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Home My WebLink AboutMOELLER, RICHARDThe Southold~Town T~e ~has determined that your a~pl%cation coz a~is /--~tiona_~incomplete~ please c~nsider the following information ln~-t~is regard for any required return submission: · ±'_ us~cee ~epre~entative cc:~uilding Dept. =?~ing D- . ~ -~ _ ~ · tm~anni~ · - ~:~ 2.2 ---~isory~ This notice makes no c/aim with respect to other jurisdictions within or outside the Town of Southold with respect to permits, permission required. 4/92 TRUSTEES John M. Bmdemeyer, III. President Albert J. ICa-upski. Jr.. Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765~1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold. New York 11971 COASTAL EROSION HAZARD AREA AND TOWN WETLAND EMERGENCY AUTHORIZATION{S) Application No. SCTM ~1000-~{-~l~- Name: ~%&~c~x~ ~-. ~%~ Date: December 21, 1992 RESOLVED that pursuant to the Town Code in relation to Coastal Erosion Hazard Areas, Chapter 37, Section 20, 21 and Town Code Chapner 97, Wetlands, the Southold Town Trustees, as Administrator, have determined that the activities proposed by your emergency activity reques~ are necessary to protect property and important coastal natural resources. DESCRIPTION OF ACTION: Reasons supporting this determination: 1. An on site inspection has been conducted by the board of Trustees or their authorized representative. haThe Trustees have considered the and find emergency request t if the work is not completed as authorized and measurable loss of property and important coastal natural resources is likely to occur. This authorization is not a permit. You must complete the Coastal Erosion and wetland permit process where applicable for all authorizations given under this section. This authorization should not be considered a determination made for any other department or agency. TRUSTEES John M. Bredemeyer, IH, President Henry P. Smith, Vice President Albert J. Krupski, Jr. John L. Bednoski, Jr. lohn B. Tutlfill Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR S~OTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 COASTAL EROSION MANAGEMENT PERMIT APPLICATION TOWN WETLANDS PERMIT APPLICATION TRUSTEE LANDS PERMIT APPLICATION .. Office Use Only: Coastal Erosion Permit Application 'r[~_c~qetland Permit Application ~J/.~ ~Trustee Lands Permit Application ~IGrandfather4\ XCompleted Apps. Date: ~Variance Required, Neighbors notified Date: SEQRA Type Coord. Rev~-ops.,,mand. ~Insp. comp./date: ~SEQRA Determin./date: ~ublic Hearing/date: Findings: Permit Vote: (Y/N): Special Conditions: (also see file) Date Rec. by Application Application Number; SC~4 =lO00- Project Name (If any) Date Prepared: Applicant: ~[C~ ~&B Address:-.~ __~-~D~ ~/~L=y ~r~ ~ Ny ~tA--~O Phone Interest: (owner, consultant,lessee,etc.) Owner of Property: Address 3 Phone ( ) Subject Property Location: ~rovide LILCO Pole #, Distance to cross Streets if not on location map) THIS IS NOT A PERMIT 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: ~' a~ ~¢u~ 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 for pri~ate or business use: Intended use of property: Describe known prior operations conducted on premises: Has any prior license or permit been issued to erec~ strucnures, dredge, or deposit fill on said premises: /Df;D~/t~-/~.~ ~ Has any license or permit ev~{ been revoked or suspended by a Governmental Agency: ~/~ Project Description The project descriptmon 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 secessary). Authorization (Where the applicant is not the owner) I residing at {Print-owner o~ subject properny) (Mailing address-phone) do hereby authorize to apply for Coastal Erosion permit[s) from the Southold Town Trustees Signature THIS IS NOT A PERMIT County of Suffolk ) State of New York ) ~IC[~D ~.~L~-~ BEING DULY SWORN DEPOSES AND ~FFIRMS 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 K~OWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT. AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT[s) OR REPRESENTATIVE[s), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW O~ THIS APPLICATION. SWORN TO BEFORE ME THIS // . DAY OF GNaT'RE FRANCES ABIJ'~'TTE NOTARY PUBLIC, Sta,':,e of New Yo~ NO. 4;'34358 Qualified Jn Su~Jk Co~lnty C ~sslon Explrc~. ......... 9~ Suggested space for location Map THIS IS NOT A PERMIT -/ // /'3