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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- ~.,