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TR-1174
ogu�Fot�- Jill A Doherty,President Off' CD P.O.Box 1179 Bob Ghosio,Jr.,Vice-President GV_� Southold,NY 11971 James F.King y Telephone(631 765-1892 Dave Bergen ,y IM Fax(631)765-6641 John Bredemeyer 'F Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: a3 I7 Q JOHN FISCHETTI & DEBBIE DEAVER request a Transfer of Wetland Per #1174 from John P. Dietzel to John Fishetti & Debbie Deaver, as issued on July 12, 1976. Located: 1675 Pine Neck Rd., Southold. SCTM#70-5-42 Type of area to be impacted: _nbaltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: &hapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: l r s Modifications: Conditions: Present Were: J. Doherty B. Ghosio J. King D. Bergen, J. Bredemeyer D. Dzenkowski other Form filled out ' the field by Mailed/Faxed to: Date: t' Zt �+ yy t E U IL J U L 18 2011 Southhold Town Board of Trustees Soul ---� rl \-�A- VI-s--LC ujU o(2, C te 0 � � C c©n n e c, clbl� 1 ^� \ �44 �W �D�,��j�,r �v..rr ;,rri i avrii ��_•��.yr ., ��iii ;i� ,f�, �'� ' ^ " _ r a:s?r•,r sis,.•��",'':ir:r-ia°�+�."'•-,r✓y'f% ^' "<'.r'.�n-''r,.'. ,,'r3 F i""Trr,� .�a'z,. ':5•L' J � G, +.vf=:�+� 1__ � __ __�L__L,:s = _1.r��___ =mot,.L.��,_ _ < +,,�� �.'';.�.-•. Board Of Southold Town Trustees SOUTHOLD NEW YORK pq PERMIT NO. .......1..1.7..4............... DATE: ...July....1.2......197 ►`' }f ... d ISSUED TO ................................JOHl\T...P......DIETZNLI.. Pursuant"to the provisions of Cha ter 6 f 5 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 Southold Town Ordinance en- !p ' titled REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the '�- `�� REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM I , o LANDS UNDER TOWN WATERS;" and in accordance with the _ to Resolution of The Board adopted at a meeting held on ..July......1.2., � 9 a. t kl� 19....7.6., and in consideration of the sum of $.......... paid by.,..2Q... .............................................John...P......D.ietzel.........................:.......................................... � ' of ..1.6.73....Pin.e...N.eck...Rd...,.SouthoM,Y. and subject to the ; 3 Terms and Conditions listed on the reverse side hereof, • "' i of Southold To and permits the following: wn 'Trustees authorizes - _ p ;. Permission to place dock 381x4' (below H.W. mark) at Jockey Creek, directly in front of his aF ns property at Pine Neck Road, Southold, N.Y. "a tiiq yy yY, all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees Kere- by causes its Corporate Seal to be affixed, and these presents to ~� 601 7 °al be subscribed by a majority of the said Board as f t is date. ; aM,x ex L / ���. 1z Q , e'"�..CQ u'4%'1�G•G" � ✓ �I t /rf��.. �.9^ / �,/q,`n li i �2'• •d+/ �.D,,�, - 9 rr+ �. .. ..................l�..e'... ........ .a�r a �'�•i < z A; _. z�� Trustees 'fiy'r I,/tj,tl }- h-E' �t ,1 r L 4 <- 'F sy`ii,1 Y, �r' t, �`J 1� s Jil v �`� JJRy,� 611YdG 1�A4Kfh p p �i`a StF ✓ �`6 � C? jt�t�2SCfr Yn(tg'$E�tBy .: r3' 'r�, �.,+1f ...A' nl ' It A� l� ^l • fA � gli if'- ,At fr- � ..<�YI '�rj.' ',SfK� 'tl-i e. t•'� � . 2�` rA3M1�' � d Tj�F� ..w�.\��� <� �,� 7747.N'r ett���`� .��4t�'•- �( n :y\u�.. �j '• ��a �dd277 , ,�� y �: ,�'Q�",i��j� f-k'• �,K�'F�te�aw�e: t TERMS and CONDITIONS The Permittee __ .Ic)hn P- Tli P1-7 Pl residing at 1675 Pine Neck Road, Southold, N.Y. N. Y_ as part of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper- ation performed pursuant to this permit, and the said Permit-tee will, at his or her. own expense, j defend any and all such suits initiated by.third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold `! 2. That this Permit is valid for a period of mos. which is considered to be the estimated 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. i 3. That 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. I 4. 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. f 5. That .there will be no unreasonable interference with navigation as a result of the work I herein authorized. 1 I 6. 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. i 7. 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. 8. That the said Board will be notified by the Pertnittee of the completion of the work auth- orized. I i 9. 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. i I i V I I i� { • �•.� - - �� —per F � � i� -' ( c`7 :�• �� !{ ra �tiIVi( I 3 • � ,� ` l"tom j ---- r'h^� �ry5 / . &1.O N L 0, 11 rD LnT � ,� r n 4- •�y � eft . . �,"� •� -� ,�` P/1 Rev/6;72 BOARD OF TOWN TRUSTEES Town of Southold . Main Road Southold, New York 11971 To: .......John..P.....Di.etzel.,....1.675.....Pine..Neck..RD.ad.,...Southold,...N..Y._.....1.1.9.7.1 1. Your application, dated ffune...7,....1.9.7.6.......................................... has been reviewed by this Board, at a meeting of the Trustees held on ...............July...1.2......1.9.6.............................................. and resulting in the action, as indicated below: (.X �...) Application approved. (............) Application denied. (............) Application tabled. 2. Comments and remarks: Please send the balance of fee $10.20 at your earliest convenience. 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). If the Permit Fee is paid in person to the Secretary of the Board, The Permit will be obtainable at the same time. If the fee is paid by mail, the permit will be mailed in reply. Computation of Permit Fee: dock 38' x 4' (below H.W. Mark) = 152 sq. ft. @. 10sq. ft.= 15.20 less $5.00 filing fee - 5.00 Ti-O.20 Total Fee for this application ........... ............................... :$ ... ..�.D.,. Q...AI`?QWT...DUE Signed JALVAH..B.....G.OLDSMT� ''t�—............... Chm. Board of Southold Town Trustees. b �c C' Se retary. A/2 - Rev. 6/72 BOARD OF TOWN TRUSTEES Town Of Southold Main Road Southold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS 1. Applicant's name and address: S H N P ,v Ib-7LC` 7,6S— / a f 9 .......................:.............. q M1-461V01-1 A Psa- ............................ . 1G7;f P.a.� /d/ ch 47a o Sdw.yo�� !f!,Y ..... ........ ......... ....... .... 2. Contractor's name and address: ..................................................................................................... .................................................................................................................................................................. 3. Briefly explain the purpose of this application: ........................................................................ P.....P..aut.....AJ D u,S-1A � F�a1i7��6 ............................................................................... ...........................................................................>..................................................................................... ................................................................................................................................................................. 4. After issuance of a Permit, I expect to: (mark by an X) (a) Commence work — AT ONCE ............: ASAP ...x.....; UNKNOWN ............. (b) Complete work in — 1 DAY ............: 1 MO. .X........; 1 YR. ............; FUTURE ............. 5. Secure the correct Area Map from the Secretary of this Board, and by using an X WITHIN A CIRCLE indicate as closely as possible the location of this dock. On the reverse side of this map, provide a SCALE DRAWING which will show Ordinary High Water Mark, the shape and size of the dock and any supplemental pilings which are needed to hold a floating dock or tie-up a boat. Give all dimensions necessary to determine the area of the dock surface which extends offshore from the 0. H.. W. M. Also sffr' it�r2'AC FD copy o tt surrvgr,w wi>H 14tiP Fd7a,ZJ-'D PdGk 6. Will any portion: of this construction extend offshore into Town Waters beyond an imaginary line or boundary formed by other similar structures along the area's shoreline? YES or NO. If it does extend beyond this so-called dock line indicate by how far, approximately...........ft. AIa7 91) /17Y V A,0 AF O G L 7. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. 8. Will this construction require the Filling of any land offshore of the Ordinary High Water Mark or the Dredging of any material from Town Lands under water? YES or NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as part of this application. No 9. In requesting approval of this application, I submit that: the information presented herein is true and correct to the best of my knowledge and belief; I am the person accountable for the performance of the work in accordance with the plans and specifications attached; I have read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work involved; and further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me.' L. S. ....... ........................................... ,Accepted by: Dated: �17,1 "b 7-7,4 ,_�QO cz%aw_ j Q RO LU :�YaTER ,•�- ... _ - _ _- - .gip -: '- c�F�'R� � Goose R 27 CD �= _ - G I - - J - •ice •L -L.'