HomeMy WebLinkAboutTR-1657 GF S.~:<Eo ~ ~r~:~y ViS ~'~LE i<OO?~ZSG
~.-~ I.~OOR,'i,GS AND bIUST Di
~ x~ ALL DCCi~ AND Bu~EADS }lUST DiSP~Y ViSiBLE PEPd.ilT ~-~ERS
Of Soutno, d Town Trustees
SOUTHOLD. NEW YORK '{ ....
¥ PERMIT NC ...... ~6.67. ......... ' DATE: ~.~g~.!....~... Z98:
ISSUED TO ............. .~Z~ ~....6..~_..~.8[~.~2~ ................................................................
Pursuan? ?o fhe provls;cns o{ Chaplet 615 of fhe Laws o{
fhe, Sfafe ~o~ ~ew Yor~, 1893: and CM=fer 404 o~ fhe Laws o~
S~afe o~ New Yor~ 19~z: and ~he Sou~no,o Town Ordinance en-
rolled ' REGULATING AND THE PL~ING OF O~STRUCTIO~S
~: IN AND ON T W .... r ~,
O N WA~cxS AND PUzdC LANDS and fha
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS. FROM
LANDS UNDcx TOWN WATcx5; and in aocordance wii~ fhe
Re~olufion ~ The Boara' a~o~r*d~ ' afa m~eflng held on .~.B~.~...Z.~ ....
19..8.3..., an~ m con~aeran~n o~ fhe sum ~ $..~.~..t..~ pa~a by
of ....... ~t.Z.~k ................................................. N. Y. and subjecf fo
Term~ and Con~iHons ~ed on fhe reverse ~ide hereo~,
o~ 5oufhe~d Town Trusfees aufhorizes and permif~ ~he following:
,.., A~pZZoa~on approved unde~ the G~ndf~he~ Clause
?ii ~o obtain a permit for a 8' x 18' floa~ dock in
Matt ituck Creek.
~, ~. m ,ne defai[e~ specmcanons as presenfe~ ;n
,~:~,x~-.~, ~he o6gJnar[n9 app~caHon.
.'a~-*~*'~*'~,'t IN WITNESS WHE~EOP, T~e ~ai~ ~ '
'. ' ¢ ........ ~oar~ o{ Trusiees
~]!~. ~<,~z~.;., ~1~':~, ~ '~'/ causes i?s Corporaie Sea] fo ~e af~ixec and ihes~ pres'enfs +o
~,..~":~: ....... '~? CdVi* 4 ,: be su~scrmea ..... ~y' a me[oriry of fhe sa]d,ooaro' as of ;,h~s' dar.e.'
TELEPHONE
~516~ 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold. New York 11971
August 8, 1983
Mrs. Sven E. Englund
800 Jackson Landing
Mattituck, New York 11952
Dear Mrs. Englund:
I am happy To enclose your permit for your dock,
which was approved at the regular meeting of the
Board of Southold Town Trustees on June 7, 1983.
Please post your permit number, on the s~ructure.
Thank you for your cooperation.
Very truly yours,
Board of Town Trustees
Ilene Pfifferling
Clerk
Attachmen~
BOARD OF TOWN TRUSTEES
Town of Soufl:old
Main Road
$outhold. New York 11971
NOTZCE OF ACTION - NOT A PER~4!T
To: .......... s.v.~a..a,...~g~..~.~&....4...0..0.....4 ~..c.~.s...o..n.. &~.~.i.~?..,....~..a.~ .t.!.t..=...c.~ ..............................
1 Your opbIication, dated .... .4-/.2~./.1~.3. ............................. ~t .................. has aeon revmwed by this
Board, at a meeting of the Trustees held on ................... J~u~e...?.,..3~..8.~. ............................................
end resulting in the action, as indicated below:
(....~XX.X ,~.ppHcotion appraved.
( ............ > AppHcaHon denied.
( ............ > ^pplicotian tablea.
2. Commen~s and remarks:
Application approved under the Grandfather Clause.
A PEP~qIT FEE
3. I..~, ,-,cur cgglication is conroven abgv~, .'~%,..i ~= ,~ on8 should be mode
the. S.cheduleof Rat~s ~s .... ~.u .' .. , ==*. -,,,* ,ce ms computed b~law occnrdi.~
If me Perm,t Fe~ is ~-;~ ;- pp~Ang and ad~l~.zona~ ~ee ..... T ~.s~
ar the same time. If the roe' is paid b~ moil, the permit will be mallet in redly.
Computation of Permit Fee:
8' x 18' flo~t = 144 sq. ft. :'~t .25 sq. ft. = $36.00
~5.00 lite charge for application 5.00
Total ~mount due for application S41.00
Total Fee for this application ............... , .............................. $ ............ .4.1.0C
Pres. 13oard of Southold Town Trustees.
.................... . ................
ALL DOCKS AND BULKHEADS MUST
,. .~A?~ O? C~EK~,~$?-~,~ ._~/'(C< _/-~/ DISP~y VISIBLE PE~IT NUMBE~
BOARD OF TOW~ TRUSTEES .-~:_-; ......................
S*uthold. hew York 11971
APPLICATION FOR F~ED and/or ~Og_TI~G DOCKS
.., .......... ...........................................
........... __
2.
....
~ ~ ~ ~.,, [~ /, n ~ ................... ~"f'"'~'~-~.~.~
................
......................... ~ ........... ~.r.~..~...~2Z. a~....~
.......
4. a~er issuance o~ a ~rmi~, work mus~ De co~ ~- ·
~oat completed snm~e~ lq~O ~RGE
5. ~ecure the~ ~ correct Xrea ~ ~rc~YRe Clerk of this Board. end by using a/X WITHIN
A CIRC~= indicate ~s closely as 3oss"D,~ the location of this dock. On th~_
~, ~ reverse sEde of this
mop, provide a S~La DRAV/ING which win show Ordinary Nigh Water Mark, the shape
cnd size o~ the dock ~nd any supplemental pilings which ~re nee~ea to hold a floating dock
~r he-up n boat. Give al dimensions necessan, re determine ~he area cf
[ ~4-~u EXmENDS
~_z~.. OFFSHO~ from theO ~,/.~.if adiacen~ property
docks.~D ~= · - ~ ........ ~e
-. ec~y Iocanmon and length to scale
6. ?/,H an[ ~or[~on ~r rhm construction ex, end o~shore ~nto Town Water~ beyond
~me or Oounaa~ ,armed by other similar st~ctures along the orea's shoreline? ~ NO.
if [t does extend beyond this so-c~Hed d~k llne indicate by how for, approximate y,. ........
7. Provide fha following doauments:
(a) A Licensed Engineer's Su~ey O3 the prope~ involved.
(b), A Copy of me Contractor's Plans and 5~e¢~f~'
¢c1 Skor~ Envzronmental Assessment Fo -'
~i¢~ ~?stlanps .~pplication , rm, _
_ '~gmg of any matermi fram ~own Lands under water> ~r NO. If it does,
term A/4 (Application for Dredging/Fi]linC must be completed and arrccned as part' of this
cppllcetion.
9. In requesting approval of this opDllcotion, ~ submit that: the mformar~or, presented herein
is true and correct to ~he gesr of my kno~ledge aha belief; [ am the person accountable for
the performance of the work in aCCOrflance with me Plans ~n~ seec'ficehons crrachea: [ nave
reaa er om Familiar w,r~ the 9revisions cf any Sourho]d Town Ordinance pertinent re me work
involved- and further, intend to adhere to and abide by',h_¢ Terms ant Conditions of me
Permit, when end i~ msuea re me.
lO. To expedite finding specific loca~for ~ection, indicat=
...~%.=:~ ......... by using a temporary marker~ : ~ ~..~~~
INSTRUCTIONS:
'" (o) t~ Order to answer the-questions in this short EAF it is oSsumel
that the preparer will use currently ava£1able £nformatlan concerning the
project and the likely impacts of the ac{ion. I¢ ~s not expected
· additional studies, research o~ otker investigations will be undertaken.
(b) If any question has been answered Yes the project may be
significant and a completed Environmental Assessment Form Ss necessary.
(c) If all questions have been answered No $¢ $5 ~£~ely tha~ th£s
project is not significant. ~=~:. ._
(d) E~¥&'[onmen(el Assess~en(
1. ~'¢ill projec~ resui~ in a large physical change
to ~he project site or physically ~lte~ more
then 10 acres of land? ....................... Yes
2. Will there be e ma~or change ~o any unique or
unusual land form found on the site? ..... ;... Yes
-+
3. Will projec~ alter or have a large altec, on
existing body of wa~er? ...................... Y~s ~ No
¢. Will project have o potentially large impact
on groundwater quoli~¥9. . - ................. ... Yes_ ~No_
5. Will project sig6ificantly effect drainage.
flow on adjacent sites? ..% ............ Yes &"No
6. Will project affect any threatened or
endangered plant ar animal species? ............ ~Yesj/N°
7. Will projec~ result in a major adverse
on air quality? ............... Yes
character ~ the community or scenic vie~s or
vis,es known ~o be important ¢o the community? Yes ~/No
?. Will project adversely impact any si~e or
s~zuctuze aC historic, prehistoric or
p~leon~ologlcol importance or any
designated as a critical environmen~bl
by o local agency? .............. '~..-v~.;'-.,-.-~--~..=_ YeS'No
10. Will projec~ have a bazar effect on existing
or ~utuze recreational opportunities? ......... Yes ~No
11. Will projec~ =esui~ in molar ~ro~ic problems
or cause a mo~or e~ec¢ ¢0 existing
transpor%a¢ion sys~ems?]"; ..................... .' Yes,
12. Will projec¢'regolarly cause objec%ionable
od~rs, noise, ~l~re, ~ibr~ion, or electrical
disturbance 05 o rasul~ o~ %he projec%~s
opera,ion? ' ' Yes ~No
13. %~il! project hove any impact on public health'
or safety? Yes'
14. Will project offer% the existing_ c_ommunity .~y ~
directly causing a growth'in-per~s6en%
population o~ more.~'han 5 percen~ over a one .-.
~ear period or hav~ a ma3or n.ega~ive e~fec'%
on %he character of %he c_~mmuni~y or '
neighborhood? "
t5. Is %here public con%zoversy concerning %he .'
projec%? .......................
PREPARER'S SIGNATURE