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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~ ........................... , ,~. .. cr~ ~ ~~ ~,i,#,..