HomeMy WebLinkAboutTR-1747 GF UL %iGORINGS ND STAKES MUST DISPLAY VISIBLE MOORI::G :X.-:BERS
ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PERMIT NUMBERS
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Board Of Southold Town Trustens
/ -� SOUTHOLD NEW YORK
Mooring #
- �'� PERMIT NO. ...........1.�.47 DATE: ..Oct..•.....2.8.f.....1983
.......... ..........
` �!
ISSUED TO ................Clau'de...E.......Davis.(.....Jr....................................................
;{ Pursuant to the provisions of Chapter 615 of the Laws of
'the State of New York 1893; and Chapter 404.of the Laws of the
vf; State of New York 1952; and the Southold Town Ordinance en-
°; titled REGULATING AND THE PLACING OF OBSTRUCTIONS
�. ., -`_e``` IN ,AND ON TOWN WATERS AND PUBLIC LANDS and then --
f REMOVAL OF SAND GRAVEL OR OTHER MATERIALS FROM
/ em,�s,, �� ,,��L`•1 y -,
LANDS UNDER TOWN WATERS;" and in accordance with the A.,;TC���
Resolution of The Board adopted at a- meeting held on ....Qct.....•.11..,
19..g.35......0.0
..... and in consideration of the sum of $
... .......... paid by
�•. F'� ...................................CldE. Dav1S./.....Jr. ;' s..•
,i `_ ►�.� ...... ....... !3. !
.. of 1.A.t;11tuck........................................................... N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
„: r•p of Southold Town Trustees authorizes and permits the following:
P fry; Application approved to secure a permit for a dock
in James Creek, under the Grandfather Clause Al, fz
all in accordance with the detailed specifications as presented in
the originating application.
1
IN WITNESS WHEREOF, The said Board of Trustees here- y
by causes its Corporate Seal to be affixed, and these presents to
�" be subscribed by a majority of the said Board as of this date.
.�
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Please tear off and retuJA
rn to the Trustees
Board Of Southold TovV/n T rustees
Grandfather SOUTHOLD, NEW Yn RK�:..,, I �I 't��cA.DS MUST
Clause ,�,1_T D�.�._,�� ,�� .D C.,��� ��- -
MOOR'=:cG NO. DISPLAY VISIBLE PEI MLI l tdU,Vit3EPIS
PERMIT NO. - 1747 D/1;TE: Oct. 28 , 1983
ISSU_LD TO C1 a"CIP E_ DE-ri c. .Tr
I certif,, that the wort. as authorized
i- this ;,er:::t has teen cc.:z eced and is now ready °c: your inn^ec-
t:cn. Also, the nu�iter re^uired on thin project is clearly visible.
I further understand this per-it iS not l i
•�- d until this tear sheet
TERMS and CONDITIONS
The Permittee Claude E. Davis, Jr.
residing at Box 17 , Mattituck N. Y., as
part of the consideration for the issuance'of the Permit does understand and prescribe to the fol-
lowing: 1 . That the Southold Trustees Permit must be prominently
displayed on the premises effected thereby during the period of
That the said Board of Trustees and the Town of Southold are released from any and work
all damages, or claims for damages, of suits arising directly or indirectly as a result of any oiler- unde
43tion performed pursuant to this permit, and the said Permittee will, 'at his or her own expense, the
;defend any and all such suits initiated by third parties, and the said Permittee assumes full liability permi
with respect thereto, .to the complete exclusion of the Board of Trustees of the Town of Southold
3_ That this Permit is valid for a period of 19 mos. which is considered to be the
sufficient time required to complete the work involved, but should circumstances warrant, request
for an extension may be made to the Board at a later date.
4.; Tliat this Permit should be retained indefinitely, or as long as the said Permittee wishes
to maintain the structure or project' involved, to provide evidence to anyone concerned that auth-
orization was originally obtained.
5: That the work involved will be subject to the inspection and approval of the Board or
its agents, and non-compliance with the provisions of the originating application, may be cause for
revocation of this Permit by resolution of the said Board.
6. That there will be no unreasonable interference with navigation as a result of the work
herein authorized. =_=
7. That there shall be no interference with the right of the public to pass and repass along
the beach between high and low water marks.
8, That if future operations of the Town of Southold require the removal and/or alterations
in the, location of the work herein authorized, or if, in the opinion of the Board of Trustees, the
work shall cause unreasonable obstruction to free navigation, the said Permittee will be required,
upon due notice, to remove or alter this work or project herein stated without expenses to the Town
of Southold.
9. That the said Board will be notified by the Permittee or the completion of the work auth-
orized. (See tear off sheet. )
10 . That the Permittee will obtain all other permits and consents that may be required sup.
plemental to this permit which"may be subject to revoke upon failure to obtain same.
W
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TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
October 28 , 1983
Mr. Claude E. Davis, Jr..
Post Office Bos 17
Mattituck, New York 11952
Dear Mr. Davis :
Transmitted herewith is your permit which was granted
under the Grandfather Clause, for your structure. Please
post your permit number on your structure, so that it
can be seen from the water.
Thank you for your co-operation, in regard to this
matter.
Very truly yours,
Board of Town Trustees
Ilene Pfifferling
Clerk to Trustees
Attachment
BOArm OF TOWN` TRUSTF;ES
Town Of Southold
Main Road _.. �.
Southold, New York 11971 `
APPLICATION' FOR FIXED and/or FLOATPIG DOCKS
P . .. L'�. r
1. A�r liccnt's name end address: ..•,• . .............
....I .... . ...�...:?..........MAI&.........�.� .��...�. I.I. I..�..�-....................Tel
2. Ccntroetor's nome and cddress: .... .+ .................................... ...................................................................
................................................................................................................................Te i.. ........ .,.............
3. Briefly explain the urp,c- of this cpp!icaticn: .�... .,�.� .. '
�. I ...:���....... .......
. . . - ..� : ...��6......4, .. .
.... ..
ITL
/* .........................................................
`1 0-4 a Pe_-Mit, :Jorl. must be c0:"L7. lered `.Jit in year.
. one
-
LARGE
5. Secur'e the correct Area ,,'cp from the Clerkof this Bcord, er.d by using a/ X V✓I T H!N
A CIRCLE: indict c as closely as pcssible the Icccticn or this dcci:. On the, reverse -i6c of this
mcp, provide a SCALE DRAWING which will show Ordincry High Water Mork, the shr_ce
and size of the dock end any supplemental pilings which are needed to hold a flooring dock
or tie-U:) n bent. Give all dimensions ne--=:iscry to deter-mine t'
O_ _- n the area %f the r!oc[• slifi•�n
r '�'S Q?y from the O. H. �l- ,�1. TL adjacent pro -erty owners have
docks, speci-4=y location and length to scale.
6. Will any portion of this construction extend offshore into Town Wcters beyond on imeginr-
line or houndcry formed by other simi!cr structures along the arco's shoreline? YES or NO.
If it does extend beyond this sc-call;:d deck line indicate by how for, epproximately . ......
7. Provide the following d--cumenrs:
(a) A Licensed Engiri2er's Survey of the prc,:)ertv involved.
(b) A copy of the Contractor's Plans and Specifications.
c Short Envirorirpent'] As T
. s;meat form. �eeded-
d V7et.larcis Atopi.icatif�n
8. Wi I this ccns�ruction- require tho Filling of eny lond offshore of the Ordinary High Water
Mark or. the Dredging of ar;y r oterial frcm Town Lards under :vat^r? YES cr• NO. if it ces,
Form A/•: ;Arplicet;,n cpplicoticn. -for Dra•dginU/Filling:) n.usr be completed end atteched os pert ef`this
9. In rec,uesrin; cpprovol of this =pplic-ction, I submit thet: r1he information presented r-,crein
is true cnd corr,�zt to th-2 best cf my k;.ov led;-� and belief; I em the person ecccunrc:;ic for
the performance of tr-.c :pork in eccordcnce with the okon: and specificcticns ettocned; I hove
read cr cm forniiicr wirh tLie prc:v;sions 3t any• Soui):oijr TOwn Crdinance perrinenr to t^e work
invo!ved; and fur her, I inr^n,"1 to cdhere to a^,^ C:Jii L- the Tdrr15 and C..naiticns o1 The
Perrrit,.when and if issued ;o ma.
10. To e:cpedite Li:7dincr Spz�ciFic lecatian lror �.r.s _ n, indicate
by using a temporary marlLer:�
A /2 R��• . 7 /R? 1 r
• TOWN OF SOUTHOLD
SHORT ENIVIROMMENTAL ASSESSMENT FOMA
INSTRUCTIONS :
(a ) In order to answer the questions in this short EAF it is as;umc
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 proiccct may be
significant and a completed Environmental Assessment Form is necessary .
(e ) If all questions have been answered No it is likely that this
project is not significant .
(d) Environmental Assessment
1 . Will project result in a large physical change
to the project site or physically alter more
than 10 acres of land? . . . . . . . . . . . . . . . . Yesl/No
2 . Will there be a major change to any unique or /
unusual land form found on the site? . ... . . . - . . . Yes s✓ No
3 . Will project alter or have a large effect on
existing body of water? . . . . . . . . . . . . . . . . . . . . . . Yes-3� No
4 . Will project have a potentially large impact
on groundwater quality? . . . . . . . . . . . . . . . Yes a No
5 . Will project significantly effect drainage /
flow on adjacent sites? Yes s✓No
. . . . . . . . .. . . . . . . . . . . . . . . .
6 . Will project affect any threatened or
endangered plant or animal species? . . . . . . . . . . . Yes, '/No
7. Will project result in a 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? . . . . . . . . . . . . .. .
. . . . . . . : . . .
. . Yes VINO
10 . Will project have a major effect on existing 11
or future recreational opportunities? . . . . . . . . . Yes (X No
11 . Will project result in major traffic problems
or cause a major effect to existing
transportation systems? . . . . . . . . . Yes No
y 12 . Will project' regularly cause objectionable . .
odors, noise, glare, vibration, or electrical
disturbance as a result of the project ' s ,af''
- operation? . . Yes No
.No
13 . Will project have any impact on public health
or . safety? . . • .. . Ycs t/ No
14 . Will project affect the existing community by
directly causing a growth it) permanent
Population of more. than 5 percent over a one
Year period or have o major negative effect
on the character o_f t community or
neigf . . . . . . . . . .
-iborhood? . . . . . . Y
__ c slo
lS . Is they^ public eontreversy concerning the
project ? . . . . . . . . . —Yes—1/Ho
PP.-PAr-R ' S SiG, ATURE
kEPRESr; zr DATE , "
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