The URL can be used to link to this page

Home My WebLink AboutTR-1733 GFALL :,IOORI.NGS AXD STAKES ~',IUST DISPLAY VISIBLE MOORING NU~'-iBERS ALL DOCKS A~ND BULKHEADS MUST DTS~LAY-~VISIBLE PER>lIT NU24BERS Board Of Southold .Town Trustees $OUTHOLD, NEW YORK Mooring ~ PERMIT NO...11.3..3.. .................. DATE: ...0.~..'q.,.... 2..3..,......19 ISSUED lO Dale N.' Bergen Aull urizaliun 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 So;,thold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS ,nd the REMOVAL OF SAND, GRAVEL OR OTHER'MATERIALS F~OM LANDS UNDER TOWN WATERS;" ~nd in accord~nc& wffh iht Resolution of The Board adopted efa' meeting he[d on .... .Oc~....1.1.,. ~ !~3. ...... , ~nd ~n consideration of the sum of $....~..t.q9 ......... paid by ...... ~ ................. ~.a.l.~ N.,.....Berg~.n ......................................................... of ....... ~at.~i.t~ .................................................. N. Y. and subject fo the Terms ~nd Condffbns lisfed on the reverse side hereof, of Soufhold Town Trustees ~ufhorkes and permits the following: Application approved to secure a permit for a dock in Deep Hole Creek, under the Grandfather ~lause. all in accordance with the detailed specifications as presented in the originating applicaflon. IN WITNESS WHEREOF, The said Board of Trustees here- by causes ;ts Corporate Seal to be affixed, and these presents to be subscribed by a ma[orlty of the said Board as of this dat.e. ......... ...~.. .rc%.~......~...~ .... · .......................... Grandfather Clause Please tear off and return ~o"~'h~--~r-us't~b--~ .......... Board Of MOO?. I/~G NO. pERMIT NO. . !7~3 Southold Town Trus' o . ~, ,,uc MUST SCUTHOLD, NEW ~9RK._ C"5 AND ~U~x,--ADS DISPLAY VISIBLE PErMiT NUMBEKS DATE: Oe~'. 27, 1983 ISSUED TO Da1 ~. N. l~orgon ., cerzifs, tha~ the work as authorized in th~_s perm'~ has been ccmu!eced and is no:~ read': fcr your inc?ec- rich. Also, the number recuired on this project is clearly visible. I further understand this permit Cs no-- valid until this tear sheet BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 October 27, 1983 TELEPHONE (516) 765-1592 Mr. Dale N. Bergen Bungalow Lane Mattituck, New York Dear Mr. Bergen: 11952 Transmitted herewith is your permit which was granted under the Grandfather Clause, for your structure. Please post your permit number on your structure, so that it can be seen from the water. Thank you for your co-o'~eration, in regard to this matter. Very truly yours, Board of Town Trustees Ilene Pfifferl~ng'' Clerk to Trustees Attachment BOARD OF T0gPN TRUSTEES Town Of Southold ~lain Road Soutl'.old, New York 11971 APPLICATION FOR 'FIXED and/or FLOATING DOCKS 4. After issuance of a Permit, work must be completed within one year. LA~GE 5. Secure the correct Area ,kAop from the Clerk of this Soard. and by using a/X W1TH{N A CIRCLE indicate os closely as possible the Eec=lion of this dock. On th~_reverse side of this mop, provide a SCALE DRAWING which will show Ordinary High Water Mork, the shc~e and;size of the dock and any supplemental pilings which ~re needed to hold a flooring do~k or tie-ubkq beet. Giv~ a~l dimensions nece~sar,/ to determine the area cf the dock surface ~'ZEiCH EXTEl, iDS OFFS~[OP~ from the O. H. W. M. If adjacen: grope~7 owners have docks, specify location and length to scale. %~liJJ any portion of this construction extend offshore into Town Waters beycnd an imcg]nc~ line or bounda~/ formed by other sfimi[or structures along the area's shoreline? YES o~ NO. If it does extend beyond This so-called dock tine indicate by how far, cpprox[mately,. ......... ft. 7. Provide the following documents: ~ , (d) A L;cunsed [,,~h.,e,:r': Survey ~f,.tk,~ (b) .& copy of the Contractor's Plans and Specifications. ~ Short ~nvironmen~a]. Assessment Form. Wetlands ADDZication " 8. ~viJJ this construct,oh-require 'the FilJihg of any land offshore of the Ordina~ High Mark or. the Dredging of any material From T~wn Lands under water? Y[5 or NO. If it fi:es, Form A/4 ' ~.n ', .... ~ .. ' ,A~h ..... n for Dredginn/Fillinq) must be completed and attached as part o;f=this cppficsticn. 9. In recuesting cpprov,at of this ckslication, ] subrdit that: the in/armor,on presented herein is true and correct to the best cf my knos~ledge and belief; I am ti~e person accountable for the performance cf the work in accordance wilh the ot~ns and specifications attached; i nave read crcm fam~i~cr with the prav,sions at an; 5outhoid 7o'wn Ordinance pertinent tO the work invo!ved; and further, I intend to adhere to ~nd ~a;de bv the /arms and Candi:icns o~ the Permit, when end ~ issueo to me. ZO. To expedk~a [~nd&n~ spec&~kc Zoeab&o or J~ac~Zon, indicate by using a temporary marker~ ~J (_ . · L --- TO\'/N OF SOUTt'IOLD S,hORT ENVIRONHEI.ITAL ASSESS}.tEIIT I OF~H I~,.~'CTRLICTIO~IS: ~o) In ordo~ to onswe~ the que:~tion~; ].ri this short EAF iL is that ti~e prepa~ez will use currenLiy ovu11~}b.tu 1nFormati. c r, con.zerr,~nm the p~oject and the !ikely impacts of 't~,e action. It ~:; not exp~:cted that additional studZes~ ~esoarch o~ other investigations w~l.}, be undertaken. (b) If any question ha:; been answeced Yes the r. ro6,- :L significant and a completed Env~ronmc. r~'La] Asr, assment Form Zr. necessary. (c) If a~L questions have bean c~nr, werad No iL $:: Ltl<et7 ~hat project ~s not s~gnLfLcant. _. (dj EnvLronmenta~ Assessment ~. wiT~ pro3ect rc:~uzt in a large physi(:c~L to the project xit. or phy:,icali/ altc'.z' moxe than 10 acres of land? ........................ ....... Yes No 2. Wiil there be a major chclnge to c~r, 7 ur~5. que or unusua} Land Form found on th~ sLt,:? .......... Yes_ No 3. ~'/~L pro~ect oiler ar J~Jva - Jurge eft'act on ex~st~ng body of watez'? ........................ ffa~z_ 4. ~'/$~Z pro~ect have a potc:~LZu~y ~orge ~mpact on groundwater quoLi~y? ........................ .... Yes_ _._N° 5. Wi11 p~oject s&gn&F/cantly c:~Fect drainage: s° ' Y~ ~ Flow on adjacent s&te ~ ............................ _.~~ 6. W~!I pro~ect affect any t~lrec~Lened endangered ptant at animal ~;pec&es? ........... ..... Yes 7. Wi1~ p~o~ect result in c~ raa}o~' adverse on air quality? ............................... _~Yes_~_N° 8. Wi!1 .pro~ect have a major effect on visual / characte~ of the commu~'~iLy or scenic viuws or vistas known to be impaq'tent to the commur~ity? .... ~c:s~No 9. Will project adversely impact any site or structure of historic, prei]i=toz'ic or paleontologicol importence or c~ny site designated os o critical environm~nkal oreo by o local agency? ............ -.;..-.-~-.~...v-...-.__Yes~No ~0. Will project hove a ~ajor effect on existing or future recreational opport, uniiiex? ......... Yes ~1. Will project result ir, major LroFf/c or cause a ma]or effect ~o existing tran~portotion systems? ' . ........ Yea_ ~2. Will project regu!orly cause objectionable odgrs, noise, g!ore, vibration, or electrical disturbance as o result of Li~e project'~ operation? .................................... Yes~ No 13. Will project have any impact on pubiic health ..... No ' or safety? 14. Will project of feeL the exJ. sting community b7 , directly causing a growth in permonu~t population of more thor~ 5 percent over o one year period or have o mujor negativu cf feet on the character of the community or neighborhood? ..... i ........................... Yez.~ LN ' there public con'troversy concefnzr, q thc .....