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HomeMy WebLinkAboutTR-4271 GF Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 1'~.~*-7/ DATE: ..~/27/94 ISSUED TO .....~Q.CT,.~....~...,I~.C~.~.. MG....GAR~d:LL ............................ Pursuant {.o {'he provisions of Chapter 615 of the Laws of fha S{'M'e of New York, 1893; and Chapter 404 of {'he Laws of the S{'afe of New York 1959; and {.he Sou{'hold Town Ordinance en- {'i{'led "REC=ULATING 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 wi{'h the Resolution of The Board adop{'ed at a mee{'ing held on ~-/Z7/9~ . 19 94 and in consideration of the sum of $ ]~00-00 paid by ROGER..& .M C. C.A.!~¥~!4~ of $o-~;~h_~! .................................. N. Y, and subiec{. {.o {'he Terms and Condi~'ions li~ed on {'he reverse side hereof, of Sou{'hold Town Trus~rees au{'horlzes and permi{'s 'rhe following: Grand£ather Permit for a 20' X 45' bulkhead constructed in 1963. All in accordance-with amended s~rvey dated 4/23/86 O~i c~nal off Co~ey Creek all in accordance wi{'h fha de{'aiJed specifica{'ions as presen{'ed in {'he originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes i{'s Corpora{'e Seal {'o be affixed, and {'hese presen{'s be subscribed by a majority of the said Board as of {.his daf. e. Albert J. Krupsld, President Town Hall lohn Holzapfel, Vice President 53095 Main Road William G. Albettson P.O. Box 1179 Martin H. Garretl Southold, New York 11971 Peter Wenczel Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD January 19, 1993 Donna McCarvill North Fork Water Horton Lane Southotd, NY 11971 Dear Mrs. McCarvill: Please note that no permits were required under Chapt. 97 of the Southold Town Wetland Code prior to June 29, 1971. To receive a Grandfather permit, please complete the application and provide proof of the bulkhead being built before June 29, 1971. Without such proof a full Wetland Applicatio~ will be required. We Will, for your convenience, inspect your property on our monthly field surveys. Sincerely, Al~e~t~. Krupski, Jr. President, Board of Trustees AJK: jmd cc: Wickham, Wickham & Bressler TRUSTEES .:fi~-¢ .-:.~'e%, SUPERVISOR John M. Bredemeyer, HI, President ~)~: ~~ SCOTT L HARRIS Albert J. Krupski, Jr., Vice Presidem ~ ~o ~-'~ ~: ~ Henry P. Smith ~ ~ '.. ~ ~¢~_~ ~ x~ Town Hail John B. Tathill ~' ~f~ :r~^..~ 53095 Main Road William G. Albertson ~ .~ :y~ ~-~.~¢~ P.O. Box 1179 Telephone (516) 765-1892 ~-'~-~ Southold. New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD office use Only: .DATE REC. ~_ oastal Erosion Permit Application '.. _ ~,~Coastal Erosion Variance' Application '~1 ~ ~ '~' u" :~7~ ~Wetla~d~ PeITa~t Appl'ication .."~I ' - · ~Waiver ~rom Chapter 97 (Application/permit' ~;~ .... J ~ Ill ~rustee Lands Permit Application 3U1 d~ Z ~ ~ ~Grandfather Permit Application ~ . ~ompleted Apps. Date: i/~z~ ~Tt%IM~! tlr- arianc R uirea. ........ ' ~ighbo~s notified-Date. ~oord.: :Date sent SEQ~ Determin./date: F ~g j '~ P~blic-~eari~g/date: ~ ' ~' j Spebiai conditions: (Y/N) -' [see file) Application Fee: ~ermit (s) issued-date: Application N~er; SC~$1000- ?~-~? Date: Interest: (owne=, consultant,lessee,etc. ) ~- J~ Owner of ProperEy: Address Phone ( (Provide LILCO Pole ~, Distance to cross Streets if not on location map) THIS IS NOT A PE~IT Page t Yds. to be excavated: Yds. to be filled.: Manner in which material will be removed or deposited: Width of canal, creek or bay fronting property: ~g~~/ Depth at low tide: ~_%r Aver. rise in tide: ~ Distance to nearest channel: Distance project extends beyond similar projects in area: ~D~L--~ Area zoning: & Land area in acres: - Is project for private or business use: ~<~ Intended use of property: ~_~[~c[~j~_~ Describe known prior operations conducted on premises: Has any prior license or permit been issued to erect structures, dre'~ge, or deposit fill on said premises: ~ 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 structunyes (i.e., pipeline and septic system; make additional attachments if necessary). THIS IS NOT A PERMIT .P~ge 2 PROJECT I.D. NUMBER 617.21 SEQE Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Pro:[eot spbnsor) 1. APPIJ NT/SPONSOR 2. PROJ EOT NAME 3. PROJECT LOCATION: , 5. IS PROPOSED ACTION: [] New [] Expansion ~odiRcation/alteration S. DESCRIBE PROJECT BRIEFLY: Initially · ~0 acres Ultimately · acres 8, WILL PROPDSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTICNS? //~es [] NO If NO. describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ,,.,~esident[al [] !ndustrial [] Commercial ' [] Agriculture [] Par~JForest/Open s~ace [] Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY {PEDBRAL, STA~'E DR LOCAl.)? ~,es ~ No If llst agency(s) and permit/approw[s yes, 11. DOES ANY ASPECT OF THE ACTIOH HAVE A CURRENTLY VALID PERMIT OB APPROVAL? [] Yes ~o If yes. list ~gency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXiSTiNG PERMIT/APPROVAL REOUIBE MODIFICATION? 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 Coastsl Assessment Form before proceeding with this a~s, essment OVER