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HomeMy WebLinkAboutTR-2290 ALL MOORINGS D ''STAKES' MUST' DI-SPLAY VIE-'_, _,LE MOORING NUMBERS ALL DOCKS AND' BULKHEADS MUST DISPLAY VISIBLE PERMIT NUMBERS V C k WI . Board Of Southold Town Trustees SOUTHOLD, NEW YORK Mooring # N/A IC K PERMIT 4D NO. ......2290 9.8.7 ATE: ......1 Marino !no Far aguna aWCD TO ...................... ............................................................................................................ . kcji Pursuant to the provisions of Chapter 615 of the Laws of M, W. 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- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS V. IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM and in accordance with the LANDS' UNDER TOWN WATERS; Resolution of The Board adopted at a meeting held on ...kl�a..2A,... 19.87 sum of .....25-00 AV ............ and in consideration of A' paid by Marino Faraguna ....................................................................................................................................................................... of .......!�a�chogue .......................................................................... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, k of Southold Town Trustees authorizes and permits the following: A roval to install one additional piling on creek side of" pp the ee existing float to providelateral suppport. Mud Cr. k 4m :Za all in accordance with the detailed specifications as presented in CA the originating application. CO V IN WITNESS WHEREOF, The said Board of Trustees h.ere- by causes its Corporate Seal to be affixed, and These presents to fit. r be subscribed by a majority of the said Board as of this date. . . ... ..... ............. .. ...... d Oar .............................................................................. ........... ....... ................................................... hl tl ........................ ..... Trustee j N A-]Z W- P-lease tear off and return to the Trustees card Of Southo' d Tow, r L, ss SOUTHOLD, NEW YORK MCORI-NG NO.— pE MIT NO. DATE: ISSUED TO that the work. as authori- in - cc r-4t has been cc:ncieted and. is now rcady fcr your in--:: recuired on th' s pro cc is clearly v is Iso, 'the nuni _ t Cn. 'ti this perm; t.- is noz via.1 ; 4 unt; ' this tcar Si = TERMS and CONDITIONS The Permittee Marino Faraguna residing at Skunk Lane, Cutchogue N. Y., as al . 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 •r all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper under •f.;tion 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.parries, and the said Permittee assumes full liability permii 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.: That this Permit should be.retained indefinitely, or as long as the said Permitree 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. :..,:i'; •' 6. That there will be no unreasonable interference with navigation as a result of the work herein authorized. V 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 marics. 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 he 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 of 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. ALL DOCKS AND BULK- HEADS MUST DISPLAY �� N VISIBLE PERMIT NUMBERS. BOARD OF TOWN TRUSTEES , TOVIN. .OF SOUTHOLD 3 ALL MOORINGS AND ..... Tele hb' e STAKES MUST DISPLAY Main Road (516-765-1892) VISIBLE MOORING NUMBERS. Southold, New York 11971 NOTICE OF ACTION - NOT A PERMIT T Marino Faraguna o Marino 1. Your application, dated...4:??:87.:........... ....... ....has been reviewed by this Board, at a meeting of the Trustees held on. Ap; 1 290.1987 .... ......... and resulting in the action, as indicated below:- (X.Xoxo?�l Application approved. (.....) Application denied. , (. ....) Application tabled. 2. Comments and remarks: 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 111) . 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 Permit will be obtainable at the same time. If the fee is paid by mail, the Permit will be mailed in reply. 4. Computation of Permit Fee: Please remit the required $25.00 for the piling. Upon receipt of same your permit will be forwarded to you.. Total Fee for this application. . . oo . . .. . . . . . . .. ... . .. . .. . . . . . .. . . President, Board of Southold Town Tru y C,I7 '• TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF SOUTHOLD, SUFFOLK COUNTY; NEW YORK FOR -T-HE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF THE TOWN OF SOUTHOLD, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODES OF THE TOWN OF SOUTHOLD. APPLICATION NO. DATE OF APPLICATION-1- 7 47 IDENTITY OF APPL I CANT-/"lAgi fo --i_ R(.'t)A)5 --�(1�_��j`�G�G(��PHONE NO7-7 _ ` ry 75r . ADDRESS OF APPL I CANT /- -/�.1a/'d�—r' VI -----------��-,,yy----------y--==-------------------------------------- ----- TAX MAP NO.t-00() AGENT PHONE NO . ---------------------------------------------- PERMIT REQUESTED TO OL -------------------- -- 419-AAF & 71 OF PROPERTY FOR WHICH PERMIT WANTED ����ti/� L19IAF -------------------------- �`/G��-6pe�r- ------------------ HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION --------------------------------------------------------------------- CREEK, SAY OR HARBOR FRONTING PROPERTY21 _--_ --------- I�,(', SIZE OF PROPOSED WORK ^ LENGTH /v WIDTH --------------------------------------------------------==--- HEIGHT ABOVE HIGH WATER ry / DEPTH BELOW LOW WATER / , ------------------------- v YARDS TO BE EXCAVATED / ) /9 — YARDS TO BE FILLED -------------------------------------------- WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY -; ----------------------- DEPTH AT LOW. TIDE ----------------7-------- -------------=---- AVERAGE RISE IN TIDE ---------------------------------------------- D I STANCE TO THE NEAREST CHANNEL-3 000 / FT . DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA C✓ F IS THIS FOR PRIVATE OR BUSINESS USE? --------- ---------------------= AREA ZONING C- !� L, :? � %-7A� - --------------------------------------- MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED A ------------------------------------------------ I NTENDED USE OF PROPERTY ���� 0/"'I�' ----------------------------------------------- DESCRIBE ANY KNOWN PRIOR .OPERATIONS CONDUCTED ON,'THE PREMISE __ T-----/ 4 ®� ---------------------------- ---- ------------------- --- AND WHETHER ANY PRIOR LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER ANY PERMITS OR LICENSES .WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENT. AGENCY -. ------------------------------------ �. DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS COMPLETED 1NC� UDE AN ADDITIONAL SURVEY OF THE PROJECT SITE IF NECESSARY_ 'O �'/_� -------------------------------------- ---------------------------------- WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, IF NOT THE SAME AS THE APPLICANT . ------------------------------ ---------------------------------------------------------- - ------------- ARE THERE ANY COVENANTS- OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? /�'c� BOARD OF TOWN TRUSTEES TOWN .,OF. SOUTHOLD SHORT T ENVIRONMENTAL ASSESSAMENT FORM Project Information (To be completed by Applicant or Project sponsor) 1. Applicantisponsor 2. Project Name s 3. Project location: Municipality Cl/LJ�(f„ 01/ � (/ �"r L� County 4. Is proposed action: P ❑ New ❑ Expansion %Modification/alteration 5. Describe project briefly: ! T' W-1 iW 1-2-99dD 6. Precise location(road intersections,prominent landmarks,etc.or provide map) AJ 7. Amount of land affected: Initially acres Ultimately acres 8. Will proposed action comply with existing zoning or other existing land use restrictions? Yes ❑ No If No,describe briefly 9. ` hat is present land use in vicinity of project? t Residential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Parkland/open space ❑ Other Describe: 10. Does action involve a permit/approval,or funding, now or ultimately, from any other governmental agency(Federal,state or local)? Yes ;y No If yes, list agency(s)and permit/apprgvals 11. Does any aspect of the action have a currently valid permit or approval? Z Yes ❑ No If yes, list agency name and permit/approval type �x�S�7h��-r� lJ E�ci/� 1`'C-�1 f�.� �j �1J�h/`►���Q� • 12. As result of proposed action will existing permit/approval require modification? - ❑ Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant fspo o name: �" / .s' i/�-`�`•g�•" 2 ~C..'17 /J /� Date: 4 Signature.: / /�Gz / 1 , v -PART 11 Environmental Assessment (To be completed by Agency) . A. Does action exceed any Type I threshold in 6 NYCRR, Part 617.12? If.yes,coordinate the review process and use the FULLILONG FORM EAF. ❑ Yes ❑ No Q. Will action receive coordinated review as provided for.Unlisted Actions in 6 NYCRR, Part 617.7? If No, a negative declaration may be superceded by ar involved action. ❑ Yes ❑ No C. Could action result in ANY adverse effects on, to,or arising from the following:(Answers may be handwritten, if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic patterns,solid waste production or disposal,potential for er drainage or flooding problems? Explain briefly: C2. Historic•archeological,visual or aesthetic,or other natural or cultural resources;agricultural districts;or community or neighborhood character?Explain C3. Vegetation or fauna,movement of fish or wildlije species,significant habitats,-or-threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources? Explain briefly. C5. Crowth, subsequent development,or related activities likely to be induced by the proposed action? Explain briefly. C6. Secondary,cumulative,or other effects not identified in Cl'C6? Explain briefly. C7. A change in use of.either quantity or type of-energy? Explain briefly. PART III Determination of Significance (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or other significant. Each.effect should be assessed in connection with its (a) setting(i.e. urban or rural); (b) probability of occurri (c)duration;(d) irreversibility;(e)geographic scope; and(f)magnitude. If necessary, add attachments or reference support; materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identifi and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. TI: proceed directly to the FULL/LONG FORM EAF and/or prepare a positive declaration. ❑ Check this box if-you have determined, based on the information.and analysis above and any supporting documentati( that the proposed action WILL NOT result in any Significant adverse environmental impacts AND provide here, and attachments as necessary, the reasons supportng this determination: Agency Narne Agency Preparers Name . Da:e ti F •1 COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS: Ncq esyVAJ19 BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL 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 APID AS MAYBE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT , IF GRANTED. In completing this application I hereby authorize the Trustees agent or representative to enter o to my prop rty to inspect tie premises in conjunction with rev ' e of �this p ligation. IGNATURE O APFV CANT SWORN TO BEFORE ME THIS DAY OF (^\ \ 1 9 g� PEG Y d. Dlotary Pub?ic, State of New Yorlt No. 472A113 Quilified County NOTARY PURL I C Commission 1xp _s EXAMINED APPROVED "WETLANDS" PERMIT (CHAPTER 97) APPROVED "BOA_T, DOCKS, WHARVES" PERMIT CHAPTER 32) DISAPPROVED " WETLANDS PERMIT"CHAPTER 91) DISAPPROVED "BOATS , DOCKS, WHARVES" PERMIT CHAPTER 32) CONDITIONS , IF ANY EXAMINING BODY SIGNATURE OF- CHAIRMAN - COMPUTATION OF FEES SU2VEYCD 1 2 f S, s-- __.. ....•-_ _. __�GIUL14N-4- THE it ER SYSTEMS CUTG�-IOC��I yy ; CONFORM Toww C?� SOUTHQ(._o, LY. --.-1 err SUFFGLK G F S' ' . - -' SUFFGLK rI SERVICE'. CONSTRUCT DATE: - � ... H. S. REF. NI V Fleod- zone A-4 000-yx) /oa�- zorse, r�6loo--.vaa7rf APPROVED: N.f32 OO'tO't*'. a� IV. 82°UO'l0 E. - 250.0 SUFFGLK - A-}- roo.o. ro' �.nart x.-• - T p I etec t# DIST. I OWNERS A D I _7 I a : 113 �----1---- a C} ' 175 F 0 Fro. �---- to _ �31 C , " - � S - � •.J (1� r L; DEED: L.-' TEST HOL 250•'` nai(i r+ Femme s •. __�-_ - 10 / z'�o �i t jb- -Fr. loan i o scale. Qo'- c Lo4 113 Arect = 1G.9876 . - s� _ ..tnarrur•t�tert-f- . _ _•.._.--- o - iron © Well � tear _- =-_ Guartyrt feed -Fc -Me sarnd cfr -rifle J 5urcrnce Co.