HomeMy WebLinkAboutTR-1570 (2)ALL I.~OO~.I.,GS AND STA~S ~UST DISPLAY VISIBLE [*~OORi~G NU~-~BERS
ALL DCC:<S AND BUI2x~qEADS MUST DISPLAY VISIBLE PER~,[IT ~xTUI-iBERS
Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
MOOR ±:~G NO.
?ERMll NO .......... APZq ......... DATE: ov.
Pursuanf fo f~e ~ro¥[s~ons of C~a~een SIS of fha Laws o~
~he Sfa~e o~ New York 1893:an8 C~apfet 40~- o~ ~he L~ws o~ ~he
S~afe o~ Ne~ York 1952; an~ ~he 5ou+hol~ Town Ordinance en-
~e~ "REGULATING AND THE PLACING OF OBSTRUCT{ONS
IN AND ON TOWN WATERS AND PUBLIC LANDS ~na fhe
REMOVAL OF SAND. GRAVEL OR OTH[R MATERIALS. FROM '-
LANDS UNDER TOWN WATERS;" and [~ accordance wlfh fhe
Re~olufion of The Board a~opfed afa meef~ng he[~ on ..~9.Y.z...?.~ ....
19...~.~..., and in consiaerafion of fha ~um o~ $...~..:..9.9. ..... paid by
of ......................... ~.~.~..$&~.9~ ................................. N. Y. and sub]ecl fo fha
Terms end Conaff[ons tlsfed o~ fhe reverse side hereof,
of Southo]8 Town Trusfees aufhorkes an~ perm[es fhe followNg:
zo construct ~ 45 ftx 2 ft dock in E~st (_Eusene)
Czeek, Cutcno~ue.
all in accordance wffh fha derailed spec;f[cae[ons as pre~enfed in
fha orlgMafMg appl~cae~on.
IN WITNESS WH~RuOF, The sald ~oard of' Trusfees h.ere-
'by causes ifs Coroorafe Seal fo be affixed, and fhes~ pres'ones fo
be subscribed by a ma[orify of fhe said Board as~z{ fhls d~f.e.
. I ~ ~ ) ,, -- :~;
,A,~, ~'~ ~.: ~ ~ ~ ~ ~ ~ ...................... ~ .................................... ~ ............~.~
· W~.,.~ ~,:~ .........~ ,~P~ ~ ~'~
TERMS aha CONDITIONS I~
/~ne Permi~ J. Edward Dinner
= llQQ4-
~idL~g z: O~k Stree~, Cutchogue/?934 268th~ St~ ,]Ytor~l P~rz~. y. ~
p~a of ~e co~derado~ for ~e ~ca ol ~ P~ d~ ~de~d ~d p~ ~ ~ fol-
lowing: 1. That the Southotd Trustees Permit must be prominently
displayed on the Drem~ses effected thereby during the period of
2, ~t ~e ~d B~o~ T~s ~d ~e Town of ~u~o~d ~ ~ f:~ ~ ~d work
~ damafe% or d2~ for d~g~ of ~ ~g ~7 or ~r~t ~ ~ r~r o~ ~ o~- under
defend an3 ~d ~ su~ ~ ~ b~ ~d pa~, and ~e ~d Pe~ ~ ~ ~ the
wi~ respect ~erero, zo ~ ~m~t~ ~d~ion of ~e ~d of T~ of ~$ Town of ~o~dPermit'
3. That th~ Permit /s valid for a pea'iod of -0N~,, ~AR which is considered ro be
sufficient time reqtdred to c~mp!ete the work involved, but shonId circumstances warra~ zequesr
for an extension may be made to the Board at z Inter clam.
4. Ti:at this Permit should be retained indefinitet); or as long as the said Permitter wish~
to maintain the srtuc~rre or proje= involved, ro provide evidence to anyone concerned thaz anth-
orlzatinn was ori~natly obtained.
5. That &e work involved will be subject to the inspeoSon and approval of the Board or
in agents, and non-compHance with the provisior~ of the ori~ating application, may be ,-=-ce for
revocation of this Permit by resoIutinn of the said Bo~rd.
6. That there will be no unr~sonable interference with navigation as a result of the we~rk
nereln audmrlzed.
7. That there =hail be no interference with the right of the public to pzss and repass along
the beach between high and low warer math,
8.. That if future opecadons of the Town of Southold require the removal and/or ~tetaHons
in the location of the work herein authorized, or if, i~ the opinion of the Board of Traszee% the
work shat[ cause unreasonable obstrucmon to free navigation, the said Permitter will be required,
upon due notice, ro remove or alter =his work or pro~ect herein stated ~thour expenses to the Town
of 5ou~old.
9. That the said Board will he notified by the Permkree ot the completion o£ the work auth-
orlzed. (See tear off sheet. )
!0. That the Permitree will obtain all other permks and comenr~ that may be renuired
plementai ro this permit whida majt be subject ro revoke uvon failure to obtain same.
TELEPHOIX~
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
CREEK STRUCTURES INVENTORY
Current Owner's Name:
Address:
Index No. ~
Creek:
· Purchase Date:
Telephone No.:
Previous Owners:
Date of Field Work:
permit Applicant:
Permit No.: ---
Permit Specifications:
Specifications Found:
Condition:
Comments:
WICKHAM, WICKHAM & BRESSLER, P.C.
5~6 ~298-8353
October 25, 1982
Board of Trustees
Town of Southold
~in Rood
Southold, NY 11971
Re: J. Edwin Dinner
We ~nclose application for a dock erected within the
years 1953 and 1955 and our check for $5.00 for
$7W: lje
Eries.
filing fee.
NAME OF C~LEEK East (Eugene) Creek
BOARD OF TOWN TRUSTEES
Town O£ Southold
3Ialn Road
Southold, New York 11971
APPLICATION FOR FIXED and/or FLOATING DOCKS
none
2. Contractor's nome and address: ............................
Tel.
3. Briefly explain the purpose of this application: Enclosed is a survey by l~zx] Van T~i, P.C.
.aa ecLOg.mber.. ... ...Z. ·
.ab Ls..doc]c .was..er~c.te& .w&~ ..t, txe:.7.e~r~.,.19.f3...~.d ..~?.~.$.,,~.~..~D..D~.~.. ~..~.~: ......
lac a~e. aot;..enc&os~, a we~ .a. tqp. licat$.o.~, due 'co its' arc, aU_on before the
wetlands provisions.
4. After issuance of a Permit, work must be completed within one year.
i~RGE
5. Secure the correct Area Mop from the Clerk of this Board, and by usmg a/X WITHIN
A CIRCLE indicate as closely as oossible the location of this dock. On, thejeverse side of this
map, provide a SCALE DRAWING which ' · ' ' ' ~
w show Oramary H~gn Water Mark, the shape
and size of the dock and any supplemental pilings which are needed to hoid a floating dock
or tie-ua .~ boqt. Give all dimens]ons necessary to determine the oreo of ['he dock surface
~'Tq_ICH EXTenDS OFFSHORE from The O. H. W. M. if adjacent proper~y owners have
docks, specify location and length to scale.
6. Will any portion of this construction extend offshore into Town Waters beyond on imaginary
line or boundary formed bv other simiIar structures along the oreo's shoreline? YES o? NO.
If it does extend beyond this so-called deck line indicate by how for, approximately,. ......... ft.
7. Provide the following documents:
(a) A Licensed Engineer's Survey of the oroperry involved.
(b) A, copy of the Contractor's Plans and Specifications.
f¢il Short Environmental Assessment Form.
Wetlands Applicat~ on
8. I this construction rec~ire t-lqe Filling of any land offshore of the Ordinary High Water
Mark or the Drec~ing of any material from Town Lands under water? YES or NO. If it does,
Form Al4 (Apolication for Dredging/Filling) must be completed and attached as part of this
application.
9. In requesting approval of this application, I sub~it that: the information presented herein
is true and correct to the best of my knoMedge and belief; I am the carson accountable for
the performance of the work in accordance with the plans and specifications attochea; I have
reaa or am familiar with the provisions of any Southold Town Ordinance pertinent to the work
involved; end farther, I intend to adhere to and abide by the Terms and Conditions of the
Permit, when and if issued to me.
!0.
~o
expedite finding specific location ~or.ins~ec~$o~w.~,~i~rdicate
by using a temporary marker. Wil~~~~2~,Dinner
---.':- 7.~.~)~:'::..:;4:=':~ .. - ' · ..' .....
'2/ 2 --, : .., . ti. ............
TOWN OF SOUTHOLD
SHORT ENVIRONMENTAL ASSESSMENT FORM
INSTRUCTIONS:
(a) In order to answer the questions in this short EAF $t is assumed
that the preparer will use currentiy available information concerning the
project and the llkely impacts of the action. It is not expected that
additional stud£es, research or other investigations w£11 be undertaken.
(b) If any question has been answered Y~s the project may be
significant and o completed Envlronmentol Assessment Form is necessary.
(¢) If all questions hove been answered No it is likely that this
project is not significant.
(dj Environmental Assessment
1. Will project result in a large physical change
to the project site or physically alte~r more
than 10 acres of land? ........................ Yes× No
2. twill there be o major change to any unique or
unusual land Form found on the site? .......... Yes× No
3. Will project alter or have a large effect on
existing body of water? ........................ Y~s X No
4. Will project have o potentially large impact
on groundwater quality? ....................... __Yes x No
5. Will project significantly effect drainage
flow on adjacent sites? ........................ Yes× No
6. Will project affect any threatened or
endangered plant or animal species? ........... __Yes~ No
7. Will project result in o major adverse effect
on oi~ quality? ............................... Yes× No
8. Will project hove o molar effect on visual
character of ~he community or scenic views or
vistas known to be important to the community? Yes~ No
?. Will project adversely impact any site or
structure of historic, prehistoric or
paleontological imporlance or any site
designated as ~ critical environmental ~re~
10. Will project hove o bajor effect on existing
or future recreational opportunities? ......... Yes X No
11. Will project result in major traffic problems
or cause o major effect to existing
tronsportotiom system's? ....................... Yes X No
12. Will project regularly cause objectionable
odors, noise, glare, vibration, or electrical
disturbance os a result of the project's
opera-tlon?. YesX No
13. Will project have any impact on public heotth
or.safety? .................................... YesX No
14. Will project affect ~he existing community by
directly causing o growth in permanent
populot'ion of more than 5 percent over a one
year period o__r.r have o ~ajor negative e~fect
on the character of %he community or
neighborhood? ................................. __¥esX No
15. Is ~here public controversy concerning the
project? ...................................... Yes X No
REPRESENTING_ J. Ect~in Dinner E__~0/25/82
Board Of $outhold Town Trustees
.~. ~ ................ ~.~ ~j
in this perm~K has be~n completed and ~s now ~eadu for your inspec-
tion, Also, the number re~u~re~ on this projec~ is clearly visiDie.
is re tu~F~~s~e~.
.-'. Signed- ~.,