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Home My WebLink AboutTR-4135 GFBoard Of Southoid Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 4135 DATE: ISSUED TO Pursuant to the provisions of Chapter 615 of the Laws of fha State of New YorE, 893; and Chapter 404. of the Laws of The State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLAClNC= OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on 4/29 19 9~, and in consideration of The sum of $ paid by of ...............................N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Grandfather Permit to replace bulkhead inkind/inplace as noted on survey. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corpora're Seal to be affixed, and These presents to be subscribed by a maiorify of The said Board as of this date. Truslees TRUSTEES John M. Bredemeyer, III. Presidenl Albert J. Kmpski, Jr.. Vice Presidem Henry P. Smith John B. Tuthill William G. Albenson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 11,79 Southold. New York 11971 Office Use Only: Coastal Erosion Permit Application ~_Coastal Erosion Variance ~Pplication LWetland Permit Application ~Waiver from Chapter 9~(Application/perm ~--Trustee Lands Permit Application ranfatherPermit ~plication Completed Apps..Date. nspection date. ~CAC comments-Date: Sent Rec. Variance Required: (Y/N) Ne~ghbors notified~Date: SEQRA Type Coord.: Date ~ --SEQRA Determin./date: Public Hearing/date: Findings: Approved {Y/N) Special Conditions: (Y/NJ (seefite) Permit(s) issued-date: DATE REC.: SOUTHOLD Application Fee: ~ pplioation N er,SC 000 ( - Interest: {owner, consultant,lessee,etc. Owner of Property: Address Phone Subject Property Location: ~ ~ ~ ~d'P ~ (Provide LILCO Pole location map) Distance to cross Streets if not on THIS IS NOT A PEP~MIT Page 1 Yds. to be excavated: Yds. to be filled: Manner in which material will be removed or deposited: Width of canal, creek or bay fronting property: Depth at low tide: Aver. rise in tide: Distance to nearest channel: Distance project extends beyond similar projects in area: Area zoning: Land area in acres: Is project for private or business use: '~ ~ ~ Intended use of property: ~7~( V ~' ~ ~ 8 Describe known prior operations conducted on premises: Has any prior license or permit been issued to erecu structures, dredge, or deposit fill on said premises: ~ Has any license or permit ever been revoked or suspended by a Governmental Agency: Pro)ecu Description The project description must also include plans for reclamation of land disturbed during construction of the principle and accessory structures and underground structures (i.e., pipeline and sep%ic system; make additional attachments if necessary). THIS IS NOT A PERMIT Page 2 Authorization (Where the applicant is not the owner) I residing at (Print-owner of subject property) (Mailing address-phone) do hereby authorize 'ho apply for Coastal Erosion permit(s) from the Southold Town Trustees Signature THIS IS NOT A PERMIT PaEe 3 617.2-~~ Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION F]'o be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR i 2. PROJECT NAME Kathrvn D & Joseph P. ~y I Bulkhead Ilepa~r ,., MunicI~a/ity Southold Cop.,y Suffolk 470 Town Harbor Terrace P.O. Box 424 Southold, N.Y. 11971 SEQR 5. iS PROPOSED ACTION: [~New [~ Expansion 6o DESCR[BT~ PROJECT BRJEFLY: E~odificatlon/alteration Repair - Storm Dama_ge ' ' Repair 30' + Bulkhead ?. AMOUNT OF LAND AFFECTED; nitia~l¥ 3 0 ~ t · acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~] Yes [] NO If No. describe briefly ~ Residential [] industrial [] Commerc,al [] Ag.culture [] Park/PorestlODen space [] Other STATE OR LOCAL)? [] Yes [~/'lo If yes, Hist agency(s) and permit/approvals DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes [] No If yes, list agency name and permit/apprOVal 12. AS A RESULT OF PROPOSED ACTION WILL EXISTrNG PERMIUAPPROVAL REQUIRE MODIFICATION? ]Yes I CERTIFY THAT THE INFORMATION PROVIDED ADOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant~sponsor name¢, . ~ [ Date: 4 / 16 / 93 -- If the action is in the Coestal Area, and you are a state agency, complete tho Coastal Assessment Form before proceeding with this assessment OVER .... C:'COULD ACTION RESULT IN ~NY ADVERSE EFFECTS A~S'~CIATED WITH THE FOLLOWING: tAnswers may be nanowr~t:en. ~! leq~l~let NO NO ~0 N0 D. iS THERE. OR [S THC-RE LIKELY TO ~E, CONTROVERSY RELATED TO P~TENTh~L ADVERSE ENV RONMENTAL IMPACTS? [] Yes [~NO If Yes. e×plmn briefly PART III--DETERMiNATiON OF SiGNIFICANCE ~o be completed by Agency} INSTRUCTIONS: For each adverse effect identi~,ed above, determine whether it is substantial, large, important orothenwse significant. Each effect should be assessed in connection with its (al setting (i.e. urean or rural); (b) probability Of :~.curring; (C) duration; irr6vers~bil~ty; {et geeg~'aDhic scope; and (f) magnitude, it necessary, add attacnmenls or reference supporting matena, ls. Er[sure [hat explanallons contain sufficient de~alJ to show that all relevant aclverse impacts have Dean identified and adequately, addressees. [] Check this box if you have identii~ied one or more potentially large or significant adverse impacts which MAY ~' occur. Then proceeo dJrectty to the FULL EAF and/or prepare a positive declaration. [] Check this box Jf you have delermineo, based on the information and analysis above and ~ny supporting documenlahon, that tl~e proposeo action WILL NOT result in any significant aoverse environment~J imp;lets AND provide on attachments as necessary, the reasons supporting lhJs deter~lnatJorl; County of Suffolk ) State of New York ) ~\[ BEING DULY SWORN DEPOSES AND A~IRMS\T~AT 'HE/~R]~ ~S THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO TEE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT 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 TOWN TRUSTEES HARMLESS: AND FREE FROM ANY AND ALL DAMAGES ~ CLAIMS ARISING UNDER OR BT VIRTUE OF SAID PEP. MIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(s) OR REPRESENTATIVE(s), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. swoRN TO BEFORE THIS ~AN[EL ~. MOONEY Suggested space for location Map THIS IS NOT A PERMIT TRUSTEES John M. Bredemeyer, III~ President Albert J. Krupski. Jr.. Vice President Henry P. Smith John B. Tuthill William $. Albenson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWNOFSOUTHOLD 30 year Maintenance, Agreement Erosion Protection Structures Chapter 37 Southold Town Code Southold Trustees as Administrator S~PERVISOR SCOTTL. HARRIS Town Hall 53095 Main Road RO. Box 1179 Southold, New York 11971 ~ type or print ~ame(s) the ow~rs of,record of prqperty (type or print street ad~re~s)' SCTM ~100~- in applying for a Coastal Erosion permit for an Erosion Protection Structure do hereby agree to a 30 year maintenance program for a structure commonly known as a of as shown on the attached feet of length l£censed survey of the as-built structure. SWORN TO BEFORE ME THIS It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and or equivalent to the original approved structure and that for any maintenance which involves more than 5% in length of this structure we are to give prior written notice to the administrator, waiting for their approval in all but true emergency situation's which would seriously endanger life, property and important coastal natural resource features such as bluffs or wetlands. We further understand that failure to maintain the structure could result in a requirement to post a bond and or have the repairs ordered as a lien against the property upon a finding by the Trustees that said lack of maintenance would risk life, property or important natural resources features including protected, rare or threatened animals and plants. Not~a~zed Signature of record Please submit three copies of a licensed land survey made within one year of the original construction. This maintenance agreement shall only be valid upon the final approval of the administrator. Subsequent owners may apply to the Southold Town Trustees to re-authorize this maintenance agreement. DAVID M. DALY P,~RTNER (212) 238-3008 EMMET, MARVIN & MARTIN COUNSELLORS AT LAW _ 7-- ~:~ 120 BROADWAY ii U; r~'~-=-~'~'"~ H~ti , 238 ~oo Ro (212) 238-3000 10606 Fax to (516) 765-1823 Jill, c/o Sou~old BOard of Trustees April 20, 1993 Board of Trustees Town Hall Town of Southhold South_hold, New York 11971 Re: Real Property Section 66, Block 1, Lot 34 DaVid M. Daly & ORS HOnorable Board of Trustees: I, David M. Daly, as agent for my two brothers and sister, the owners with me of the above property, hereby authorize Joseph P. Hoey to file an application and any other documents requested by the Town in connection with obtaining from the Town approval for the repair for the joint bulkhead protecting our adjacent properties If request, number. anything else is needed in connection with this please contact me at the above address or telephone I would like to thank the Trustees for their resolution facilitating the repair of the damaged caused by the December storm. Very truly yours, David M. Daly DMD: jd ./