HomeMy WebLinkAboutTR-4202 GFBOard Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO.. 4Z.0.2 DATE: ..!/.~9[.93
ISSUED TO ......A~.~BQ.t~.~. L?EPg ............
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 Soufhold Town Ordinance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, ~;RAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at a meeting held on ....2./2.9/93.
19..9~, and in consldereflon of +he sum of $ ]~00,.00 paid by
J.~M~ O.... Consntting fo~_.ANTHQN~.
of ....... ~.¢t~i~;:~¢k N.Y. and subiec~r to the
Terms and Conditions listed on the reverse side hereof,
of Sou+hold Town Trustees authorizes and permits the following:
Grandfather Permit to reconstruct within 18" approx. 1~1'
of timber bulkhead and returns and to backfill with approx.
15 c.y. of clean sand which shall be trucked in from upland
Deep Hole Creek
s°ura~;n accordance with {'he detailed specifications as presented in
the originating application.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporate Seal +o be affixed, and these presents to
be subscribed by a majority of f/~ s~ Board as of this date.
TRUSTEES
John M. Bmdemeyer, III. President
Albert J. Krupski. 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
EO. Box 1179
Southold. New York 11971
Office Use Only: DATE REC.:
\~Coastal Erosion Permit Application
~oastal Erosion Variance Application
etlandPermitApplication
~Waiver from Chapter 97(Application/perm
~rustee Lands Permit Application
ndfather Permit Application
Inspection date: 7-~-~
--CAC comments-Date.. Sent Rec.
~Variance Required: (Y/N)
p~eighbors notified-Date:
SEQRA Type~-~
Coord.: Date sent
__SEQRA Determin./date:
Public Hearing/date:
Findings: Approved (Y/N)
Special Conditions: (Y/N)
(see file)
Permit,s) issued-date:
A~plication Number;SCTM~1000- 115-12-23.1 Date: June 8, 1993
Applicant: J.M.0. Consulting for Anthony Pepe
Address: P.O. Box 447
Quogue, NY 11959-0447 Phone ( ) 516-653-0607
Interest:
Owner of
Address
(owner, consultant, lessee,etc.)
Property: Anthony Pepe
55 Herricks Road
Consultant
Garden City, NY 11040 Phone ( ) 747-7934
Subject Property Location: 1570 Deep Hole Drive
Mattituck
(Provide LILCO Pole #,
location map)
Distance to cross Streets if not on
THIS IS NOT A PERMIT Page 1
Yds. to be excavated: 0 Yds. to be filled: 15c'.yo
Manner in which material will be removed or deposited:
Backfill material (clean sand) shall be trucked in from an upland
~'s-~150,
Width of canal, creek or bay fronting property:,
w
Depth at low tide: 0.5' Aver. rise in tide:
Distance to nearest 6hannel: 30' Distance project
extends beyond similar projects in area:
Area zoning: ~ Land area in acres:
Is project for private or business use:
Intended use of property: Existing single fa~i!y dwelling
Describe known prior operations conducted on premises:
Please
see enclosed survey for past develo~pment at site
source
Has any prior license or permit been issued to erect structures,
dredge, or deposit fill on said premises: U~gDown
Has any license or permit ever been revoked or suspended by a
Governmental Agency: Not to my knowledge
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 S~zstem; make additional attachments if necessary)~.
A grandfa~ permit is requested to allow appligant to
reconstruct ~~/~c~--soprox. 141' of timber bulkhead
and returns and to backfill structure with approx. :15,c.y. of
clean sand which shall be trucked in from an ~pla,nd source.
THIS IS NOT A PERMIT .Page
of Suffolk )
State of New York )
~ C'. ~ BEING DULM SWORN DEPOSES
AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED
PERMITIm AND T~T ~L STATF~F~S CONTAINED HEHEIN ~ THUE TO
THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT WO1LK WILL BE
DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE
APPROVED BM THE SOm~OLD TOWN BOmm OF TRUSZ~S. THE APPLICAN~
AGREES TO HOLD THE TOWN OF SOUT~OLD AND THE TOWN TRUSTEES
HARMLESS AND FREE FROM D~_~ B_ND ~L D2~w~AGES A~ CLAIMS ARISING
~NDER OR BY ';IRTUE 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 WIT~ REVIEW OF THIS
APPLICATION.
swo TO BEFORE ME THIS DAY
,19 ~3
NOTARY PUBLIC
Suggested space for location Map
THIS IS NOT A PERMIT
EX.
Dock
Groin
Deep Hole C%eek ;~
· Ebb ~lood/'
~Width ~_/ 400'
AHW
/
Bulkhead to be
/
/
SFD
Drive
onstru
Deep
Hole Drive
Suffolk County
Hagstrom Map No25
SCale lY=3000'
Scale
0 15 30
#
2
SCALE IN KIND IN PLACE
3'~×r~'CI_.AMP LENGTH OF
BULKHEAD--.x
\
PROP- - ~
FI~OM ~ [JpLAND
FOI~ BACKFILL
J
AHV~ ~2.0/
AI_W
CHEMICOLLOID LABOBATORIES INC.
June 10, 1993
55 HERRICKS ROAD
GARDEN CITY PARK
NEW YORK 11040
FAX: 516 747-4888
Mr- Glen Just
P.O. Box 447
Quogue, New York
11959
To Whom It May Concern:
This is to authorize Mr. Glen Just to act on my
behalf to obtain the necessary permits for the
reconstruction of my bulk-head located on
Deep Hole Drive in Matituck, New York,
Sincerely,