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Endemann, Frederic
{ r� John Bredemeyer, President ,.f,.. " Town Hall Michael J. Domino, Vice-President 's���S�rFDc�c°°y; 54375 Route 25 Annex James F. King y P.O. Box 1179 Charles J. Sanders `-. ����� Southold, NY 11971 Dave Bergen �= Ol ,� �a°.s'' Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: ( 6 /7;)( h\r"' FREDERIC ENDEMANN requests a Pre-Submission Inspection in regards to proposed dredging along the docks; proposed bulkhead replacement and extension; and proposed re-shaping and terracing of the embankment. Located: 840 Old Harbor Road, New Suffolk. SCTM# 1000-117-5-51.1 • Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: ff V `GTNv4'G CJG�. 1,7a Modifications: L.e l4 �,. � �-�-3 �s•/ Conditions: Present Were: / J. Bredemeye r M. Domino J. King Bergen C. Sanders Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: • - „r._----; .,itis, -.. . :�i- :t N • ., ' ` Q'=. '� "'`` _-; �•, '. '-r 1 ' } ”' F 1 Y `' L' ., e �t�.• p;• CiCIK vii J. 6�' ;r ;.,' r :, 4 { � � DNR g. 1 :! •'r =f%''�sice :'?, '' ' i`-.. . 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F_ Nc Fir L / I, r� ----1--a �—- -2015 - ! a 63/ ' S9v8 - So:ItihQIdTctan - - Board of Trust es F b E MAkin) G-n14-1(.. „ cap/ - i Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, F e et E cQ e. -.n a r,n _residing at --P 0 T o x 7Y.S . (print name of owner of property) (mailing address) c UT c_0 06-y r (i.iy IN 35 do hereby authorize J FF,r-ei (Agent) P�--i-a.,-)S e to apply for pennit(s)from the Southold Board of Town Trustees on my behalf. =`;.--; is tf, ; ;a;'; a:_- J OCT - 8 2015 ;'- n� . (Owner's signature) _____j Sau#tiadTcTct..n