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TR-1174
ogu�Fot�- Jill A Doherty,President Off' CD P.O.Box 1179 Bob Ghosio,Jr.,Vice-President GV_� Southold,NY 11971 James F.King y Telephone(631 765-1892 Dave Bergen ,y IM Fax(631)765-6641 John Bredemeyer 'F Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: a3 I7 Q JOHN FISCHETTI & DEBBIE DEAVER request a Transfer of Wetland Per #1174 from John P. Dietzel to John Fishetti & Debbie Deaver, as issued on July 12, 1976. Located: 1675 Pine Neck Rd., Southold. SCTM#70-5-42 Type of area to be impacted: _nbaltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: &hapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: l r s Modifications: Conditions: Present Were: J. Doherty B. Ghosio J. King D. Bergen, J. Bredemeyer D. Dzenkowski other Form filled out ' the field by Mailed/Faxed to: Date: t' Zt �+ yy t E U IL J U L 18 2011 Southhold Town Board of Trustees Soul ---� rl \-�A- VI-s--LC ujU o(2, C te 0 � � C c©n n e c, clbl� Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO ........J..J.?A .......... DATE: ...~u~_F..:1.2., ISSUED TO .................... L......~O~.2.,_..DZ~ ZN .................................................. the Sfa+e o~ New' York, 1893; and O~apfer 404 of fh~ Laws of State o~ N~w York 1952; and the Soufhold Town Ordinance f~fled "REGULATIN~ AND THE PLACIN~ OF OBSTRUCTIONS IN AND .ON TOWN WATERS AND PUBLIC LANDS and REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance ~ifh the Resolution o{ The Board adopted afa meeting held on ..~... [9....~.6., and ~n cor~iaeraflon o~ the sum of $ ......... t~.~.,20.., paid by ................................... ~o~...2.....~e.~ze~ ................................................................ o~ ..3.6.7~..2~.e...~e~...~..,~o~o~Y. and suhiecf fo the Terms and Conditions listed on the reverse s~de o~ So~hoJ8 Town 'Trus{ees aufhor[zes and perm~fs fhe {oJJowlng: 2e~s~on to 92~ce ~ock 98~' (~eZow ~.W. m~) 9~o9e?~ st 9~e ~ec~ ~o~ Sou~o2G~ ~.Y. all in accordance wi~h f~e defa~[ed speed'ica}ions as presenfed {he originating application. IN WITNESS WHEREOF, The said Board o{ Trusfees ~ere- ~y causes ~fs Corporate Seal ~o be a~{ixed, and ~hese presen+s ~e subscribed by a majoHfy o~ fhe said Board as ~ dale. BOARD OF TOWN TRUSTEES Town of Southok] Main Road Southold, knew York 11971 To: .......J. ohn ..R... Diet zel.,....J.6.Z.5.....Pinet lq ac~z. iRc.ad ,...$outhald ~.. N, I ...... 1. Your application, dated .Jlu~e...~.,...J.9.~.6 .......................................... has been reviewed by this Board, at a meeting of the Trustees held on ...............~I.u!y.....~2.,....J..97.6 .............................................. c~nd resulting in the action, as indicated below: (.XIX....) Application approved. ( ............ ) Application denied. ( ............ ) Application tabled. 2. Comments and remarks: Please send the balance of fee $10.20 at youm earliest convenience. 3. If your application is approved above, A Permit Fee is now due, and should be made payable to the order of the Board of Southold Town Trustees. This fee is computed below according to the Schedule of Rates as set forth in the Instruction Sheet (Form I/1). If the Permit Fee is paid in person to the Secretary of the Board, The Permit will be obtainable at the same time. If the fee is paid by mail, the permit will be mailed in reply. Computation of Permit Fee: dock 38' x 4' (below H.W. Mark) = 152 sq. f%. @.10sq. ft.= 15.20 less $5.00 filing fee - 5.00 Total Fee for this application ........... .~...J.5.,2O. ............................. $ 10,2~.0 AL'vit0.IJ~T DUE Sig ned . AL.V~_T~ ..B..... ~0LI).~I ~ ................ Ck~m. Board of Southold Town Trustees. BOARD OF TOWN TRUSTEES Town O~ Southold Main Road Southold, New York 11971 APPLICATION FOR FIXED and 'or FLOATING DOCKS · - ,, /" . ] ~ppdcant s name ~na a~ress: .............................. :. ............ /~ ............................................ , o /~ ~7~a~ P~' 2. Contractor's name and address: .................................................................................................... 3. Briefly explain the pur~e of this ~pplication: ....................................................................... .......... .~e.~e..... ~ Ze0Zz~... ~ZZ~P.... K¢~......~.... ~& ~. ~ ~e...~E~t ~... ~....~ .......................... 4. After issuance of a Permit, ~ expect to: (mark by an X) (~) Commence work AT ONCE ............ ; ASAP ....~......; UNKN~N ............. (b) Complete work n ] DAY ............ ; 1 MO..~ ........; ] YR ............. ; FUTURE ............. 5. Secure the correct Area Map from the Secreta~ of this B~rd, and by using an X WITHIN A C RCLE indicate as closely ~s 0ossible the loc~tion of this dock. On the reverse side of this map, provide a SCALE D~WING which will show Ordina~ High Water Mark, the shape and size of the d~k and any supplemental pilings which are needed to hold a fl~ti.ng dock or tie-up a boat. Give ali dimensions n~essary to determine the area of the d~k which extends offshore from the O. H. W. ~. ~Bo ~e~ ~ca~o ~ ~ ~o~y 6. Will any potion of this construction extend offshore into Town Waters beyond an imaginary line or boun~a~ form~ by o~het similar structures along the area's shoreline~ ~ES or NO. If it d~s extend beyond this so-called d~k line indicate by how ~or, approximately, . ....... Provide the ~llowing d~uments: (a) A Licensed Engineer's Suwey of the pr~er~y involved. (b) ~ copy of the Contractor's Plans and Specifications. 8. Will this construction require t~e Filling of any land of(shore of the Ordinary High Wate~ Mark or the Dredging of any material ~rom Town La.nd~ under wate~ ~ or NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and a~ached as pa r~ of this application. 9. In requesting approval of this application, I submit that: the information presented herein is true and correct to [he best of my knowledge and belief; I am [he person accountable for the performance of the work in accordance with the plans and specifications a~ached; I have read or am familiar wit~ the provisions of ~ny Southold Town Ordi~ce pertinent to the work involved; and fu~her, I intend to ad~ere to and abide by the Terms and Conditions of the Permit, when and if issued to me.