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HomeMy WebLinkAboutTR-194 TOWN OF SOUTHOLD BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No. ...194.......... has been granted by the Town Trustees according to information furnished in Application No. 17............ filed by Applicant ... Q1n,p ...£or ..Stanley„Chase,,,,,,, on ,,,Aug,;,,,, ,,,,,,,,,,,,, 193A.... A map of the proposed work will be kept on file in the Trustee. Office ..under the application number given. Permit granted to do the following work ...:To,,Install;,,a...4.'„ X,,,45,'....fIxed...dor—k...to...a.... ... .3'x16 ' ramp and a 6 'x20 ' float secured..by„tyiQ...$,..,,, ............... ................................................................ ... be elevated. 3 ' over marsh. ................................................................................................................................................................. Location of property on which work to be done ..on,.the ea.s„of..South Drive,,,,Ma;ttitu.. . .........................................................................................................................6........................... . ................................................................................................................................................................. Creek, Bay or Harbor fronting property ......Mattituck Creek ........................................................ ................................................................................................... Size of work: :Length .,,Dock..45., ,...Ramp..16 ' ,.,.Float..?0...................................................... Width .J. ,Rck..4.1 , Ramp .3 .!...Float..6 ............................................................ - Height Above High Water .......3........................................... Depth Below Low Water N/A . . ................................................................................................. N/A Yardsto be Excavated ..................................................................................................... N/A Yardsto be Filled ......................................................................................................... Manner in which material is to be removed or deposited ........-.--'------............................................. ...................................................................................................................................................... . Intended use of property Private .• , `�:-. ................................................................................................. . .................... .. ......................................................................................................................................................... Conditionsif any ..................................................................................................................................... ................................................................................................................................................................. Expiration Date .NOVEMBER. 26,. 1985 IF. WORK..HAS.NOT .COMMENCED„BY SAID DATE..„ „ Number of Inspections Required 2 — TRUSTEES TO BE NOTIFIED UPON„COMPLETION;, ................................................. . Inspection Fees $5. 00 Paid ........................................... . .......................................................................................... ----------------------------- Liability Policies in the Amount of .......................... .......................................................... .� .The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the event 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 permit, assume all responsibility for operations under- taken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations. By such acceptance, the applicant also agrees to indemni- fy and save harmless 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 permit, give consent to the Town, and its officers and employees to enter upon the premises where such operations 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 intrusion into the fresh water resources of the town. D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife and 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. H. Weaken or undermine the lateral support of other lands in the vicinity. I. Otherwise adversely affect the health, safety and general welfare of the people of the town. Signed President Board of Southold Town Trustees Date... :/...� 30 HENRY P. SMITH, President �C JOHN M. BREDEMEYER, Vice-Pres. c� TELEPHONE (516) 765-1892 PHILLIP J. GOUBEAUD 0 a, ALBERT KRUPSKI, JR. �,�'✓ �' ELLEN M. LARSEN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 August 1, 1986 Mr. Glenn E. Just The Land Use Company North Country Road Box 361 Wading River, New York 11792 Re: Permit no. 's 1919-193, 1920-194 and 1919-225 Dear Mr. Just: The following action was taken by the Board of Trustees at their regular meeting held on July 31, 1986 regarding the above referenced matter. Moved by Trustee Bredemeyer seconded by Trustee Goubeaud it was RESOLVED that the request made by The Land Use Company on behalf of Stanley Chase for an extension on permit no. 's 1919-193, 1920-194 and 1919-225 is hereby DENIED and it is further advised that new applications will be necessary for these projects. Very truly yours, Board of Town Trustees Henry P. Smith, President Ilene Pfifferling, Clerk HPS:ip cc: Trustees file DEPARTMENT OF THE ARMY NEW YORK DISTRICT. CORPS OF ENGINEERS 26 FEDERAL PLAZA NEW YORK. N. Y. 10278 October 2, 1984 _. REPLY TO ATTENTION OF: Regulatory Branch/Eastern Permits Section SUBJECT: Application No. 84-613-L2 Ilene Pfifferling Town of Southold Town Hall , . 53095 Main Road P.O. Box 728 Southold, NY 11971 y6ear Ms MPfifferling We have received a request for Department of the Army authorization for the following activity: ACTIVITY: Construction of three similar T-shaped pier assemblies on .three separate lots. On Lot A, a 130-foot by 4-foot fixed pile-supported pier, a hinged walkramp and a 20-foot by 6-foot float would be constructed extending approximately 110 feet offshore of the line of mean high water. The piers on Lots B and. C would differ in the length of the fixed piers, being 140 feet and 45 feet long and extending approximately 110 feet and 50 feet offshore of mean high water, respectively. Each pier would be elevated 3z, feet over the grade of the marsh; IN: Mattituck Creek AT: Home Pike Road and South Drive, Mattituck, Town of Southold, Suffolk County, New York APPLICATION BY: Stanley Chase 116 Centre Island Road Oyster Bay, New York As this work is minor in nature, authorization may be by Letter of Permission. This is in accordance with current Federal Regulations governing work in navigable waters of the United States. To accomplish the coordination required, prior to the issuance of a Letter of Permission, your review of the enclosed drawing is requested. Pursuant to Section 307(c) of the Coastal Zone. Management Act of 1972 as amended (16 U.S.C. 1456(c)) , the applicant has certified that the activity complies with and will be conducted in a manner that is consistent with the approved state coastal zone management program. To allow for the timely processing .of the subject application, your comments are requested within 20 days of the date of this letter. Sincerely, Enclosure Dennis J. Suszkowski , Ph.D. Chief, Regulatory Branch Typical Section Scale: lit - 40' 0 3' x 16 ' ramp 4' x 130' fixed dock ; MhW - we and lvr �'• `" o ^ . Tidal Range - 5' - 61. x 20 float w -gn ile '� - �•� Note: Fixed dock will be elevated. sp , . 35 over. tidal wetlands '�. Sca4•. �` scud a Suffolk County Lo+ A Hagstrom Map 23 •� ,, Purpose: Private 4' x 130' fixed Mooring° dock o -y Datum: Mean. Sea lever . W 3' x 16, ramp Ca� 8" spiles 6 ' x 20' float �• �` rya ,,� - , �" - .. wl Scale: 111 - 100' Zf 5C �y o° Proposed Float Dock �' ' in Mattituck Creek i at Mattituck Ad,Zoinin, Owners Town of Southold County of Suffolk 1 . Stanley Chase - 116 Centre Island Rd. State of New York Oyster Bay-, NY Application by: 2. Peter Meskouris - 69-08 Ditmars Blvd. Stanley Chase TJackson Heights, NY Prepared: 7/27/84 Sheet 1 .of 1 f � _ Typical Section Scale: 1" - 40'. . 4' x 140' fixed dock 3.' x 16 ': ramp ' 6' x 20' 4 fl— hw wetland lw f� w,A Tidal range 5' ., 8". spite a Note: axed dock 'will be ' elevated' 3,5'over tidal -wetland Plan' y '30W ; 4 _ 07 Suffolk County - n�. Hagstrom Map 23 Lo+ g 4241 �0 4' x 140' fixed q dock40 cO 4 - `r--"3` 16' ramp Scale. 1 100' . " (2} �..b' 'x 20' float y 50 100 150 ,:. . (2) 81, spiles CO Purpose: Private " Mooring r �w o . Datum: Mean Sea 'level •�� .• Proposed Float Dock . Ad3oining Owners: : in Mattituck Creek ' Solange Falzon at Mattituck ..� 69-15 Exeter St. , Forest Hills, NY Town of Southold 20, Stanley Chase County of Suffolk 116 Centre Island kid. , Oyster Bay,` NY - , State of New York- Application by: - Stanley - Chase _ - - - Prepared: 7/26/84 Sheet 1 o f .l _ Typical Section ncaj, 4' x 45' fixed dock 3' x 16' ramp . ` X 61x ; 20' float - fringe mhw F marsh mlw ` Tidal Range = 5' (2) 81, spi es Note: Fixed dock to be elevated 3-05' over marsh Plan South Drive , Scale: 1"= 40' � Sco1 : �`9 3ca� - %10 ' 0 Suffolk County ru Hagstrom Map 23 L��- o Purpose: Private Mooring Datum: Mean -Sea Level CO Existing Stairway = Exi sting slops of Bulkhead wetlands mlw Existing depth �J 45' fixed dock 9 at mlw (2) 81, spiles 3' x 16'. ramp Proposed Float Dock in Mattituck Creek t 6 ' x 20' float at Mattituck Town of Southold �--flood ebb---- County of Suffolk Mattiturck -Creek width - 800" State of. New York Application by: Ad;ioining Owners Stanley Chase Prepared: 8/5/84 1 : John Skinner '- 39 Hickory St. Sheet l of - 1 Part--Jef-ferson, NY 2, A-. Cershwind - 48 '2nd P1. 2 Brooklyn, NY i 4 TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD . Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT Dated: October 26 , 1984 Pursuant to Article 8 of the Environmental Conservation Law State Environmental Quality Review and 6NYCRR Part 617, Section 617. 10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as lead agency for the action described below, has determined that the project, which is unlisted will not have a significant effect on the environment. DESCRIPTION OF ACTION Application of Stanley Chase for a permit under the provisions of the Wetland Ordinance of the Town of Southold to install - a fixed dock leading to a ramp and float secured by spiles on property located on the e/s of South Drive, Mattituck. The project has been determined not to have a significant effect on the environment for the following reasons : environmental assessment has been submitted which indicated that o significant adverse effect to the environment are likely to occur should the project be implemented as planned. Because there has been a response from the Southold Town Conservation Advisory Council indicating that this project would not have a significant effect to the environment. Because there has been no response in the alloted time from the New York State Department of Environmental Conservation and the Southold Town Building Department, it is assumed that there are no objections nor comments from those agencies. Further information can be obtained by contacting Henry P. Smith, President, Board of .Town Trustees, - Southold Town Hall, Main Road Southold, New York 11971. Copies to: Charles Hamilton, DEC, Stony Brook Land. Use Company for Stanley Chase Commissioner Williams, DEC, Albany Southold Town Building Department L,"' Southold Town Conservation Advisory Council` Town Clerk.° s Bulletin Board SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL Southold, N. Y. October 23, 1984 Mr. , Henry- Smith Board of Town Trustees Southold Town Hall Southold, NY 11971 Dear Mr. Smith: The following action was taken by the Conservation Advisory Council at a regular meeting held Tuesday,. October 23,. 1984. RESOLVED to recommend to the Southold Town Trustees approval of the wetland application _#-224 submitted by Mrs. June Hussey to re- place 10.0 feet of existing bulkhead. East Creek, Cutchogue. RESOLVED to recommend to the Southold Town Trustees approval of the wetland application #225 submitted by Stanley .Chase to install dock and .ramp and float. Mattituck. RESOLVED to recommend to the Southold Town .Trustees approval of the wetland application. #226 submitted by Stanley Chase to install dock, ramp and float secured by two spiles. Mattituck. RESOLVED to recommend to the Southold Town Trustees approval of the wetland application #227 to install dock, . ramp and float secured by two 5piles. Dock to be elevated 3 ' over tidal wetlands. Mattituck Creek, Mattiuck. RESOLVED to recommend to the Southold Town Trustees approval of the wetland application #228 submitted by En-Consultants, Inc. on behalf of Strong' s Marine Center to construct retaining wall and backfill. rApproval is recommended on the condition that all dredging done be at least 6 feet from existing spartina grass. RESOLVED to recommend to the Southold Town Trustees approval of the wetland application #229 submitted by Carlo DeGaudenzi to construct bulkhead and install floating dock, ramp and maintenance dredge. Ole Jule Lane, Mattituck. RESOLVED to recommend to the Southold Town Trustees approval of the wetland application #2.30 submitted by Latham Sand and Gravel Inc, for Bess Pulitzer to repair bulkhead. Conditional approval given providing any excavated areas where there is spartina grass the grass must be replaced. RESOLVED to recommend to the 'Southold Town Trustees approval of the wetland application #231 submitted by En-Consultants for Stephen Shilowitz to replace existing bulkhead, dredge existing upland to 10 ' below MLW with spoil to be placed on adjacent upland. Install new bulkheading and floats. End of Sixth Street, Greenport. RESOLVED to recommend to the Southold Town Trustees approval of the wetland application #232 submitted by En-Consultants, Inc. for Ludwig .Becker-Hunt to construct timber dock consisting of fixed elevated catwalk, ramp and float. Construct timber retaining wall and returns. Jockey Creek, Southold. RESOLVED to recommend to the Southold Town Trustees approval of the wetland application #233 submitted by Tosca' Holding and Realty Corporation to build groin. Huckleberry Hill, East Marion. RESOLVED to recommend to the Southold Town Trustees approval of the wetland application- #234 .submitted by Charles H. Thomas to install a dock, . Gardiners Bay, East Marion. RESOLVED to recommend to the Southold Town Trustees approval. of the wetland application #235 submitted by John S . Tessier to maintenance dredge providing they do not deposit the spoil on the east side, must be put on, the west bank. Inlet to Spring Pond from Orient Harbor, ,East Marion. RESOLVED to recommend to the Southold Town Trustees approval of the wetland application #236 submitted by Port of Egypt Ent,, Inc. C & L' Realty, Incorporated to maintenance dredge along waterfront at Port of Egypt Marine and C & L. Realty (formerly Southold Fishing Station) . Greenport. RESOLVED to. recommend to the Southold Town Trustees approval of the wetland application #237 submitted by En-Consultants, Inc. for John Newman to replace timber bulkhead and backfill. Remove and replace pilings. Remove existing bulkhead and build new bulk- head. Dredge basin. . Install hinged ramp and ,floats. Install rip-rap along deteriorated bulkhead. Sailor' s Needle, Mattituck. f Respectfully submitted, FRANK CICHANOWICZ, CHAIRMAN Jane Rousseau, Secretary September 11, 1984 RESOLUTION - IV 3B RESOLVED that the Southold Town Trustees declare itself lead agency in regard to the State Environmental Quality Review Act in the matter of the application of Stanley Chase for a Wetland Permit :to construct a fixed dock, ramp and float on the e/s of South Drive, Mattituck. Sept. 7, 1984 Called Mr. Cole, DEC office. He advised an administrative review was done. No objections to the project, but would suggest that no dredging for the future. 10-84-1010 - DEC ref. no. Q(e TELEPHONE (516)765-1892 BOARD ' OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 September 28, 1984 Charles T. Hamilton Alternate Regional Permit Administrator N.Y.S. Dept. of Environmental Conservation Building 40, SUNY - Room 219 Stony Brook, New York 11794 Dear Mr. Hamilton: Enclosed is the application of Stanley Chase for a Wetland Permit to construct a fixed dock, ramp and float secured by two spiles, on the e/s of South Drive, Mattituck. This project is unlisted and our initial determination of non-significance has been made and we wish to coordinate this action to conform our initial determination in our role as lead agency. May we have your view on this matter. Written comments on this project will be received at this office until October 17, 1984. We shall . interpret your lack of response to mean there is no objection by your agency. Very truly yours, Henry P. Smith, President Board of Town Trustees Ilene Pfiffering Secretary to Board Enclosures cc: Commissioner Williams Building Dept. Typical Section 0 10 20 30 4' x 45' fixed dock , 31 x 16' ramp ` y 6 'x 20 float fringe mhw .�.-�• 4 O c marsh mlw '+ Tidal Range 5' M((2) 8t' es '� `'ha; Note: Fixed dock to be elevated 3.5' over marsh--\ Plan South Drive 100, o aoac+' Scale 1 "= 40' s.:�k: ��•soaor ti0 Suffolk County Hagstrom Map 23 Tax Lot o 1000-106-11-21 Purpose: Private Mooring Datum: Mean Sea Level Existing Stairway Existing Toe of sloe _ Bulkhead wetlands Existing depth 45' fixed dock = 3' mlw Proposed Float Dock (2) 8 spipi le�r 31 x 16� ramp in Mattituck Creek 6' x 20' float at Mattituck •- flood ebb---- Town of Southold County of Suffolk Mattituck. Creek width 800' State of New York Application by: Adioining Owners Stanley Chase Prepared: 8/5/84 1 . John Skinner - 39 Hickory St. . Sheet 1 of 1 Port Jefferson, NY 2. A. Gershwind - 48 2nd P1'. , Brooklyn, NY TOWN OF SOU•THOLD - SHORT ENVIRONMENTAL ASSESSMENT FORM INSTRUCTIONS : a In order to answer the '-questions in this short EAF it is assumcc that the preparer will use currently available information concerning the project and the likely impacts of the action. It is not expected that additional studies, research or other investigations will be undertaken. (b) If any question has been answered Yes the project may be . significant and a completed Environmental Assessment Form is necessary. (c) If all questions have been answered No it is likely that this project is not significant . , (d) Environmental Assessment . Wi project result in .a large physical change to the project site or physically alter more than 10 acres of land? . . . . . . . . . . . . . . . . . . . . . . . . Yes VVV 2. Will there be a major change to any unique or -unusual land form found on the site? . . . . . . : . . . Yes _ No 3 . Will project alter or' have a large effect on ✓/ existing body of. water? . . . . . . . . . . . . . . . . . . . . Yes YNo 4. �'lill project have a potentially large impact on groundwater quality? . . . . . . . . . . . . . . . . Yes �10 5. Will project significantly effect drainage.flow on adjacent sites? . : . . . : . . : . . . . . . . . . . . . . . . Yes 6. Will project affect any threatened or endangered plant or animal species? . . . . . . Yes 7. Will project result i.n .o major- adverse effect on air quality? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No 8. Will project have a major effect on visual ._._. character of the community or scenic views or vistas known to_ be important to the community? . Yes No 9. Will project adversely impact any site or structure of historic, prehistoric or paleontological importance or any site _ designated as. a critical environmental area . by a local agency? . . . : : : . . . .V: . :YY. �: . .Z•. . : ti Yes Np 10. Will project have a major effect on existing or future recreational opportunities? . . . . . . . . . Yes /No 11 . Will project result in major traffic problems or cause a major effect to existing .. transportation system's? .": . . . . . . . Yes No • 12. Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturbance -as a result .of the project' s Yes (/ N operation?. . . . . . . . . : . . . ., . . . . . . . . . . ... . . . . : .: . . 13 . Will project have any impact on public health• or . safety? .'. . . . . . . . . . . . . . . . . . . . . . . ... . . . . ... . . Yes o 14. Will project affect the existing community by directly causing a growth ' in -permanent population of more than 5-percent over a one year period or have a major negative effect on the character of the community or neighborhood? . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . Yes_N 15 . Is there 4b11Controversy concerning the T project? . . . . . . . . . Yes ' o PREPARER ' S SIGNATURE REPRESENTIr:G ` DATf'" '� /f (-U:.E Corn#.any N. COUNTRY RD. ! BOX 361 WADING RIVER, N.Y. 11792 (5i6) 9-29-3575 August 11 , 1984 Board of Trustees Town of Southold Town Hall Southold, N.Y. 11971 Re: Wetlands and Dock Application Stanley Chase - South Drive, Mattituck Dear Board Members: Enclosed please find permit applications and supporting data relative to this project. Kindly contact me if you require any further information. I remain, er 1 Y u s, es 1. B wman CWB/am Enc. j Q a Town Of Southold Town CIerk's Office Southold, N. Y. APPLICATION' FOR WETLANDS PERMIT Application No. ... .Q�....I.................. Date of Application ..9.,Au ust.. 1981 ............... Identity of Applicant Stanley..Chase.............„................................................................................ Address of Applicant �.�.6...Centre,.Island..Rd,4,a...Qyste day..jy..x..................................... - INSTRUCTIONS FOR PERMIT A. This application is to be completely filled in by typewriter or ink and submitted to the Town Clerk in quadruplicate, accompanied by written permission from the owner of the property if not the same as the applicant. B. Pilot Plan must be drawn to scale) of property, the names and locations of proposed project. (Note: Copies Of 1 Motion—Resolution—Offered by Mr...........ell to the Permit Application:) Seconded by hir........,1 C. No operation shall be initiated bI Roll-fall F®r Adoption D. A detailed statement of the rehc work is completed must be given, incl! E. If permit is being sought for a single dock or jetty, then this opplica certified by a registered land survey shall be based upon an approval local, ings shall be based upon United State Yes No Abstain Present Absent Survey datum. Trustee Smith F. A statement must accompany tF on the premises in question and whe Trustee Bredemeyeig structures or to dredge or deposit fill were ever revoked or suspended by i Trustee -'Kuj awski G. A filing fee of $25.00 shall acco Trustee' Bednoski there is o $5.00 fee for each addition] H. The Town Board upon request y the provisicns of Article (I, Section proposed operations are such that •I proper consideration of a permit opp I. Upon approval of this application TOTAL permit shall be available for inspecti —-—Yes --No...--Absent ..„.„„.Abstain Examined .................................................. 19....... Approved ................................................................ Disapproved ........:.... an �.......-n. •.. .!..•� ...n..-.w. ..•M..w.....l.... ........ ..... ............................................................................. ................................................................................ • .................................................................................................................................................................. Examining Body .............................:...................:............................................................... . .................... Signature of Chairman ............................................. . . ......................................................................... APPLICATION IS HEREBY MADE to the Town Board of the Town of Southold, Suffolk County, New York, for the issuance of a permit pursuant to the Laws, Ordinances and Regulations govern- ing the Coastal and Interior Wetlands, Flood Plains and Drainage Areas of the Town of Southold: Permit requested to Install a 4'x45° fixed dock to a. 3' x 16 ' ramp and a 61x2O' float secured by�two��811. spiles. �Dock.�tobeelevated3'over����� tidal wetlands. ................................................................................................................. Location of property for which permit wanted..on„ he e/s..o f..,South..drive,.Mattituck .............................................................................................................................................. Home address of permit applicant if different from aforesaid Iocatien .............................................. 116 Centre Island rd. , Oyster Bay N.Y. ................................................................................................................................4................ Mattituck Creek Creek, Bay or Harbor fronting property ...............................................................................................:. . .............................................................................................................................................................. Size of proposed work: Length Dock.. ...4�.°..iRa�??I?... .. 6.�.�.Float... ..20.�...................................................................... Width Dock = 4' ; Ramp = 3' ; Float = 6 ' .. .............................................................................................................................................. HeightAbove High Water ..... ............................................................................................................. n/a DepthBelow Low Water ......................................._..................................................... .. Yardsto be Excavated .......................................... ............................................................................... Yards to be Filled n/a ................................................................................................................................... Width of canal, creek or bay fronting property....800!..................................... Depthat Low Tide ................................................................................................................................. Average Rise in Tide r J� •fir; - , Is this for private or business use? ....Private ...«.................................................. Area Zoning .................:......................0......dential..............................................:........................... ' One work Vessel Menner in which material will be removed or deposited ...........................................................«..... . ..........:....... ................................................................................................................................................ Intended use of property ......M-9X :ng................................................. ...............:................................. -_ «.••••.M..................• •...••...•••«.«••••••«••««••...•••••..•••.••«••••.••.•...••••.•..•••.••••M•••..•••.•••••••.•.........•....................... Written consent of owner of property, if not the some as the applicant Enclosed ......................................... .....................................................................................«.................................. . ........w.•u..«..u..•..u...«.«...«•«w.«.u«.w.••....•••.«..H.«...............................•..u. ..................o..... .............««. COUNTY OF SUFFOLK SS: STATE OF NEW YORK ) Dorothea Green . .......................................................:.........:.::.::..........................:.................. being duly sworn deposes Lan�IIse Company is the agent for and says that ie is the applicant for the above described permit, and that ail statements contained herein are true to the best of his knowledge and belief; that the work will be done in the manner set forth in this application and as may be approved by the Town Board of the Town of Southold. The applicant agrees to hold the Town of Southold and the Town Board harmless and free from any and all damages and claims arising under or by virtue of said permit, if granted j� .......... Signature of Applicant For Land':IIse 'Company Sworn to before me this ...1.1 th day oft . .. ....... ................ ........ ....... • •..• N..•.•..•.•.1..9.8:...4.•.....• Notary Public CHARL.ES W. BOWMAN NOTARY PUBLIC, State of New Yorik No. 4668958, Suffolk (;Aunty,. gommission Expires, March_34,14- p r-,y. 7Y r; {;�'f �'r.;F'�/ f'�' j ,,lyt�. , it:.' ..t.. :� ;�_'.. \ .�: 1 _.., ,9�..•• .•���., •,_ �Jn•: '_t+1'f,., .. ..n:' ,.. 21•i.iFy,✓:i�wr.���t. .n�i.. ��. till,) �. d::,. na. .:t,a �'.rJE..• •�'. ,:.'f:.a..�-,. .r ., .,,'�.•.��.•.w•�'�.