HomeMy WebLinkAboutTR-E 111-15-7Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO.F~ ~ ~-~) DATE: ..!~-t
ISSUED TO ..... ~........~.:......~.~s~
Pursuant ~o ~he provisions of Chapter 61~ of ~he Laws of
fhe State of New York, 1893: end Chapter 404 of +he ~ws of ~he
Sfe~e of New York 1952: end ~he Soufhold Town Ordinance en-
rifled 'REGULATIN~ AND THE PLACIN~ OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS end the
RE~OVAL OF SAND, ~RAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" end in accordance with the
Resolution of The Board adopted efe meeting held on
19 . , end ~n consideration of the sum of $ ~peid by
of N.Y. end subject to the
Terms end Conditions llsfed on the reverse side her~f,
of Southold Town Trustees authorizes end permits +he following:
~i. a~ordan~e wi~h ~he derailed s e¢~fl~a~'' 'o.~ as
the orig hating app car on.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes ifs Corporaf~ Seal fo be affixed, and these presents
be subscribed by a malorify of the said Board as of this da~e.
....................................... ..................................
Consultant
SC~I ~t000- l/I -- / ~
Date /~' ~/~I ~7~
The Southold Town Trustee office has determined that your
application for a co=~-~ n'~n/~land permi~,'is
~~/incomplete, please ~.the following
~nforma~ig/a in this regard for any requirea return' submissien:
Tr~t//~epr esent at ive
cc: - muiid~ng--De~L.
gcni~d~
This notice makes no claim with respect to other jurisdictions
within or outside the Town of Southold with respect to permits,
permission required.
4/92
[~ l'it~ t~: A~le lg: ~ Aitide 34:
, t I Co~st~l Eirosion Management
~ F~dplain ManagemEnt
~ Art~le$1; 3;:17~ 19~ ~27, 37;
~ 6N~RR 380: Rad~a~i~A, Control
6NYCRR 360:
ttt~t permit iS contingent upon strict compliance
(See Reverse Side) end arty Special
ConditiOni
~II~RAL CONDt~'ION~ ~CIR ARTICLES 15 (T~t~e 5]~ 24, 25. 34, 36 a~ 6 NYCRR Pert fi08 [
~he ~e of ~he S~ata,~ &~ ~?~ ~osg or d~tr~O~ o~ t~e ~atural tendency to cause damage co nawgable channels or to the banks of
re~ce~ o~ ~he Sta~ ~ 6~ ~y b~ ~r~r~ ~v ~ D~aftment to a waterway
bY susoended soJlds, sediments fueJ,. Such approved plans were preaared bv on
SPECIAL CONDITIONS
SUPPLEMENTARY SPECIA5 CONDITIONS~
The following conditious apply to all permitS:
A. If any Of th? .permit conditions are unclear,the permittee shall con-
tact the D~vislon of Regulatory Affairs at the ad'dress and telephone
noted below.
B. ;% copy of this permit with supplemen, tary .conditions and .a.ppr.oved~
plans shall be available at the pro~ect site whenever autnorlzeo
work is in. progresS.
C. The permit Sign enclosed with the permit or a co_py of l~e.tter of
ap,pr~vai shall,be protected from. the w.eather and.posteo in a .con-
SplcU0US location at the .work s~te until .completion of ~uthorized work.
D. At least 48 hours prior to commencement of the project, the permittee
shal.1 C~mplete and return the top portion of the enclosed receipt form
certifying t~at he is fully aware of and understands all provisions and
conditions of this permit. Within one week of completion of the
pekmitted Work; the boEtom portion of that form shall also be com-
pleted a~d ~eturned.
E. For projects ~nvolvlng activities to be accomplished over a period of
more fha, one year, the permlttee shall notify the Regional Permit
Admi~istrator in writing at least 48 hoUrs prior to the commencement
Of resumption of work each year.
F. If p.roject design mo.difications take place after permit issuance, the
p~rmit~ee shall submit the appropriate plan changes for approval by
' r
the Permit Administrator prio to undertaking any such modl-
The ,perm~ittee is advised that substantial modification
y require SUbmlsslon of s new application for permit.
G. Ail necessary precautions shall be taken to preclude contamination of
any Wetlands or waterway by suspended solids, sediment, fuels,
solyent~, luDricafits, epoxy coafIngs~ paints, concrete, leachate or
any othe~ ~vlronmentally deleteri6us materials associated with the
project work.
Any fa~iure to comply precisely with all. .of the terms and conditions
~f this permit, unless authorized in wrl.tlng, shall be treated as a
9iolat[o~ of the Environmental ConSerVation Law.
I. The permittee is adgised to obtaiil any permits or approvals that may
be required from the U.S. Department of Army Corps of E.ngineers, NY
Distr~et, 9~6 Federal Plaza, New York, NY 10278, [Attention: Regulatory
Functions Branch), prior to commencement of work authorized herein.
J. The g~anting of this permit does not relieve the permittee of the
~esp6nsibii~ty of obtaining a grant, .ea?ement, or o.ther necessar,y
approval from the Division of Land utilization, Office of General .
~c~S~ ToWer Bu~idlng, Empire State Plaza, Albany, NY 12242, which
may be requited for any encroachment upon State-owned lands underwater.
Regional Permit ~dministrator
· 1
NYS Dept. cf Envlronmenta Conservation
Bldg. 40, SUNY-ROom 219
(516) 751-~89
TRUSTEES
John M. Btedemeyet, ][Iii President SUPERVISOR
Hemy P. Smi~; Vice President SCOTt L. HARRIS
Albert J. KrUpski, J~:.
Johfi L. B~6~, JL Town Hall
j'6hii B. Ttiihill 53095 Main Road
P.O. Box 1179
Telephone (5 !8) ;/65.189~ Southold, New Y~rk 11971
Fax (516) '~65-1523 TOWN OF ~
.COASTAL EROSION MANAG~. PERMI~ APPLICATION
ToWN WETLAND~ ~I~ APPLICATION
~- .TRUSTEE ~S pERMIT ~APPLICATION
(Y/N):
Application Fee:
Appl~ea%iSfi N~be~; SCTM ~I-000- 1[I- l~- ~
Proj~5 N~t~ '~lf any) ~~ ~.~ ~~
Dats P~a~d:
Inter~st~ (oWner, consultant,lessee,etc.
owner of Pro
Addres~
~ .Phone (~/~)
S~-
(Provide LILCO Pole Distance to cross Streets if not on
location map)
THIS IS NOT A PERMIT
County of Suffolk )
State of New York )
~f~b~ ~- C~e[16~ ~- BEING DULY SWORN DEPOSES AND
AFFIRMS~]~HATHE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED
PERMIt(S) AND THA~ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO
THE BEST OF RIS/HER K~OWLEDGE AND BELIEF, AND THAT WORK WILL BE
DONE IN TH~ ~NNER SET FORTH IN THIS APPLICATIO~AND AS MAY BE
'APPROVED BY THE souTHOLD TOWN BOARD OF TRusTEEs. THE APPLICANT
AGREES SOUTHOLD AND THE TOWN TRUSTEES
AND ALL DAMAGE~AND CLAIMS ARISING
'SAID PERMIT(S), IF GRANTED.
I HEREBY AUTHORIZE THE TRUSTEES,
MY PROPERTY
]EW OF THIS
APPLicATioN.
S~TURE
swoEN TO BEFORE ~E THIS. l~~ DAY OF b~b~ ..~ ~
SUggested space for location Map
THIS IS NOT A PERMIT
~UTC_H6,~SOJ~ , I"~t
! (~) COUN'i'Y OF S~OLK ~~e~UTH~LDN 371
~.,.~,,, ,~geal Property Tax Service Agency ,~ -- - -
. - d~
II~,
for ~111 hecessavy pe~tt~ In ot,d~r for ~ork to be done on my property described
MARl.NE CONTRACTING CORPORATION
JETTIIE.~ * I)ULKHEADING .,, STEEL ~WOOD PILING FOUNDATIONS