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Home My WebLink AboutTR-4114Board Of $outhold Town Trustees SOUTHOLD, NEW YORK: PERMIT NO 4.!!4 DATE: ....:~.~]5/93 ..... ISSUED TO ........ ~A.~.]~.~...~.,.....G'.:~¥.:~ ~ ,uth r zat on Pursuant fo the provisions of Chapter 615 of +he Laws of +he State of New York, 1893; and Chapter 404 of the Laws of the State o~ New York 1952; an~ ~he Soufhold Town Ordinance en- flfled "REGU~TING AND THE PLACING 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 wi~h Resoluflon o~ The ~oard a~opfed afa mee+ing held on .... ~/Z5 ... 19 9~.., and in consideration o~ the sum of $..]OQ.~0 .. pai~ by 2ames.. ~... Given Terms and Con~;+ionS I~s+ed on ~he reverse side hereof, of Sou+hold Town Trustees authorizes and permlfs the following: ~e~ ~d ~es~o~e e~[st~ E~eG doc~, all in accordance with the detailed specifications as presented in +he originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes ifs Corporate Seal fo be affixed, and these presents fo be subscribed by a majority office s~id Board as of +his l t_// ,",,%'T--' ~ . . . ...;.....;~-~: ................. ,~ ............. ¥. ........ ~'""7~i~,~ .................. TRUSTIES SUPERVISOR John M. Bredemeyer, III. President SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President Henry P. Smith Town Hall John B. Tuthill 53095 Main Road William G. Albertson EO. Box 1179 Telephone (516) 765-1892 Southold. New York 11971. Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 26~ 1993 J.H. Geideman P.O. Box 416 East Marion, NY 11939 Re: James B. Given, DDS SCTM ~ 117-3-4 Dear Mr. Geideman, The following action was taken by the Board of. Trustees at their regular meeting of March 25, 1993: Resolved that the Southold Town Board of Trustees approved the request for a Grandfather Permit to repair and restore existing fixed dock. Located Private Road off Old Harbor Road, New Suffolk. You will soon also receive a refund of $50.00 due to the change in status from Wetland Application to Grandfather Permit. If you have any questions, please call our office. truty 'yours, John M. Bredemeyer, III President, Board of Trustees JMB:djh TRUSTEES John M. Bredemeyer, 1II, President SUPERVISOR Henry p. Smith, Vice President SCOTT L. HARRIS Albert J. Krupski, Jr. John L. BednosM, Jr. Town Hall John B. Tuthill 53095 Main Road P.O. Box 1179 Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES Southold, New York 11971 Fax (516) 765-1823 TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT APPLICATION TOWN WETLANDS PERMIT APPLICATION TRUSTEE LANDS PERMIT APPLICATION Office Use Only: -- ~Coastal Erosion Permit Application D<Wetland Permit Application ¢~Trustee Lands Permit Application ~Grandfather ~<Completed Apps. Date: ~-~\ !5¢ /q~,i --% ? ? 1993 ~Variance Required, ~r~ ~ Neighbors notified Date: ~ --_ Wpe 9F $O THOL i ~ Coord. Review-opt.,mand. ~ec- Dy Office Insp. comp./date: ~SEQRA Determin./date: ~ublic Hearing/date: Findings: Permit Vote: (Y/N): Special Conditions: . . ~ f~.~ (also see file) Applzcatlon Fee. Application Number; SC~4 =1000- //7 ~ ~ Project Name (If any) Date Prepared: Applicant: -~0~ ~ ~%~/~/~-~ /~X ~ Address: 7~ ~ ~/& /~ /F¢~ Phone (~T&) Interest: (owner, consultant,lessee,etc.) Owner of Property: ~ /~' ~/~ D Address 27 ~ ' ' ~ ~z~hone ~ '- ~/~ Subject Property Location: /~& ~ ,~ (Provide LILCO Pole ~, Distance co cross Streets if not on location map) THIS IS NOT A PE~IT PERMITS THAT MAY BE REQUIRED NO PERSON SHALL PLACE ANY SPILES, STAKES, BUOYS, PIERS, DOCKS, ~ BULKHEADS OR OTHER OBJECTS IN OR ON ANY TOWN REGULATED WETLANDS, TOWN WATERS OR PUBLIC LANDS UNDER OR ADJACENT TO TOWN WATERS iN THE TOWN OF SOUTHOLD, NOR SHALL ANY PERSON REMOVE ANY SAND~ GRAVEL OR OTHER MATERIALS FROM LANDS UNDER ToWN WATERS IN THE TOWN OF SOUTHOLD, WITHOUT FIRST OBTAINING A PERMIT THEREFORE FROM THE BOARD OF TRUSTEES OF THE ToWN OF SOUTHOLDo Board of Town Trustees Main Road Southoid, New York 11971 (516) 765-1932 ALL OTHER GOVERNMENTAL AGENCIES THAT MAY HAVE JURISDICTION AND MAY REQUIRE A PERMIT FOR ANY ACTIVITY MENTIONED ABOVE ARE LISTED BELOW AND MAy_ BE.~PPLIED TO SIMULTANEOUSLY WITt{ THE TOWN APPLICATION ARE AS FOLLOWS: COASTAL M3~NAGEM~NT PROGRAM 162 Washington Ave. Albany, New York 12231 (518) 474-3642 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION S.U.N.Y. - Bldg. 40, Room 219 Stony Brook, New York 11794 (516) 751-7900 U.S. APd~Y CORPS OF ENGINEERS New York District 26 Federal Plaza New York, New York 10278 (212) 264-9054 -PLEASE RETURN TO THE BUILDING DEPARTMENT FOR A DETERMINATION OF ~JURISDICTION AS SOME PROJECTS REQUIRE ZONING BOARD OF APPEALS APPROVAL OR PERMITS FROM THE TOWN CLERK'S OFFICE IN ADDITION TO THE TRUSTEES AS DIRECTED BY THE BUILDING INSPECTOR. THANK YOU° SHOULD YOU HAVE ANY QUESTIONS OR CONCERNS, PLEASE DO NOT HESITATE TO CONTACT THIS OFFICE AT (516) 765-1932 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: ~r~' 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: ~ ~ Describe known prior operations conducted on ~remises. Has any prior license or permit been issued to erect structures, dredge, or deposit fill on said premises: ~ Has any license or permit ever been revoked or suspended by a Governmental Agency: ~ Project Description The project description must also include plans for reclamation of land disturbed during construction of the principle and accessory s~ruc%~es and underground structures (i.e., pipeline and septic system; mak~ additional attachments if necessary). Authorization (Where the applicant is nst the owner) I residing at (Print-owner of subject property) (Mailing address-phone) do hereby authorize to apply for Coastal Erosion permit(s) from the Southold Town Trustees Signature THIS IS NOT A PERMIT County of Suffolk ) State of New York ) BEING DULY SWORN DEPOSES AND AFFIRMS TEAT HE/SHE IS THE APPLICanT FOR THE AROVE DESCRIB~ PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER ~OWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE ~kNNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY TEE SOUTHOLD TO%ON BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOW~ TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING ~DER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED~ IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(s) OR REPRESENTATIVE(s), TO w_21TER ONTO .MY PROPER~f TO INSPECT THE PRAISES IN CONJUNCTION WITH NVIEW OF THIS APPLICATION. ~ SWORN TO BEFORE ME THIS DAY OF ~ ,19 Suggested space for location Map THIS IS NOT A PERMIT Civil Marine JOHN H. GEIDEMAN Consulting Engineer ~.O. Box 416 E. Marion. L. I, (516) 477-2421 New York t1939 To Whom It May Concern, *John H. Oeidemau ~o ~ct as my ;'~gent in appl~ng for permits ne r In~luding:~N.Y.S Dept. of Environmentsl Cons~rvst~on XU, S. Army Corps of Engineers '" ~J~ u ~ /~ ~ ",.. ~Town of 0