HomeMy WebLinkAboutBRICKLEY, DONALD P Telephone
516 - 765-3783
April 8, 1975
Supervisor A~bert M.
Southold Town Board
16 South Street
Greenport, New York
Martocchia
11944
Dear Supervisor Martocchia:
The Board of Southold Town Trustees recommends
filling an area 20 ft. ~y 160 ft. on the property of
Rev. Donald P. Bricktey, wetland application ~o. 21,
to conform to Suffolk County Board of Health ~equire-
ments.
The Board does
existing mosquito ditch as
purpose, and would negate
fill the 20 ft. by 160 ft.
not recommend opening of the
it would serve no useful
the action recommended to
area for the~ system.
Very truly yours,
Alvah B. Goldsmith, Chairman
Board of Southold Town Trustees
Telephone
5``6 - 765-3783
BOARIJ OFf[OWN TRUSTEES
TOWN 03 S~3tIrHOLD
SUFvoLK COUNTY
Somrhold. L. I. ~N. Y. '.1971
January 13, t975
Rev. Donald P. Brickley
144 Shbre Avenue
Quincy, Massachusetts 02169
Dear Rev. Brickiey:
Before the Beard of,Southold Town Trustees
can make their recommendation ~o the Southold
Town Board on your wetland application, we requesn
that you furnish us with copies of your correspondence
with the Suffolk County Board of Health specifying
their requmrements.
Very truly yours,
.~.l~f[3 J / / ~ ,.~/ - x ~ ~ ~~ /~ ~,-~-~
~Jud~ch T. Boken, Secre_arv
Board of Southoid Town Trussees
. ' Telephone
516 ~ 765-3783
BOARD OF TOWN TRUSTEES
TOWN OF $OU'ii~0LD,~
SUFFOLK COUNTY
Southold, L. I.i N. Y., 11971
July ~5, L974
Southold Town Board
16 South Street
Greenport. New York 11944
Gentlemen:
The Board of Southold Tow~_ ~rusnees recommends
the disapproval of Wetland Application No. 17 by Rev.
Donald P. Brickley, 75 Broadwaters Road, Cutchogue, New
,;York,
The benefit of additional fi!l, which the applicann
states is required by the Board of Health, would be offset
by the additional size of the drainage ditch requested by
the applicant.
Very truly yours,
Alvah B. Goldsmith, Chairman
Board oi Southold Town Trustees
?ublic Hearing Soumhold Town~ Board - August 27, 1974
Co~ciiman Homart read the Notice of Hearing~
NOTICE IS HEP~EB¥ GIVEN thama hearing will be held by
the Town Board of the Town of Southold am the Supervisor's
Office, IS South Street, Green~ort, New York, on the 27th
day of August, 1974 at 7:30 p.m. mn the matter of the appli-
cation of Rev. Donald P. Brickley for a permit under~the
provisions of the Wetlands Ordinance of the ~own of Southold
forthe purpose, of excavating and filling portions of his
property at 75 Broadwaters Road, Cutchcgue, New York.
Ail persons interested in said mamter shall appear az
the time and plac~ above specified and will be given an
opportunity to be heard°
Dated: August 8, !97a
BY ORDER OF %HE SOUTHOLD
TO~ BOARD
ALBERT W. RICHMOND, CLERK
Proof of publication was presenmed from the Suffolk
Yeekly Ti~es and the Long Island Traveler - Mattituck Watch-
man. Proof of posting was presented signed by the Town
Clerk.
The following letter was presenzed from the Board of
Towr~ Trustees of the Town of Southold.
Gentlemen:
The Board of Southold Town Trustees recommends the
disapproval of Wetland Application No. 17 by Rev. Donald P.
Brickiey, 75 Broadwavers Road, Cutchogue, New York.
The benefit of additional fill, which the applicant
states is required by the Board of Health, would be offset
by the additional size of the drainage ditch requested by
the applicant.
/s/ Alvah B. Goldsmith, Chairman
Board of Southold Town Trustees
The Southold Town Conservation Advisory Council dis-
approved.the application under signature'of Frank A. Kujawski,
Jr. as Chairman~because of being one-half wetlands with
spartina patens ~ad standing water at iow tide.
Supervisor: You have heard the reading of the notice,
description of the property, the legal notices as published
in the papers, the posting by the Town Clerk, the position
O£ the Southold Town Trustees recommending denial, the
position of the Southold Town Conservation Council~re6ommend-
ing denial. At this~t[me, is there anyone who~wishes to
speak in favor of the application.
Hearing
August 27, 197L
Rev. Brickley:~ I am the applicant. In 1970 I bought this
oiece of land which comprmses a little more than three acres
of ground ay the corner 6f'Broadw~t~r and~Skomk Lane for the
specific ourpose of building a summer place for my wife and,
hopefully, having enough left on the land for one of my
children To build a place. It ms a do-it-yourself project.
My wife's' second cousin decided he wanted to build a new
house. The old house was adequate for our needs so we moved
his house to our property. I sought application for the
septic system and the surveyors failed to notice on the plan
that about 3/4 bf this land was meadows and the Board of
Health gave permission for the sump and the five-pool sysvem.
The installers installed the system without recognizing there
was a problem. We did not know we had a problem until the
Board of Health came out and said we were too close to the
meadows. We are about fifty feet from the meadows. The
septic system sits about fifty feet away from the meadows.
Mr. Villa Suggested that I petition through the Wetlands
Ordinance for filling, He asked to petition for fifty feet
of fili to meet the required condition of one hundred feet
from the septic system to allow the drainage. That meant
the petition is~looking for fifty feet of fill in the wetlands.
i~ have since talkad to Mr. Villa/'about a compromise. He said
if you can't gev permission to fill, if you could get permission
for about twenty feet it would be possible probably zo gem
a variance from the Board of Health to allow for a seventy or
seventy-five foot drainage instead of the one hundred feet
required. We are kind of coming with a compromise asking
instead of £ifvy feet maybe vwen~y feet to the edge of the
grass be 'considered. The other point zs we open ~he north~
erly ditch to allow for the flow of Water to keep from getting
szagnant. I think it should not interfere with the balance
of nature at all. I am of the opinion and have been told
that this is necessary To maintain the meadows so I am asking
that the mosquitoe ditch be opened, I thim~ that is my case,
If anyone has any questions I should point out that the man
I bought it from originally plarmed to open it up and build
nine houses which would be impossible with today's ordinance,
I am only interested in building a summer home, it is there
already. ,i pray you would consider this petition mud granv
it if you see possible.
Irene Cokkinos: I am in favor of this proposal, also. v
think it would alleviate the insects in the area if he were
to dig up the ditch and it would em~ance the area also by
seeing the Water, ~the channel for the boats to go through.
Stanley Waime¥: I want to express myself in favor of this.
The twenty footlamended request if reasonable. I know when
he bought-the property there were nine pieces. He Consoli-
dated it into one parcel. Although it is true ~nder the
present Ordinance, at .that time it was possible to,fill and
use it. 'He bought it in good faith not ~utioipating this
would h~ppen. It can happen to somebody who purchases
property ~ud the ordinance is changed later. The require-
merits of the Department of Health are extra cautious. I
~c Hear~ng~ ~3D' :~ "~ August 27, '197a
know.they don~t require one h~undred feet because there are
many cesspools and wells as close as fi£ty feet aparz and
there are many properties which have cesspools which are
veDy. close to the wetlands. I think the safety factor here,
I don't think there would be any contamination.
Supervisor: You are 'talking about an amended amount o£
footage. We have reports from our Town-Trustees and our Town
ConServation Advisory- Co~mucil recommending denial of ~his
application based on what was submitted to them. They do
not have this nsw figure you are discussing tonight.
Rev. Brickley: I wasn'v aware thi's was a possibility. I
knew the committees had denied the petition. He said try
for a compromise. Then perhaps they could give a varzance
for their one hundred feet. That came up ~ust this week.
If necessary, I can make a new petition.
Supervisor: We lean on our committees and they haven't had
the opportunity to discuss this. Perhaps if they knew what
you are telling now they would look at it in a different
light. You could withdraw ~nis application and let the
To~m Trustees and our Conservation Council study what you
are talking about tonight because we are talking about
different things. ! am no~ saying they will go along with
it, but it is new information.
Rev° Brickley: I think that would be advisable under the
case.
Supervisor: We will proceed with vhe hearing and at the
end if you feel you would like to withdraw and re-apply you
can do so zn v~iting. Is there anyone else mn behalf of
supporting this applicant? Hearing none, is there anyone
who would like to speak in opposition to gr~uting the
application?
Lorraine Terry speaking on behalf of the League of Women
Voters of RiVerhead-Southold and the North Fork Enviror~mental
Co~uncil, Ins.:
The applicant owns 3.09 acres on a marsh off of Broad-
waters Cove~ whichthe Town Tax Map still shows as subdivided
i~to nine tots, each with access to a non-existent channel
from the creek through the marsh.
Applicant's permit from the Health Department for wells
and cesspool was granted based on a map which did not show
the proximity of water. When Health Department inspection
was made, however, it was determined that the specifications
for location of cesspools 100 feev or more from water were
no~ met, and that filling would be required to bring vhe
situation into conformance with the re~lations. This
Hearing is the result, but this information has apparently
no~ been r~layed'to the Town Trustees by the Health Depart-
ment of' Suffolk County nor by the applicant.
Since.the house appears to be occupied, we question
Hearing -4- August 27, 1974
whether a Certi£icate o£ ~ccupancy. should have been issued.
The application to the Town T~ustees: for a permit to
fill shows no lot lines whatsoever, but does delineate the
marsh whichlprobably occupies about half of the three~ acre
site. Since there are no lot lines in evidence, we assume
that applicantdoes not intend to subdivide the propervy,
in which rase the appli0ant could have and should have placed
his cesspos1 in such a position as to conform with Healzh
Department regulations, including placement 1OO feet or more
from water. Ins~ectionsef the property would indicate that
this could have been accomplished by pia¢in~ the cesspool
on.the upland area along Broadwaters Drive (not Broad~aters
Road, as is~on the application).
Applicant States on one page that he will £i!1~160 feet
by 50 £eet. On another page he states fill to be 150 feet
by 50 feet. No elevations are recorded on this map so the
~igure given of 525 cubic yards o£ fill is impossible to
con£irm. Applicant states that four feet of will will be
used, and he evidently expeczs to use fill £rom zhe marsh,
since heis also applying to widen the very small existing
mosquito ditch to a width o£ five feet which just possibly
also would~gmve hi~ access to the creek for a small boat
iff he were allowed to extend this oversized mosquito ditch
onto the property adjacenz easterly. We consider this
request to be clearly excessive.
· o sum up:
t. Excessive damage has already occurred to marsh and
wetlands in this area from dredging, filling .and
bulkheading.
2. Application to the Health Departmenz of Suff~ik
County was apparently defective in not acctu~tely
representing the property.
3. Extension of an area of upland into a marsh or wez-
land to correct such a deficiency should not be
permitted.
Not all pertinent information has been relayed zo
all ~overnmental units involved.
5. There appears zo be adequate land space available
within the three acres for proper placement of
cesspools by using the propervy which extends along
Broadwaters Drive (which applicant calls a Road).
6. ~>rotection for the citizens o~ the Tow~ from pollu-
tion and dimun£tion of our productive marshes must
override a hardship which might possibly exist for
an individual.
Health Department regulations and Town regulations
exist mhd are based on the protection of the health and
_are of all the people of the To~m of Southold. We recomm, end
denial of the application for the above reasons.
/~ Jean H. Tiedke
/s/ Loraine S. Terry
Hearing -5- August 27, 197a
~Jarvis Verity: $ represent the Sou~hold T0wn~Baymen's
Association. This gentlem~n says the casspool is going to
be filled within twenty feet and that will seep into the
creek. ~aen the tide comes up you are going to have tide
in that cesspool. We would like to see the wetlands saved
because there arer~t many left in that creek. Most have been
filled in and we are losing alot of wetlands and we are
going to lose ou~ fishing.
Ms. Tiedke: This possible pollution from cesspools is
preciselM what we are talking about. In this day ~ud age
when we have a population explosion and food not matching
mt, we cannot _fford any .more damage to any xood production
area in the world° It has to begin at home even in a small
creek in Southold.
Supervisor: Is there anyone whp wishes to speak in rebuttal?
Rev. Brickley: The system seemed adequate for any seepage
into ~the marsh. There is a 900 gallon holding tank and
five pools. Mr. Villa assures me if we can get a little
more fill it will not hinder the marsh in sm_y way as £ar as
the septic ~system so we can_ get a variance.
Ms. Terry: The map which we referred to.is the map as ~urned
in to the Town Trustees. I have not seen the map that vhe
Building Inspector has, but the map the Town Trustees have
doesn't show any lot division whatsoever~ It shows a~whole
piece where the Te~fn~vax map shows nzne lots. The map
presented to the Tow~ Trustees shows no lot lines whatsoever.
Supervisor: There wah a series of brothers that owned iv
~ud they chopped it up amongst themselves. ~nethe~ they
were legitimate cut ups or not I don't ~uow.
Ms. Tledke. The ~own ~ax map ~ms not up vo date.
Rev. Brickley: Are there tw~ lots on the map?
Councilman Homan: Yes.
Supervisor: Is there anyone else ~no wishes to speak?
Hearing none we will cal~ the hearing to a close and a
decision will be rendered in the near future.
Present at this meeting were Supervisor Albert Martocohia,
Councilman Rich~ Councilman Homan, Justice Demarest and
Justice Surer.
Respectfully submitted,
Mo_riel Brush,
Secretary
' ~ SU~FO~[~K COUNTY ':
. DIVISION OF PUBLIC HEALTH
DEPARTMENT OF HEALTH S~.RVIC~-S
H, LEE DENNISON EXECUTI~JE OFF~CE BUILDING
HAUPP~UGE. NEW YORK i1787
March 26~ 1975
Rev. D,~,Bricktey, PH.Do
! C~,~'nun~,~y of Ne?riser. ,
"':. ' 5141atnut. Stree'~ : .
,~orr~hester~ f,iass ~chusetts
02122
· Re:
AoDtication to Construct an
Individual Sewage DisPosal System,
Broadwaters .Road, Cutcho§ue~ ~e~vn
Southold
Dear Rev. Bricktey:
At' the hearing held on?arch 7, 1975, in the offiCe of the
Suf¢oik County Department OT Health Services, Division of Puol~c }~eal
Ho Lee Dennison ~xecut~ve Off~ce Bu~lo ng~ Veterans Memorial highway,
Hauppauge, N~w York~ you had an Opportunity to present your appeal
of the Department's ruling on the subject application,
In accordance with the provisions of subdivision (c)~ Section
~e, ,,,,n~t,on of
..~]cl~ ~ of the Suffolk County Sanitary Code, the J~ ~ -' ~
~he Board of Review is as follows:
Base~ on the information submitted, the subject application be
approved for the installation of a seotic tank and cessooot system provided
that an additional fill is placed to increase the minimum distance from the
leaching cesspools to the marsh from 50 feet to 70 feet.
Since the determination of,the Board of Review submitted to the
Commissioner:s office on ~iarch 20,,t975, has not been reversed or
mpdified by ber~ it is therefore deemed to be the determination of the
Commissioner
HWD/eb '
cc' Aldo Andreoli, P.E.
Robert A. Villa, P.E.
Southold Building Department
Very truly yours,
/-H,,l!. Davids, P.E.
Chief, Bureau of Environmental
Ileal th Services
COMMUNITY CHURCH OF NEPONSET
51 Walnut Street, Dorchester, Massachusetts 02122
Phone 825-1155
Minister
REV. D, P, BRICKLEY, PH.D.
144 Shore Avenue, Quincv 02169
Phone 773-9751
Associate Minister
REV. THOMAS G. JONES
7 HalletStreet, Dorchester 02122
Phone 825*7676
Jan. 23, 1975
Judith T. Boken ~ Secretary
Board of So~th~ald Town Trustees.
Dear Ms. Boken:
Thanks for your letter of Jan. lB, I have written Mr. Vella
of the Board of Health and asked his office to send you some written
statement specifying their requirements for the approval of the
septic system, I hope you will hear from him soon so my application
can be acted upon.
Sincerely,
[] F~ERK
SOUTHOLD, L. I, N. Y. 119"71
i~ovember 29, 1974
Mr. Alvah B. Goldsmith, Chairman
Board of Southold Town Trustees
Main Road
Southold, New York 11971
Dear Mr. Goldsmith:
Transmitted herewith is application no. 21
(017 revised) for a wetland permit submitted by
Rev. Donald P. Brickley.
Please prepare a written report of findings
and recommendatio~ with respect to this application
and submit said report to the Southold Town Cle~
within 20 days of receipt of this letter.
Very truly yours,
Albert W. Richmond
Town Clerk
Town Of Southolcl
Town Clerk's Ot~ice
$outhold, N. Y.
APPLICATION FOIl WETLANDS PEItMIT
Application No ........~..~ ................ Date of Appllco~ion ......~..~ ................. ~ ..................
^ dress of,,,pp,,co,t ....... ....... ......
INSTRUGTION$ 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 properties, 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 issued.
D. A detailed statement of the rehabilitation and proposed condition of the premises after the
work is completed must be g~ven, including a survey if required.
E. tf permit is being sought for e more sizeable excavation than the construction of a private
single dock ar jetty, then this application must be accompanied by a survey and topographical map
certified by ~ regis}ered 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-
[ngs shall be based upon United States Coast and Geodetic Survey and/or United States Geological
Survey datum.
F. A statement must 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 premises and whether any such permits or licenses
were ever revoked or suspended by a governmental agency.
G. A filing fee of $2§.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 previsions of A~'cicle II, Section 210, subdivisions (d) and (g) where it finds that nature of the
proposed operations are such that 'the requirements of such growsJons are not necessary for a
proper consideration of a ~ermit application.
Upon approval of this application the Town Clerk will issue e permit to the applicant. Such
.oermit shal be available for inspection, at any time, upon request.
Examined .................................................. 19 .......
Approved ................................................................
Disapproved ...........................................................
Conditions, if any .................................................................................................................................
Examining Body .....................................................................................................................................
Signature of Chairman .........................................................................................................................
APPLICATION IS 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 govem-
lng the Coastal and Interior Wetlands, Flood Plains and Drainage Areas of the Town of Southold:
Permit ~..
requested to .~.]../.~. . ~ ~../~..~. r~ .~ ............. ...~......
.......... ~'-~ .................... '~'-f-'-"--~" .................... ,' ......... , .......................... ~r.-,-'-* .......................
Location of property for which permit wanted .....................................................................................
............ Z~.....~.r.o.~_~. ........ ~ ....... ~..~.....Z~ .............................
Home address of permit applicant if different from aforesaid location ..............................................
....... : ............ .~.~.Y.........4.~....~.,..2~.~...,..~.z~.:......s.~..~.~ ............................
Creek, Bay or Harbor fronting property ............................................. .....~g~... ....... ?., .........................
Size of propoSed work:
Length ~t~ ~ ! ...................................................................................
Width ~ ~ j
Height Above High Water ......~... ...........................................................................................................
Depth Below Low Water ............................................... ~ .........................................................................
Yards to be Excavated ...........................................................................................................................
Yards to be Filled ..,.....~.~.. ..........................................................................................................
Width of canal, creek oF bay fronting trot-.,, ...................... .~ ...................................................
Depth at Low Tide .....................................................................................
Average Rise in Tide .............................................................................................................................
Is this for private or business use? ..................................................................................
A, rea Zoning .............................................................................................................................................
Monner in which material will be removed or deposited ........... ..~. ...........................................
.................... ~..-..~.4, ....... ~*..~.~ .....................................................................................
,~te.ded u. of prope~ .~.....~......~'.~....~....F...~.....~~'
.~....~.~....~......~.~.~....~., ...............................................................
Written consent of owner of properS, if not the same as the appli~nt ........................................
COUNTY OF SUFFOLK )
STATE OF NEW YORK } SS:
................... ' ......................................... being dui,/ sworn deposes
and says that he is the applicant for the above described permit, and that ~ 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 end as may be approved by the Town Board of the Town of $outhol&
The applicant agrees to hold the Town of Southold and th~--T-e~r ~ar,~ h~armless and free from
any ,and all damages and claims arising under or by virt~fe of scsi ~, if granted.
.........................
Signature of Ap/I
Sworn to before me this ...... ~..~'. ................. / ~
day of ....... ...~.~.~~ ...... , 1c)..2...~.
.... ~-~.'~¢. -~* .......... ~-,~-~',~.,-..N~./~2-~?~344~63 suffoik County
(./ ~ Notary Public ¢~mrnlssion [~p[res March 30, 19~
November 27,
ALBERT W. RI~HM{3ND
T~ID
SOUTHE]LD, I, I, N. Y. 11971
May 14, t974
Mr. Atvah B. Goldsmith, Chairman
Southold Town Trustees
Main Road
Southold, New York 11971
Dear Mr. Goldsmith:
Transmitted herewith is application No. 17
for a wetland permit submitted by Rev. Donald P.
Brickley.
Please prepare a written report of findings
and recommendations with respect to this application
and submit said report to the Southold Town Board
within 20 days of receipt of this ~etter.
Very truly yours,
Albert W. Richmond
Town Clerk
COMMUNITY CHURCH OF NEPONSET
51 Walnut Street, Dorchester, Massachusetts 02122
Phone 825-1155
Minister
REV, D. P. BRICKLEY, PH,D,
144 Shore Avenue, Quincy 02169
Phone773-9751
Associate Minister
REV. THOMAS G. JONES
7 Haliet Street, Dorchester 02122
Phone 825-7676
Town Of Southold
Town Clerk's Office
Southold, N. Y.
APPLICATION FOIl WETLANDS PERMIT
Application No ..... t.'.~- ..................... Date of Application .........~.~....Z.~..~?.7.~ ................
Identity of Applicant Rev. Donald P. Brickley
Address of Applicant 75 Broadwatars Road (Car Skunk Lane -- Bay Ava)
INSTRUCTIONS FOR PERMIT
A. This application is to be completely filled in by typewriter or ink and submitted to the Town
Clerk m quadruplicate, accompanied by writter' permmmon 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 properS, the names and locations of owners of adjoining properties, and a detailed description
of proposed project. (Note: Copies of the I~ilot Plan may be made by a copy machine and attached
to the Permit Application.9 ~,5'~ J~,~-~ ~ -~'~'-Y~-~
C. No operation shall be initiated by the applicant until all permits that are required are issued.
D. A detailed statement of the rehabilitation and ~roposed condition of the premmes 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 a private
single dock or jetty, then this application must be accompanied by a survey and topographical map
certified by a 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-
rags shall be based upon United States Coast and Geodetic Survey and/or United States Geological
Survey datum, r,,..('~c -f~'~t ~ ~'~ ~'~'-Y-)
F. A statement must accompany the application describing any known prior operations conducted
on the premises in question and: whether any prior licenses or permits have been msued to erect
structures or to dredge or deposit fill on said premises and whether any such permits or licenses
were ever revoked or suspended by a governmental agency.
G. A filing fee of $25.00 shall accompany the application. This Filing fee includes one inspection,
there is a $5.00 fee for each additional inspection.
H. ')'he Town Board upon request of the applicant for a permit, may waive in whole or in part,
~he prowsians of AC'dele H, Section 210, subdivisions (d) and (gl where it finds that nature of the
proposed operations are such that ~he requirements of such provisions are not necessary for a
~roper consideration of a permit application.
). Upon approval of this application the Town Clerk wi)[ issue a permit to the applicant. Such
~oermit shall be available for mspection at any time, upon request.
Examined .................................................. 19 .......
App roved ................................................................
Disapproved ...........................................................
Conditions if any .............................................................................
Examining Body .....................................................................................................................................
Signature of Chairman .........................................................................................................................
APPLICATION IS HEREBY MADE to the Town Board of the Town of Southold, Suffolk County,
New York, for the issuance of a permit purstmrtt to the Laws, Ordinances and Regulations govern-
~ng the Coastal and Interior Wetlands, Flood Plains and Drainage Areas of the Town of Southold:
Permit requested to .........~`[.~[~5~?~e~"~?~s~c~9~7.~~§~ .....................
Board of ~ealth for drainage for the septic system, To ope~n
existing mosquito ditch,
Location of properb/ ~or which permit wanted .....................................................................................
..................... !.5_ .~ .o..a..r..a~. ~. ,t..e. x ~.. ,=.~...~ g.r....S.~..u~g.. L.~.. £~.~y.. ~.~). .......................................................
Home address of permit applicant if different from aforesaid location ..............................................
..................... t.4z~..S!~e~e. Ave.,.. (~n+ney.~..~ess.~ .... (~16.9. .................................................
Creek, Bay or Harbor fronting property ....... ~;~i[~.~,~,=~...C.O.¥~f~, ........................................................
Size of proposed work:
Length 160' .......
50'
Width .....................................................................................................................................................
4'
Height Above High Water .....................................................................................................................
Depth Below Low Water .........................................................................................................................
Yards to be Excavated ...........................................................................................................................
Yards to be Filled 525
Width of canal, creek or bay fronting property ......... ~gl:%..p~p~C£~..~pD~f~0..,~,~.~...~;...%~.~~
(creek next to t~etrucci property)
Depth at Low Tide .................................................................................................................................
Average Rise in Tide .............................................................................................................................
Is this for private or businesS use? ........................ p.~'.zZ.~..~..e. .................................................................
Area Zoning ...........................................................................................................................................
Manner in which material will be removed or deposited t:rucked
Irntended use of property ......... ~.q..R.q.wR]=.X. ~.~.b...B.o.~.~...q~..~.e.~.]:.~.b...~.~.J:.~.e...~...~.~ ...........................
to provide for 100' drain_~ge for septic system.
Written consent of owner of property, if not the same as the applicant ........................................
COUNTY OF SUFFOLK )
STATE OF NEW YORK ) SS:
.............. ,~.e,?..",..?..°.?.~,.Z...~,.,,~.t..,~,,~..e,.k.~,e.~. ........................................................ being duly sworn deposes
and says that he is the applicant for the above described permit, 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 Sauthold,
The applicant agrees to hold the Town of Southold and the Town Board harmless and free from
any and all damages and claims arising under or by virtue of ~d r~ermit, Jf a~nte~.
...... ......
Signature of Applicant
........ .....
Notary ~lgc
This is a request to fill 150' x 50' of meadows as per the request of the
Board of Health to allow for drainage of septic syscem. P~rmis~ion isalso re~
quested to open the existing mosquito ditch to gain proper drainage and
mosquito co~ltrol. (see enclosed survey map)
i
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