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HomeMy WebLinkAboutTR-4073 GFBoard Of 5outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 4073 ~SSUED TO .......g.~.t~, ff~.c.~. ............................................................. f[fJed "~EGU~T~NG AND THE PLACinG OF O~ST~UCTJONS JN AND .ON TOWN WATERS AND PUBLIC LANDS RE~OVAL OF .AND, GRAVEL OR OTHE~ ~ATE~iALS LANDS UNDER TOWN ATERS, R. esoJufb~. ~f The ~o~rd ~dopfed af 19 9.2, end b co~s~der~Ho, of fhe sum of $ 50.00 pMd by .... ~0~. Z~q.:....~.. ~.~z~ 9~..~_~ ~och of N.Y. ~d subjeaf fo fhe Terms a~d m · · ~' of Soufhald Tow~ Trusfees eufhoHzes ~n~ permif~ fhe fo~]awbg: Grandfather per:mit to reb-~d existing dock as applied for. Hedge SCreet, Fishers Island, IN WITNESS WHEREOF, The sam Board of Trusfees hare- by ceuses frs Corporafe SeaJ fo be affixed, and fhese p~e~e~f~ fo be subscribed by a ma[orffy of fhe said Board as of fhls d~.e. 7(rusiee~ TRUSTEES John M. Bredemeyer, IH, President Henry P. S~mith~ ~¥ice President Albe~ J, Kmpski. Jr. John L. Bednoski. Jr. John B. Tuthill Telephone (516)765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Hoch 92-05-306 August 15, 1992 SCOTt L. HARRIS Supervisor Town Hall, 53095 Main Ri)ad P.O. Box 1179 SouthoM, New York 11971 Fax (516) 765-1823 Telephone (516~ 765-1800 GRANDFATHER APPLI CATIt Name of Applicant: Ralph K. HOCh Mailing address: PO Box 307, Fishers Island, New York Tel. No: 516 788 7844 Address of Property: Hedqe Street, Fishers Island, New York Tax Map Number: 1000- 010-7-14 House 1940's +/- Approx.yr.of construct:Dock 1960's Prior owner if known: Diagram of existing structures, including all dimensions, must be included with this application: See attachedapplication documents, drawings, maps andphotograpb~ for information regarding the existing dock syste~andthe dock to bebuilt. Indicate on attached map: Location, ie; reference point, telephone pole number, adjacent property owners, etc. Signature of Please noue, application. there is a one time fee of $50.00 for filing this © Docko, Inc. P.O. Box 421. Mystic, CT 06355 203) 572-8939 Fax: (203) 572-7569 Aerial photograph showing dock as it existed in May 1990 intact prior to Hurricane "BOB" and Halloween storm in 1991. Looking ~easterly from the porch at the dock's remaining timbers, showing need £or new split clamps, stringers, decking and some piles. (photo 6/92) DockO, InC. P.O. Box 421. Mystic. CT 06355 f203:572-8939 Fax: f203! 572-7569 Augusn 15, 1992 Mr. John Bredemeyer, President Southold Board of Trustees PO Box 728 Southold, NY 11971 Re: Hoch Property, Fishers Island Dock Reconstruct/on Permit Dear Mn3. Bredemeyer: On behalf of our client, we request a "Grandfanher" Permit for the reconstruction of an existing fixed wood dock on the property of Dr. Ralph Hoch on Fishers Island. We enclose the following documents in support of this permit application: - Two prints of application drawings titled: Project: "Dock Reconstruction" Location: Fishers Island, To%~n of Southold Suffolk County, New York Waterway: West Harbor Applicant~ Ralph Hoch Date: August 15, 1992 - Two copies of the Southold Board of Trustees "Grandfather" application, Corps and DEC applications, Tax Assessor's Map, location map and Check in the amount of S50. I trust that you will find this application package complete and acceptable; please let me know if the need for more information arises. Yours truly~ DOCKO, INC. Enclosures Ralph Hoch Jim Hsggerty~ CE Robert Green, DEC John Clavin, Fishers Island Harbor Master File 92-05-306 Docko, Inc, P.O. Box 421, Mystic. CT 06355 (203) 572-8939 Fax: (203) 572-7569 August 15, 1992 Mr. Robert Green NYS DEC, Regulatory Affairs Building 40, SUNY Stony Brock, NY 11790-2356 Re: Hoch Property, Fishers Island Dock Reconstruction Permit Dear Ms. Green: On behalf of our client, we request a Tidal Wetlands Permit, including ~ter Quality Certifications, as necessary, for reconstruction of a fixed dock at the property of Ralph Hoch on Eishers Island, New York. We enclose the following in support of this permit application: - Four prints of application drawings titled: Project: "Dock Reconstruction" Location: Fishers Island, Town of Southold Suffolk County, New York Waterway: West Harbor Applicant: Ralph Hoch Date: August 15, 1992 -Four copies of the DEC Joint Application, including the Short Environmental Asses~t Form, SAAF, site photographs, Tax Assessor's~p, location plan and check in the amount of $210. I trust that you will find this application package complete and acceptable; please let me know if the need for further information arises. Very truly yours, ~C, INC. Keith B. Neilson, P.E. Enclosures cc: Ralph Hoch Jim Haggerty, CE John Bredemeyer, Town of Southold John Clavin, Fishers Island Harbor Master File 92-05-306 Docko, Inc. (203) 572-8939 Fax: (203) 572-7569 3 199'Z 15, 1992 Mr. John Southold Board of Trustees PO Box 728 Southold, NY 11971 Re: Hoch Property, Fishers Island Dock Reconstruction Permit Dear Mr. Bredemeyer: On behalf of our client, we request a "Grandfather" Permit for the reconstruction of akn existing fixed wood dock on the property of Dr. Ralph Hoch on Fishers Island. We enclose the following documents in support of this permit application: - ~ prints of application drawings titled: Pr93eCt: "Dock Reconstruction" Location: Fishers Island, Town of Southold Suffolk County, New York ~a~.~.r~.y: ~ st Harbor August 15, t992 - ~!iC°Pies of the Southold Board of Trustees "Grandfather" application, Corps and DEC applications, Tax Assessor's Map, location map and check in the amount of $50. I trus% .~t you will fin~ this application package complete and acceptable; pI~ let me know if the need for more information arises. Yours truly, DOCKO, INC. Enclosures cc Ralph Hoch JL~ Haggerty, CE Robert Green, DEC John Clavin, Fishers Island Harbor Master File 92-05-366 95-19-3 (8/89) -- 7e NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION JOINT APPLICATION FOR PERMIT DEC APPLICATION NUMBER US.ARMY CORPS OF ENGINEEBS APPLICATION NO. There are no previous permits for this dock; it was built prior to current statutes. APPLICANT IS A/AN J~Owner J~ogera=or [] Lessee []Munic,oalitv/Governmental Agency (Check as man'. as aDolv~ NAME OF APPLICANT .Jse Fuji Name. Ralph K. Hoch MAILING ADDRESS PO ~ox 307. Hedge Street POST OFFICE Fishers Island J STATE ZIP CODE I~ 06390 4. NAME OF []Ow.er J]~AgentJContact Person (Check one) Docko, Inc., Keith B. Neilson, PE MAiLING ADDRESS PO Box 421 POST OFFICE 5 PROiECT/FACILITY LOCATION (Mark location on map, see Number la on reverse side) County Suffolk STREET ADDRESS (If different from applicent] Hedge Street J Town or city Southold ( 203~ 572-8939 CT 06355 J Village POST OFFICE J STATE ZIP CODE Fishers Island J ~ 06390 NAME OF STREAM OR BODY OF WATER West Harbor J~]Yes ~]No Show wore on map and/or drawings. []Yes []No [] Public [] Commercial September 1992 October 1992 $ 210 Enclosed Reconstruct 100 +/- LF of 5 foot wide fixed wood dock and 16 +/- LF of 8 foot wide fixed wood dock and replace 2 tie-off piles and one steel pipe pile with new wood piles, all waterward of the High Tide Line. 14. WILL THIS PROJECT REQUIRE ADDITIONAL FEDERAL, STATE AND/OR LOCAL PERMITS? [] Yes [] No If yes. please list: US Army Corps of Engineers Nationwide General Permit; Town of Southold "Grandfather" Permit 14-16-4 (2/87)--Text 12 PROJECT I.D. NUMBER I 617.21 I Appendix C State Environmental Quality Review -SHORT ENVIRONMENTAL ASSESSMENT FORM For uNLISTE~ AC'~I~0NS PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) SEQR APPLICANT/SPONSOR I 2. PROJECT NAME Ralph K. H_och I Dc~k R¢~n~i-l~lntic)n 3. PROJECT-OCATION: Municipality Fishers Island, Town Of Southold County Suffolk 4. PRECISE LOCATION ~treet address and road intersections, prominent landmarks, etc. or provide map) The pro~ect~ ~te is located on Hedge S~reet, about 500 feet north of Montauk Avenue, on Fisher's iSi~na. 5. IS PROPOSED ACTION: ~ New [] Expansion [~Modification/alteration Reconstruction DESCRIBE PROJECT BRIEFLY: Reconstruct 100 +/- of 5 foot wide fixed wood dock and 16 +/- LF of 8 foot wide fixed wood dock and replace 2 tie-off piles and one steel pipe with new wood piles, all waterward of the High Tide Line. 7. AMOUNT OF LAND AFFECTED: Not Applicable; project is in the w~ter 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~ Yes [] No if No. describe briefly 9, WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~ Residential [] Industria [] Commercia [] Agriculture [] ParklForestlODen soace [] Other Describe:The land adjacent to the site is zoned moderate density residential and is · _~ utilized except for occasional small, pre-existing businesses. 10. DOES ACTION iNVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes [] NO if yes, list agency(s) and permit/approvals US Army Corps of E~gineers Nationwide General Permit; Town of Southold "Grandfather" Permit 11. DOES ANY ASPECT OF THE ACTtON HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] NO if yes, mist agency name and permit/approval This dock has existed since the 1960's and so pre-existed the current NYS we~lknc]s act. 12. AS A RESULT OF PROPOSED ACTION WILL EXIST[NG PERMIT/APPROVAL REQUIRE MODIFICATION? []Yes '*~No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsbr name: ' t- 1'~ '' '''--[ I If the acti°n is in the Coastal Area, and you are a state agency, Complete the Coastal Assessment Form befOre proceeding with this assessment I OVER PART II--ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE ~ THRESHOLD IN 6 NYCRR, PART 617.127 If yes, coordinate the !~vig~ process and USe ~he FtJ~_ ~P. ~]Yes []No e. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS iN 6 NYCRR~ pART 61~.67 If NO, a negative declaration may be superseded by ano{her involved agency. [] Ye~ [] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwafer quality or quantity', noise levels, exisgng traffic patterns, solid waste production or disposaI, potential Ior erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly; C3. Vegetation or fauna, fish, shellfish or wi~dllfe species, significant habitats, or threatened or endangered Species? Explain briefly; C4. A community's existing plans or goaJs as Officially adopted, or a change in use or intensity of use of land or other natural resm~rces? Exp!ain briefly Growth, subsequent, development, or re ~ted a?ti~i~ies ~ikely to be inci_uced by the pr0PqSed actioh? E~,glain bdef y. C6. Long term. snorz term. cumulative, or other.effecm no[ identified in C1-C57 Explain briefly. C7. Other irr. aac[s tincluding changes m use of either quantity or type of energy)? Explain briefly. D, STHERE OR STHERE LIKELY TO BE, C~N;~R~VEBSY RELATEDTO. PO~EN~i/M. AD~VERSEENVIRONMENTALJMF~AC~S? ~ Yes ~ No if Yes. explain briefly PART Ill--DETERMINATION OF SIGNIFICANCE [To be comp[eted by Agency) INSTRUCTIONS: For each adverse effect ident fled above, determ ne whether it is subst.aotial, large, ~mportant or otherwise significant Each effect should be assessed in connect on w th ts (a) sett ng (i.e. u;cban or rur~li; (b) prababiiity of bccurri~g; (c) ~ur,~tion: (d irreversibility; (e) geogr~tphic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detah to show that al relevant adverse impac[s have been identified and adequately addressed. Fq. Check this box if you have dent f ed one or more potentially large or s gnific~nt adverse ~mpacts which MAY occur:. Then proceed directly to the FULL EAF and/or prepare a positive ~Jectaration. [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposea action WILL NOT resull in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: S~gnature of Responsible Officer i~ Lead Agency APPLICATION CHECKLIST Hoch 92-0~-3o0~ 2 pages NOTE: APPLICATION MUST INCLUDE: X 1. STANDARD FORMS - Appropriate Application for Permit. Short Environmental Assessment Form, Structural Assessment Form. NOTE: For all projects requiring Wild, Scenic & Recreational Rivers Permits and for commercial, industrial or multi-residential pro- jects, submit a lohg Environmental Assessment Form. $210 2. X 4. APPLICATION FEE: Check or Money Ord additional fees, i Authorization lett the owner. Staking and labelJ structure or fill {efer to enclosed fee schedule $10.00 minimum, ~r payable to NYS DEC. You will be notified of ~ a~y. }r from the owner where the applicant is not lg of the seaward/wetland side of the proposed X 5. Photographs of the staked project area mounted on a separate and labeled page. 6. County Tax Map Numbers: Photo of Tax Bill will suffice. Suffolk: Dist2000 Sect.010 Blk.7 Lot 14 Nassau: Sect. Blk. Subblock Lot X 7. Project Plans (fou~ copies) - Plans must clearly show the pro- posed project and ~nclude all appropriate dimensions, elevations and must be at a s~ale of 1" to 100' or larger. ! .X. 8. Address of project location (if vacant land; telephone pole # or other identifying landmark). MINIMUM PLAN REQUIRY~MENTS (FOUR COPIES REQUIRED) PROJECT: Alterations and/or Extens New House Construction Accessory Structures Repairs to Existing Struc Dredging Catwalks and Docks S~bdivisions Bulkheads Groins and Jetties Filling KEY: 1. Stamped Se~ e2. Plot Plan *3. Location M~ *4. Sectional ,5. Wetland Li~ 6. Fill and C] 7. Sanitary S~ 8. TeSt Hole 9. Profile Vi 10. Distances NOTE: NOTE: IF YOU WISH CONFIR SUBMIT A SELF-ADDR THE PERMIT PROCESS .ons 1, 3, 5, 6, 7, & 8 1, 3, 5, 6, 7, & 8 1, 3, 5, & 6 ~ures 2, 3, & 4 2, 3, 4, 5, & 6 2, 3, 4, & 5 1, 2, 3, 5, & 6 1, 2, 3, 4, 5, 6, 9, & 10 2, 3, 4, 5, 9, & 10 1, 4, 5, & 6 led Survey ~iew ~e or Mean High Water, as appropriate earcut Area 'stem Location .nd Data ~rom fixed structures ~TION OF RECEIPT OF YOUR APPLICATION, PLEASE ~SSED, STAMPED POSTCARD. TAKES AT LEAST EIGHT (8) WEEKS. 95-zo-?(~o/9o} Hcx~h 92-05-306 New York State Department of Environmental Conservation Supplement to Application for Permit STRUCTURAL-ARCHEOLOGICAL ASSESSMENT FOPJ4 (SAAF) PART I - APPLICANT COI~PLETES Applicant Information 1. Applican~ Name Ralph K. Hc~ 2. ApPlicant Add~ess 3~)~ox 307~,~edoe Street Fisher~Isla~d. New York 06390 Project Information 3. Project/Facility Name Dock Re~on~t~,~ion 4. Project/Facility Location Pirates Cove/West ~rhor~ Fishers Island 5. Is the proposed project adjacent to, or does it contain a building or structure listed in the State or National Register of Historic Places? Yes No x 6. Are there any buildings or structures built prior to 1940 adjacent to or within the proposed project area? Yes X No Ifthe answer to question 5 and/or 6 is yes, provide the following information for each building and structure {use attachments if necessary): a. name of structure various residential dwellings b. location Hedge Street c. type of structure (ex: house, outbuilding, barn, bridge, dam, ruins) d. approximate age or date of construction various 7. Might the proposed project have any impact {physical/visual) upon any buildings or structures listed in the State or National Register of Historic Places or built prior to 19407 Yes No x If yes, describe briefly (use attachments if necessary): Providephotograph~s~f.~erybqj!~.~gand:S~ctu~eithat maybe~mpac~ed by the project as descr~b6d in numb6r 7,~ a60~eL '~h~ f0ii6~ngst~nda~o~ are recommended: O o o O o minimum of two photographs minimum size 4,' x 4" prints from negatives preferred; polaroid photos are acceptable photos must be clear and focused clearly label photos so it is obvious what is being illustrated; key photos to map or plan, if possible photo I: show both the entire front and side of the structure in a single shot from as close to the building as possible. Be sure the structure is not partially or fully blocked by trees or other obstructions photo 2: show relationship of building or structure to roadway or surroundings Has the ~and within the proposed project area been previously disturbed or altered (excavated, landscaped, filled, utilities installed)? Yes × No If yes, describe briefly, including depth of disturbance (use attachments if necessary): The original dock was built back in the 1960's. This project will be the replacement/reconstruction of that deteriorated dock, destroyed in Hurricane "BOB" in 1991. 10. Approximate percentage of proposed project area with slopes: Not Applicable O-10% % 10-15% % 15% or greater % 11. Approximate percentage of proposed project site-with the following drainage characteristics: ~ot ~l±cable well drained moderately weTl--d~i-6ed poorly drained Prepared by ..... ith B. Ne~t.~n: PE Date Auqust 15, 1992 SAAF1.LK/G 10/90 Hoch 92-05-306 August 15, 1992 STRUCllJRAL-ARCHEOLOGICAL ASSESSMENT FORM (SAAF) 1. Applicant Name 2. Project/Facility Name 3. DEC'Number PART 2 - DEPARTMENT OF ENVIROI~4ENTAL CONSERVATION(DEC) COt4PLETES Applicant/Project Information Ralph K. Hoch Dock Reconstruction Buildings and Structures 4. Mig~t the proposed project have any impact (physical/visual) upon .any building~ or'structures lis~ed in the State or National Register Of HiStoric Places o~r built prior to 19407 Yes No If yes, DEC must consult with the Office of Parks, Recreation and Historic Preservation {OPRHP). The DEC must request a determinatioh of eligibility for the State Register of Historic Places and/or comments regarding project impact. Include information supplied by the applicant in response to questions 5, 6, 7 and 8 of Part 1 of this form. Archeological Sites 5. Does the proposed project area coincide with a circle, square or stippled area on OPRHP's Statewide Archeological Inventory Map? Yes No Is the proposed project area outside of a circle or square, but one for which information has been provided (ex: documented reports of known sites) that suggests the area is archeologically sensitive? Yes No If yes, what is the nature and source of information? 7. Is the proposed project area apparently undisturbed? Yes No 8. Will the proposed action include a physical disturbance of the project area? Yes No 9. Is the slope in the~ameacharacteristically less th)n 15% (unless on limestone/flint escarpmentS}? 10. Yes Ho Is the proposed project area characteristically moderately well or well drained? Yes No If the answers to 5, 7-10 are yes, an archeological survey should be performed by the applicant. Provide the applicant with a copy of Report Format for Cultural Resource Investiqations and list of archeological consultants. If the answers to 6-10 areyes, DEC must consult with OPRHP before requiring that the applicant perform an archeological survey. Results of Evaluation No buildings, structures or archeological sites identified at the project location (SHPA-1} Buildings, structures or archeological sites identified, but no impacts will occur, no survey required. No further cultural resources review required {SHPA-2} Consultation by DEC with OPRHP required structures archeology Archeological survey required Prepared by Date SAAF2.LK/G 10/90 APPLICATION FOR DEPARTMENT OF THE ~MY PERMIT I OM8 APPROVAL NO. 0702.0036 ! (33 CFR 325) ~ Expires 30 June 1992 I Public reporang burden for Ibis collectio~ o! informatio~ is estimaled lo average 5 hours per response {o; Ihe matOrity of c~'e% ir~uding the t~me I~' rewemng Apl~icaUons for larger or more complex proj~_Js, or ttx3se in ecologic~y sensitive ~'eas. will ta~.e lo.ger. Send comments regarding this burden estimate o~ any other aspect of ~is collection of im'om~ation, including s~gge~ons for mclucing ~ burden, Io Washington Headqumlers Senhces. Directcxate fo~ I~formadon Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington1 VA 22202-4302; and to ~he Off~ce o~ info~nal~m and Regulatoq, Affairs, OIf~ce of Management and Budget. Washington, DC 20503. Th~ Depa,lment of the Army pen~i! p~ogram is authorized by Section 10 of lhe Rivers ~ ~s A~ of 1899, ~ ~ of ~ C~ Wa~r Act ~ S~ ~03 ~ ~ M~, Pm~ ~ ~ ~ A~ ~ ~s ~e ~ ~ ~ a~ ~ wa~ o~ ~ Ralph K. Hoch PO Box 307, Hedge Street Fishers Island, New York 06390 Telephone no. during business hours Nc (516) 788-7844 ~) ~vc ( ) (Ofl~.e) 4. DE"~AiLED DESCRIPTION OF PROPOSED ACTIVITY 3. NA~, ADDRESS. I~ND TffLE OF AUTHORIZED AGENT Docko, Inc., Keith B. Neilson, PE PO Box 421 Mystic, C~ 06340 Telephone no. doing b~sine~ ho~rs ~c( 20~ 572-8939 ~) (Office) Dock reconstruction, reconstruct 100 +/- L~ of 5 FTwide fixed wooddock and 16 +'/- LF of 8 FT Wide fixed wood dock, waterward of the High Tide Line, including replacement of lie-Off piles as necessary. 4b. ~$E This is a privately owned dock for recreational boating. Not Applicable NORTH: Ryan Randolph 116 Myrtle Street Boston, MA 02114 22 Deer Hill Drive Hohokus, NJ 07423 V~A'r~RBOOY AND LOCA'i~ON ON WA'rF_P,~DY V/HERE AC~FIVFI~t' EXib'TS OR ts PROPOSED The dock is located at the far south end of West 'Harbor just beyond the mouth of Inner Bay, known locally as Pirates Cove. 7. LOCA'T~ON ON t. AND WHERE ~ EXT~'$ OR tS PROPOSED ~ The site is located at the northerly end of Hedge Street, 500 FT, or so, north of Montauk. Suffolk County New York 06390 COUNTY ~TATE ZiP CODE southold Board of ~tees 8. is any portion of the activity Im which authodzation is sought now complete? [~ YES r'l NO ~s is the reconstruction of an existing dock damaged by Hurricane "BOB" and virtually destroyed by a subsequent storm on October 30, 1991. ISSUING AGENCY' TYPE APPROVAL IDENTiFICATiON NO. DATE OF APPLICATION DATE C~= APPROVAL DATE OF DENL~L NYS DEC Tidal Wetlands Pending August 15, 1992 Pending Southold Board "Grandfather" Pending August 15, 1992 Pending of Trustees S~G~ATU~E OF ~ICA~ Ralph K. Hoch ~GNATURE OF AGENT DATE Docko, Inc., Keith B. Neilson, PE The application must be signed by the person who desires to undertake the proposed activily (applicant) or ~t may be signed by a duly authorized agent if lhe statement in block 3 has been filled out and signed. 18 U.S.C. Section 100'~ provides ~ Whoever, i~ e~y manner within the jurisdiction of any ~epmlmant or agency o! The United States knowingly and wiiliulh/faJsifles, COnCeaL% or covers upby any trk~ scheme, or device a meteria] fact or makes any f~ise, r~lltious or fraudulent stataments o~ representations or makes or uses any ~alse writing or document knowing same to contain any laJse r~ctdious or fraudulent statsment or em~y, sba1 he I'~r~r:=cl not mom tha~ $10,000 or ' .m~.xisor',ed not mom then free years, or bom. Oocko, Inc, ¢.0. Box 421. Mystic. CT 06355 f203'~ 572-8939 Fax: (203) 572-7569 August 15, 1992 Mr. Robert Green NYS DEC, Regulatory Affairs Building 40, SUNY Stony Brook, NY 11790-2356 Re: Hoch Property, Fishers Island Dock Reconstruction Permit Dear Mm. Green: On behalf of our client, we request a Tidal Wetlands Permit, including Water Quality Certifications, as necessary, for reconstruction of a fixed dock at the property of R~lph Hoch on Fishers Island, New York. We enclose the following in support of this permit application: - Four prints of application drawings titled: Project: "Dock Reconstruction" I~Dcation: Fishers Island, Town of Southold Suffolk County, New York Waterway: West Harbor Applicant: Ralph Hoch Date: August 15, 1992 -Four copies of the DEC Joint Application, including the Short Environmental Assessment Form, SAAF, site photographs, Tax Assessor's Map, location plan and check in the amount of $210. I trust that you will find this application package complete and acceptable; please let me know if the need for further information arises. Very truly yours, DOCK0, INC. Keith B. Neilson, P.E. Enclosures CC: Ralph Hoch Jim Haggerty, CE John Bredemeyer, Town of Southold John Clavin, Fishers Island Harbor Master File 92-05-306 53 42 46 49 33 3~ I [ 36 32 28 3¢ 56 94 76 8O 40 80 63 / ?~ ~4 / 63 39 22 37 49 ro 39 22 27 22 141 49 / 39 27 185 81 / 47 34 200 125 / 69 66 41 Cable Are~ L~° '}0 C 7. K ~ 52 36 w Or 52 hrd S S '61 A N Waterway: Date: Applicant: "DOCK FISHerS ISLA~), TOWN W]~T HARBOR AUGUST 15, 1992 RALPH H(X~ DOC/fO, INC. PROJECT: ~ WATERWAY: ~S~ s.~T DOCKO, INC. 203 572 8939 F~ 572 7569 ~E PROJECT: ,,~O CL.~ WATERWAY: ~T APPLICANT: ~Op~ DOCKO, INC.