HomeMy WebLinkAboutTR-210 & 1963 TOWN OF SOUTHOLD
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD, NEW YORK
WETLANDS PERMIT
This Wetlands Permit No ..... ,2,~..0. ......... has been granted by the Town Trustees according to
information furnished in Application No, .,,2,.5,,.6. ........... filed by Applicant .,.~.~.7..C..°..~.~...~.°..,z;...%...°..u..~..%.
....J,,a..,h.,i..,e.,r. ....................... on .... ,M,,.a..r..c..,h,..,7,./ ........ 19..,8...5..., A mad of th~ proposed work will be kept
on file in the Trustee Office under the application number given,
Permit granted to do the following work ....C,,o...~,.s.,.~.~.u..?..t:...,a.....t;.J:..~.,.b.?..,r...¢, ,o.g...~,.,g..o.D.$,~,¢.%£~G..D.£ ......
a 24' × 4' fi×ed eZevated (3.5 above grade)walkw.a.~,z' .~.2.]...~....~.:...~.~..g,¢d
...................
Location of property on which work to be done ...,~.,i.g...b:.t:....,°.~....~,,a. Sr....,°..~..~.°.~.~...fi~-.~,¢...~£. ........ . .....
Main Road, East Marion.
Creek, Bay or Harbor fronting property Dam Pond
24' ' ' - '
Size of work: Length ............. w.A%k~a~.,....%2 ....._h__~__n.Ge~i..ra~p...%~ ..... Jilo~t ...............................
Width .........4.. ~....w...a..1...k..w...a..Y..: ....4..i....r...a. ,m. ]?. t.....6....f...t.....f..1..°...a..t. ...........................................
Height Above High Water .............................................................................................
Depth Below Low Water .................................................................................................
Yards to be Excavated .....................................................................................................
Yards to be Filled .........................................................................................................
Manner in which material is to be removed or deposited ...............
Intended use of property resident±al
Conditions if any .....................................................................................................................................
Expiration Date ~`M~`a.Z~`2~9`~.~.6~QR2~N~T~C~Q~2¥~QED~B"v~Sz~D`~D2L~ ..........
N~b~rA~vl~C.n. spections Required ~'2~F.~.~"R...~..S.Z~.~.T.Q~]3~D.Q~J~EZ23D~.~Q~.~.~.~g~Q~p~]3T~(
Inspection Fees ..$,,5,.:..0,..0. ........................................................................................................................
· Liability Policies in the Amount of .........................................................................................................
The validity of this permit is or may be subject to the approval of other governmental or municipal
authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the
'event that such approval is necessary, the ho der of this permit shall not commence operations here-
under until such approval has been obtained in writing. The failure to obtain such other approval when
required shall subject this permit to immediate revocation by the Trustees upon receipt by the
Trustees. of written notice from such other governmental or municipal authorities of its refusal or
disapproval.
The applicant does by the acceptance of this permit, assume all responsibility for operations under-
taken pursuant to this permit, and shall take alt precautions for the prevention of injuries to persons
and property resulting from such operations. By such acceptance, the aopiicant also agrees to indemni-
~ and save harmless the Town, and its officers, agents and employees from any and all claims arising'
from operations under this permit and any and all acts or omissions of applicant, his agent and
em ployees.
The applicant and the owner and occupants of the premises upon which the operations authorized by
mis permit are being conducted, do, by the acceptance of this permit, give consent to the Town, and
its officers and employees to enter upon the premises where such operations are being conducted to
make such inspections as the Town may deem necessary to insure that such operations are being con-
ducted in conformity with this permit.
This operation will not substantially:
A. Adversely affect the wetlands of the town.
B. Cause damage from erosion, turbidity or siltation.
C, Cause saltwater intrusion into the fresh water resources of the town.
D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife and vege-
tation or the natural habitat thereof.
E. Increase the danger of flood and storm-tide damage.
F. Adversely affect navigation on 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 a,nd general welfare of the people of the town,
Board of Southold Town-Trustees
Date ..................................................................
ST~~'~i'S~Y V,IS-I~'J MOORING NUMBERS
ALL MOORINGS A(. -
ALL DOCKS AND'BULKHEADS MUST DISPLAY VISIBLE PER~IT NUMBERS
Board Of $outhOld Town Trustees
SOUTHOLD, NEW YORK
- Mooring # N/A
:PERMIT NO. t..19.63._ i.:..'..'. ....... ' ...... DATE: Sa.y.._.--2.9.,.....1.9.85
.':,ISSUED TO "Louis 'Jahier ' ' . , ·
"'"'" Pursuant fo eke provisions of Chapfe~ 615 of the Laws of
:fha State of New York, 1893; and Chapter 404 of fha Laws of the
State of New Yor~ 1952; and +he Soufhold Town Ordinance en-
'= fffJed "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and fha
':RE~OVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
' LANDS UNDER TOWN WATERS;" and in accordance with fha
ResoJuf[on of The Board adopted afa meeting heJd on ..~....29.,...
Jg.....~.~.~ and ~n consideration o~ the sum of $...~.g..~..g.g .......... pe~d by
Terms and Condff[ons Jbfed on the reverse side hereof,
' of Soufhold ToWn Trus+ees au+hoHzes and permffs fha follow;ng:
....,., ....~.~.;:.... _hinged :ramp and a 16' x 6' floa~ in
- Dam Pond, East Marion all in accordance wi~-h
the appl.icatio~ submitted.
all in accordance wifh ~he defai~ea speci{ica~ions as presen~ea ~,
' %he originating app~icaHon.
IN WITNESS WHEREOF, The said Board of Trustees kere-
by causes frs Corporate Seal fo be affixed, and these presents
be subscribed by a maiorffy of the ~a'~ Board as of this daf,e.../
_/
o
Town Of Southolcl
Town Clerk's Office
Southold, N. ¥.
APPLICATION FOR WETLA1NrDS PERMIT
Application No .... ~...?.~ ................ Date of Application ..... ~i~q.~,¢~.,.7. o...$.0.P4,5. ................
INSTRUCTIONS FOR PERMIT
A, This application is to be completely filled in by typewriter or ink and submitted to the Town
Clerk in quadruplicate, accompanied by written permission from the owner of the property if not
the same as t-he 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 project. (Note: Copies of the Pilot Plan may be made by a copy machine and attached
to the Permit Application.')
C. No operation shah be initiated by the applicant until all permits that are required are issued,
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 ?ban the construction of a private
single dock or ietty, then this application must be accomoanied by a survey and topographical map
codified by a registerec 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 an~ 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.
G. A filing fee of ~25,00 shall accompany the application. This filing fee includes one inspection:
there is a $5.00 fee for each additional inspection,
H. The Town Board upon request~orf_~F applicant for a permit, may waive ~n whole or in part,
the provisions of Article II, SectiorgZ~t~,'-'subdivisions (~ and ((~r where it finds that nature of the
proposed operations are such that the requirements of such provisions are not necessary for a
proper consideration of a permit application.
[, Upon aooroval of this,application the Town Clerk will ~ssue a permit to the applicant. Such
permit shall be available for msoection at any time, upon request.
Examined ..................................................19 .......
Approved ................................................................
Disapproved ...........................................................
C~,-fition¢.,. ~f o.n.:/ ....................................... - ...... , ........................................................ ~ .............................
Examining Body
Signature of Chairman .........................................................................................................................
APPLICATION IS HEREBY MADE to the Town Board of the Town of Southold, Suffolk County,
New York, far the issuance of a permit pursuant to the Lows, Ordinances and Regulations govern-
ing the Coastal and Interior Wetiands, Flood Pbins and Drainage Areas of the Town of Southold:
Permit requested to ..... .C.9..q~.~K.4g..~.~q.~'d"q~.k~.~.9~.~g~~.~~ ...............
elevated (3.5' above grade) walkway, 12' x 4' hinged ramp and 6' x 16' float secured
by (2) 8" diametez pilings.
Location of property for which permit w~nted...~:~gh~;..c~f~..~.~.~..~.~;.~..b..~..i~.c1~.e...~..a~..~..~.d.~**. .........
Home address of permit applicant if different fram aforesaid location ..... g~2..Wondb~z~z..~x~ ...........
..................................................................................................................
Creek, Bay or Harbor fronting property ....... D~.,R. oz~ct .........................................................................
Size oF proposed work:
Length .............................. .~..abc~ ....................................................................................................
W dth " "
Height Above High Water ...... .~I/.A ........................................................................................................
Depth Below Low Water ........... ~t/.A ........................................................................................................
Yards to be Excavated ............. .N./..A. ................................................................................................. S...
Yards to be Filled ..................... ~ ........................................................................................................
Width of canal, creek or bay fronting r '
p ope~ ......... ~0 ..................................................................
Depth at ~ow Tide 3'
Average Rise in Tide '- 2' .
Is this for private or busmess use? ...... t~=i=~;~ .....................................................................................
Area Zoning ........................ .r..e..s. ~ .d..e..n..t. ~ .a..1. ...............................................................................................
Manner in Which material will be removed or deposited ........ .~./..~. .....................................................
Intended use of property .............. ~.e..s..~..d..e.~.~.i...a..1....~..~.o.,..c.,b.E~.g.,e. ......................................................
Written consent of owner of property, if not the same as the applicant .... .8.e...e....~..'f..t.&.c.~.e..d. ...........
COUNTY OF SUFFOLK )
STATE OF NEW YORK ) SS:
............................................................. [~,';"c ,~%' .... /" ............................ being duly sworn deposes
and says thc:t he is the oppI/cant for the above described permit, and that all statements contained
herein are true to the best of his knowledge and belief; that the work will be done in the manner set
for?h in this application and as may be approved by the Town Board of the Town of Southotd,
The applicont agrees to hold the Town of Southotd and t~Town Board harmless and free from
any and all damages and claims arising under o? by vi~'~e/'of sa jO p~cFnit, if granted.
Signature,,of Applicant/~' Ro~ L ~a~e
· Louis ~a~ier b~ Eh- onsul~ants~, I~n_c.
5worn to before me ~his ....... Z%.~o]..~.. ......... 64 N. Main
Southampton, N. Y. 11968
.......................
· Nota~ Public
NOTARY PUBLIC, State of New York
No. OiDLI471§277, Suffelk Copfl~
Term Exl~ire$ ~arch 30, 1~
Dam, Pond
516- 283- 6360
A/2 - :Rev,
BOARD OF TOWN TRUSTEES
Town Of Southold
Main Road
Southold, New York 11971
APPLICATION FOR FIXED and/or FLOATING DOCKS
................................. '. ....................... '..-.' ......................... .....
2. Contractor's name and address: ....... ~J..a.`n.~.e.'s.~'H.~:~.K..a'.m..b~9~.z~.n.9~.~?~.h..°.~..s.~.L.~ .......................
........... $o~kamp£.oz~,..~ ........... 119.fif~ ......................................................................................................
3. Briefly explain the purpose of this: application: ..... G~n~K~..~..~i~%..~P~..~RD~.~.~°f
......... ~..2~.!..~.~.~...f.i~...~l~..l~..~7...~ gK~e~. ~l~w~x~!~.'.~..~J.~ ...... .........
......... ~amp..a~...6.,..~.,L6,...£Xoat..$eau~ad..by..6Z).,.$....d~amete=..p~lznga ..................................
4. After issuance of a Permit, I expect to: (mark by an X~
(a) Commence work -- AT ONCE ............ ; ASAP ....X. ....... ; UNKNOWN .............
(b) Complete work in -- I DAY ............ ; I MO ..... ~ ...... ; ! YR ............. ; FUTURE .............
Secure the correct Area Mop from the Secretary of this Board, ~nd by using an X WITHIN
A CIRCLE indicate as closely as possible the location of this dock. On the reverse side of this
map, provide a SCALE DRAWING which will show Ordinary High Water Mark, the shape
and size of the dock and an,/ supplemental pilings which ore needed to hold a floating dock
or tie-up a boat. Give all dimensions necessary to determine the area of the dock surface
which extends offshore from the O. H. W. M.
Will any portion, of this construction extend offshore i.nto Town Waters beyond an imaginary
line or boundary formed by other similar structures along the area's shoreline? ~ or NO.
If it does extend beyond this. so-called dock line indicate by how far, approximately,. ......... ft.
Provide the following documents:
(o) A Licensed Engineer's Survey of the property involved.
(b) A copy of the Contractor's Plans and Specifications.
Will this construction require the Filling of any land offshore of the Ordinary High Water
Mark or the Dredging of any material from Town La,nds under water? ~ or NO. If it does,
Form Al4 (Application for Dredging/Filling) must be completed and attached as part of this
application.
Permit, when and if issued to me.
_Accepted by:
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 /'o adhere to and obi.de by the Terms and Conditions of the
Dated: