HomeMy WebLinkAboutTR-4147Board Of $outhoid Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. 4147
DATE: ..4/29/93
ISSUED TO ~Q.g~NG~;,..~!,c~ ...........................................
Pursuan+ fo +he provisions of Chapfer 615 of +he Laws of
+he S+a+e of New York, 18913; and Chaplet 404 of +he Laws of +he
S+a+e of New York 1952; and ('he Sou+hold Town Ordinance eh-
rifled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and +he
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance wffh +he
Resolu+ion of The Board adopfed a+ a meeting held on .4/29
19 ..9~and in considera+ion of the sum of $ paid by
of N.Y. and subiecf +o the
Terms and Gondffions Ils+ed on +he reverse side hereof,
of Sou+hold Town Trus+ees aufhorizes and permffs +he following:
Storm Damage Permit to place al~prox. 20 yards o£ topsoil
on eroded portior~ of property and re-vegetate bluff.
all in accordance wffh {'he derailed specifica+ions as presenfed in
+he orlgina+ing appllca+ion.
IN WITNESS WHEREOF, The said Board of Trusfees h~re-
Corpora+e Seal fo be affixed, and +hese presen+s
by causes ifs maiorffy of +h,e.. said Board as of +his da+,e.+°
be subscribed by a
Trustees
TRUSTEES
John M. Bredemeyer, III. President
Albert J. Krupski. Jr.. Vice President
Henry P. Smith
John B. Tuthill
William G. Albertson
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 1179
Southold, New York 11971
office Use Only: DATE REC.:
Erosion Permit Application
Erosion Variance Application
Permit Application
from Chapter 97[Application/permit):
Lands Permit Application
Permit Appli%a~ion
Apps. Date:
date:
CAC comments-Date: Sen~ Rec.
Required: (Y/N
Neighbors notified-Date:
SEQRA Type
Coord.: Date s~nt
SEQRA Determin./date:
--Public Hearing/date:
Findings: Approved (Y/N)
Special Conditions: (Y/N)
(see file) Application Fee:
Permit(s) issued-date:
Application Number; SCTM~ 1000-
Applicant: /~-O~(~ ~ ·
Address: ~.6~ /~;~ ~/~
~~, ~ /~/ Phone (~)
/
Interest: (owner, consultant,lessee,etc.)
~ner of Property: ~~
Address ~ ~ ~/~
~~ ~ Phone ( )
Subject Property Location: ~ ~
(Provide LILCO Pole ~, Distance to cross Streets if not on
location map)
THIS IS NOT A PEPuMIT Page 1
Yds. ~o be excavated: Yds. to be filled: ~6b~
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: I ~
,,~__ Land area in acres: ~-a~n ~
Is project for private or business use: ~O
Intended
Describe
use of property: ~-
known prior operations conducted on premises:
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: ~3~ .
Project Description
The project description must also include plans for reclamation
of land disturbed during construction of the prlncipie and
accessory structures and underground structures (i.e., pipeline
and septic system; make additional attachments if necessary).
THIS IS NOT A PERMIT
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