HomeMy WebLinkAboutLEVISON, M.S.Telephone
516-765-1938
11971
November 6,- 1981
Mrs. Judith T. Terry,
Town Hall
Southold, New York
Town Clerk
Dear Mrs. Terry:
The following action was taken by the Board of Southold Town
Trustees at a regular meeting held November 4, 198t:
RESOLVED to recommend to the Southold Town Board approval of
the wetland application, ~77, of M. S. Lewison, to construct
35' of bulkhead, 30x6' float, 10x3' ramp and.4x6' platform on
private canal off Southold Bay, at Albacore Drive, Southold
Shores, Southold.
Yours ~truly,
Anna T. ~Hataier, President
Southold Town Trustees
MICHAEL E~. LEVISDN
Town Of Southold
Town Clerk's Office
SoutholS, N. Y.
Application No .......Z.~.. .................. Date of Application ........t~....~.~.,...~-L ..................
Identity of Applicant .........)):~.:,S, .~..~'~/J.,~6.J~ ........................
Address of Applicant ....... ..~.......,,~..~..~....L~.~....~.....~.........~.~.,/~-...b- ..........................................................
INSTRUGTIONS FOR PERMIT
A. This application is to be completely f~led in by typewriter or ink and submitted to the Town
Clerk in quadruplicate, accompanied by writter permission from the owner of the property if not
the some as the applicant,
J3. Pilot Plan must be drawn to scale on the reverse side of ~his 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
ta the Permit Application.)
C. No operation shall be initiated by the applicant until oil permits that ore required are issued.
D. A detaiied statement of the rehabilitation and proposed condition of the premises offer the
work ~s completed must be given, including a survey if required.
E. [t permit is being sought for a more sizeable excavation than the construction of a private
single dock or jetty, then this application must be accompanied by a survey and topographical map
certified by a registered land survey or Professional Engineer. 'Fha horizontal control of survey
shall be based upon an approval local coordinate system. The vertical control for elevation and sound-
rags shall be based upon United States Coast and 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 a,ny 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.
Pl. The Town Board upon reque~t,/,o~Llthe applicant f~t a permit, may wa.ve in whole or in part,
the provisions of Article II, Secti~q' ~ subdivisions_, and ~')'where it finds that nature of the
proposed operations are such that 'the requirements of such provisions are not necessary for e
proper consideration of a permit application.
I Upon approval of this application the Town Clerk will issue a permit to the applicant. Such
permit shall be available for inspection at any time, upon request.
\
2~c i
7~I
Examined ..................................................19 .......
Approved ................................................................
Disapproved ...........................................................
Conditions, if any ................................................................... ; ...........................................................
Examining Body .....................................................................................................................................
Signature of Chairman .........................................................................................................................
APPLICATION IS HEREBY MADE to the Town Board of the Town of Southold, Suffolk County,
New York, for the issuance of a permit pursuant to the Lows, Ordinonces and Regulations govern-
ing the Coastal and Interior Wetlands, Flood Plains and Drainage Areas of the Town of Southold:
Permit re.uested to ...... ~'~../..~/Z ......................... ~+.~.'. ........................................... ~£~.~./.~/~-- ~; ........ (. '....T./=/O~' ...................
Lo,at,on of prop~ for which permit wanted .... ~..{..~..r..C .................. ~d~.~...
...................................................................
"omo address of permit applicant if differen~r from ofore,~id location ..~...~....~..~.~..~....,,~'~..~-'~
......................... ../~.~./..~4~.~¢......c~......c~ zz ......................................................................
Creek, Bay or Honor fronting prope~ .....
Size of pr~o~ wo~k:
~.~th .............. ~.~..:.~uZ(~.~. ............................................................................................
Width' ~ ~
Height Above Hig~ Water ....................................................................................................................
Depth Below Low Wa~er .........................................................................................................................
Yards to be ~cawted ................. ,~?.~ ..........................................................................................
Yards to be Fill~ ........................... ~ .........................................................................................
front n r --
Width of canal, creek or bay g p ope~ ...............................................................................
Depth at Low Tide
Average Rise in Tide .............................................................................................................................
Is this for private or business use? ................................................................................
Area Zoning ............... :~...:~,,/.~.,.'.~',,,77.h,/,,,~,'.../, ...........................................................................................
Manner ~n which material will be removed or deposited ..................................................................
I,ntended use of property ~ ..Z~.....~...~..z~...?...~.../~/~',7ze -~2~O~:'
Written consent of owner of property, if not the same as the applicant ........................................
COUNT OF
STATE OF N.L;M~--Y-~R~ ) SS:
............................................ ..~..~
................................................................... being duly sworn deposes
and says that he is the applicant for the above described permit, and that all statements contained
herein are true ta the best of his knowledge and belief; that the work will be done in the manner set
forth Jn this application and as may be approved by the Town Board of the Town of Southold.
The czpplicant agrees to hold the q'own of Southold and the Town Board harmless and free from
any and all damages and claims arising under or by virtue of said permit, if grante~.
Signature of Applicant
Sworn to before me this .....~.~ ....................
~o~ o, ..':O..:c~ ........................... , ,~. ..
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