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HomeMy WebLinkAboutTR-4434 GFBoard Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~"/.~L/~',~ ~/'. DATE: ..4J 27 / 95 ........ ISSUED TO ....... ~Q~.E,.~ :~_..~&,EG ]:..& ........................................................ Authorization Pursuant fo the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952: and the So'+hold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting hem on .4J2~ZJ.c~5 .... 19.9~ , and in conslderaflon of the sum of $ 100.00 paid by Joseph Mascia of ....... ~t:~:~..~]~ N.Y. and subject fo the Terms and Conditions Ils+ed on the reverse side hereof~ of Sou+hold Town Trustees au+horlzes and permits +he following: GrandfatherPernit for an exist. 3' X 6' catwalk, 5' X ll' dock & install a 3' X 14' ramp & 2 floats ea. 6' X 20'. Deep H01e Greek When dock i~ ready to rebuilt, it must be moved 15' off the property line. all i~ accordance wi+h the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes ifs Corporate Seal fo be affixed, and these presents fo be subscribed by a majority of the said Board as of this daf, e. Albert I. Krupski. President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 March 31, 1995 Joseph Mascia 60-23-69 Lane Maspeth, NY 11378 RE: SCTM #115-12-22 Dear Mr. Mascia: As per my telephone conversation with your relative, we can grandfather the dock provided it is modified to conform with current standards. Just sketch it (or have your builder do so) as I've indicated, with a straight elevated catwalk 3' wide out to the ramp and single float. The platform and second float should be excluded. With a grandfather application, you are spared unnecsarypermit costs and extra time for processing. Submit the sketch as soon as possible, so we may proceed. (next meeting April 27). Hope your hip replacement works out well and that you're back on the water before long. Sincerely, Martyr~arrell, ~{ember Board of Trustees MG:jmd Albel't J. Kmpsld, President $ohn Holzapfel, Vice P~esident William G. Albenson Martin H. Garrell Peter Wenczel Town Hall 53095 Main Road P.O. Box 1179 Southotd, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I Office Use Only: ~ Coastal Erosion permit Application ~---Coastai Erosion Variance Application |---Wetland Permit Application r from Chapter 97(Application/permit): permit Application ~lication (Y/N) -date: TOWN~OF S91~THO / App±ica~ion ~'ee: I~ Application Number;SCTM#1000- If~-12-2Z Applicant: ~4 ~A~cl~ Address: 60-Z$--¢9 Date: Phone Interest: (owner, consultant,lessee,etc.) Owner of Property:~~~__ Address ~A~~--- Subject Property Location: (Provide LILCO Pole %, Distance location map) to cross Streets if not on THIS IS NOT A PERMIT Yds. to be excavated: ~ Manner in which material will be © Y~s. to be filled: removed or deposited: Width of canal, creek or bay fronting property: Depth at low tide: Aver. rise in tide: Distance to nearest channel: Distance project extends beyond similar projects in area: Area zoning: Land area in acres: Is project fo~ private or business use: Intended use of property: Describe known prior operations conducted on premises: Has any prior license.or permit been issued to erect dredge, or deposit fill on said premises: structures, Has any license or permit ever been revoked or suspended by a Governmental Agency: Project Description The project description must also include plans for reclamation of land disturbed during construction of the principle and accessory structures and underground structures (i.e., pipeline and septic system; make additional attachments if necessary). THIS IS NOT A PERMIT Authorization (Where the applicant is not the owner) I 3~ ~A~C~ residing at ~ ~ ~ ~ ~ (Prin~-oWner efsubject property) (Mailing address-u~ne) do hereby authorize~~L~__to apply for coastal Erosion permit(s) from the Southold Town Trustees THIS IS NOT A PERMIT ., pR~JECTLO. NUMBER 617.21 Appendix C State Environment~ Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project spbnsor) 1, APPLICANT/SPONSOR I 2. PROJECT NAME I 3. PROJECT LOCATION: Municipality County 4, PRECISE LOCATION (Street Address and teac/intersections, prominent lanamarKs, etc., or provide map) SEQE 5. IS PROPOSED ACTION: [] New [] E~oansm~ [] Mod[ficationlalteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF[AND AFFECTED; .Initially acres Uitimate{y 8. WILL PROPOSED ACTION COMPLY WITH EXtSTING ZONING OR OTHER EX[STING LAND USE RESTRICTIONS? [] Yes [] NO If No, describe briefly WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] !ndustrial [] Commercial Describe: [] Agriculture 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY PROM ANY OTH'ER GOVERNMENTAL AGENCY (FEDEFL~L, STATE OR LOCAL)? [] Yes [] No If yes, llst agency(s) ano 13erm[tlaoorovals DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALtD PERMIT OR APPROVAL? [] Yes [] No If yes, list agency name and permit/aporoval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes [] No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE If the 'action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this a.~s, essment OVER 1 []Y,s r-l~o THERE. OR ]$ THERE LIKELY TO I3E. CONTROVERSY RELATED TO POTENTIAl. ADVERSE ~NVIRON~'4ENTAL h%IPACTS? [] Ye'~ [] NOr If Yes, ex~am briel~y PART III--DETERMINATION OF SIGNIFICANCE CTo be completed by Agency) INSTRUCTIONS: ,--or each advers~ ef,~ect identified above, determine whether it is substantial, large, important orotherwise significant· Each etfect should be assessed m connection w/Ih its (a) setting (i.e. ur0an or turn0; ih) prooabdity al occurring; (c) duration; (d) irr~ve~mbilily; (el geographic scaoe: and (f) magnnude: If necessary', add attachments or reterence supporting materials. Ensure [hat exglanal~ons comain sufficient dctail to show that all relevant adverse impacts bare been identified aha adequately addressed. [] Check this box if you have identified one or more potentially large,or significant adverse im ~act~ wh ch MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. [] Check this box if you have de~erminea, based on the information and analysis above ~nd any supporting documentation, [hat the erobosea acIion WILL NOT result in any s~gnificant ~overse environmental impacts AND ~rovido on attachments as necessary, the reasons supporting this determination: C6unty of Suffolk ) State of New York ) BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THATWORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SO~I'MOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND CLAIMS ARISING UNDER6RBYVtRTUEOF SAID PERMIT ~. IN PROPER~f TO TH/S SIGNATURE SWORN TO BEFORE ME THIS DAY OF ,19 NOTARY PUBLIC Suggested space for location Map THIS IS NOT A PERMIT LOWN OF SOUTHOLr t4L o'l ARCHITECT Residential Commercial Industrial 275 Cleafvle~ Avenue hlark K. Schwartz. A.I.A. Southold. New York 11971 (516) 765.4378