HomeMy WebLinkAboutTR-1603 GF ALL DC~ A~iD BUild. ADS MUST D~S=~ V~S~B~ P~IT
.... Board Of Soutno, d l own Trustees
SCu mOLD, NuW YORK
!SSUEDTO Albert Rountree
Pur~uanf fo fhe ~rovklons o{ Chaplet 61~ of fha L~ws
fhe Sfafe of New York 1893:~a Cha~fer ~04of me L~ws of
Sfefe o~ New York 19~2; ~nd ~he Sou~no[a Town Ordinance
R:~U~ATff~G AND THE PLACING OF OgSTRUCTiONS
iN AND ON TOWN WATERS AND PUgLJC LANDS a~ fhe
RE~OVAL OF SAND. GRAV:~ OR O~ ..... ~ATm,IALS
LANDS UNDER TOWN WATERS;" end [n accordance
: ..... 19.....~.~., a~a b 5~00
of ........... .G~.e~.~Z~. .......................................... N. Y. ~ng sub'ecf fo fhe
~o~a~,~ons [~fed o~ fhe reverse sMe hereof,
of Sour~o]~ Tow~ Truszees author les e~d permlfs the
Approved un~er the Grandfather Clause a ~' X5'
p~er~ a 12' x 3' walk, 40' x 5' floating dock in
the Howards branch of the Mattituck Creek.
a~ in accc~a~cs w~h ~ne deTa~[eo~Dec~I~ca~.ens .... a~ D~esen~e~
~he or~9~na%~n9 app[~caf~on.
IN WI,N..S WHEREOF, The said ~oara o{ Trusfees here-
' by causes ifs Corper~fe Seal fo be affixe~, an~ fhe~e ~resenis
su~scn~ea by a malomy o{ +he aid ~ ' as
~oara of fhk
TERMS and CONDITIONS
~ae Pe:mJ~,~ Alber~ Rountree
raldingae Mattituck P~O. Box 948
pa~ of ~qe co~{deradon for ~e ~ace o~ ~e P~[ d~ ~dc~d ~d ~ co ~: fol-
Iowh~g: 1. That the Southold Trusuees Permit must be prominently
diso!aved, on the premises ;==~ ;
e= .... e= thereby aur~nc the period of
2i ~Ka: ~e s~d ~ of Tr~s ~d ~e Town of ~u~o/d ~ ~d from
~ damages, or da~ for d~ag~ of ~ a~g ~Jy or ~r~Jy ~ a r~t of
aden ~rfo~d pm~t ro ~s ~ ~d ~e ~d Pe~ wH~ at ~ ~ hez own ~ the
defend ~ny ~d Mi su~ s~u ~t~ by ~d pard~, and ~e ~d Pe~ ~
wi~ respec~ Knife;o, ro ~ ~plere ~ci~ion o~ ~e ~d of T=e~ of ~e Tow~ of ~-~o:dPerml
sufficient ~e r~uifed ro core,ieee ~e '" ~avo!v~ hue should &c~/~c~ w~'~ for mu e=e~ion may be ~de ro ~e B~d ar a later
~. ~at ~s Peter shoed be reraLu~ ~def~tely, or as ~ono ~ ~ smd P~e
eo maintain the s~e or F~;e~ involve, to provide e~dence to ~yone ~ncern~_~
or=anon w= or~r~lly ob~ned.
5. ~at ~e work kavolved will be ~bj~ ro g~e ~sp~on =d approv~ o~
in agents, and non-compliance ~5;h the p=ovNio~ of ~= ori~n=~g appH~6o~ ~y ~ ~e for
revocadon of this Pe~it by r~otu~on o~ the said B~rd.
O. ~a~ there w~l be no mnrmsonable in~erf~ence wi~ na~on ~ a tempe
herein au6~or~ed.
7 That ~ere shall ~ no Ntefference wi~ the Hght of ~e
. ~ac ;o p~s ~d rep~ ~oag
mhe beach be~een h{gh and iow water m~ks.
8.. That g furore opergiom of ~e Town of ~old r~nke ~e rmoval ~d/or
in the location of the work her~n auOlo~ or fi, N ~he opium ot ~e Bond of T~e~
work sh~ ~use u~e~o~b!e obs~on ro free savigariom ~e s~d Pe~=ee ~U.
u~a due norlce, to remove or atge. mis work or project herein stated ~cur ~
of Sou~ol~
o~=ed. (See uear ozz snee~)
!0. ~at une Per, ir:ce w{li obr~n aH o~er pc~ and co~en~ ~t ~y ~
ptemenz~ ro ~is pe~Et whi~ ~y ~ ~bj~ =o revoke upon f~e to ob~ s~e~
FIL :=COP y
TELEPHONE
1516) 765q892
BOARD OF TOWN TR[STEE$
TOWN OF SOU~HOLD
Town Hall. 53095 Main Road
P.O. Box 728
Southold New York 11971
May 10~ 1983
Mr. Albert Rountree
P. O. Box 948
Mattituck, New York 11952
Dear Mr. Rountree:
Please find enclosed~ the permit issued under the
'~Grandfather Clause'~ for the structure at the Howards
Branch of the Mattituck Creek.
Thank you for helping to keep all of the structures
in the town registered. Please post your permit number.
Very truly yours~
Board of Town Trustees
Paul Stoutenburgh
President
PS/ip
Enclosure
BOARD OF TOWN TRUSTEES
Town of $outhold
Main Road
$ou~hold. Nei~' York ]1971
NOTIC~OF ACTION - NCFf A PEP~IT
1 Your application, dated ...... .~1~--V.~...-1..8.,--...1- ~- -8- -3- ................................ has been reviewed by this
Board, at a meeting of the Trustees held on ..... _,v~r...3.,...1.9.83 .............................................................
and resulting in the action, as indicated below:
(......X..X.o.X.) Application appraveo.
( ............ ) Application denied.
( ............ ) Application tabled.
2. Comment$ond remarks:
Approved under the Grandfather Clause a 40x5' pier a
12 x 3ft wal~ and a 40 ' x 5' floating dock.
A PE~IT FEE
': If ynur OgDJ[COtiO.q is Oapcoved above. ,.~ .-'27r~ m~' ,-F'r;~ is now due, and should be made payable
to t~ order of the Board of Southa]d Town Trustees This fee is computed below accord]no
the Scheduleof Rotesas.set forth in the instruction 5heek~rm ~/l). ~nis
paid within 90 days or re-appzyzpg, ana aaeztlong_z zee wz.+z u~ ~e~ssa~)
If the Permit Fee is bald in person to the bec,e[ary of the Do,rd.
~t the same time. ~f ~be f~ Js paid by mai~, the Dermir will b~ ma~;ed in rep[y.
Comsutotion of Perm)t Fee:
Total Fee for this application ............................ : .............................. $ ........................................
Signed ......
Pres. Board of 5ou,}~old ]'awn Trustees.
BOARD OF TOWN TRUSTEE5
Town O~ Southol~ .~
Southold. New York 11971 ' t ..... ~'='~z" .e~
APPLiCATIO~f FOR F~ED and/or FLOATING-~0'C~gTM
2. C~ntractor's name and address: ..................................... ~. :
4. ~e~ issua of a Permit, work must be ~=eed within one year.
~RGE
5. Secure the correcv Area Moo frcm the Clerk of this Board. cad oy using a/X %V1THIN
A C~uL~ mdicete as c]oseIy as DOSS ~ the 1ocodon of this ~ock. On the reverse si~e of this
mop, provide a SCALE DRAWING which will show Ordinary H~gh Water Mark, rna
ann s~ze of the dock and ~ny supplemental pilings which ere neeaea to ham ~ flaming dock
or tie-up ~ bott. Give ah d~men~ions necessary to 2etermine ~he are~ of me dock surface
9~ZCH ~X~.,,DS OPPSHOP~ from rne O. ~. W. M. Z~ adjaeen: prope~ owners have
docks, specify location and length to scale.
6. W;[[ ~my p0Ftfon of this construction extend o~[shore ~nto Iow~ ~'a~ers, beyond mn
line or boundc~ formed by other similar structures along the ar~c's shoreline? YES ok
If it does extend beyond this s~-caJled d~k Hne indicate by how Tar. ~pproximatety~
7. , row~e ,he fodowmg documents:
(a) A Licensed Engfneer's Survey of the prope~ involved.
A copy of the Contractors Plans and Specifications.
(be Short Environmental Assessment Form.
,(~.~ ~ Wetland~ _App~icat~on
8. w~i this cons?ruction r~qu re the Filling of any land offshore of the Ordinc~ High V/ater
~Mark or the Dredging of any material from Town Lands under waterP YES or NO. If it does,
Dredging/Filling) must parr of this
Form Al4 (Applicanon for be completed and attached as
application.
9. In requesting acgrova[ of this application, I sub,it mar: the information presented herein
is true end correct to rne :est or my know~edge and belief: I cm .... person ccccunt~g.e
the oerformance of the work in accoraance with me glans cna sDecificadons attached; I have
revolved; and further. I intend To adhere to and aD,aa Dy ;~e Terms and Conditicns of
Permit when and F issued ~o me.
10 To expedite finding s~ecific loca~ioh for inspe~ion, i,.dica~e
~=--;,. . by using a temporary marker~ · .~~:].. .
'" ?OWN OF SOUTHOLD
SHORT ENVIRONMENTAL ASSESSMENT FOR~J
INSTRUCTIONS,:
~aj in ~rdar ¢0 answer Che-ques%ions in ~hls shore EAF i% Ls assumed
Cha¢ Che preparer ~ill use curren¢ly available in£orma¢ion concer~ing
p~ojec~ and Che ~ikely /mpacCs of Che ac¢ion. [¢ is no~ expecCed
eddiC/anal s~udles, researcR or ocher inves¢£ga¢ions w111 be unde~¢akeno
(b) IF any ques¢ion has been answered Yes Che projec¢ may be
s&gniFican¢ and a compleCed EnvironmenCal Assessmen~ Form ls necessary.
(c) ZF ali ques¢lons have been answered No i¢ &~ !£~ety
projec¢ is no~ signl£1aan¢.
(d) Ehvironme~¢al Assessmen¢
1. Wlll projec~ resul¢-&n o large physicai change
¢o Che projec¢ siCe er physically alCe4r more
~han lO acres a~ land~. .............. .o... .. ., ._.Yes._LNo
g. Wilt ~here be a major change ~o any unique or
unusual lend form found on Che siCe? ...... : o.. Yes_~_No
3. WilZ pro]ec¢ alCer or have a large efface on
exis¢ing body o£ waCer? ...................... __Y~s ~__No
4. WllI projea¢ have a poCen~ialty large impac¢
on 9roundwaCer quali~y? ...................... Yes o
f. Will projec¢ significan¢ly efFec¢ drainage
£tow on adjocen¢ si~es? ........ ' ............... _Yes__~_No
6. %~i!1 projec¢ efface any ChreoCened or
endangered plane or animal species? .......... __Yes ~ No
7. ?/ill projec¢ resul¢ in o major adverse
on air quoliCy? .............................. __.Yes~j~_NO
8. Will .projec¢ have o major e£fec¢ on visual
characCer of Che communiCy or scenic views or
vis~os known ¢o be imporCan¢ ¢o Che communiCy? Yes.~. No
?. ¥/ill projec¢ adversely impoc¢ any si~e or
sCrucCure of his¢oric, prehis¢oric or
poleon¢ologlcol impor¢cnce or any si%e
designa%ed as o cri¢icol envlronmen¢ol oreo
10. Will projec~ have o ba3ar effec~ on exis~in~
or fuCure recreo¢iono! opporCuni%ies? .........
11. Will projec¢ resul~ in major %rofflc problems
or cause a major effec~ %o exis¢ing
~ronsporCa~ion sysCem'5? ~ ......................
12. %9i!1 projec¢ regularly cause objec¢ionoble
od~rs~ noise, glare, vibra¢ioq, or elecCricaI
disCurbonce os ~ resul¢ of Che projec¢'s
opero¢ion? ....................................
13. Will projec~ hove any impoc¢ on public heol%h'
or safeCy? .................................... Yes~No
14~ Will projec~ offecl ~he exis.~ng community by
directly causing o 9rowCh in-permonen%
population of more ~'hos 5 percen~ over o
year period o~ so.va o major nego¢ive
on Che character of %he Q~mmunity or
neighborhood? ................................. Yes~No
15. Is ~here public controversy concerning ~he
projecl? .......................... - ............ . Yes~No
PREPARER'S ~