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Home My WebLink AboutTR-216 (2) TOWN OF SOUTHOLD BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK WETLANDS PERMIT . 2.1.6 Th s Wet ands Permit No .................... has been granted by the Town Trustees according to 'information furnished in Application No...2...4..4. ...... ' ...... filed by Applicant ..A.'.l_b...e..r...t.,..~.o.~¢.....~ ............ be kept · . on June 2.6., 19 85 . A map of th~ proposed work will on file in the Trustee Office. under the app ication number given. Permit granted to do the following work ....A,p.R.~p.3.~.l..;,t;.o.,..CJj;.~.~e...~.Q O.,.c;.u...'.~.s....Q;~. ........... f' 11D B :~. of ar u g. (hehinct ~he bulkhea..d.). materlat and to Location of property on which workto be H~-- Schoolhouse Cree~, ~ew ~..~f~.~k .... Creek, Bag or Harbor fronting property Schoolhouse Creek Size of work: Length ............. ~ ......................................................................... ~ ..................................... Width ............................................................................................................... · · · . .. · :" Above Water , ,e.~.. High · · · Yards to be Excavated .......... .4..O...O..,.c,.g,.:..,~..c!f.,-.....t.,°....~,~,..;];~,~ ............................. s oil to be laced behind buTkhea.~, Yards to be Filled ................ ~, ........................ ~. ........................................................... Manner in which material is to be removed or deposited ......................................................................... Commercial and Residential Intended use of property ............. Conditions if an y ...... Z..'TZ ~.Z.T.::.~.~.~.::'.:;z;~, ................................................................................ Expiration Date ..J..u...n..e... ~2~6~9~8~6~i~f~9~-Q~t`~;~]~r~D`~c~b~y~ ................... Number of Inspections Required ..... ,.2.~.,T...r..u..s...t..e...e..s,..are to be notified u on co..mi~.letion of same. Inspection Fees ....~5.00 ......... . .'Liability Policies in the Amount of ...... .~.T..-:r.~.:=..-.,-.~.==.~.== .................................................................. The validity of this permit is or ma,/ be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying fop-or obtaining such approval. In the evem that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing, The failure to obtain such other approval when required shall subject this permit to immediate revocation 'by the Trustees upon receipt by the Trustees. of written notice from such other governmental or municipal authorities of its refusal or disapproval. The applicant does by the acceptance of this perm[t, assume all responsibility for operations under- taken pursuant to this permit, and shall take ail precautions for the prevention of iniuries to persons and properW resulting from such operations. By such acceptance, the applicant also agrees to indemni- fy and save harm ~ss the Town, and its officers, agents and employees from any and all claims arising from operations under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon which the operations authorized by this permit are being conducted, do. by the acceptance of this permiL give consent to the Town, and its officers and emplovees to enter upon the premises where such operauons are being conducted to make such inspections as the Town may deem necessary to insure that such operations are being con- ducted in conformity with this permit. This operation will not substantially: A. Adversely affect the wetlands of the town. B. Cause damage from erosion, turbidity or siltation. C. Cause saltwater intrusic q into the fresh water resources of the town. D. Adversely affect fish, shellfish or other beneficiaf marine organisms, aquatic wildlife ~ nd vege- tation or the natural habitat thereof, E, Increase the danger of flood and storm-tide damage. F. Adversely affect navigation on tidal waters or the tidal flow of the tidal waters of the town. G. Change the course of any channel or the natural movement or flow of any waters. Weaken or undermine the lateral support of other lands in the vicinity. Otherwise adversely affect the health, safety an, d genera_l welfare of the people of the town, Signed . President /~ - '-'' Board of Southold Town Trustees ..... ...... ' Date ~y /../.z /~.a~.~... . : BOARD OF crOWN TRUSTEES TOWN OF SOUTEIOLD . 53095 Main Road Phone 765-1892 ~TN]? 30 Soul. hold. N..Y. ~971 BOARD OF TOWN TRUSSES ALL DOCKS AND BULK- HEADS MUST DISPLAY .... ' ,~.~ / ~ ~,,___,'~,'~-'-~, "c~'~- VISIBLE PERMIT NUMBERS. BoaRD OF TOWN ~'RUSTEES TOWN OF SOUTHOLD Telephone ALL MOORINGS AND Main Road [516-765-1892) STAKES MUST DISPLAY VISIBLE MOORING NUMBERS. Southold, New York 11971 NOTICE OF ACTION - NOT A PERMI.T 1. Your application, dated ..... 1.2./.?.7./...8.5 .................... has been reviewed by this Board, at a meeting of the Trustees held on..~.e.b.'...2;?.~..Z..9.8.5. ............. and resulting in the action, as indicated below: (. ~.1~] Application approved. --; ( ..... ) Application denied. ( ..... ) Application tabled. 2. Comments and remarks: Applioat±on approved as per applicati0a. 3. If your application is approved above, a Permit Fee is now due, and should be made payable to the order of the Board of Southold Town Trustees. This fee is computed below according to the Schedule of Rates as set forth in the Instruction Sheet (Form 1/1). This fee must be paid within 90 days or reapplication and additional fee will be necessary. If the Permit Fee is paid in person to the Clerk of the Board, the Perr~it will be obtainable at the same time. If the fee is paid by mail, the Permi{ will be mailed in reply. 4. Computation of Permit Fee: A $5.00 inspection fee is now due and payable. Upon remittance, your permit will be issued. Total Fee for this application ............................. $ .......... ........ President, 13oard of Sou~old Town Trust~ ....... :~_.~/~,/~ ...................... Clerk, Board of ~ld Town ~rustees "Town Of SouthOkl Town Clcr.~ ~ Office Soud~old. M. Y. APPLICXTIO~ FOIl WETL~k~AqDS pERI[IT INSTaUCTION$ FOR PERMIT A. This op~Ucotion is to be completely filled in by typewriter ar ink and submitted ro the Town Clerk in quddrum~icote, acecmpamed by writter' permission i:rom the owner air she prc~er.q.' tk.e same as the ¢:ppllcont. B. Pilot Plan must be drawn ro scale on the reverse side of this a:ollcctlon showing the air proFerry, the names and loaorlans of owners af adjoining; ~rc:erties, and a derailed deeerizricn air prcz=sed project. (Nora: C:~es o~: the Pilot Plan may ce mace by a copy maeS:ne and Io the Permit Application.) ~] No opera,ion shah be initiated by the applicant until ail permits rh~t ere required are issued. D. A det~Ued statement o~ th~ rehcbilitct/an' and orc~sed condition o~ the premises a~:er the' work i: c:mpietea must be given, including a survey if resulted. [. Ii permit is bein~ sought, for ~ more sizeable excavation l'han the canszruczlcn of a single d~ck or iet~, then this opplicarian must be accompanied by a sumey a~d t~pcgra~hicai map ceXffied ~y a r~gistered land almay or Pro{ess/anal Engmeer. ~ne .horizontal control o~ shall be based uaan an approval l~aI coordinate system. The vemical c~ntrol ~or elevadan and sound- ings sha~l be based upon United Stares C~st and Geodetic Su~ey and/or United States ~eala! ~u~e~ datum. F. A statement must' accompany the application describing ~ny known prior operations conducted bn the premises in question and whether any prier licenses or permits have been i~ued to erect strucrurez or to dredge or degosir fill on said premises and whether any such permits or licenses were ever revoked or suspended by a governmental agency. there is a $5.00 Fee for each additional in~aecri~n. H. The Ta~n ~¢ard u~cn reqUeSta~- ~ ap;Iiccnr for a permit, m~y waive m whole ar lhe pr~'~s~cns af ~aicIe 11, Scotian/'~o, subdivisions (~ and ~rwhere it fin~ ~hat nature al the I. Ua:n ::=rcvcl 0¢ this cZSl/cation the Tcwn C:~rk .viii ~ssue o :erm,t ro the cegiiccnt. ~uch ~erm,r ;h~il ~ evadable for inspcc~ on a~ any time, Upon request. .~ Exc.mmed ............................................. : ....19 ....... /k~. ~ tm, red ........................... ~ ........... y ........................ Sign=rure oi: C~,ei:'~,.~n ................................. : ................................................ ~...: ................................. AF?LICAT:Ctq IS' ,_-~.-:v q ~ ...... MADE to ,~He Town Bcord o~ the Town oS ,ou ..old. ~ew York. for the issusm~e of ~ Detroit ..... to the Lows, Orc:ncnc~s ond ing 'h_ Cczstc[ and Jn?~rior %~'edcnds, Fi::d PJ:ins onc Dremcge A~ees o~ the Town Fe.m~t re~:_st,d ,o ........ .~-.........---,.. ..... _~~.~~_.~.~.....,~...~....~ ......... ~-~ ~ ~ ................... ..... .............. . "~/~'- ~~~ ~-'.~ .Z~_~9 ' Size o~ prox:sed work: .'- ~.. ~- . ~~ . . .......................... ....... ............................................................................ ~ ......... ~..'.'...~ ...... ~.:.&~..~~ ................ : ................. , ....... ........ He~h~ A~ave Nigh Wcter ................................................................................................................. ~e~:h ~clcw [*w W~r~r .................... ~ ....................................................................................... . ~,~,,o ~, ,=.,~,~ ....................... .,.~...~ ........... =~....~.....~~ ~,~: ,o ~ ~.,,~ ................................... ~.+~...~.,. ............................. . ~ ~ · w~ o~ ~, ~ o~ b:y ~i,g p~m,. ............. Z.~......~ ................................................. .................... TT'S' ................................................................................ A~o~:~ 2;:~ ;n T;Je ............................................................................................................................ :,r= ~:,,~= ....... ~~ ....... ~. ....... ~.................... ....................................... Monner in which mo:ariel will be removed cr de2asit,zd ................................................ %Vrirten czn--enr cf awt~er of prcpert-/, if not the some o2 the ccciiczn: ........ .~....:.~.~/~....~...~ ....... ~.-. ............. ~CUNTY OF :UFFC~: .. ) ~. "' - ' STATE OF ND,'V YORK )--' ~ ~.a~ ~.~.~.~.~L ....................... ~.. . fcr:~ in tM3 ~-~; ...... cnfi cs m~v be czzrzvac k,, the Tcv.'~ cn', cnc c,] c. ........ ---~-=~ c./ cicims crzsln~ unc:r cr ~ ct ~tm,t, ,r grcn:~. ~:.., ~ ....... .~..~...~ ........... , ~...~ ·~N~?ry Fuzlic - ' T~A~I~