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Home My WebLink AboutGEORGIOPOULOS, CONSTANTINEBOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York t 1971 March 2, 1983 TELE~HON~ (516) 765-1801 Mrs. Judith To Terry, Town Clerk Town Hall Southo!d, New York 11971 Dear Mrs~ Terryv The following action was taken by the Board of Southold Town Trustees at a regular meeting held March 1, 1983: RESOLVED to recommend to the Southo!d Town Board dis- approval of the wetland application, ~120, of Constantine P. Georg£opoulos to fill lot with approximately t000 cubic feet of off-site fill, in order to raise elevation 5 feet and construct a single'family residence. Very truly yours, Board of Town Trustees Paul Stouterkburgh, Pres° PS/ip BOARD OF TOWN TRUSTEES TOWN OF SOUrHOLD Town Hall, 53095 Main Road P.O. Bex 728 SouthoId, New York 11971 .- February 4, 1983 TELEPHONE (516) 765-~801 Firs. Judith To Terry~ Town Clerk Town Hal! Southold, New York i197! Dear bits. Terry: The fol!owin9 action was taken by the Board of To~n Trustees at a regular meeting held February Is 1983: RESOLVED to recommend to the Southo!d Town Board to table application ~!20 of Constantine P. Georgiopou!os foz' Wetlands Permit until it is determined whether the Board of Trustees has the same jurisdiction over Fresh- Water Wetlands as over the Tidal Wetlands° Yours Truly~ Board of Town Trustees . BOARD OF TOWN TRUSTEES TOWN OF SOUTIIOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 February 4, 1983 YELEPHONE (516] 765-180l Robert W. Taske~ Southold Town A%torney 425 Main Street Greenport, NY 11944 Dear Mr. Tasker, Please advise the Board of Trustees as to whether they should respond to Wetlands Application in Great Pond, in the Town of Southold. Do we have jurisdiction? We have been asked by the Town Clerk for a written report of findings and recommendations with respect to the area being a Wetland or not° Enclosed is the pertinent application~ Very truly yours~ BOARD OF TOWN TRUSTEES Paul Stoutenburgh, Pres. PS/ip En¢lso JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1801 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON MAY 24, 1983: WHEREAS, Abigail A. Wickham, Attorney, on behalf of Constantine P. Georgiopoulos applied to the Southold Town Board for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated January 14, 1983, and WHEREAS, the said application was referred to the Southold Town TrusTees and Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a public hearing was held by the Town Board with respect To said application on the 19th day of April, 1983, at which time all interested persons were given an opportunity to be heard, now, therefore, be it RESOLVED that Abigail A. Wickham, Attorney, on behalf of Constantine P. Georgiopoulos be denied permission under the provisions of the Wetland Ordinance of the Town of Southold to fill lot with approximately 1000 cubic feet of off-site fill, in order to raise elevation five feet and construct single family residence at 180 Lake Court, on Great Pond, Southold, New York. This denial is without pre3udice because the Town Board has not received the Draft Environmental Impact Statement. STATE OF NEW YORK ~ COUNTY OF SUFFOLK Office of the Clerk of the ss: TOWN OF SOUTHOLD / This is to certify that I, Judith T. Terry, Clerk of the Town of SouthoId, in the said County of Suffolk, hove compared the foregoing copy of resolution with the original resolution now on file in this (~f~i'ce, and which was passed by the Town Board of the town of Southold in said County of Suffolk, on the ...2..4...lq..h...,. day of ....... ..lg.g..E ..................... 19.8...3...., and that the same is o correct and true transcript of such original resolution and the whole thereof. In Witness Whereof, I hove hereunto set my hand and affixed the seal of said Town this ...2..G..~.h...... day of .......... ..M..~..[ ..................... 19....8..3.. Clerk of the Town Board, Town of Southold, County of Suff'6lk, N. Y JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1801 NOTICE OF SIGNIFICANT EFFECT ON THE ENVIRONMENT Dated: May 10, 1983 Pursuant to the provisions of Article 8 of the Environmental Conservation Law; Part 617 of Title 6 of the New York State Codes, Rules and Regulations; and Chapter 44 of the Southold Town Code, the Southold Town Board, as lead agency, does hereby determine that the action described below is a Type I action and is likely To have a sxgnificanr effect on the environment. DESCRIPTION OF ACTION Application of Abigail A. Wickham, Attorney, on behalf of Constantine P. Georgiopoulos for a permit under the provisions of the Wetland Ordinance of the Town of Southold to fill lot with approximately 1000 cubic feet of off-site fill, in order To raise the elevation five feet, and consrruc[ single-family residence, at Great Pond, 180 Lake Court, Southold, New York. Further information may be obtained by contacting Mrs. Judith T. Terry, Southold Town Clerk, Southold Town Hall, Main Road, Southold, New York 11971. Copies David DeRidder, DEC, Stony Brook Commissioner Williams, DEC, Albany Southold Town Trustees~-- Southold Town Conservation Advisory Council Southold Town Building Department Southold Town Clerk's Bulletin Board Abigail A. Wickham, Attorney for Constantine P. Georgiopoulos Mrs Judith Terry, Town Clerk Town of Southold Southold, New York 11971 196-16 42nd Road Flushing, New York 11358 March 8, 1983 Dear Town Board Members, As concerned citizens and property owners in the town of Southold, we are writing this letter to express our opposition ~o any land filling or building on the property located on the north bank of Great Pond, wes~ of Lake Court and south of Lake Drive. The property in question has been classified as wetlands by the State DeparUment of Enviornmental Conservation. (Please see enclosed copy of a letter dated October 7, 1977 from the DEC to James Meo). A visit to the site at different times of the year will reveal many of mother nature's activities taking place - such as fish spawning, birds nesting and feeding, and m~ny kinds of wild grasses and plant life, all of which contribute to ms~ntain the very delicate balance of the eco-systems of the lake and surrounds. Great Pond today is one of a very few remaining fresh water lake on Long Island. We should not permit activities to occur which will diminish its wetlands content, no mztter how small or minor some may Judge such activities to be. We urge you not to permit the land filling or building construction, for which your approval is sought, to take place. Since this matter will come before you for board consiceration, ~? wish this letter to also serve as written notification to the Board that we want to speak on this subject at that time. KER: ac truly your~s, Kenneth E. Richter 24-44 169th Street Flushing, New York March 9, 1983 11358 Mrs Judith retry, Town Clerk Town of Southold Southold, New York 11971 Dear Mrs Terry, Please convey the follwoing message of ~outhold: the town Board We are properzy owners in the zown of Southold and are voicing our objection to the variance of backfill on a plot of land bordering the fresh water lake, Great Pond. The parcel of land in question, between Lake Court and Lake Drive, is a wetland. Defined as a "wetland" and stated so by the State Department of Enviromental Conservation. We szrongly request that you deny the petition before you and nor permit the variance zo backfill and build on wetlands. We thank you for your actions in this matter. CWW :bs Very truly yours, Mr & Mrs Charles W. Wild Mr. Robert Thurber Senior Enviormental Analyst Regulatory Affairs Unit Bldg. 40 S.U.N.Y. - Room 219 Stony Brooks N.Y. 11794 Re: Application #10-82-1102 C.P. Georgiopolos ( Suffolk Co. (Mai-inq Address) Georue J. Bambrick 85 Lake Court Southold, N.Y. 46 Cedars Road Caldwell, N.J. 07006 February, 3, 1983 Tax Map - Sec #59 - Block #5 - Lot ~31 Dear Mr. Thurber: I wish to ~o on record with your department that I strongly OODOSe the granting of a permit ~o build a single family residence on the lot specified in application =10-82-1102 (Suffolk Co. Tax ~iap Sec, 59 - Block5 - Lot 31), This lot is one of the last.open spaces on Great Pond Lake in Sobthold. It is a wildlife refuge and overflow tributary of Great Pond. During the spring months the area encomoassed within this lot is a sDawnina ground for the fish in the lake. It is also one of the few remain~na natural habitats of~nany birds .and other animals. I have often witnessed several hundred birds sleeping on the rushes. If you allow these areas to be built uPOn the cummulative effect on the local enviornment with respect to our drinkinc water, our so.il contamination and a safe haven for our wildlife will be ~rre~arable. I strongly urge you to viqorously enforce our existinm laws and regulations established to ~rotect areas such as this lot from destructive development. I am hoping and praying my local tow~ authorities will also e.xercise their duties ~n the regard. Please advise me wnen and ~= a hearino ~s scheduled by your Deoartment in this ~atter so that I may attend. Than~k you, ~ ~% / "G~o~qe d. Bam6rick Encl: (2) Copy to: Mr. Ro~ Reynolds, Suffolk County Health Deoartment Mr. Paul Stotenburg, President, Southold Town BoaWd of Trustees Mr. Frank Cichanowicz, Chairman, Conservation Advisory Council Southold Town Board ak:GJB JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL ST&TISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road. P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 763-1801 January 14, 1983 ~. Paul Sto~tenburgh, President Beard of So~thold Town Trustees Southold Town Hall Southold, New York 11971 Dear Mr. Stoutenburgh: Transmitted herewith is application no.120 for a wetland ~ermit submitted ~y AbSgail. A. Wickham, Esq. on behalf o~ COnstantine P. beorglopoulos. Please prepare a written report ef findings and recomuendations with respect co this application. Very truly yours, Judith T. Terry Southold Town Clerk Attachment TOWN OF $OUTHOLD SHORT ENVIRONMENTAL ASSESS~SNT FOR~ INSTRUCTIOqS: (a) In order to answer the questions in this short EAF it is assu~ed ~hat the preparer will use currently available information concerning the project and fhe likely impacts of the ocfion. It is not expected that additional s~udies, research or other investigations will be u'mdertsken (b) If any question has b&en answered Yes the project may be slgnlfi~ant and a co~ple~ed Environmental Assess.~ent Form is necessary. (c.) If all questions have been answered No i¢ is likely %ha~ this c% zs no~ significant. proje (d-) Ehvironmen~al Assessmen~ 1. Will projec% result in a tcrge physical change -- ~o ~he project site or physically al~e.r more than i0 acres of land? ........................ Yes f/No 2. Will there be a major chan~e to any unique or unusual land form found on the site? ........... Yes.. o 3. Will project (Jl~er or have a large effec~ on '" . existing body of wa~er? ....................... Yes . 4. Will projec~ have a potentially large impac~ ' ' on groundwater quali~y? ...................... Yes ~_o 5. Will project significantly e[fec~ drainage flow on adjacent sites? ........ % ............... Yes /No 6. Will project affect any threatened or endangered plant or animal species? .......... Yes No ? 7. Will project result in a major adverse effect ' ' on air quality? .............................. Yes J/NO 8. Will projec¢ have a major effect on visual charac%er of ~he community or scenic views or vistas known %0 be importan~ %0 the communi±y? Yes ~o ~. Will project sdversely impac~ on~ site or structure of historic, prehistoric or paleontological importance or any site designated' Os o critical environmental ares 10. Will project have a mo jar effect on existing or future recreational opportunities? ......... Yes 11. Will projeo~ result in major ¢raffic problems ' or cause a major effect ~o exisIing transportation systems? ....................... Yes ~/ No 12. Will projec¢ regularly cause objeclionoble "' odors, noise, glare, vibration, or electrical disturbance os o resul~ of the project's operation? .................................... Yes 13. Will project have any impocl on public heai%h °r -sofe~Y~- Y s 14. Will projec~ affec~ ~he existing communily by' direc%ly causing o growth in permanen% population of more than $ percent over o one year period or hove a major negative effect on the chara~-~-er of the community or neighborhood? ................................. Yes [/No 15. Is there public controversy concerning the projec%? ...................................... Yes. ~ DATE J- //~ ~ STATEMENT Re: Application for Wetlands Permit Constantine P. Georgi~oulos By Abigail A. Wickham, Esq. Dasaription of Project: Fill no be placed as shown on survey to raise elevation from 0 to 5 feet; fill will be stabilized and graded; then a residence will be erected to comply with 11 foon elevation requirement of A-10 Flood Zone. Applicant is unaware of any prior operations conducted on the premises or of any prior licenses or permits to construct, dredge or fill. Adjoining Owners are: Mr, Gerald Jacobson 75 Bell Wood Drive New Hyde Park, NY 11040 2. Mr. and Mrs. Joseph Zimmer 2045 Lake Drive Southold, NY 11971 Signed Consenn of owners (Mongello & DeChiaro) is attached. Acknowledged consenn will follow. Applicant is under Contract with owners to seek necessary approvals for building permits. February 10, 1982 TO WHOM IT MAY CONCERN: By contract dated December 22, 1981, the undersigned have agreed to sell to Constantine P. Georgiopoulos certain premises designated on the Suffolk County tax map as District 1000, S~c- tion 59, Block 1, Lot 21 in the Tewn Of Southold, County of Suf- folk, State of New York. Constantine P. Georgiopoulos is fully authorized and empowered to make il) any and all applications in order ~o obtain final subdivision approval and all other nec- essary approvals or permits by every governmental authority or entity having jurisdiction over said premises as may be required pursuant to the laws, ordinances, rules, codes, regulations and procedures of said governmental authorities and entities for the subdivision of the said premises and ~2) all approvals and per- mits of whatever kind from the governmental authorities or enti- ties havina lurisdiction over certain premises deslanated on the Suffolk County tax map as District 1000, Section 59, Block 5, Lot 5, which are required for the improvement for a single familv resi- dence of the southeasterly portion of that real property which is approximately 37,500 square feet in area and is designated as Par- cel 2 on an unfiled map entitled "Map of Southold on the Sound", survey on June 14, 1972, by Van Tuyl & Son. MI CP?JLEL MO~ELLO · NICHOLAS DeC~IARO F~CEiV~D 24-4zi 169th Street Flushing, New York 11358 March 9, 1983 Mrs Judith Terry, Town Clerk Town of Southold Southold~ New York 11971 Dear Mrs Terry, Please convey the foltwoing message of ~outhold: the Town Board We are property owners in the town of Southold and are voicing our objection to the variance of backfill on a plot of land bordering the fresh water lake, Great Pond. The parcel of land in question, between Lake Court and Lake Drive, is a wetland. Defined as a "wetland" and ~tated so by the State Department of Enviromental Conservation. We s~rongly request before you and noz permit the on wetlands. that you deny the petition variance to backfill and build We thank you for your actions in this matteY. CWW:bs Very truly yours, Mr & Mrs Charles W. Wild Mrs Judith Terry, Town Clerk Town of Southotd Southold, New York 11971 196-16 42nd Road Flushing, New York 11358 March 8, 1983 Dear Town Board Members~ As concerned citizens and property owners in the town of Southold, we are writing this letter to express our opposition to any land filling or building on the property located on the north hank of Great Pond, west of Lake Court and south of Lake Drive. The property in question has been classified as wetlands by the State Department of Enviornmental Conservation. (Please see enclosed copy of a letter dated October 7, 1977 from the DEC to James A visit to the site at different times of the year will reveal m,.ny of mother nature's activities taking place - such as fish spawning, birds nesting and feeding, and many kinds of wild grasses and plant life, all of which contribute to maintain the very delicate balance of the eco-systems of the lake and surrounds. Great Pond today is one of a very few remaining fresh w~ter lake on Long Island. We should not permit activities to occur which will diminish its wetlands content, no matter how sm~.l I or minor some may Judge such activities to be. We urge you not to permit the land filling or building construction, for which your approval is sought, to take place. Since this matter will come before you for board consiceration, we wish this letter to also Serve as written notification to the Board that we want to speak on this subject at that time. EER: ac ~ ~ry truly Kenneth E. Richter Envirommental ~lyais Unit Bldg. 40, SUN/ Sto~y Brook, NY 11794 New York State Department of Environment'al Conservation 516 751-7900 ~ W'~ ~ O~den Reid, Commiss ioner James P. Meo 2326 Royce Street Brooklyn, NY 11234 October 7,-1977 Dear Mr. Meo: RE: -' ' ¥ -" FW 15273--0091 Map of Sou[hold on the Sotm4weet side of Lake Co~rt north of Great Pond, Southotd. As a result of your inquiry dated September, 24, 1977 a field inspection was made to determine if the above parcel is subject to regula- tion by this Department in accordance with Article 24 (Freshwater Wetlands) of the Environmental Conservation Law. It has been determined that the subject parcel i~ a freshwater wetland, as defined in Article 24. Therefore, any activity proposed to be conducted therein will be subject to regulation and an epplicati~ must be filed with this office prior to commencement of work. Enclosed for your information is an explanation of Article 24, a descrip- tion of ghe application process and the rules 'and regulations which govern the freshwager wetlands regulatory program. Very truly yours, DANIEL- J. LARKIN Regional Permit A4ministrator DJL:slm NOTE: Approx/matel~ 90 per cent of the property in question wetland vegetation protected under Article 24% ~ed on this fact, this Department is obliged to object to a~y of the vegetation on the above described lot. 95-12-4 (9/75) COMM. OF REGULATORY AFFAIRS NYE DEC. BLDG 40 SUNY CA~V~_US STONEYBROOK, N.Y. J._ J14 SHOULD LIKE TO HAVE ::OF cONsTRUCTION ON PROPERTY ON HIS LOT, BASIS FOR MY OPPOSITION oEsT uc Io To I BELIEVE IS THE SOURCE DISAoTROU . · . :. ~ :~ - :' ... 3. T~SE W~T LA~S SER~' AS A ~O~$. I BE~IE~ ~HAT THESE WET LA~S'~ LAST SPRING ~'UHEN T~ E~I~ L~ WAS INC~S U~ER r. ATER~ WATER RECEDED,THER~ W~S ~O ~S~ SOiL OR VEGETATION, T~ ~AVILY ~ED~~ ~ ~ ABSORBED ALM~T New York State De partment of Environm~nta[c~onservation: Environmental Amlysis Unit Bldg. 40, SUNY Stony Brook, NY 11794 516 751-7900 Ogden Reid, Commissioner October 7, 197~ James P. Meo 2326 Royce Street Brooklyn, NY 11234 Dear Mr. Meo: ~l~c~tio~% ~o: RE: ~SuTam~xx~ FW 15273-0091 Hap of $outhot~ ~ the Stung, w~st side of La~ Court north of G -~at Pond, Southold. As a result of your inquiry dated September, ~ ~ 1977 a field inspection was made to determine if the above parcel _~ subject to regula- tion by this Department in accordance with Article 2z {Freshwater Wetlands) of the Environmental Conservation Law. It has been determined that the subject ~a~cet ~ a freshwater wetland, as defined in Article 24. Therefore, any activity p. opoaed to be condncted therein will be subject to regulation and an appl~ca[ion hadst be filed with this office prior to commencement of work. Enclosed for your information is an explanation Of Article 24, a descrip- tion of the applicati~on process and the rules 'and regulationswhich govern the freshwater wetlands regulatory program. Very truly yours, - DANIEL. J; LA~K~N ' Regional Permi~ Administrator D3L:slm NOTE: Approximately 90 per cent of the property in ~tion wetland vegetation protected under Article 24. fact, this Department is obliged to object to a~y 4~.etm=bm~ee of the vegetation on the above described lot. 95-12-4 (9/75) New York State Depa~ment of Environmental Conservation Regulatory Affairs Unit Bldg. 40, SUNY--Room 219 Stony Brook, NY 11794 (516) 751-7900 Robert F. Flacke Corem ss oner April 30, 1982 George Bambrick 46 Cedars Road Caldwell, NJ 07006 RE: Lot 2 of Meo on Great Pond Dear Mr. Bambrick: In response to your letter dated April 21, 1982, we are sending you a copy of our recent deter- mination on the above referenced matter. If you have further interest in the matter, you may contact me. Very truly yours, Robert N. Thurber Senior Environmental Analyst Enclesure I{NT:cz Regulatory Affairs Unit &.0, S5~Y--Roora 219 Brook, ~Pf 11794 (516) 751-7900 April 20, 1982 Ms. Ahlgait Wickham Wickham. Wickham & Bressler Main ~cad P.O. ~x 1424 ~t ~itsck, ~' 11952 RE: Proposed Subdivision C. P. Georgiopo~los Dear M~. Wickham: A field inspection has been ~ade of the lot subject of your letter of inquiry dated March ~9, 1982 on the above referenced project. It has been determined that a considerable portion of parcel two (the easterly lot) is approximately 75 psrcent Freshwater ~/etlands and an appiica[ion co New York State Department of Environmental Conservation for a permit no build on it is necessary. An~application will need to be accompanied by an updated sur~ey showing ghe Freshwater.Wetlands Bou~da~. DZC a~aff bas staked the line for the surveyor. An application form and related materials are enclosed for your convenience. Very truly yours, Enclosure R~T:GTH:cz Robert !i. ~]urbor Senior Environmental Analyst FOR: C~rles T. ~amilton A!£ernat~ Regional Permit Admini~grator ' Called on phone this morning - 2/1/82. : i Constantine George Bambrick, 85 Lake Court~ Southold - neighbor of/Georgiopoulos Strongly opposes application for fill (G~eat Pond). Has in 'his possession :Pictures of fish breeding and wildlife in the rushes. _ ~'~aventhol & Horwath /. Melville j Town O~ Southold Town Clerk's OEice $outhold, N. ¥. APPLICATION FOR WETLAZTOS PERMIT Application No..../.,.~ ................ Identify of Appl P. Address af Applicant ... A. This application is to be completely filled in by typewriter or ink and submitted rathe Town Clerk in quadruplicate, accompanied by writter' permission from the owner of the property if not the some as the applicant. B. Pilot Plan mast 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: Copi~ 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 ali permits that are required ore issued. D. A detailed statement of the rehabilitation and proposed condition of the premises 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 jeth/, 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 locaf' coordihate system. The vertical control for elevation and sound- ings shell be based upon United States Coast and Geodetic Survey and/or United States Geological Survey datum. F. A statement mast accompany the application describing any known prior operations conducted on the premises in question end whether any prior licenses or permits have been issued to erect structures or to dredg~ ar 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. The Town Board upon request~¢¢_~ upplicant for a permit, may waive in whole or in part', the prowsions of Article JJ, Section ==~, subdivisions (~ and ¢~rwhere it finds that nature of the proposed operations ore such that the. requirements of such provisions are not necessary for a proper consideration of a permit application. I. Upon approvat of this application the Town Clerk will issue o permit to the applicant. Such permit shall be available for inspection at any time, upon request. Approvea Disapproved ;,.--::, ............. . ,,~o.qditlgns, if any Examining Signature of Chairman. ........................................................................................................................ APPLICATION iS HEREBY MADE 'to the Town Board of the Town of Southoid, Suffolk County, New York, for th~ issuance at~ a permit pursuant to the Laws, Ordinances and Regulations lng the Coastal and Interior Wetlands, Fiaad Plains and Drainage Areas of the Town of ~ou,hold: Permit requested tP ~.~.i..[.~.~.~'t~.~.i~t.~i~i~:~.~j~.~i~r~` ........... Location of property for which permit wanted.....~:.0....~ Size o~ proposed work: Length ......?.~...~...~ ........................................................................................................................... Width .................................................................................................................................................... Height A~ve High Water .~.. Dep~ Bel~ Low Water ....................................................................................................................... Yards ~ be ~cavated .....~ ................................................................................................................... Yards to be Fi[l~ ............. ~~ei~'"lt~ .......................................................................... Width of canal, creek :or bay fronting prope~......t~..~.i..~ V~'"~ ................... Depth at Low Tide ...... ~~ ..................................................................................................... Average Rise in Tide ........... ~J~ ......................................................................................................... ts this for private or business use? ...... Area Zcming .......................................... Manner in which material will be removed or deposited ...~'~]1~.~.~1,~.~ ................. Intended use of property ...~t;~].e.,-.~..~a;;~b[~'..~'llt~t~a~_~?e .............................................................. Written consent of owner of property, if not the some as the applicant .... ~:.t,~ ................ COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS: ........ .~....~.~...~..~....~.~.~.~. ............................................................... being duly sworn deposes and says that~e is the ~pplic, gn~for the above described permit, a,nd that oil statements contained he_r,~in ere true to the b~st ofo//~l~'.nowledge and belief; that the work wilt be done in the manner set forth in this application ai~3 os may be approved by the Town Board of the Town of SouthoJd. 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 viffue of said permit, if granted. .... L&L ..................................................................... Signature of Applicant Sworn to before me this .~ ...................... day of ........ ~[~l~ir~ ............................ , 19.8]L... Notary Public 'I