of timber retaining wall because no need is demonstrated. The CAC suggests a natural planting of spartina in "cleared area" would prevent any fruther erosion and any leaching into the pond. The CAC recommends approval of the proposed floats. Foot of Gull Pond, Greenport Vote of Council: Ayes: All Motion carried. Wetland Application No. 6-3-90-87-5-1 of Howard Ludecker was tabled. Wetland Application No. 6-2-90-106-4-1 of Sebastian Cove Property Owners Assoc. was tabled. RESOVLED to recommend to the $outhold Town Trustees approval of Wetland Application No. 6-6-90-76-3-23.1 of Thomas Zukas to construct a dock and float. The CAC approves provided the dock does not extend into the creek as to block navigation. The matter of nonjurisdiction cannot be determined since the location of the well and sanitary system was not provided. Smith Drive South, Southold Vote of Council: Ayes: All Motion carried RESOLVED to recommend to the Southold Town Trustees disapproval of Wetland Application No. 7-1-90-81-1-19 of William Griffo to construct two groins. The CAC recommends disapproval because the establishment of groins is bad not in the best interests of the environment, groins create problems and exacerbate a bad situation. Basin Road, Southold Vote of Council: Ayes: All Motion carried. Regarding the Larry T~tlSitl application no. 1-14-90-117-5-46. The CAC feels the project would do more damage to the environment that it would prevent the loss of some land. TRUSTEES lohn M. Bredemeyer, m, President Henry P. Smith, Vice President Albert J. Krupski. Jr. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTI' L. HARRIS Supervisor Town Hall, 53095 Main Road P,O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 LEAD AGENCY COORDINATION REQUEST DATE:To~, %~qD Enclosed is a permit application and a completed part I of the Environmental Assessment Form. Southold Town Trustees are interested in your ageny's comments in acting as SEQRA Lead Agency for: NAME: ~J'-o~-~ L- ~v6~',~t LOCATION: ~ %~ ~o~A Loon(~, ~-c~g DESCRP~: $~ ~(a~ PE~IT REQUIRED: (~) TO~ WETL~D ( SEQRA CLASSIFICATION: ( ) ~e I ~) ~LISTED ) OTHER ( ) Type II CEA Please contact John M. Bredemeyer, III, President, within 30 days and be advised that the Southold Town Trustees (WANT)/(DO NOT WANT) to assume lead agency. SENT TO: DOS ( ) DEC (~DOH ( ) PB ( ) ZBA ( ) BLD ( ) Please complete, detach and return this form to expedite processing. ~ Involved Agency: Project Name: Location: SCTM: We at AGENCY Trustees assuming Lead Agency. (Have/No) objection to Southold Town Comments/Reasons: Signature of Authorized Representative TRUSTEES John M. Bredemeyer, IH, Presidem Henry Pi Smith, Vice President Albert J. Krupski, Jr. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 June 13, 1990 Mr. John Holzapfel, Chairman Southo!d Town Conservation Advisory Council Southold Town Hall Main Road Southold, New York 11971 -Dear Mr. Holzapfel: Transmitted herewith is application No. 6-4-90-35-3-p/o 12.5 & 12.6 for a wetland application submitted by J.M.O. Consulting in behalf of John Braider. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB: jt BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hail, $3095 Main Road P.O. Box 728 Southold, New York 11971 TELEPIIONE (516) 765-1892 TOV~ OF SOUTH©LD' APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK, FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE ~EAS OF SOUTHOLD TOWN, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODE OF THE TOWN OF SOUTHOLD. APPLICATION NO. ~-' · APPLIC~T'S N~E: ~oh~ ~, ~C~;~ TEL~ NO...~_~g~i .MAILING ~DRESS: AGENT: ~-~,0, &GENT ~DRESS: ~ - _ _~ _ PE~IT REQUESTED TO: .[lOCATION OF PROPERTY FOR REQUESTED PERMIT: :SIZE OF PROPOSED WORK: Page 2. YDS. TO BE EXCAVATE~: ~ YDS. TO BE FILLED: MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: WIDTH OF C~AL, CREEK OR BAY FRONTING PROPERS: DEPTH AT LOW TIDE: ~ ~/ AVER. RISE IN TID~: DISTANCE TO NEAREST CHANNEL: DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA ZONING: ~--qO IS PROJECT FOR PRIVATE OR ~US. USE: DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO EREC~ STRUCTURES, DREDGE, OR DEPOSIT FILL ON SAID PREMISES: ~-~ ¢-~DD~'~ZL ~O_~c,[C~ ~. ! \ HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL AGENCY: k)~-~- -~ v,tn~ ~%[.~_~ o 0 DESCRIBE FULLY THE REHABILITATION OF PROPERTY: DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: .a,..~,-w,..~--...- ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: ~O WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT: J,m.o. consul'ting p.o. box 447 quogue, n.y. 11959 (516) 653.0607 Ac~01±cant proposes to construct approx±matelv 354' of thimber retaining wall above the iviHW Line~ The southern m~st 215' will be backfiiied ~,~it.h stone the remaining 139~ shall be back filled with clean sand which shall be trucked in from an upland source~ The applicant also proi0oses to a 9!oat and a ~' x 36' Tloat onto an exi~sting dock~ 617.21 Appendix A SEQ ..- State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The'full EAF is designed to help applicants and agencies determine, in an orderly manner, ~vhethe~ a projec or action may be significant. The question of whether an action may he significant is not always easy to answer· Frequen ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determin significance may have little or no formal knowledge of the environment or may be technically e.xpert in environmentz theanalysiS'questionln additiOn.of significance.many who have knowledge in one particular area may not be aware of the broader con terns affectin The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determinatio process has been orderly, comprehensive in nature, yet flexible to allow introduction of information to fit a project or actior Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic projec data, it assists a reviewer in the analysis that takes place in Parts 2 an~l 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action· It provide: guidance as to whether an impact is likely to be considered small to moderate or whether it ~s a potentially large ~mpact The form also identifies whether an impact can be mitigated or reduced· Part 3:impactlf any impactis actuallyin Partimportant.2 is iddntifled as potentially-large, then Part 3 is used (o evaluate whether or not thc DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Identify the Portions of EAF completed for this project: [] Part 1 ~] Part 2 ' E]Part 3 Upon review of the informatio~ recorded on this EAF (Parts 1 and 2 ,~'nd 3 if appropriate), and any other supporting leadinf°rmatagency°n that:and considering both the magitude and importance of each ~mpact, it is reasonably determined by the [] A. The project ~vill not result in any large and important impact(s) and, therefore, is one which Will not have a significant impact on the enwronment, therefore a negative declaration will be prepared. [] B. Although the prolect could have a significant effect on the environment, there will ~ot be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* [] C. The project may result in one or more large and important impacts that may have'a significant impact on the environment, therefore a positive declaration will he prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action -------_ SOUTHOLD BOARD O_F TOWN TRUSTEES_ ,. Name oi Lead Agency __ John M. Bredemeyer, III President, Board of Trustees Print~or fype_Name ol:J~.~p~a~b/e Officer in Lead Agency Title of Kc ~pons~ble Oi'ticer t~re ;t Respons,~e Ofl:icer in L~ad Agency Signature of Preparer (Ii: different ~rom responsible oifi,-~"~ ' I Da te PART 1--PROJECT INFORMATION' Prepared by Proiect Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the a pplication for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will.not involve new studies, research or investigation. If inform ation requiring such additional work is unavailable, so indicate and specify each instance. NAME OF ACTION LOC~ATI~ON OF ACTION (Include Street Addres" Municipality and C°"ntY~,~L,~ ¢ ,~ / N~ 6~ ~PPLICAhT~PONSOR ADDRESS CITY/~ NAME OF OWN~If different) ADDRESS CI~IPO DESCRIPTION OF ACT~ C cu m.X BUSINESS TELEPHONE STATE I ZIP CODE IBUSINESS TELEPHONE ( STATE ZIP CODE !/ Please Complete Each Question-Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: OUrban E]lndustrial E]Forest E]Agriculture 2. Total acreage of project area: ~-- ~ APPROXIMATE ACREAGE Meadow or Brushland (Non-agricultural) Forested E]Commercial ~Residential (suburban) E]Other acres. PR ES E NTLY acres acres Agricultural (Includes orchards, cropland, pasture, etc.) (~ acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) ,~,'d), .-q-~- acres Water Surface Area .,~Y'- acres Unvegetated (Rock, earth or fill) ~ acres Roads. buildings and other paved surfaces ~ acres Other (Indicate typel k(::t~r,,~ ~ acres What is predominant soil type(s) on project site? i-lRural (non-farn~) AFTER COMPLETION' _,-~ acres ~ acres /,-~ acres r~. C~ · ;)- ~'-- acres ~ acres ~ acres acres acres a. Soil drainage: I~ell drained t~.~'O % of site E]Moderately well draine~[ % of site E3Poorly drained % of site b, If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the N¥S Land Classification System? acres. (See I NYCRR 370). 4. Are there bedrock outcroppinRs on prolect site? []Yes [~',1o a. What is depth to bedrock? (in feet) consulting p.o. box 447 quogue, n.y. 11959 (5 61 Apolicant oro~:).oses t.o construct'; a~)oro;.:imat, elv .~,~4 of thi~b~Dr ,-'eta.i. nino wall above tine MHW Line~ The southern mos'[ 21~' will be bac:k'~:ille~ w~_t.h stone the r'ema;~n.lng 139' sha].l be back fil.led ~i'th c:lean sand ~.~,hich shall be trucked in from an u~land source. 'T'he applicant, al. sci proposes to a 6' x ;[4' l'Ioat, and a 6' x ;~6' float onto an existin~ dock. 5. Approximate percentag~ of proposed project site with slopes: [~-10% t~ % f-11~-15% % · I-i15% or greater % 6. is project substantially contiguous to, or contain a building, site. or district, listed on the State or the National Registers of Historic Places? [Yes ,~No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? I-lYes ~,~o 8. What is the depth of the water tablei ~x)']i/~ (in feet) 9. Is site located over a primary, principal, or sole source aquifer? ~,Yes 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ]~es I-INo 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? [:]Yes ~Ho According to Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) E]Yes mo Describe 13.'1s the project site presently used by the community or neighborhood as an open space or recreation area? E]Yes I~o If yes, explain 14. Does the present site include scenic views known to be important to the community? I-lYes E]No 15. Streams within or co~tiguous to project area: !,,I- ~1~ a. Name of Stream and name of River to which it is tributary 16. Lakes. ponds, wetland areas within or contiguous to project area: J a. Name b. Size (In acres) 17. Is the site served by existing p. ublic utilities? DYes ~,~o a) f Yes, does sufficient capacity exist to allow connection? []Yes DNo b) If Yes, will improvements be necessary to allow connection? l-lYes I-1No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 2S-AA, Section 303 and 304? E]Yes ,~o 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 6177 ~,,~s r-]No 20. Has the site ever been used for the disposal of solid or hazardous wastes? DYes B. Project Description 1. Physical dimensions and scale of proiect (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor ~ b. Project acreage to be developed: ~ acres initially; c. Project acreage to remain undevelope'd'%,~ acres. d. Length of project, in miles: h~] .~ (If appropriate) e. If the project is an expansion, indicate percent of ex~p~ansion proposed f. Humber of off-street parking spaces existing //~/'~c ; proposed g. Maximum vehicular trips generated per hour h. If residential: Number and type of housing units: One Family Two Family Initially Ultimately ,kJ'~i. Dimensions (in feet) of largest proposed structure height; , /~r~l~j. Linear feel of frontage along a public thoroughfare project will occupy is? 3 acres. acres ultimately. %; (upon completion of project)? Multiple Family Condominium width; , length. ft. ,2. How much natural material (i.e., rock, earth, etc.) will be removed from the site? 3. Will disturbed areas be reclaimed? E3Yes [)No ~A a. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? [3Yes E~No c. Will upper subsoil be stockpiled for reclamation? i-lYes I-1No · ~ tons/cubic yards 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? ~ acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? []Yes ~,o 6. If single phase project: Anticipated period of construction 7. If multi-phased: ~ a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 c. Approx mate completion date of final phase d. Is phase I functionally dependent on subsequent phases? 8. Will blasting occur during construction? [=]Yes I~J~o 9. Number of jobs generated: during construction 10. Number of jobs eliminated by this project ,C::~' 11 Will project require relocation Of any projects or facilities? months, (including demolition). month year, (including demolition). month, year. ir-lYes E]No ; after project is complete /¢~ F-lYes [~o If yes, explain 12. Is surface liquid waste disposal involved? [)-lYes a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13'. ts subsurface liquid waste disposal involved? [ZlYes ~ Type 14. Will surface area of an existing water body increase or decrease by proposal? E3Yes Explain 15. 16. 17. Is project or any portion of project located in a 100 year flood plain? [~f-es Will the project generate solid waste? [)-lYes I~;~::LO a If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? E]Yes F'INo c, If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? e. If Yes, explain I-INo [:]Yes F1No Will the project involve the disposal of solid waste? a. If yes, what is the anticipated rate of disposal? b. If yes, what is the anticipated site life? Will project use herbicides or pesticides? F-lYes []-lYes ~g~blo , tons/month. years. 18. 19, Will project routinely produce odors (more than one hour per day)? C]Yes 20. Will project produce operating noise exceeding the local ambient noise levels? 21. Will proiect result in an increase in energy use? f-lYes ~ If yes . indicate type(s) [Yes ~Lo 22. If water supply is from wells, indicate pumping capacity .~J ,a~ · gallons/minute. 23, Total anticipated water usage per day .~ ~x~. gallons/day. 24. Does project involve Local. State or Federal funding? []-lYes ~ff-No :, If Yes, explain 25. Approvals Required: City, .Tow?. Village Board '~?~i- '~es [No City, Town, Village Planning Board L-JYes ',J~o City. Town Zoning Board E]Yes City, County Health Department OYes '{~o Other Local Agencies I~Yes Other Regional Agencies ~'es [No State Agencies ~es E]No '-- Federal Agencies ~f-es ~1o Type .... C. Zoning and Planning lnformation on~4~jI sio~n~.~/.~Dv 1. Does proposed action involve a planning or z ecl es []No If Yes, indicate decision required: r-lzoning amendment I-Izoning variance E3special use permit E~subdivision E]site plan ~new/revision of master plan E~resource management plan E]other 2. What is the zoning classification(s)of the site? 3, What is the maximum, potential development of the site if developed as permitted by the present zoning? Submiltal Date . ~,/~t~ 4. What is the proposed zoning of the site? 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? I-lYes 7 What are the predominant land use(s) and zoning classifications within a ~A mile radius of proposed action? EJNo 8. Is the proposed action compatible with adjoining/surrounding land uses within a % mile? I-lYes E]No 9. If the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum lot size proposed? 10. Will proposed action require any authorizationfs) for the formation of sewer or water d stricts? l-lYes EINo 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection)? EWes E]No a. If yes, is existing capacity sufficient to handle projected demand? E]Yes I-INo 12. Will the proposed action result in the generation of traffic significantly above present levels? [Yes l'-INo a. If yes, is the existing road network adequate to handle the additional traffic? r-lYes r-INo D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such ~mpacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information prowd~d above is true to the best of my knowledge, r Applicant/Sponsor Nai~ /']CJ~. ~ .--~u¥/-- Date Signature ._2 I~ ~ //~ Title~~- ~ - '/ / ........ / · wi;~:~fl:::ssf;j:;~astal Area, yo~re a state agency, co,plele ,he ~oasla, Assessment Form before pro~ng 5 Par'~--PROJ~CT Ii~IPACTS AND T~'~%FI~ i~IAGNiTUDF_ " .... Responsibility of Lead Agency General Information (Read CarefullyJ · In completing the form the reviewer should be guided by the question: Have my responses and determinations reasonable? The reviewer is not expected to be an expert environmental analyst. ' Identifying that an impact will be potentially large (column 2),does not mean.that it is also necessarily signific Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 si~ asks that it be looked at further. · forThe EXamples. provided are. to assist the reviewer, by .sh°wing types of, impacts and wherever., possible, the thresho~ magnitude that would trigger a response m column 2 The examples are generally applicable throughout the State most situations, But, for any specific project or site other examples and/or lOwer thresholds may he approp; for a Potential Large Impact response, thus requiring evaluation in Part 3. · The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative have been offered as guidance. They do not constitute an exhaustive list of impacts and thresholds toanswer each quest · The number of examples per question does not indicate the importance of each question. · In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the apprepnate box (column I or 2) to indicate the potential size of impact. ]f impact threshold equals or exceeds any example provided, check column 2. If im pact will occur out thresh is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed' to PART e. If a potentially large imoact checked in column 2 can be mitigated by change(si in the project to a small to moder, ~mpact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. must be explained in Part 3. than one phase or stage. · Excavation for mining purposes that would remove more than 1,000 tons of natural material (i.e., rock or soil) per year. · Construction or expansion of a sanitary [andfi[I. · Construction ~n a designated f[oodway. · Other ~mpacts · 3C°nstructi°nfeet. on land where the depth to the water table is less than · Construction of paved parking area for 1,000 or more veh des. · Construction on land where bedrock is exposed or generally within 3 f(~et of existing ground surface. · Construction that will continue for more than 1 year or involve more r- i 2 , 3 Small to Potential Can Impact E Moderate Large Mitigated ~3v ~ impact Impact Project Chan~ [] [] ~tes E3Nc [] [] E3¥es l No ~ [] I~¥es E~No Wes ~ ~ Wes ~No IMPACT ON LAND 1. Will the proposed action result in a physical change to the project site? Examples that would apply to column 2 ~'~O [~YE5 · Any construction on slopes of 15% or greater, (.15, foot rise per 100 foot of length), or where the general slopes in the project area excee( 10%. Will there oe an effect t:...,y u;~que or unusual land forms round on the s~te? (Le.. ' cliffs, dunes, geological formations, etc.j'~'~O i~YEs land fOrms: 6 · Specdic IMPACT ON WATER 3. Will proposed action affect any water body designated as protected? (Under Articles 15, 24. 2.5 of.the Environmental Conservation Law, ECL) E3YE$ Examples that would apply to column 2 ' Developable area of site contains a protected water body. · Dredging more than 100 cubic yards of material from channel of a protected stream. · Extension of utility distribution facilities through a protected water body. ' Construction in a designated freshwater or tidal wetland. · Other impacts: 4, Will proposed action affect any non-protected existing or new body of water? Examples that would apply to column 2 ~NO f-lYES · A 10% increase or decrease in the surface area of any body of water or more than a 10 acre increase or decrease. · Construction of a body of water that exceeds 10 acres of surface area. · Other impacts: 5. Will Proposed Action affect surface or groundwate quality or quantity? ~NO [Z]YES Examples that would apply to column 2 · Pro~osed Action will_require a discharge permit. · Proposed Action reqmres use of a source of water that does ,not have approval to serve prcposed (project) action. · Proposed Action requires water supply from wells with greater than 45 gallons per minute pumping capacity. · Construction or operation causing any contamination of a water supply system. · Proposed Action will adversely affect groundwater. · Liquid effluent will be conveyed off the site to facilities which presently do not exist or have inadequate capacity. ·day. Proposed Action would use water in excess of 20,0t~0 gallons, per · Proposed Acdon will likelv cau,;e sfftation or other discharge into an ex~sting body of water to tr:e extent that there will be an obvious visual contrast to natural conditions. · Progosed Action will require the storage of petroleum or chemJcal products greater than 1,100 gallons. · Proposed Action will allow residential uses in areas without water and/or sewer services. · Proposed Action locates commercial and/or industrial uses w rich may . require new or expansion of existm/: ~vaste treatment ancllor storage faohtles. · Other Impacts: 6 Will proposed action alter drainnge ~l,w orpatterns, or surface water runori~ ~'O ~'YES Examples that would apply to column 2 · Proposed Acuon would change flood water flows. ~/ 1 Small to Moderate Impact [] [] Potential Can Impact Large Mitigated B Impact Project Chan [] [] [] [] [] [] [] [] [-]Yes E3 E3¥es [] [~Yes [] OYes ON, [] F-lYes I-qN, []Yes F-iN, []Yes t--iN [~Yes ~Yes ~N, ~Yes ~Nt ~Yes ~Yes ~Nc [~Yes- . [~Nc E]Yes [~Ne Eh'es ~No ' Proposed Action may cause substantial erosion. · Proposed Action is incompatible with existing drainage patterns. · Proposed Action will allow development.in a designated floodway. ' Other impacts: IMPACT ON AIR 7. Will proposed action affect air quality? '~NO i-]YES Examples that would apply to column 2 ·hour.Pr°p°sed Action will induce 1,000 or more vehicle trips in any given · Proposed Action will result in the incineration of more than I ton of refuse per hour. · Emission rate of total contaminants will exceed 5 lbs. per hour or a heat source producing more than 10 million BTU's per hour. · Proposed action will allow an increase in the amount of land committed to industrial use. · Proposed action will' allow an increase in the density of industrial development within existing industrial areas. · Other impacts: IM.PACT ON PLANTS AND ANIMALS Will Proposed Action affect any threatened or end species, ~d E~iyE$ Examples that would apply to column 2 · Reduction of one or more species listed on the New York or Federal hst. using the site, over or near site or found on the site. · Removal of any portion of a critical or significant wildlife habitat. · Application of pesticide or herbicide more than twice a year. other than for agricultural purposes. · Other impacts: 9 Will Proposed Action substantially affect non-threatened or nomendangered species? ~NO E3YES Examples that would apply to column 2 · Proposed Action would substantially interfere with any resident or m,gratory fish, shellfish or wildlife species. · Proposed Action requires the removal of more than 10 acres or mature forest {'over 100 years el: ageJ or other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES 10 Will the Proposed Action affect agricultural [and~res_~o,urces? EXamples that would apply to column 2 ~,~NO ' · ]'he proposed, action would, sever, cross or limit access to agr cultural land (includes cropland, hayfields, pasture, vineyard, orchard, etc.} E]YES 1 Small to Potential Moderate Large Impact Impact Can Impact . Mitigated 13 Project Chan r-f Yes [~Yes I-IN E]Yes I-IN ~Yes ~N I-'lYes ["'[Nc r-lYes [:']Nc f--J. Yes ['~Nc [~Yes [--]Ne E] es E]No E]Yes i']No E~Yes E]No I-lYes i--]No [--]Yes .i-]No [~]Yes [~]No [::lYes [':']No E]Yes [~]No ElY's DNo · Construction activity would excavate or compact the soil profile of agricultural land. · The proposed action would irreversibly convert more than 10 acres of agricultural land or, if located in an Agricultural District, more than 2.5 acres of agricultural land. · The proposed action would disrupt or prevent installation of agricultural land management systems (e.g., subsurface drain lines, outlet ditches, strip cropPing); or create a need for such measures (e.g. cause a farm field to drain poorly due to increased runoff) · Other impacts: IMPACT ON AESTHETIC RESOURCES 11. Will proposed action affect aesthetic resources? ~O I-lYES {If necessary, use the Visual EAF Addendum in ~ection 617.21, Appendix B.) Examples that would apply to column 2 - · Proposed land uses, or proiect components obviously different from or in sharp contrast to current surrounding land use patterns, whether man-made or natural. · Proposed land uses, or project components visible to users of aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. · Project components that will result in the efimination or significant screening of scenic views known to be important to the area. · Other impacts: II'~IPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or Structure\of historic, pre- historic or paleontological importance~ '~O i-lYES Examples that would apply to column 2 · Proposed Action occurring whotjy or partiaJlv within or substantially conti;~uous to any facility or site listed on the State or National Register of historic places. · Any impact to an archaeolo§ical site or fossil bed located within the project site. · Proposed Action will occur in an area designated as sensitive for archaeoio.qical sites on the NYS Site Inventory. · .Other impacts: IMPACT ON OPEN SPAC,'= AND RECREATION 13 Will Proposed Action affect the quantity or quality of existin~ or /uture Open spaces or recre,ltionaJ oPportunJt~es~ - Examples that would apply to column 2 '~J~O E3YES · 1'he permanent foreclosure of a future recrea-tJonal opportunity. · A ma~or reduction of an open space unportant to the commumty. · Other impacts: 9 Small to Moderate Impact 2 Potential Large Impact 3 Can Impact Be Mitigated By Project Change 'l-lYes I-'lNo I--lYes l--[No I'qYes [~No K'lYes I--INo []Yes E3No I-~Yes [-]No r-]Yes ["']No E3Yes r--iNo [~Ves [:]No [~Yes ~No []Yes [-]No .[lYes r-INo r'IYes [~No OYes OYes I--]No IMPACT ON TRANSPORTATION 14. Will there, be an effect to existing transportation systems? .NO C]YES Examples that would apply to column 2 . · Alteration of present patterns of movement of people and/or goods. · Proposed Action will result in major traffic problems. · Other impacts: IMPACT ON ENERGY 15. Will proposed action affect the community's sources of fuel or energy supply? '~O I-IYES Examples that would apply to column 2 ' Proposed Action will cause a greater than 5% increase in the use of any form of energy in the municipality. · Proposed Action will require the creation or extension of an energy transmission or supply system to serve more than 50 single or two fami y residences or to serve a major commercial or industrial use. · Other impacts: NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, orvibration as a result of the Proposed Action? ~2/NO I~YES Examples that would apply to column 2 · Blasting within 1,500 feet of a hospital, school or other sensitive facility. · Odors will occur routinely (more than one hour 0er day). · Proposed Action will produce operating noise exceeding the local ambient noise levels for noise outside of structures. · Proposed Action will remove natural barriers that would act as a noise screen. ° Other impacts: IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety? Examples that would apply to column 2 ~NO E]YES · Proposed Action may cause a risk of explosion or release of hazardous substances Ii.e. oil. pesticides, chemicals, radiation, etc.) in the event of accident or upset condiuons, or there may be a chronic law level discharge or emission. · Proposed Action may result in the burial of "hazardous wastes" in any form (i.e. toxic, poisonous, highly reactwe, .radioactive, irritating, infectious, etc.} · Storage facilities for one mdlion or more gallons of liauified natural gas or other flammable lkm~ds. · Prooosed acUon may result in the excavation or other disturbance w~thm 2.000 feet ota s~te used for the di.:,posal of solid or hazardous · Othor ~mpacts: 10 1 Small to Moderate Impact [] [] [] [] [] [] [] [] [] [] ..0 Potential Large Impact [] [] [3 [] [] [] [] [] [] 3 Can Impact Mitigated E Project Char []Yes I-'lb i-lYes I-lYes i-]Yes 'OYes ON []Yes 1-tN []Yes []Yes E]N~ []Yes E]N, []Yes []Yes []Yes- . ["-]N( []Yes []Ne []Yes :[]No :'[]Yes [:]NO [~Yes r-INo IMPACT ON GROWTH AND CHARACTEF~ OF COMMUNITY OR NEIGHBORHOOD 18. Will proposed action affect th~ character of the existing commumty? x, [~NO F1YES Examples that would apply to column 2 · The permanent population of the city, town or villa8~ in which the project is located is Iii(ely to grow by more than 5%. ' The municipal budget for capital expenditures or operating services will increase by more than 5% per year as a result of this project. · Proposed action will conflict with officially adopted plans or goals. · Proposed action will cause a change in the density of land use. · Proposed Action will replace or elim inate existing facilities, structures or areas of historic importance to the community. · Development will create a demand for additional community services (e.g, schools, police and fire, etc.) · Proposed Action will set an important precedent for future projects. · Proposed Action will create or eliminate employment. · Other ~mpacts:. I 2 3 'Small to Potential Can Impact Moderate Large Mitigated By Impact Impact Project Chan~c [] [] l~]Yes r']Nc [] [] ' []Yes · [] ~'] [:]Yes l-]Nc [] [] j r-lyes []Nc ~ -~ ~' ~Yes ~No ~ ~ ~Yes ~No ~ ~ ~Yes ~No 19. Is there, or ~s there likely to be, public controversy related'to potential adverse enwronmental mpacts~ N,,~NO ~]YES If Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3--EVALUATION oF THE I~gPORTANCZ OF I~1,' o..._.,.,TS~ ' Res ponsihility of Lead Agency Part 3 must be prepared if one or more imPactCs) is considered to be potentially large, even if the impact(s} may b mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1. Briefly describe the ~mpact. 2. Dsscribe (if applicable) how the impact cou[d be mitigated or reduced to a small to moderate ~mpact by prolect change(s _1. Based on the information available, decide if it is reason:able to conclude that this impact is important. To answer the question of importance, consider: · The probability of the ~m~act occurring · The durauon of the impact · Its ~rrevers~bi ry. including: permanently lost resources of value · Whether the imnact can or will be controlled · The regional consequence of the impact · Its potential divergence from local needs and goals , · Whether known oDl(tctlonS to the project relate to this m~pact. (Continue on attachments) 11 ~ Zd, M.O. CONSUL 0 TI NG--QUOGUE, 43' 45 ~oc~y P~ S 0 U N D STIRLING 1971 PIPES CO VE Faro i~gpt :~< ./ '., ~RT , 196 HOLD r- ~ R.qw. UA6$ TROM MAP~.2§ :. SCALE ~ooQ'~ · LOCUS :72 #1o d ' shit r 1 o~3 C 0 N S U'L--Y I NG--QUOGuE, N.Y. SEC ION .SCALE ! 0 5 I0 w o:¢ 4~(6~ ,SHEATHING 6RADE ,.],MO. CONSU s~e r 2 o~ 3 L TI NG"QUOGUE, N.y. NEW ~;Or~: STALE OEPARINENr OF ENVIRONMENTAL CONSERV/~{'~'ON 10-84-0244 GENFRAL promptly in writinR of lhe completion of the wruk. 2. The permilled work shall be sobjecl to inspecliml by an a.lllorlzed order the work suspended if Ihs public inlerest so requires. 3. As a condition of Ihs issuance of Ibis permit, the applicant has cepted expressly~ by the execution of Ihs application, tire hdl legal respon- sibility for all damages, direct or indirecb of whatever nalnre, aod hy whom- ever suffered, arising out of tbs project described heteia ami ha5 agreed In indemnify and save harmless Ihs Slale from sails, aclion% lin,ne, es aod 4. Any material dredged in lite proseculion of Ihs wo~ hmei. o,'rmille,I 5hall be removed evenly, without leaving large refuse piles, ridges a( r s~ cause injury to navigable chaonels or lo lite banks ut the walrrway. 5: Any material to be deposited or dumped under this permit, eilber i, the walerway or on shore above high-waler mark, shall be deposiled or dumped al Ihs locality shown on the drawing hereto attached, and, if so ~escribed thereon, within or behind a good and substantial bulkhead or bnlkbearls, such as will prevent escape of the material inlo the waterway. 6. There shall be no unreasonable inlerference with navlgalion by the work herein authorized. 7. That if future operations by the State of New York require an alteration In the position of the structure or work herein authorized, or if. in lira opinion of the Deparlment of Environmental Conservalion it shall cause nnreasonahte obstruclion to the free navigation of said walers or flood flow;: .or endanger Ihs health, safety or welfare of the Peoole ut the 5tale, or loss or d~struction of Ihs natural resources of Ihs State, the owner may be ordered by the Depnrl- watercourse hereby authorized shall nol be compleled, Ihs owners shall, 95-~0-4 (9/75) A[-B~'(3TFf~iii¥i~-[ ..... John L. Brader 534 Main Street --- -~o~thp. or_t,. New York... 11768 LOCAIlON OF PROJECT (SectJ~w nf sirrah1, Jif .11 w,,ll.,i,,l d.m~. }mibllmD ...... Gull Pond at southerly end of ~,,1l Pond Road between lands N:O.F. Marcus and'Farrell DESCRIPTION OF PROJECT Construct a 6'x30' catwalk on pilings a minimum of 3' over the grade with a 3'x14' hinged r~Mp_~n~A~_ ~'_.pbaped float ,.~ssembly .~[~wid~.~t~n~_~g 36' seaward from hinged ramp th_ ~n extending 44' north. COMMUNI[Y NAME (City, Town, Vill~ ..... -- j ...... COUNJY Greenport ' Southold Suffolk J f iX"i'i-sLi~ii i~Ji'i V JrERMIT EXPIRATION DATE September 30, 198~ COiq:l)i 1 1 ()NS 9. That if tbe'dimplay of lights and signals on any work hereby aolhorb is ool otherwise prpvided for by law, such lights and signals as may be p s~-riberl by lite United Slates Coast Guard shall be installed and mainlain by aod al Ibc expense of the owner.. IlL All womk carried oat unde~ this permil shall be performed in acc, dauce will. eslahlished engineering practice and in a workmanlike manner. 11. Il granl~'d hUrler Arlicles 24 or 25, lite Depatlmenl reserves the ri lo rec,.sider Ibis approval al any lime and after due notice and hearing e..li~m, rescind or modify Ibis permil in such a manner as may be found be jori and equilable. If upon lhe}.exp rat on or revocat on of Ih s permit, modifi~.~lion hi lite welland here~y authorized has nol been compleled, applicanl shall, wilhout expense lo Ihs Stale, and Io such extenl and in remove all or any portion of Ihs oocompleled struclure or fill and restore m rile to ils former condilion. No claim shall be made asa['nst the Slate of N~ York on accounl of any such removal or alteration. 12. This permil shall not be conslrued as conveying to the applicant a right le,~respass upon the lands or tnlerfere w th the riparian r chis of olhm lo perfor~ Ihs permitted work br as aulhurizing the Impairment of any righl lille ~r interest In real or Personal properly held or vesled In a person not party to lire peru;il. · .~13. The permitlee is {esponsible for oblaining any other permits, pruvals, lands, easements and rights-of-way which may be required for th 14. If granled onder Arlicle 36, Ibis permil is granted solely on Ihs ba~ Pall 500 of 6 NYCRR tqooslrucllon in Flood Plain Areas having SPecial } azards - Ituilding Pe.rmils) an~t in no way signifies thai the project will tree from flooding. (SEE REVERSF SIDle' ' SPECIAL CONDITIONS 16. There is to be no dredging a.s a result of this pr~jecto 17. Work is to be in accordance with plans ~ubmitted March 2, 1984 showing dock placed 50± 1.f. north of southerly property line. 18. Dock will be constructed over unvegetated tidal we~landSo SPECIAL CONDITIONS A THROUGH J ATTACHED. PERMIT ISSUE DATE May 22, 1984 USACE IPERMIT' ADMINISTRATOR /'~ ~ ~ J ADDRE55 . Daniel J. Larkin ! / ' ~11 L~ !BLDG ~~_/"/ . 40, s~ ~ STO~ ~ooh~t~ COUNTY OF SUFFOLK ) STATE OF NEW YORK )SS: BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, THAT THE WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. 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, IF GRANTED. in completing this application I hereby authorize the Trustees. agent ~r representative to enter onto nv property to inspect the SWORN TO BE~/~E.ME THIS '~?~_ ? Suffolk C~nty Expkea June 20, 19~-.v EX.~MINED APPROVED "WETLANDS" PERMIT (CHAPTER 97) APPROVED "BOAT,DOCKS, WHARVES" PERMIT (CHAPTER 32) DISAPPROVED "WETLANDS PERMIT" (CHAPTER 97) DISAPPROVED "BOATS,DOCKS, WHARVES" PERMIT (CHAPTER 32) CONDITIONS, IF ANY EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 ~LL '-'t 0 ..< -.r ffi ~o~