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Home My WebLink AboutTR-1650 E-MAIL:pacatty@optonline.netz« FAX.NO.(631)765-5902 1 ew 53345 MAIN ROAD(FEATHER HILL) P.O.BOX 846 SOUTHOLD,N.Y.11971-0846 PAULA CAMINITI,ESQ. CAMILLE LUCARINI CHRYSA PASQUALONE,ESQ. (631)765-5900 LEGAL ASSISTANT LISA M.PENNY OFFICE MANAGER February 9, 2006 Town of Southold Board of Trustees 53095 Route 25 P.O. Box 1179 Southold, New York 11971 RE: SCTM: 79-4-6.1, Permit#: 1650 Premises: 1615 Anchor Lane, Southold, NY 11971 To Whom It May Concern: Our firm represents Philip and Lorraine Sabalja, who are purchasing the subject premises from Anchor Lane, LLC. I hereby request the existing Trustee Permit to be assigned to the purchasers as contract vendees. Enclosed please find my attorney's check in the sum of $50.00. 1 understand that this matter will be placed on your March 2006 calendar for approval. Thank you. Very truly yours, av I CHRYSA PASQUALONE FEB 13 2006 Albert J. Krupski, President c Town Hall James King,Vice-President �QSUFF��/f'C '�. 53095 Route 25 Artie Foster � ��j� P.O.Box 1179 Ken Poliwoda G Southold,New York 11971-0959 Peggy A. Dickerson y 2 Telephone(631) 765-1892 O Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction % constructed ✓ Project complete, compliance inspection. i 14 6� d f - 01/05/2008 13.18 FAX 0002/003 SROM 631-369-9774 FRX NO. 6313699477 Jan. 05 2006 01:46PM PS Albert J.Krupakl,President 1"-m,Y1w-rra6tQent Artie Faster 69095 Route 20 Kea Poliwoda P.O.Dux I Lr a Piga A. Dickerson Southold,New York 11871-086s 0,1 � Telephone(631)76b-1892 �'�(gait�sla.iafi6 �'Qrzb or ku-j,*zi wjxwo'Ir b TOWN OF SOU'Y'I OLD ,laltuary 10, 2005 Mr. Edward Sa taman Anter Lane, LLC 420 rtast 60 St., Apt 34C New York, NY 10022 RF-: ANCHOR LANEO LLC 4616 ANCI[Orl LANE, OQUTHOW SCTM#79-4.6,1 Dear Mr, Saltz : Thr.following 9ol'l0n waac tetkibn by the Southold Tgwn Doiaw ur-rrustaes of Lnei Fi ular Meeting held on Wed.. Jsaminry Is, tom e9 RESOLVED, that the Southold Town Boara of Trustees APPROVE the Amendmarit to Permit 9168U to oonatuct a 6'X 20`ffoating dock, and to Transfer Perm4#1654 from Ca1�aF,ard Hilia�o �nahar Lan.v u.�, a�,►J a� Ut;Pll.:(GU Uri mrs - r . Yaung iagt y P Ytfio�vt�rd This is not a determination from any other agenoy. ff yota ham�nT 94,..atl�itto, p1wazle L,all vu[ umvv Ott k0*11 100-1 ouz. Sinmrely, f�Ct�l-1 C'S�VZ^-i -��Ce 1,J�tr ••i C�"b-t'.� C,� President, Boatd of Trustees AJK:Ims 6C,CA- +4v ri e �� v� \\CkY\C �� °yam► Telephone Town Hall (631)765-1892 w T 53095 Route 25 O P.O.Box 1179 Southold,New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD TO: Southold Town Board of Trustees FROM: Southold Town Conservation Advisory Council DATE: January 11, 2005 RE: Recommendations A meeting of the Southold Town Conservation Advisory Council was held Tues., January 11, 2005. The following recommendations were made: DISCUSSION AND RECOMMENDATION OF APPLICATIONS TO AMEND PERMITS ANCHOR LANE LLC to Amend Permit#1650 to construct a floating dock with a ramp no larger than 6'X 20'. Located: 1615 Anchor Lane, Southold. SCTM#79-4-6.1 The CAC reviewed the application and recommends the property boundaries are verified before final consideration. Vote of Council: Ayes: All Motion Carried Albert J. Krupski,President 0�� C� Town Hall James King,Vice-President �`Z` Gym 53095 Route 25 Artie Foster p P.O.Box 1179 Ken Poliwoda C Southold,'New York 11971-0959 Peggy A. Dickerson O�� Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Q oe h ol cy Please be advised that your application dated has been reviewed by this Board at the regular meeting of 0 and the following action was taken: Application Approved (see below) �)Application Denied (see below) �) Application Tabled (see below) If your application is approved as noted above, a permit,fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: *na,1 t ujo a ctc b 1. TOTAL FEES DUE: $ �� (» SIGNED: PRESIDENT, BOARD OF TRUSTEES FROM Phi 1 ip C. Hai''~—',c Inc. PHONE NO. : 287 29211---"' Dec. 01 2004 10:51PM P2 Anchor Lane L.L.C. 420 East 50 Street Apt 34G New York, New York 10022 Edward Saltzman—Member December 2, 2004 Southold Town Trustees Re: Property and home located at 1615 Anchor Lane, Southold S.C.T.M. #1000-79-04-6.1 Proposed floating dock I am requesting to amend permit#1650 to construct a floating dock with a ramp no larger than 6 feet X 20 feet. The proposed dock is shown on a survey drawn by Young and'Young dated August 5, 2004. I am enclosing copies of the original permit#1650 issued to former owner,Richard Hiltz,to construct the bulkhead in July, 1983. Sincerely, Edwar Saltzm -Member E � [ DEC 14 2004 l� Southold TOWn R . of Trustees s FROM Philip C. Hancock Inc. ,- PHONE NO. : 287 2925 Dec. 01 2004 10:51PM P3 Anchor Lane L.L.C. 420 East 54" Street Apt 34G New York,New York 10022 Edward Saltzman—Member December 2, 2004 Southold Town Trustees: I am authorizing my builder,Philip C. Hancock, to represent Anchor Lane L.L.C. 1 am requesting to amend Trustee permit #1650 to build a floating dock at 1615 Anchor Lane, Southold. Sincerely, Edward S ltzman—Member ?r+i, .•;CO .:G �_�TD S'iiK 5 MUST DIS=Li�Y VISiBL:. I:OG ;G NUMBERS ALL DC=S AND GuL=':r.'J:i:DS iw;UJT •iJ' .IS F%�c� -' VIS I�i� .f'�r'.'1xi' Nt7iL3�i?S l`_�. "'may--�� •�s=�� /" � � ✓ �"�'.`�:. �' - •j_�`�'s tot` -• 'iY '_<'^• `fes?••.��".� '�✓i �'•'.`r� � 7 •• -��% •�`�� F�• ,.1��`•� �1� �':�^'i`� ::! ilr Z :i •�.�� lr:.:f '� L1 r"' "-.�'l�"�A7.: '`�:`�t...��`:.:.Z=��i=� _. :....yal;�Y� "'`fLiJ`i''y �•� -l�::i.«�.r. .,r wl� /.C'• .-+♦ �;. �rr,� ..or,�:� r _ � r r -�t�r�'- r, �S'J',i• �._i�.i. ?•+ti L. j '7u5-iia �r„�a 1,�. -• =�,-.. •~.•}.�IZ2 -1,,N-- � vyy`��•+-{c..�-..y,'-rr.11k:�T!_ ;i�i af_]�-..:J.::�•.'�.-l7ii.f:-.�.�-�'-�`y7�=•-•--._+_.�:d.ar1'_.�=; j� .�,, i. r♦-± � .ice �J... �"� .t-,•' -�;- _ `moi -.� — ---_ _ _. __ �••__._ _ _- -- —'�` �--- -_. •- - - - •-�-” .%,, • Df�ard f o!� ;`�o? d Town �;Uste�s �,,:�� ,�, moi♦ `"� r-��/ C• 1 I }'Y YORM1 i/+2e 2,� •G;1 SOU HOL✓, NEW MOCRL:G NO. N/A PERMIT 3�, fp:;c'';�,•': ' ;)��,: NO. .. ......... DATE: Jul 9 19837 . Richard HILILLI ISSUED TO _ ....... ................. ... ................ ........,............................... � . +: •Fr t,rte•I -;=, ��•.::;` Pursuant �o fhe provisions of C�apfer 615 of she Laws of fhe SNew' ure of N w k Yo , 1803-, . C '1 a x+ e r and nap;er �p r of ne Laws f ne `�'• _;� r�tti� $fate O: New York 1902; and the Sou hold town Ordinance en- filled "REGULATING AND THc PLACING OF OBSTRUCTIONS IN AND ON TOWN WATER'S AND PUBLIC LANDS and fhe �: = Rl~'.;OVAL OF SAND, G, -L OR. MATER - ` LANDS UNDER iOW)N WATLEIRS;" and in accordance wiin fhe ��1�';�?•',..r,�f�.` Imo{✓`_til .�' Resolu+ion Of Tne Board acaated aT a r.�eeiing heN'' on ....JulY -51. and in con'siceraricn o7 the sum or 45g- paid by $....... .......... I Richard Hiltz ........................... ..............................,...............,...................._......................................,..... ;•1: r � ' *' : OT ...Southold .................................................... N. Y. and subject fo flne 7 ' ;v . Terms and Conditions Iisf ed on fhe reverse side hereof, �1 ;,,=•,r';t of SoOhobl Town Trustees authorizes and„parmits the following: ;"tr To construct a bulkhead as follows: (E&W) 25'seetion--;V « ::.,`ti�.�`Vii• • (N&S}� N—S section to connect to and be in line withV,.J bri� existing bulkhead to north, E-W section to connect �� 'si to proposed bulkhead of Koch. Dredge 150 yds. to be +°+ r all In accordance wish the derailed specs- caiions a5 presented in ^� wr_"k:%'`'I;,'� fheOrICJInaTIn� aDD;;caricn. laced behind bulkhead-as backfill IN WITNESS,-V\/HEREOF, The said Board of T rusrees here 's •'^ �. by C8USe5 ITS Ccrpotafe Seal `o oe affixed, and ;Hese presenlS to { •` ��' subscrioed ny g.,malority of fhe said Board as oT this daf.er ```i L,":�.,i•ai i`:-.�'�i t°�:��^-•,, rr . ... ... ........................ ....... :rte .^-�+ ., ---�+ -..... ��.1�'•_��.. •_� � �y J r..r.-.�...._:�=��•r: •.'-'`� .._.:i�.�^.r s�_�•_•.erg: _.-,-.� .Y..ti... i•.•_C_.�>.7. '` .. �- •" va��j';4�-��.er�::.it1. _',1,, 3 'iy'�+ } �`_ ,'�.•-L•�r'•-.,.�✓..:;�ti�. ;j� ii•..Y' -,;^�� -C�i„ •,G'�Q� i r rj1�7:,• � �)L•`' `r. `'` ��__-i ��• �`�`� � 'dam+ ;w�'If1�.l)i';�.•. ��tav �'� %/'%•J� -_•� ._ '��*c cc, �,tli�it^Ih ' _ JL'Jt.n.tJ �.�-y•:•J.- �e"T•.T�" - ;::: is G�-:im--mac'+r.�. ti;;%::o-�:` �-'-:7x� ' � j ,.. ��,^� ^- ;��:ir��z-��"-"-'.'i �.:,•"`.'' _� �.? •_s< 'F •.-..��~��4:i. -�;'.'..�•`-�`��4��__ +�•�:<��iT •�'�=a��rF,•�:a"�'+�p��"-�.s4��-rJ�t.�-��`.r�•.a��`''� .'=';`�^^�-.,��=�5a -l\L:�•-��•��%f \tea.•.._ a.��+•:_i'��.t.h'.`�=�- r'J/ �'.':^_,_.�.-_��~�:•�.•� �~%' \� /r~ `. ..s•• {�I TERAS and CONDITIONS �I Tne Pernunee Richard Hiltz, residing at 1615 Anchor Lane, Southold 2,q. -y-, � i^ part of the consideration for the issuance of,the permit does understax�;,--&i R fol- Iosving, 1. That the Southold Trustees Permit i��z---=. 11m gmo-winnntly ; f disolaved on the premises effected therenv (3-a- ; ?ha Jnr-vd of Z. T}rat the said Board of Trustees and the Town of Southold aie � frr = :ate z.d War: r� all damages, or cdaims for d=ages, of suits arcing directly or sndirec y i4-?zt=zi&t Ap r- u.de. r�{ ation performed pursuant to this permit, and the said Permirre will, at li!�_aw E= defend any and all such suits initiated by third parties, and the said Pero R�ffiility th-i with respect thereto, to the complete exclusion of the Board of Tgmees d Rm r 4aff SD=ffiWdP r M I r�-+( 3. That this Bermsur is valid for a period of -DLE_ =R which kis { _! sufficient time rewired to complete the work involved, but should czr. :aMVz' r for an extension may be made to the Board at a later date. f 4, That this Permit should be rernined indefinitely, or as long as cam. idl Pig-. to maintain the structure or project involved, to provide mcence to CCMVffi- orization was originally obtained. 5. That the work involved will be subject to the inspection and ap p aff Elim or its agents, and non-corap€iarrce witla the provisions of the originating appii � z'au for revocation of this Permit by rezolurion of the said Board. ab. That there will be no unreasonable interference with navigation ax 3a zwuih of Y. k-- herein authorized. 7. That there shall be no interference with the right of the public to R, yang the beach benveea high and low water mar''cs. S.- That if future operations of the Town of Southold require the femaRaLl: iVIi-wA%--^ in the location of rhe'work herein authorize4 or if, in the opinion of the l,..xr-d1ir�ff ' -2me work shall cause unreasonable obstruction to free navigation, the said Perste=; ,'532�m� Ka� upon due notice, to remove or alter this work or project herein stared without•�...�, W=L1s,t?x t&w �r of Southold. t= 9. -That the said Board will be notified by the Permittee of the compleii ;;=dZ ifia wnuk - ? orized See tear ofi sheat. ) . 1p. That the Permirtee will obtain all other permits and consents that f im oaanmli sup- plemental to this permit which tray be-subject to revoke upon ,failure to ob -gass=- _ �yl - t�l S -U TRUSTEES THo- N Du ISSUehd Ta� u/w as;�83 Addve*PiW� . THIS NOTICE NIUST DISPLAYED DURING CONST- - U ION TOWN TRUST-EF.S:4PFICE„TOWN GF SOUTH4LD 1 SOUTHOLD, N. Y" 11911 . TEL.: 765-1801 BOARD OF TOWN TRU&TEES ,Town,o.f Sou hold Southci't?:" �teY' �rk 11971 i NOTICE OF ACTION - NOT A PERMIT TO: , ....Richard Hiltz, 1615 .Anchor.Lane,. Southold, New York .1197• �O 1. Your application, dated ....6/15/83.................................................. en reviewed b has ce y this Board,at.a meeting of the Trustees held on ...................Ju1Y. 5t...1983............................................. and resulting in the action, as indicated below: L ) Application approved. (,,.,,,.,..., Application denied. - (............) Application tabled_ , 2. Comments and remarks: Your application was approved at the July 5, meeting. • J A PEF.��!IT FEE 3. If Sur oo lien+ i n is C roved ayovP A -t its now dine, and should be made payable to the orcer of the Board of Southold Town' Trustees s fte is computed below occord+:na to tne•Sci:edul�pf Rtes s set forth in the Insrructicn 'zhee6 fFcrm 1/11 This fee mus- -be paid wit, �n 0 c a'ys or re-applyir:y :rid a airiona fee will be necessa;: If the Permit Fee is oaid in person to the S Icrerary of the Booro, The Permit will be obt4,ncble of the some time. If the fee is paid by mail, the permit wilt be mciled in reply. Computation of Permit Fee: 150 cu. yds. of dredged material at $2.00 per cu. yd. = $300.00 25 ft. of Bulkhead At $3.00 a lin. ft. = 75.00 Total amount due $375.00 .21 - • V7 Total Fee for this cpplication .............................:.............................. ....... ............................. 1 � Sign �,, /� e' ... ..._ Pres. Boord of Southold Tewn Trustees. by -.. .... . .......... ..... .. ................. ...�. �.. _ Cler!< ya„ Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 JUDITH T.TERRY .:; -'V°' r TELEP1101M TOWN CLERK (516)765-1801 REGISTRAR OT'VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD NEGATIVE DECLARATION NOTICE OF .NO SIGNIFICANT EFFECT ON THE- ENVIRONMENT Dated: July 20, 1983 Pursuant to Article 8 of the Environmental Conservation Law State Environmental Quality Review and 6NYCRR Part 61.7, -Section - 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the ,Southold Town Board, as lead agency for the action described below, has determined that the project, which is unlisted will not have •a significant effect on the' eavironment . DESCRIPTION OF ACTION Application of Enconsul.tants, Inc. , on behalf of Richard Hiltz, for a Wetland Permit to construct bulkhead, dredge -and place fill behind bulkhead as backfill at 1615 Anchor Lane, on dug canal. off Peconic Bay, Southold, New York. The project has been determined not to have a significant effect an the environment for the following reasons: An environmental assessment has been submitted which indicated that no significant adverse effect to the environment are likely to occur should the project be implemented as planned. Because there has been a response from the Board of Southold Town Trustees and Southold Town Conservation Advisory Council indicating that this project would not have a significant effect to the environment Because there has been no response in the allotted time from the New York State Department of Environmental Conservation and the Southold Town Building Department, it is assumed that there are no objections nor comments from those agencies. Further information can be obtained by contacting firs. Judith T. Terry, Southold Town Clerk, Southold Town Hall , Main Road, Southold, New York 11971. Copies to : David DeRidder, DEC, Stony Brook Commissioner Williams, DEC, Albany Southold Town Building Department _ Southold Town Trustees ✓ Southold Town- Conservation Advisory Council Town Clerk's Bulletin Board Enconsultants, Inc. , -on behalf of Richard Hiltz. TELEPHONE (516)765-1801 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 July 6, 1983 Mrs. Judith T. Terry Southold Town Clerk Southold Town Hall Main Road Southold, New York 11971 Dear Judy: Transmitted herewith is the action taken by the Board of Southold Town Trustees at a regular meeting held on July 5, 1983; RESOLVED to recommend to the Southold. Town Board approval of the Wetland application #146 submitted by En-Consultants, . Inc. on behalf of Richard Hiltz to dredge and to construct a bulkhead off of a dug canal at Harbor Lights, Southold. Very truly yours, Board of Town Trustees Paul. Stoutenburgh President PS/ip SS Town Hall,53095 Main Road Imp (ELr " P.O.Box 728 ' fifsJs $ ° ' Southold,New York 11971 JUDITH T.TERRY:: TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR Or VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 9, 1983 F i Mr. Paul Stoutenburgh, President Board of Southold Town Trustees Southold Town Hall Southold, New York 11971 Dear Mr. Stoutenburgh: Transmitted herewith is application no. 146for a wetland permit submitted by Enconsultants, Inc. on behalf of Richard Hiltz. Please prepare a written report of findings and reconanendations with respect to this application. Very truly yours, Judith T. Terry Southold Town Clerk Attachment � � k Tro • ��®j �� TELEPHONE (516)765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 - April S, 1984 Mr. Richard Hiltz 1 1615 Anchor Lane Southold, New York 11971 Dear Mr. Hiltz: 1 Transmitted herewith is your check in the amount of $5. 00, which I am returning to you. The Board of Town Trustees does not charge a fee for inspections. This Tear-off sheet just indicates that your work has been done according to your permit and that your number has been s posted. ! If I can assist you, in the future, please call. Very truly yours, Board of Town Trustees Ilene Pfifferl ng Secretary to Board Attachment Town Hall,53095 Main Road P.O. Box 728 Southold,New Yozk 11971 1 r JUDITHT.TERRY AT '::: ` TELEPHONE ' TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STA1 ISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD 9 f NEGATIVE DECLARATION NOTICE -OF -NO SIGNIFICANT EFFECT ON THE� ENVIRONMENT i Dated: July 20, 1983 Pursuant to Article 8 of the Environmental Conservation Law State Environmental Quality Review and 6NYCRR Part 61.7, Section_ 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Board, as lead agency for the action described below, has determined that the project, which is unlisted will not have a significant effect on the' environment. 1 DESCRIPTION OF ACTION 4 Application of Enconsultants, Inc. , on behalf of Richard Hiltz, for a Wetland Permit to construct bulkhead, dredge -and place fill 1 behind bulkhead as backfill at 1615 Anchor Lane, on dug canal off Peconic Bay, Southold, New York. The project has been determined not to have a significant effect on the environment for the following reasons: ' An environmental assessment has been submitted which indicated that no significant adverse effect to the environment are likely to occur should the project be implemented as planned. Because there has been a response- from the Board of Southold Town Trustees and Southold Town Conservation Advisory .Council indicating that this project would not have a significant effect to the environment. Because there has been no response in the allotted time from the New York State Department of Environmental Conservation and the Southold Town Building Department, it is assumed that there are no objections nor comments from those agencies. Further information can be obtained by contacting Mrs. Judith T. Terry, Southold Town Clerk, Southold Town Hall, Main Road, Southold, New York 11971_ Copies to: David DeRidder, DEC, Stony Brook Commissioner Williams, DEC, Albany Southold Town Building Department Southold Town Trustees - Southold rustees -Southold Town- Conservation Advisory Council Town Clerk' s Bulletin Board Enconsultants, Inc;. , -on behalf of Richard Hiltz. v ENVIRONMENTAL SERVICES EN-CONSULTAN INC. 64 N®RTH MAIN STREET, SOUTHAMPTON, NEW YORK 11968 516-283-6360 July 19, 1983 Board Of Town Trustees Town of Southold Main Road Southold, New York 11971 Re: Richard Hiltz Dear Sirs: Enclosed please find Mr. Hiltz's check for $453. The amount differs from the $375 requested as I find you have not taken into account the 26' E W section. Therefore, the additional $78 comes from 26'x $3 per foot. Please have the permit show the total k-ngth of bulkheading. Yours Very tr ly, Roy L. Haje President lz encl. 3� • ;if Town Of Southold Ej Town CIerk's Office Southold,N.Y. t- IT APPLICATION FOR WETLANDS PER. ;.i •= t i Application No. ....... Date of Application ........June. ,..19&.i................ y; Identity of Applicant ....Richard..Hiltz.................... 64IVORTH.(t?A/N$73tE1'.............. �OL•'iN. .vlPi011L MFW YOP,K 1 f968 Address of Applicant .....1 �.Appl}Qr. La;,,, Sout, old,U`I 11971................................................ INSTRUCTIONS FOR PERMIT ' � M IJ A This application is to be completely filled in by typewriter or ink and submitted to the Town Clerk in quadruplicate, accompanied by writter permission from the owner of the property if not ' =.a the some as the applicant. E 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 o detailed description of proposed project. (Note Copies of the Pilot Plan may be made by a copy machine and attached io the Permit Application) yd; C. No operation shall be initiated by the applicant until all permits that are required are issued. a; E 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 jetty, then this application must be accompanied by a survey and topographical mop 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- ings 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 hove 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 j G- A filirg fee of $25 00 shall accompany the application This filing fee inciudes one inspection. i there is a S5 00 fee for each additional inspection . i H The Town Board upon reques� Q applicant for a permit, may waive in whole or in part, ; :t the provisions of Article II, Sectio //subdivisions A and (where it finds that nature of the proposed operations are such that the requirements of such provisions ore not necessary for a proper considerotion of a permit application. 1 Upon approval of this application the Town Clerk will issue a permit to the applicant. Such hermit shall be available for inspection at any time, upon request. `ii I Examined ......��. .......:3d........... 19...g b Approved ....... �....I../..K 3.............. Disapproved .......................................................... ' Conditions, if any ................................................................................................................................. `+ ............................................................................................................................................................ ;# e ExaminingBody .....6 � .. ....................................................................... Signatureof Chairman ........................................................................................................................ SYC1I APPLICATION IS HEREBY MADE to the Town Board of the Town of Southold, Suffolk County, {I New York, for the issuance of a permit pursuant to the Laws, Ordinances and Regulations govern- 'P Ing the Coastal and Interior Wetlands, Flood Plains and Drainage Areas of the Town of Southold: construct a bulkhead as follows: 26' section (E-ta), 25' section PerTN' r quested s .... ..,......_.................................`x**i' ...................:...............o"F +, IN-S�. N-5 section to connect to and be in line with exist�.ng bulkhead to north. t�� i. E-W section to connect to proposed bulkhead of Koch. Remove land and underwater ?(� .....1•arrd--to--depth-'of--4''•-bm1aw••MVin•-fronr"af The"1-50--ay-of-materia7 to be removed will be placed behind bulkhead as backfill. :.•:j /61 A chor La. SouthR1 i`Y 11971 Location of property for which permit war.ted... ..R................a..............�a....'........................... ....................................................................... ...... .......................................................................... '35 Home address of permit applicant if different from aforesaid location ...same.................................. ;psi .. ....................................................... ......... ....................................................................... Creek, Bay or Harbor fronting property .....DuS..canal,off ..............y ........ ............................................................. .............................................................. .............. ;fi Size of proposed work: Length ..See g {9(]t311�....4hRme................................................................................................. Gr Width ... ............................................................................................................................................. Height Above High Water .................................................................................................... Depth Below Low Water '' 4............................................................................ .....I. Yards to be Excavated r;l 150............ .............................................................................. .; Yards to be Filled ..............................150............................................................................................ Width of canal, creek or bay fronting property..................90.......................................................... ylr� 'i Depthat Low Tide .................................4............................................................................................. .w AverageRise in Tide .................................Z..6 .................................................................................. .I r i. i . Is this for private or business use? .....Privaee...................................................................................... :' 1 r. AreaZoning...Aesidentisi................................................................................................................... i F' Manner in which material will be removed or deposited .................................................................. ........................................................................................................................................................... ;4' - rl Intended use of property ...NR...0—ma —.................... .....,................................ r! ra b'✓, ten consent of ov+ner of property, if not the some es the cppircant ,S_g�,att�ct4 3.............. I - t ...... .......................................................... .. . ............................................... I' i a I COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS' .......Ru..1:..nje.......................... ........... 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 rhe 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 Southold. The applicant agrees to hold the Town of Southold and the Town Board harmless and free from onv and all damages and claims arising under or by virtu sa �renit, if granted. .` Si- natur o Applicant� !f'1 S.tiern ro before me this ..........4`...``........... J c r_ — - — f day o, .........-./ :.......... ..... i9. . s Notary lic - Wil. s• �I SWRUT/e Dig ILY }MTI11tY PUfIIC,SUie d New Y��s -• -:' N D1DIH7152�.eh*1COO Term Espres _r rl' i i t I' a ®F s0�r Michael J.Domino,President ��' yO�® Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders aC Southold,New York 11971 Glenn Goldsmith ® �� Telephone(631) 765-1892 A.Nicholas Krupski �COUNTYFax(631) 765-6641 r BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 19, 2017 David D. Rohde Anthony W. Crowell 195 Adams Street, Apt. 9B Brooklyn, NY 11201 RE: 1615 ANCHOR LANE, SOUTHOLD SCTM# 1000-79-4-6.1 Dear Mssrs. Rohde & Crowell: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, April 19, 2017: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#1650 from Philip & Lorraine Sabalja to David D. Rohde & Anthony W. Crowell, as issued on July 22, 1983, and Amended on January 19, 2005. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely. Michael J. Domino, President Board of Trustees MJD/dd Michael J. Domino, Presid ,� O�Q �� •f' <� Town Hall Annex John M. Bredemeyer III,Vice-President �� 2j, 54375 Route 25 Charles J. Sanders P.O.Box 1179 Glenn Goldsmith 7 Southold,NY 11971 A.Nicholas Krupski 9 p Telephone(631)765-1892 dal �a Fax(631)765-6641 Y BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I Date/Time: IlLJDompleted in field by: DAVID D. ROHDE & ANTHONY W. CROWELL request a Transfer of Wetland Permit#1650 from Philip & Lorraine Sabalja to David D. Rohde &Anthony W. Crowell, as issued on July 22, 1983, and Amended on January 19, 2005. Located: 1615 Anchor Lane, Southold. SCTM# 1000-79-4-6.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Z Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment V Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 l - Michael J. Domino,Presi ( y o�QSISFFat �oG Town Hall Annex John M. Bredemeyer III,Vice-President- ,�� % 54375 Route 25 Charles J. Sanders P.O.Box 1179 coo Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski 9,�0 �pR Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: DAVID D. ROHDE & ANTHONY W. CROWELL request a Transfer of Wetland Permit#1650 from Philip & Lorraine Sabalja to David D. Rohde & Anthony W. Crowell, as issued on July 22, 1983, and Amended on January 19, 2005. Located: 1615 Anchor Lane, Southold. SCTM# 1000-79-4-6.1 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to�be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 .lame-F,Mini;,Pr(xuknt SU//jy� Ttm:t Hal; Jill 11A).lt.,heny,vire-Frraldent �O ��Piw1096 Mute U IWLY A.Mckmon p•O•BOX 11:9 $.xn hold ".—V."h I t'r.t•ntr,S;1 Rive.Herimn �� Jy TPlrphrneifiilTii,9-1)-9'7 .1o:m11v1z,tr:r1 �0(,��yZ}• F:.< <331.7<:.�-neat BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Marrh 22,2006 F E B ® 7 2017 Southold Tonin _ Paul A Caminiti,Esq. 9 Trus e 53345 Main Rd. P,O.Box 846 Southold,NY 11971 RE: PHILIP&LORRAINE SABALJA 1615 ANCHOR LANE,SOUTHOLD SCTM#79.4.6.1 Dear Mr.Carniniti The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday,March 22,2006: RESOLVED,that the Southold Town Board of Trustees APPROVE the request for a Transfer of Permit#1650 from Anchor Lane.LLC to Philip&Lorraine Saboa,as Issued on July 22,1983 and amended on January 19,2005. If you have any questions,please contact our office at(631)765-1892- Sincerely, James .King Prestdent.Board of Trustees JFK•Ims CHRYSA PASOUALONE l James F.King,President } Town Hall Jill M.Doherty,Vice-President 53095 Route 25 P.O_Box 1179 Peggy A.Dickerson Southold,New York 11977 1-0959 Dave Bergen ` Telephone(631)765-1892 John Holzapfel o ii Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICA'T'E OF COMPLxANCE ## 0093C Date mJan. 20, 2006 THIS CERTIFIES that the_ floating dock At 1615 Anchor Lane, Southold Suffolk County Tax Map# 79-4-6.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 3/5/04 Dated 05 pursuant to which Trustees Permit# 1650 1 14/ Was issued, and conforms to all of the requirements and conditions of the applicable provisions of lay.The project for which this certificate is being issued is for a floating dock The certificate is issued to ANCHOR LANE, LLC � �owner of the aforesaid property. Authorized Sign ure Young &° Young You an,rtt g 400 Ostrander Avenue, Riverhead, trew rh.rtce-Yns rct rsrrk 11901 I 631-727-230.3 Yein Lund Suveyr Th C W L Pvf R. s it[E`�'` Ig:#.!zo 66"Q. s `s t NOTES r vz AREA = 21,051 50. FT. o n � 1 ) • W6DIVt5ION-'I-IAF OF HARBOR LIC-HTS E5tATE5,SECTION �� 07-3 r Lt`` S7 /' 6 \(' ONE"FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY j / ON.1JNE 8,1965 AS FILE NO.•1962 `� P ��s � � � �L OL Ui�� FLOOD IN5LR4NGE ROTE MAP NJH6ER 3610?G0I61 G LAST g f p _ ' , DATED MAY o, as®. -0 W SURVEYORS CERTIFICATION g� WE HEREBY CERTIFY 70 ANCHOR LANE LLC @ �- s. FIDELITY NATIONAL TITLE INSURANCE Qgrt `-- '-'"r • k '->. C 0 M PA NY THAT THIS SIRVEY NAS PREPARED IN ACCORDANCE WITH THE COPE Or PRACTICE FOR LANA €q- Q a¥ SL'RVLYS AppPrEp BY THE h'EW YORK STATE ASSOCIATION OF r: r '.,r(7' PROPE55 ORAL LANA SURVEYORS. € MOWARO W.YQ+MG.N.Y.S.Ls.NO.45049 - LA- ae{ -— ; } A SURVEY FOR ANCHOR LANE LLO r LOT 10 t 10A,"HARBOR LI6H'r5 ESTATES,SECTION ONE" � AL 1—kiugvleri, Toren of uwhold f ' SaFfolk Govn4 Nev4 Yory County TOx MOPeirt.Ht 1000 S,,,— '711e", 04 1., 6J [ � } ' FOJNVATION LOCATIONSMVE( D EC } 4 204 o t - jjJ FOUNDATION LCC-ATION MM.5_2004 AD[ED MRI CALCULATIONS t CONTOR5 MAR.12,2004 k'�x I MAP ARED PBi,f2,2004 r A+�f k141_�0t _ p� I O•,eua.r sn m..auea ra.•o •sr,xe ecT e•ern..a rano Q.nrE Ewa c•r..rcr w.wcr woa s,s•oa' ra.caun enw,s•ca •o.kor oe+.r . N FL A DISAPPROVAL Young & Young � s N j ROC .�.,INA.r5` CA. 1-; AT',ON� 400 Ostrander Avenue, Riverhead, Nein York 11901 1 631-727-2303 Xaurard W Young, Land Su—eyor t 4 r REA Thomas C. Watpert, Professional Engineer R= Robert C. Tost, ATchitect `- ----Rariatd E. Pfuhl, Landscape Architect -- -- ax [ra OOH_ 50CR�O Douglas E. Adams, f'rafrssierrcai Engineer f�Aflg r`, `A NO ♦1/ . E #` 7 Q n7 s n .�-�.. s [ �.__F Pooh � 5cl-£C PKOV NO I E5 - 5 �€ t, / 0 G-,ri �j r � 0) APE 21031 SO F- 3 { §t 0, 0 GV: .IO4 MAFC, ,-ARE._.t..R x _ MJF OL '—OU47' N-INE-.� :=ta A .-E NO 6 t N,1115ER ;5 v 'G _ tiY7'3 ,' R LA_. DA._O MA-4, t u ads- 1 s co e45SURVE'rORS CERTIFICATION as _�` � • ?' a _•. tr :a ® riE r+ETITLE CERTIFY TO ANCHOR LANE LLC &, - Tr FIDELITY NATIONALINSURANCE -d3 ®® _ C®MRA NY THAT THIS 5'JRVEY NAS FREFAREP IN �43� as �z_ _ r, -,.. ACCORPANCE KITH THE COPE OF FFACTICC FGR LAND `T y A--4 SJRVEY5 APOFTEP BY THE NEN TORI.STATE ASSOCIATION OF gym: t S p -C -,NO LANA 'axs= _. err -aG T�$ y ><'Y HOr ARP OUN�s N"5 _S 'No �5e ` iq A LfAND 3 p; P JF x - - €. SURVEY FOR lij ANCHOR LANE LLC LOT 13 8 IBA, "HARBOR L16HTS ESTATES,SECTION ONE c 0`1At Bagview, Town of Southold Suffolk County, New York r�� Colnty Tax Map mslrcl 1000 '9 emcc 04 Lol E I ` =2 =�n 9UILDIN6 PERMIT SURVEY ADDED PRAINAGE CALCULATIONS s CONTOURS :.A>c.!2 2004 ` s� =a � MAF FREFaREP F oSUFFot,��, --- Albert J.Krupski,President ��. Q Town Hall James King,Vice-President �� G'y� 53095 Route 25 Artie Foster ti - P.O.Box 1179 Southold,New York 11971-0959 Ken Poliwoda Peggy A. Dickerson ya0� Telephone(631)766-1892 •� `� Fax(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 19, 2005 Mr. Edward Saltzman Anchor Lane, LLC 420 East 54th St., Apt. 34G New York, NY 10022 RE: ANCHOR LANE, LLC 1615 ANCHOR LANE, SOUTHOLD SCTM#79,4-6.1 Dear Mr. Saltzman: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., January 19, 2005: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit#1650 to construct a 6'X 20' floating dock, and to Transfer Permit#1650 from Richard Hiltz to Anchor Lane LLC, and as depicted on the survey prepared by Howard W. Young last dated August 5, 2004. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, AlAJ. p Kru s�'J . , President, Board of Trustees AJK:Ims ALL ;iCO ?�:v�z -_,:�D ST�-.1-KS ;•LUST DISPL=AY Vi. :BL i•:OO.^•.I; G %U%IB RS ALL DCCc�S AND BJL:ZHEADS MUST DISP1utY VISIBL PE—IIT "=-13F.RS ',�l•� '•�! '�^7��=--_�•'-�.c�"".l'.'�-:1' �'S'h;i'T---!�'l-J_ - ��`��tSTy.� `.��.r_•"'••t.`��r�� n�^�r.,,�►��._ r y,- , ''•_:•Y•� vrr--� •ti�rrS'- -�-:7: kyr-,• ��....�y��• -r..--�c' ��;,�:,,*;s,•i• :�u \y�`` ' ' i - -T••-•' � ,.i •r`-`✓_ f �'='•'F• t 7 � .. ,.: ..`--•. Z i �'-v_.. '� •.--cr".ry• •i � ,?i i ��'- ^•� t"` ,.,In i. _l r.-"" •.•'•..�r`r�. .'*�^.�..-r •+,.;rJ <<_ " i•n..rr.�!�1-�_ _l"r;"rr- t/•,t -ice `<� �11 Board of Soum.o! d T ovm Trus{ h - .. SOU T HOLD, NEW YORK '/ MOCRI�;G NO. N/A 'U" PERMIT NO. 1650 ............ DATE:' ...July 22,... 198 :jE' ISSUED TO Richard Hiltz 4''lr =• `%j ,•,, _...._....................._.. .........._..................................... w,• + r,.. .n 't>{�� a.r'... •,'• .117 C...1 Pursuant to the provisions of Chapter 615 of the Laws ofq. 1:P�t' the State of New York, 1893; and e the I' Chapt r 40 r of to Laws of ,he 1:•F�-=%:=��•�,,,, ` New o State a Ste is 1952• and the Sout �= w Yor holo' Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS •� �:"`�'� IN AND ON TOWN WATERS ANDPUBLIC LANDS and the i`'`�="� "' 1 .�:��:�: t REMOVAL OF SAND, GRAVEL OR O T�;SER MATERIALS FROM LANDS UNDER-TOWN WATE;;S;" and in accordance with the Resolution of The Board adopted at a meeting held on . -�•- ., _t,- ._ Jul fT 19 g.3.., and in consideration of the sum of $ 453.00 Richard Hiltz ........................... .........................................._.......... :t� ,, •��(� of Southold - 1 :-,; •- ` :,,., ....................... N. Y. and subject to the "•. • L F:r�y Terms and Conditions listed one side the revers hereof, / `'�-'• i; of Southold Town Trustees authorizes and permits the following• � ,_S; '•.,�.F To construct a bulkhead as follows- (E&W) 25 ' section�q�i._` —a, (N&S) section to connect to and be in line witha�w Pik:; =' >=• ;`� existing bulkhead to north E- ion t _ W sect o connect z7 to proposed bulkhead of Koch. Dredge 150 yds to be = all in accordance with tale detailed specifications as presented in the originating� applicatic f- �' ""' laced behind bulkhead _`��r� ,- •��_,:=�; P as backfill IN WITNESS 'WHEREOF The saidTrus-fees 1 Board of here- by causes its Corporate Seal to be affixed and these resents to �.:•�f:1 be subscribes by a -majority or the said "'card as of this dare. t�''' ........................." `..... tk ... ...... ....................... ....... Ln r�'i` T� •Si•�,• v'! �+f_�Li/`�� r`,! ........... ....................... ... .................. '+V `«�"�•`� .(w(�iv�. yZ• j,a / ,'�fl;a Trustees tea`",',' '?_ �n' _ _ __ _ _• �;�i:� b� ;3 k�1 1�`._"—_ ~_;CI• '__,t' ..- : � �-••, ra._..•z—��.•_s—..._�-...tip.�:-�.��4^--•� • �'� -�-�`j '"';' �• ��f s�/ ,r s;�:+�t' � .;"r+Titi�•--��•.: , ;] c '�•'. :w,d �'T•, �oiY��°"� �;Q �'i� C�f/�17 ': � G r.''(�`. • ' 4r x `� =•vacs j�S ,`•'.••r-' ,ISE �`'=,;_l' F «��'�,=-�.-•�; ...,M �= a �'-"_: '�� .1 ,��+I >•. rs.dam• Y < t1711Y��. 1��r'• �• ,st�:.��,� ��%v_r'-:G,- '�'•/•r Board of Bout-hold Town Tru s teos SOUTHOLD, NEW YORK 140ORING NO. N/A PERMIT NO. 1.650 DATE: . .. July 22, 1983 ISSUED TO .,.,,. Richard Hiltz 1, certif;, that the work as authorized in this permit has been completed and is now ready for your inspec- tion. also, the nu:ii:er required on this Dro)ect is clearly visible. I further understand this permit is not Valid until this tear sheet is returned to the Trustees. `r k�lTERMS and CONDITIONS The Permittee Richard Hiltz, Ca residing at 1615 Anchor Lane, Southold as �a part of the consideration for the issuance of the Permit does understant arrdlpr ilxt;W d=fol_ lowins: 1. That the Southold Trustees Permit mzzTz hw-- gxaam± aentIy j displayed on the premises effected thereby d1vu7Ezu4 tihe! period of 2. That the said Board of Trustees and the Town of Southold are --dlzmu-gB Err= :a= aid all damages, or claims for damages, of suits arising directly or indirectly ass m a �of x work ation performed pursuant to this permit, and the said Permittee will, at Iii,=!f=e);,�m exp=sje, under rdefend any and all such suits initiated by third parries, and the said Permizu-,as�tmuss�l 1t"iablh'ty the with respect thereto, to the complete =clusion of the Board of Trustees o iia � vtaa x idPer Alt.; �y t• r,- 3. That this Permit is valid for a period of -QLE '-r AR which 1 ramsi°da=dI MM be sufficient time required to complete the work involved, but should circtum-ionusss for an extension may be made to the Board at a later date, Fa �aI4. That this Permit should be retained indefinitely, or as long as the s,-tidl Ra=rii -w to maintain ,the structure or project involved, to provide evidence to anjZ.,te:cc=arcwta tatx nuth_ orization was originally obtained, 5. That the work involved will be subject to the inspection IF 1 p ❑ and appt-�x.il off thB, ;'l ,d �r its agents, and non-compliance with the provisions of the originating appli=oai,tnlyyl};e;em=se ibr k CSIrevocation of this Permit by resolution of the said Board. 6. That there will be no unreasonable interference with navigation as av, rrmif� cir tree Tm_ herein authorized. 7, That there shall be no interference with the right of the public toFx5V atnil _crr, among r the beach between high and low water marcs, E That if future operations of the Town of Southold require the rernoTz 1,andVyr<°aiker—d ,,c t in the location of the work herein authorized, or if, in the opirdon of the F,,ud1oKUZ=eV& Yne k 01 work shall cause unreasonable obstucnon to free navigation, the said Permivan tiiill its; K 0 upon due notice, to remove or alter this work or project herein stared without&x ,sn,,to)t Tei of Southold. r ?= 9. Thar the said Board will be notified by the Permittee of the comple p,�ng tdt,�v �_ r orized, (See tear off sheet. ) : 10. That the Permirree will obtain all other permits and consents that=y/Lh,--r of l yup- {^I plemental to this permit which may be subject to revoke upon failure to ohraina s=-a:> K- f K 7 • I� Pa c o/v/c .t/® a-3- OAr g` E. DATuh:MLLd — Paa po SE:ERo s/o u O 'CaNTROL AAJACENT ouA/ERS. /Q HILTS A. Ros,T. HALL. D. Roo'T. H• HoRs� y/003' C. FREO. REFSE �� t °C°s �. 0 Qo o'T FRS r P E.GLENhJ "� ''i o NEiDThANN E O ,?S $.E AREA To 80 SoN u RE/1ovE0 To Sul-pc Lr Co. FIAGSTRoPf i J/'86Low MLw ---- DENOTES /1AP d3 SCALE v En�ST/NG -!= PROPOS-60 13oL1cM6A0 • v�K NEAD V ®x7000 - 4 c- 'LP,v 11� PRoPosdo (3)'6X/8FLOATS Q Dur, CANAL (i) y'X/6' RAMP ' Ft L FLooO , SII do VAC jt4T Lo-T FLT. GLALAKC O c J " ALK " J C9� Q b - �/ x ?u a ? QAJ /3 3 A. FoRoSIcH ? 3 ell Alai ti C9 W oa QC RAMP MHIJ TA 6" MLU'o=o I- EA*Z y /y, PRO PoSEO 13uLKNEAO GR.9 0�c A/v TNo N y- Folio SIC H Q Q Q ` T. �. PRO PO Sto PSuLK NEAD f`DocK f®r p �� SNEATNiNG• $it�o�PiL/w!r S GEORGE KOC H F: �r PRoPoSED QuLKNEAO K0RE0QlAf& f f.� Re(3ERT a'f SOVTNof-p/ SUFFOL/C �IL/N�r 006 CAN AL L u oh 6 EN- CONSULTANTS SNC . CRDSS- SEc-r/oN THRU PRO Po St 0 j5uLK- / / HL--AO (ALL) 100-C (K0ch) Sc ALE /o' .f/SEs PEcome o 8AY Oq•►-oM:MLW i PURPOSE:EROS/ew CONTROL � �` 1 •_ � AAJ ACENr 00.0845: 7 /Q NILTZ A. Rog'T. HALL. 13. Ro0'r. HORSCN, I' C. FREO. REESE otos = 1" D. Q �00'r, FREYBArgoeW r O ?t soAQEA To 6E HE)OrhA-VN fME REMovEO ro SON i$uP-PO cr Co. IlAGSTi�OI'f' .s �1'$ELef� MLiJ ---- DEivorEs 11AP l3 Sc ALE Ex�3'red` - v PRoPosEO Q�+LKMEIgO a ' v�K NEAO f y C.- q� PRoPostO (3)'6'x 18FLOATS I Dub CANAL Fc r. (f) y'X/8' sAMP Fcoop �� b VAC/gNT Lo-r 1f ' e 'L G. Koc H FLT,GW&AC IN ASK J _ of A. �+ ff W W oa Q ,RAMP ¢R FCO - /8� A-TS / ' r MSW-d-0 (- tki PROPOSED 3uLKNEAO 4,-- AN rgo.*')- rANrNoNy' FORDS/GH + F� O Q � , PRo Po SEO /3uLK NEAP ¢`DOCK dor , WO `k SNEATN�NO- $ X�o�PiciNrrS GEORGE KocH ;, �•s t�N PRo PoSEo 5&L6XNEAO OOORe0AO/F 'OD .. -AI- Re eeRT Nu-ra lr /0 �x.�0 of SowrwoLQ, rufFoLK Coy P1L/NF QuoS CANAL. 6~ ,E�v-C'on�s��.T•+K rs, 2Nc . r CROSS- S6eT/0N THRv PRo Po St o )SuLK- HEA0(ALL) Docic (Koc N) Sc ALE /=/o' = t; SOUTHULD TRUSTLES NO. L5�0 Issued To 16iaaQd. alUz- Dafe-�lu az'98s Address / 4ji- AnG l,e ,e 1-arvc:, &amajat- 1v-V, THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE, TOWN OF SOUTHOLD 1 SOUTHOLD, N. Y. 11971 -. � . TEL.: 765-1801 I; Q' n n J =r o I syy ' / r 40) , A� �/;•�/ice/, .- / %/ � \� .\ .%`, �, r ' _ P!1 it?Vh14,, BOARD 0 F TUWN.TRLS', :S , Toivn, of Southold s i - `Main,,Road, Southold, 1'r''c11v"York ]1971 NOTICE OF ACTION — NOT A PERMIT -7 �/� Richard Hiltz, 1615 Anchor Lane, Southold, New York 1197?121To: ............................ ..... 1. Your application, dated . 6/15/83 .,, .................. has been reviewed by this Board at a meetingf the Trustees held or. _Jul 5, 1983 0 ........_...... '...................................... ........................ and resulting in the action, as indicated below: ( XXXX) Application approved. (............) Application denied. (............) Application tabled. ; 2. Comments and remarks: Your application was approved at the July 5, meeting. A PEP2,1IT FEE 3. If cur ccnlicr?��n� is c�nrcveLnbave. -Pr*,r-;t—=r_i5 no,N dt-L, and should be made payable to the order of the Board of Southold Town Trustees. This fee is computed below accordina to the '7-' , I pf R tes ps set forth in the Instruction �heetd f crm 1/11. This rttus.. paid wltefiin �0 ays or re—applying~ grid a aiti.ona ee�W1 be n cessa�. If the Permit Fee is cc,d in person to the Secrerary of the Board, The Permit will be obccm--61c of the some time. If the fee is paid by mod', the permit will be mailed in reply. Computation of Permit Fee: 150 cu. yds. of dredged material at $2.00 per cu. yd. _ $300.00 25 ft. of Bulkhead At $3. 00 a lin. ft . = 75.00 . Total amount due $375.00 79- v z) ex 121, 9e Total F•=e for thwi application ...................... :.............................. $ ........................... Pres. Board of Southold Tcwn Trustees. /4 'ill/// by •� ..� ` TELEPHONE (516)765-1801 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 July 6, 1983 Mrs. Judith T. Terry Southold Town Clerk Southold Town Hall Main Road Southold, New York 11971 Dear Judy: Transmitted herewith is the action taken by the Board of Southold Town Trustees at a regular meeting held on July 5, 1983: RESOLVED to recommend to the Southold Town Board approval of the Wetland application #146 submitted by En-Consultants, . Inc. on behalf of Richard Hiltz to dredge and to construct a bulkhead off of a dug canal at Harbor Lights, Southold. Very truly yours, Board of Town Trustees Paul Stoutenburgh President PS/ip 1615 Anchor Lane IVE Southold, NY 11915 J Lt FEB - 7 2017 g L- S—autho—ldbwn February 4, 2017 Southold'Board of Trustees Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, New York 11971 r Re: Permit Transfer Request—Wetland Permit No. 1650 Dear Members of the Board of Trustees: This letter shall constitute the application of David D. Rohde and Anthony W. Crowell for the transfer of Wetland Permit #1650 from to Philip and Lorraine Sabalja to David D. Rohde and Anthony W. Crowell. Our application is based on our joint ownership of the subject property; such ownership effective November 2, 20 R' We enclose a check for $50.00 in satisfaction of the application fee. For your reference, Wetland Permit 1650 was issued on July 22,1983, amended on January 19; 2005, and transferred by the Board of Trustees to Sabalja by Board Action dated March 22, 2006 (copy enclosed). Please contact either of us at 631.907.2927 should you have any questions, or"should you require additional information. Respectfully, David D. Rohde Ant -y" . Crowell Board of Trustees Application AFFIDAVIT 40 nt-4 BEING DULY SWORN DEPOSES AND AFFIRMS THATRE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE , BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,J HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE,TERM OF THE PERMIT. 'Signature of Property Owner f�. SWORN TO BEFORE ME THIS � DAY OF '''�� 20 - ' J Notary Public ROBERT P.CARVER NOTARY PUB[IC,SMtP of Now York Na 02CA51701 76U Oualffied in New-1krk Couf►�+KoS CWI ISsion Expires Sept, Town Hall, 53095 Main Road �® P.O. Box 728 Southold, New York 11971 JUDITH T TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD o. 3 June 9, 19831,- - Mr . 983 _Mr . Paul Stoutenburgh, President Board of Southold Town Trustees Southold Town Hall Southold, New York 11971 Dear Mr. Stoutenburgh: Transmitted herewith is application no. 146for a wetland permit submitted by Enconsultants, Inc. on behalf of Richard Hiltz. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Judith T. Terry Southold Town Clerk Attachment �®c�VFFO(�{�O TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 - April 5, 1984 Mr. Richard Hiltz 1615 Anchor Lane Southold, New York 11971 Dear Mr. Hiltz : Transmitted herewith is your check in the amount of $5. 00 , which I am returning to you. The Board of Town Trustees does not charge a fee for inspections. This Tear-off sheet just indicates that your work has been done according to your permit and that your number has been posted. If I can. assist you, in the future, please call. Very truly yours, Board of Town Trustees 9W tU& Ilene Pfifferl ng Secretary to Board Attachment � - ✓fid/�y Town Hall, 53095 Main Road } P.O. Box 728 Southold, New York 11971 JUDITH T.TERRY - __ " TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR 01 VITAL S'1 A I ISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT Dated: July 20, 1983 Pursuant to Article 8 of the Environmental Conservation Law State Environmental Quality Review and 6NYCRR Part 617, Section _ 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Board, as lead agency for the action described below, has determined that the project , which is unlisted will not have a significant effect on the environment . DESCRIPTION OF ACTION Application of Enconsultants, Inc. , on behalf of Richard Hiltz, for a Wetland Permit to construct bulkhead, dredge and place fill behind bulkhead as backfill at 1615 Anchor Lane, on dug canal off Peconic Bay, Southold, New York. The project has been determined not to have a significant effect on the environment for the following reasons: An environmental assessment has been submitted which indicated that no significant adverse effect to the environment are likely to occur should the project be implemented as planned. Because there has been a response from the Board of Southold Town Trustees and Southold Town Conservation Advisory Council indicating that this project would not have a significant effect to the environment . Because there has been no response in the allotted time from the New York State Department of Environmental Conservation and the Southold Town Building Department, it is assumed that there are no objections nor comments from those agencies. Further information can be obtained by contacting Mrs. Judith T. Terry, Southold Town Clerk, Southold Town Hall , Main Road, Southold, New York 11971. Copies to: David DeRidder, DEC, Stony Brook Commissioner Williams, DEC, Albany Southold Town Building Department Southold Town Trustees Southold Town Conservation Advisory Council Town Clerk' s Bulletin Board Enconsultants, Inc. , on behalf of Richard Hiltz. SERV#CES as ®uONS LTANT , ING 64 NORTH MAPN STREET, SOUTHAMPTON, NEW YORK 11968 SY6®28306360 July 19, 1983 Board Of Town Trustees Town of Southold Main Road Southold, New York 11971 Re: Richard Hiltz Dear Sirs: Enclosed please find Mr. Hiltz's check for $453. The amount differs from the $375 requested as I find you have not taken into account the 26' E-W section. Therefore, the additional $78 comes from 26'x $3 per foot. Please have the permit show the total le-mgth of bulkheading. Yours very tr ly, Roy L. Haje President lz encl. SFJ 4 Y. Town Of Southold Town Clerk's Office Southold, N. Y. .Iy APPLICATION FOR WETLANDS PERMIT Application No. ......1../..�Q.............. Date of ............... Applicction ........June. ,.. 19Si.. - ZN-CbNsULTANI Identity of Applicant .....Ri.eliaLd..Hi1tr.............. 64 NORTH WJIV ;i;�2PiO/K NEW YORK 1196'8 Address of Applicant ......��?�,�,.nt?c�}pr„La:, Southold NY 11971 ...................................................................... INSTRUCTIONS FOR PERMIT A This application is to be completely filled in by typewriter or ink and submitted to the Town I ' Clerk in quadruplicate, accompanied by writter• permission from the owner of the property if not 'i the some 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 protect. (Note- Copies of the Pilot Plan may be made b a co Y y copy machine and attached 'io 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 prc.posed 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 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 i. shall be based upon an approval local coordinate system. The vertical control for elevation and sound- ings 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, there is a $5.00 fee for each additional inspection. G A filing fee of $25 00 shall accompany the application This filing fee includes one inspection L I H The Town Board upon reques��ig applicant for a permit, may waive in whole or in part, the provisions of Article 11, Sectio / .I , subdivisions (� and (-where it finds that nature of the proposed operations are such that the requirements of such provisions are not necessary for a .i proper consideration of a permit application. I Upon approval 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 Ji ;I f; ' I F'I ,22 1 Examined ...... ........................ 19.......3 < ',I Approved 4i Disapproved ........................................................... "i Conditions, if any ................................................................................................................................ .i ............................................................................................................................................................... i ................................................................... .................................................................................. ExaminingBody ..... 0 .. .... ... ................... ........................... .......................... Signatureof Chairman ........................................................................................................................ . i 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 govern- ing the Coastal and Interior Wetlands, Flood Plains and Drainage Areas of the Town of Southold: Per it r quested to ...• construct a bulkhead as follows: 26' section (E-W) 25 ' section 1 ................................ ................................ ..... N-S N-S section to connect to and be in line with existing bulkhead to north. E-W section to connect to proposed bulkhead of Koch. Remove land and underwater •1•a-nd••to••depth••of••4.`-betow-•ML-W-,tn'•fruit'r* f"rtropuged"butkhead'.....Ther•i90••cy•'of••material ,•'• to be removed will be placed behind bulkbLead as backfill. ; Location of property for which permit wanted...161J...AnchorLa,,, 24thold... .... ...1............ ;r .................................................................. . ................................................................................. II Home address of permit applicant if different from aforesaid location ..,same . .. .... ...............................................................................................................................•.................... Creek, Bay or Harbor fronting property ......Dug. canal,•off..Peconic.,Bay ............................................ .................................................................................................................... Size of proposed work: Length ..S.ee.. > :... bvve...................................................................... Width ............................................... Height Above High Water ...............4.:.................,.....................:.............................. j DepthBelow Low Water ........................................,................................................. . Yards to be Excavated .......................150 I ' ................................................................ 150 Yardsto be Filled ...................................................................................................................... ........ { 90 Width of canal, creek or bay fronting property......................................... Depthat Low Tide ................................................................................................................................. - AveraAvera n Tide 2 2'611 ge Rise i ... ............................................ P o- {rl • s • Is this for private or business use? .....Private...................................................................................... >I� AreaZoning ..Keszdentig.l.................................... ... ........................................................................... t, Manner in which material will be removed or deposited .................................................................. . y;11 r� ... .............................................................................. ............................................................................... rl Intended use of property ...NQ...Gl?.a 9Q.............. ... ....................................................... ...................... i( f Written consent of o-mer of property, if not the some as the applicant :. t ....... .................................................. ...... . ................................ v �ll I. COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS L . ................................ .......ROY..L:...Ha]e................................................. being duly sworn deposes =I and says that he is the applicant for the above described permit, and that all statements contained If i 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 Southold. =1 TI,e applicant agrees to hold the Town of Southold and the Town oord harmless and free from any and all damages and claims arising under or by virtu sa' rt5nit, if granted. I! .1 t{..................................... ` 1 Signatur o Applicant Sworn to before me this ................................ dayof ............... .. :. . ...........................1 19......... r Notaryblic J f Sutton A.Out►tr NITMY POIIIC,SUte OI New Yal4 No.OIW715277,Sullolk Ccub•I ` Yana Espires March 30,19y <� .I ' �i '1 i APPENDIX B, NAME OF PROJECT - ' SHORT ENVIRONMENTAL ASSESSMENT FORM INSTRUCTIONS: (a) In order to answer the questions '-in this short EAF is is assumed that .th• preparer will use currently available information concerning the project and the likely impacts of the actions - It is not expected that additional studise, research or other investigations will be undertaken. (b) If any question has been answered Yes the project may be significant and a completed-Environmental Assessment Form is necessary• t (c) If all questions have been answered No it is'likely that this project is Lot significant® (d) Environmental Assessment 1• Will project -result in a large physical change to the project site or physically alter more than 10 acres of land? • • • • • • • • • • • • Yes No 2e Will there be a major change to any unique or unusual land form found on the site? • . . m.� Y®a No 3. Will project alter or have a large effect on an existing body of water? • • • • • • • • • • �. Yee No 4• Will project have a potentially large impacton groundwater quality? • • . • . • • • • • . • Yes No 59 Will project significantly effect drainage flow on adjacent sites? • • • • • • • • • • • • Yaa No 6. Will project affect any threatened or endangered —L plant 'or'ainimal species? . • • • • • • • . • Yss No . 7• Will project result in a major adverse effect on air quality? • • • • • • • • • • Too No $• Will project have a major effect on visual char- acter of the community or scenic views or vistas known to be important to the community? • • • Yes No 9• Will project adversely impact any site or struct- ure of historic, pre-historic, or paleontological importance or any site designated as a critical environmental area by a local agency? • • • Yes No 10. Will project have a major effect on existing or future recreational opportunities? • • • Yes No ll• Will project result in major traffic problems or cause a major effect to existing transportation systems? • . • . . . . . . . . . Yes No 12• Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturb- - ante as a result of the projectfs operation? o Yes No 13• Will project have any impact on public health or safety? . • . . • • • . . . • . Yes No 14• Will project affect the existing community by directly causing a growth in permanent popula- tion of more than 5 percent over a one--year period or have a major negative effect on the character of the unity or neighborhood? • • Yes No 15. Is there public tr concerning the project ^� Yes No PREPARERfS SIGNATURE: TITLE: A REPRESENTING: DATE: 6 9/1/78 A/4 - Rev. 6/72 BOARD OF TOWN TRUSTEES � Town Of Southold 0 Main Road i; I Southold, New York 11971 Y APPLICATION TO DREDGE and or FILL I. Does this project involve the use of WETLANDS as defined in the Southold Town Ordinance in Wetlands? YES e If it does, your application must be filed through the Town Clerk's Office. 2. Applicant's name and address: ...Richard Hiltz 1615 Anchor Lane, Southold ........................................................................................ NY 1.1.9.7.1 3. Contractor's name and address: EN,-CONSULTANTS, INC: 64 North Main Street ........... .... ...... .... .......... ...... ....... Southampton�..NY......11968............................................................................................................. 4. Explain briefly the purpose of this r application: ...gonstuct..a..bu.lkhead. ...a..s...f..o.11. ..o.ws. .: ..... .. ...... .. .... ......... . . . . . . . . ion„(N&SJ N-S, section„to connect„to and be„in„line,.with,.existing .. .. .... ............ .....bulkhead..to„north, E-W section„to connect, to..proposed bulkhead of Koch: Remove ... ... . .... .... .... ............. .... .... ......... ................. ..... ...... .. ... land & underwater land„to„depth of 4,' below.MLW„ip front .... grpgosed bulkhead. Th 150-cu yds tfo be rem ved will be placed 1 phindx�ulkheaas backfill. 5. Xfter issua ce o Permit, to expect to: tmar wi an (a) Commence work— AT ONCE ............: ASAP ..X....... UNKNOWN TIME ............. (b) Complete work in — 1 DAY ............: 1 MO. ...K......; 1 YR. ............; FUTURE ............. 6. Secure the correct Area Map from the Secretary of this Board, and by using an X WITHIN A CIRCLE as a mark, indicate as closely as possible the location of this work. On the reverse side of this map, provide a SCALE DRAWING which will show the Ordinary High Water Mark and the size and shape of the structure or work. All dimensions offshore of the 0. H. W. M. should also be shown and include any free standing pilings which will remain at completion. 7. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. 8. Has any previous application for this work been denied by any other local government agency? Y.9&-w NO. If it has been, name the agency. .....No�................................................................ Date of denial ........................................ 9. If dredging is contemplated, give your estimate of the following. (a) Average depth of water at M. L. W.where dredging, ......+.3...................................... ft. (b) Maximum depth of dredging below the bottom, ..........-4.............................................. ft. (c) Maximum length of dredged area .....................................30.............................. ft. (d) Maximum width of dredged area .........................................25........................... ft. (e) Maximum amount of material to be dredged ....................15.0................... c. yds. 10. If filling is expected, give your estimate of the following: (a) Maximum amount of material required.............4................................................. c. yds. (b) Explain how fill will be obtained and where it will be placed. ................................................................................,................P16........................................................ .................................................................................................................................................................. 11. In requesting approval of this application, I submit that: I am the person accountable for the performance of the work in accord with the plans and specifications attached hereto; I have read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work involved; and further, I intend to adhere to and cLbide by the Terms and Conditions of the Permit. Accepted by: Dated: June 13, 1983 • A/8 -Rev. 6/72 BOARD OF TOWN TRUSTEES Town Of Southold Southold, New York 11971 Main Road APPLICATION FOR A BULKHEAD, DIKE, OR JETTY 1. Does this project involve the use of WETLANDS as defined in the Southold Town Wetlands Ordinance? YES- @- If it does, you must file through the Town Clerk's Office. 2. Is the proposed work entirely within the boundaries of your own property as substantiated by your Deed or Survey? YES ems. If it is, a Permit is NOT required from this Board, but the Town Building Inspector should be contacted for full details. 3. Applicant's name and address: ...Richard Hiltz 1615 Anchor LaneAA2!4thold .... ...... .... ..................... NY 11971 .. ............................................................................... 4. Contractor's name and address: ...EN-CONSULTANTS INC: 64 North Main Street ................................................... Southampton.,..NY......11968.................................................................................................................. 5. Explain briefly the purpose of this application: ...C. Aq,rX ct„a„bulkhead,as„follows; „section (N&S) . N-S„section to connect to and be in line with existing ... ........... .............. ........................................................................... bulkhead„to„north. ,E-W„section„to„connect„to„proposed,bulkhead. of.Koch:,,, ,Remove .... ... ...... .. ... ... . .. ... .. ... .. ... .. . . ........ .. land & underwater land to..de below MLW in front of grogo.gg4..lkhea�i�„ ............... ...................... .... .................................... The 150-cu yds to be removed will be placed behind bulkhead as backfill. 6. After issuance of Permit, I expect to: (mark with an X) (a) Commence work — AT ONCE............: ASAP ....N......; UNKNOWN TIME ............. (b) Complete work in. — 1 DAY ............: 1 MO. ..X......; 1 YR. ............; FUTURE ............. 7. Secure the correct Area Map from the Secretary of this Board, and by using an X WITHIN A CIRCLE as a mark, indicate as closely as possible the location of this project. On the reverse side, provide a SCALE DRAWING which will show Ordinary High Water ,Mark as well as the size and shape of the structure or work to be done. Also include all dimensions for portions which extend offshore from the O. H. W. M. 8. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plan and Specifications: 9. Does this project extend into Town Waters beyond an imaginary line or boundary formed by existing works of a similar nature along this area's shoreline? mer NO. If it does, state the approximate distance beyond. ............ ft. 10. Will this construction require the Filling of any land offshore of the Ordinary High Water Mark or the Dredging of any material from Town Lands under water?-)�RS•er NO. If it does, Form A/4 (Application for dredging/Filling) must be completed and attached as part of this application. 11. In requesting approval of this application, I submit that: the information presented herein is true and correct to the best of my knowledge and belief; I am the person accountable for the performance of the work in accordance with the plans and specifications attached; I have read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work involved; and further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. L. S. ....... ............ .................................... Accepted by: Dated: June 13, 1983 APPENDIX 3 NAME OF PROJECT SHORT ENVIRONMENTAL ASSESSMENT FORM INS TRLTC TION 9 s (a) In order to answer the questions in this short EAF is is assumed that the preparer will use currently available information concerning the project and the likely impacts of the action. It is not expected that additional studies, research or other investigations will be undertaken. (b) If any question has been answered Yes the project may be significant and a completed Environmental Assessment Form is necessary. (c) If all questions have been answered No it is likely that this project is not significant, (d) Environmental Assessment 1, Will project result in a large physical change to the project site or physically alter more than 10 acres of land? ■ , , . ■ ■ . ■ . ■ , . __ Yes No 2. Will there be a major change to any unique or unusual land form found on the site? ■ . , • . . Yes No 3. Will project alter or have a large effect on an existing body of water? , , . . . . . . ■ a Yes No 4• Will project have a potentially large impact on groundwater quality? . ■ ■ . . . • . I' s . ■ ® Yes No 5. Will project significantly effect drainage flow on adjacent sites? ■ ■ ■ . ■ ■ ■ ■ c ■ ■ ■ Yes No 6. Will project affect any threatened or endangered plant or animal species? . . . , ■ , ■ ■ . . . Yee No 7■ Will project result in a major adverse effect on air quality? . . . . . ■ . . . . . . — Yea No 8■ Will project have a major effect on visual char— acter of the community or scenic views or vistas known to be important to the community? . , . ® Yes No 9. Will project adversely impact any site or struct- ure of historic, pre-historic, or paleontological importance or any site designated as a critical environmental area by a local agency? ■ • 9 Yea T No 10. Will project have a major effect on existing or future recreational opportunities? . ® , Yes No 11. Will project result in major traffic problems or cause a major effect to existing transportation systems? • • • ■ • ■ ■ • • o ■ ■ Yes No 12. Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturb— ance as a result of the project's operation? ■ Yes No 134 Will project have any impact on public health or safety? ■ . ■ ■ . ■ . . ■ ■ . ■ _ Yes No ■ 14* Will project affect the existing community by directly causing a growth in permanent popula— tion of more than 5 percent over a one—year period or have a major negative effect on the character of the community or neighborhood? . Yes No 15. Is there publ ontro^ y concerning the project? Yes _ No PREPARER+S SIGNATURE: TITLE: REPRESENTING: DATE: t 9/1/78 I HEREBY AUTHORIZE EN-CONSULTANTS , 3 NC. T,') PERMITS ON MY BEHALF. 3 u 4' , 1 31 41 BAY ul 39 1, 3D 'A 2 29 14 47 1 1. r 48 mia NOTE. 3, 13 28 35 1 SA AM" o I CONDITION MSTS ITA(1) BETMEN�OELS 27 7- x; 079�,G(XIID=9 17, Is 33 2 32 -A(c) 34 17, 17a 31 wit ma 35 52 M12 13 7A -3A(q 3. 6 31 17s., so 57 2)14 39 77 1725 MZA 74 7.3 v TOM OF I SmA SOUTHOLD 7-S 16, r 17M I IaI I 7A 17.21 I'm 1719 Ut 161'A 4 12 1 ir 104 76 71 Q 2� 16AA 19 it TOM OF Z3A(,) to 17m 11.15 DO 1. z1A SOUTHOLD D" 16 to fen m 205 15WN.) W I-wc) 1318 2 .1 1.2 40 Z"A' 'A(.) 4 7; 12 1 122 9 9 31A 30 N 15 1&1 21- 44 Itm 2.* 2s Tom of�SOUTH= 18 So OA(.) 13 to Is 29, 2. 41 1P t 'Z4 IZ3 38 4? -62. 14, 4 rA 14- a 152 13� SEE SEC NO M SEE SEC.No m SECTION NO NOTICE OUNTY OF SUFFOLK OLD I Property Tax Servi JX 41 -7,7.