HomeMy WebLinkAboutTR-1534 ALL MLOORINGS 0 STAKES MUST DISPLAY VISI 3 RLOORING NUMBERS -
ALL DOCKS ANL nJLKHEADS MUST DISPLAY VISissLE PERMIT NUMBERS
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, .. �..� Southold Town Tru ste� s
/.TM--�• - i:•,: SOUTHOLD NEW YORK ..
MOORING NO. N/A �.
J t�
PERMIT NO. 153 r 19 � z
j
4 ,
DATE: A it 20 8
ISSUED TO Fred Melin
K )Y. ........................................................ ................................................................ . :iefc5
............. \4Ce1
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 -
' State of New
York 1952• and the Southold Town Ordinance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the fit; ens"�r�Y
REMOVAL OF SAND GRAVEL,OR OTHER MATERIALS FROM
yam;: LANDS UNDER TOWN WATERS;" a :J� and in accordance with the '!� -�`�•%-�' -
r 1
IL
Resolution or The Board adopted at a meeting held on . p
and to consideration of the sum of 50 aid "
................................................._...........red Me1in
--' F
♦ _ .1• ,y yak
, F tire.
of Cutchogue..................................... Y. and
N. subject to the
La �ti
Terms and Conditions listed on the reverse side hereof,
��•:=1!�a of Southold Town Trustees authorizes and permits the following:
to extend an existing float an additional ten feet. - !
fl
ti,i ti\
all in accordance with the derailed specifications as presented in g. .•; Y
the originating application. ?; '`c
l: I'! IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporate Seal to be affixed, and these resents to41
`'1 s :
f.al be subscribed by a majority of the said Board as of this date.
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----- =� f a _senrus _ -� \-,-------
Boa rd Of Southold Torn Trustees
SOUTHOLD, NEW YORK
MOORING NO. N/A
PERMIT NO. ......15.34............. DATE: ........
ISSUED TO ..........Fred Me.lin.......
I� certify that the work as authorized
in this permit has been completed and 'is now ready for your inspec-
tion. Also, the number required on this project is clearly visible.
I further understand this permit is not valid until this tear sheet
is returned to the Trustees.
Signed - Owner Signed - Contractor
j
S�
TERMS and CONDITIONS
The Permittee Fred Melin
residing at __ 325 Sterling Road, Cutchogue N. Y., as
part of the consideration for the issuance of she Permit does understand and prescribe to the fol-
lowing: 1. That the Southold Trustees Permit must be prominently
displayed on the remises.- effected thereby during the period of
2. That the said Board ofTrustees 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 oiler- Work
ation performed pursuant to this permit, and the said Permittee will, at his or her own expense, under
defend any and all such suits initiated by third parties, and the said Permittee assumes fall liability the,
with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southoldpermit.
3. That this Permit is valid for .a period of QhLE YEAR which is considered to be
sufficient time required to complete the work involved, but should circumstances warrant, request
for an extension may be trade 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.., _
_ ,� :5 _, .. � ._.'--•-- , is _, _. ___..
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 Permirtee 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.
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{, Board Of Southold Town Trustees ►
SOUTHOLD, NEW YORK
. =�
S �� PERMIT N0. .....1484................ DATE: ....Jul.y...3.,....1981
z:• � �I : .. � .,, _, ._:�::._ � � �e�_ ,,� : `
ISSUED TO ....... Fred Melin
..................................
Aut I �
d Il
I
zution
�I Pursuant to the provisions of Chapter 615 of the Laws of
P P
the State of New York, 1893; and Chapter 404 of the Laws of the .
•` '{I State of New York 1952; and the Southold Town Ordinance en- :.
titled "REGULATING AND THE PLACING Or OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the °
-�� REMOVAL OF SAND, GRAVEL OR OTHER MATERIAL
S FROM '
LANDS UNDER TOWN WATERS;" and in accordance with the jk
Resolution of The Board adopted at a meeting held on ....�Tul•y.•.1.e..
and in consideration of the sum of $........25 00 paid by
Fred Melin
4 ...............
a; of ...St•erlin Rd. Cutcho ue
v a; 9...............r.......................... . o N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
1 of Southold Town Trustees authorizes
and permits the following:
' To construct 25 feet of bulkhead at private propert ,
1 of applicant at Mud Creek with the provision .it be >< `
Y � three feet from the propertX line and with the
' provision his wetlands application is approved by
a the Southold Town Board.
\� 1 all in accordance with the detailed specifications as presented in
s +. the originating application.
-/w
i 1 IN WITNESS WHEREOF, The said Board of Trustees here-
by �-
by causes its Corporate Seal to be affixed, and these presents to
ti :al be subscribed by a majority of the said Board as of this date.
"1� per, OG B ..... ...................... lir
i�
Vpprr�� u.' �' ® .... ..................... I'
Trus
,
WAMM
/////,��I.:-'���Ar __��,:.��ppqq���� _,-t/� �"'qqp��,�� tAt ��,��p� f rpA ',�:�ipg��,, to ,✓�;./p,�.� �^ ',`pr�{y�� ,a<yyn� ,iY^
TERMS and CONDITIONS
The Permittee. Fred Melin
residing at Sterling Road, Cutchocgue, 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 Permittee will, at his or her own expense,
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.
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.
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..
5. That-there will'be no unreasonable interference with navigation as`a result of the work
herein authorized:
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.
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 Permittee of the completion of the work auth-
orized.
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.
BOARD OF T071N TRUSTEES
CREEK Town ,of Southold s
Alain Road
YOUR ORIGINAL PERMIT NUMBER Southold, New York 11971
M 2 9 1991
APPLICATION FOR SPECIAL ICE DAMAGE P T
TOWN OF SOUTHOLD
INSTRUCTIONS : Fill out form below and return to ab ems ` ess. ou
should have this application approved and returned to you within a week.
1. Applicant's Name & Address : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Contractor 's Names & Address : . . . .v.���. �. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Tel. No. . . . . . . . . . . . .
3-. The purpose of this application: Redriving or replacing openwork
dock or openwork pier piling, and mooring piles , removal of damaged
piling, repair, resetting or replacement of floating docks, ramps,
or . decking, all necessitated by ice and storm damage resulting during
1966-57 "'.-Winter.
SPECIAL CONDITIONS
1. No dredging or filling is permitted.
2. Repairs to existing structures shall be limited to replacement of
timbers without change in design or dimension.
3. No repair or replacement of bulkheads is permitted under this permit.
4. No freshwater or tidal wetlands are to be disturbed under any
circumstances .
5 . A yellow permit sign provided by this office shall be displayed on
the project at all times while under replacement.
6. Original permit numbers (3 " high) must be- permantly displayed on
project.
BOARD OF TOWN TRUSTEES
CREEK Dt1 tkD Town of Southold
Main Road
YOUR ORIGINAL PERMIT NUMBER Southold, New York 11971
APPLICATION FOR SPECIAL ICE DAMAGE PERMIT
INSTRUCTIONS : Fill out form below and return to above address. You
should have this application approved and returned to you within a week.
1. Applicant' s Name & Address : . FRe-4 - m e;�j.'U. . . . . . . . . . . . . . . . . . . . . . .
. a.S. .SierLti' ►-�c� .�tl: . . ,�}.(&.Ckoglte� . r1J��: . ��cf. T e 1. No. .?3�;� / . . .
2. Contractor 's Names & Address : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Tel. No. . . . . . . . . . . . . . .
3-. The purpose of this application: Redriving or replacing openwork
dock or openwork pier piling, and mooring piles, removal of damaged
piling, repair, resetting or replacement of floating docks, ramps,
or decking, all necessitated by ice and storm damage resulting during
1984-1985I-winter.
SPECIAL CONDITIONS
1. No dredging or filling is permitted.
2. Repairs to existing structures shall be limited to replacement of
timbers without change in design or dimension.
3 . No repair or replacement of bulkheads is permitted under this permit.
4. No freshwater or tidal wetlands are to be disturbed under any
circumstances .
5. A yellow permit sign provided by this office shall be displayed on
the project at all times while under replacement.
6. Original permit numbers. (3 " high) must be permantly displayed on
project.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . .
(Tear off and return)
I, , certify that the work as authorized in
this permit has been completed and is now ready for your inspection.
Also, the permit number required on this project is clearly visible. .
PERMIT NUMBER
Siqned - Owner
i
BOARQM TOWNRTP.USTEES
OVN OF'.SOUTHOLD
St)FFOK COU T
Telephone
516-765-1938
Southold,'), . 11971
July 8, 1981
Mrs. Judith T. Terry, Town Clerk
Town Hall
Southold, New York
Dear Mrs. Terry:
The following action was taken by the Board of Southold Town Trustees
at a regular meeting held July 1, 1981.
RESOLVED to recommend to the Southold Town Board approval of the wet-
land application of Fred Melin, #67, for a permit to construct a bulk-
head with the provision that it be three (3) feet from the property
line.
Yours truly,
Anna T. Hataier, President
Southold Town Trustees
o�oSUFFot,��QG
TRUSTEES =� y�
John M.Bredemeyer,III,President o SUPERVISOR
Henry P. Smith,Vice President A ,* SCOTT L.HARRIS
Albert J.Krapski,Jr. �,f, • �'F
John L.Bednoski,Jr. ?1Q1 �a0 Town Hall
John B.Tuthill 53095 Main Road
- P.O.Box 1179
Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971
Fax(516)765-1823 TOWN OF SOUTHOLD
June 11, 1991
Fred Melin
325 Sterling Road
Cutchogue, NY 11935
RE: Ice permit #1534
SCTM #1000-138-2-9
Dear Mr. Melin:
The following action was taken by the Southold Town Board of
Trustees on Thursday, June 6, 1991:
RESOLVED that the Southold Town Board of Trustees approves the
request for "an Ice Permit- to replace 3 pilings on Mud Creek.
If you have any questions, please do hesitate to contact this
office.
Very truly yours,
John M. Bredemeyer, III
President, Board of Trustees
JMB:jmt
enc.
SOU THOLD
TRUSTEES
No. a3y
Issued Tio. Fcc.&- :a Date-6
Addresses skex%: ,,. aa., �.,6,e6.�...
V
THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION
TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD
SOUTHOLD, N.Y. 11971
TEL.: 765.1892
SOUTHOLD . T.RUSTEES
' wo.�3�
Issued To Fred M611A Date s GAP? -
Aciciress3o?z J-�-ec swi".
THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION
TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD
SOUTHOLD, N.Y. 11971
TEL: 765-1801
"%ate-s��°'_�� ", _�`' � `"��K' '>}�« � � �,.�•
�^s r '���=, * ��T• .=��" �� �_�,�., � 't ter:
r
f
4uUTHOLD . TRUSTEES
NO.
Issued To rke& fne.t .t 10 Date 91 /9 e v
Address �,..��Na Acftd - V . I Ig3r
THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION
TOWN TRUSTEES OFFICE, TOWN OF SOUTHOLD
SOUTHOLD, N. Y. 11971
TEL.: 7654801
SOUT
. 1 .HOLD TRUSTEES
NOZq ,
Issued To FReJ MeLin Date� 9p�
Addrosss4.,eiQ�in
THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION
TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD
SOUTHOLD, N.Y. 11971
:.: TEL: 765-1801 .
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A/3 - Rev. 6/72
BOARD OF TOWN TRUSTEES
Town Of Southold
Southold, New York 11971
Main Road
APPLICATION FOR A BULKHEAD, DIKE, OR JETTY
1. Does this project involve the use of WETLANDS as defined in the Southold Town Wetlands
Ordinance? YES or NO. If it does, you must file through the Town Clerk's Office.
2. Is the proposed work entirely within the boundaries of your own property as substantiated
by your Deed or Survey? YES or NO. If it is, a Permit is NOT required from this Board,
but the Town Building Inspector should be contacted for full details.
3. APP ...licant's name and address: �? b /` ,T 6//U -S�S— J-T61e e-1 X C— R�............................�....................................................... ..
Cu c r(d G-Vre N:.l.........jl.�3S'....:.................................................................. ................................... ... .................
4. Contractor's name and address: ........F! ...................................................................................
..................................................................................... ..................................................................... .�7
5. Explain briefly the pur ose of hi I application Cr,�u$/.,�...... iQ . (v�K/'��A[�
~> —
...AN� l=n►nN��,a�-�LU��a xrSi�ti �- onJ Ptv.�...0 �o�/�....................
................... ..................................... ............................ ........ ...........
..... S /-I..o.nT... .E.X7 7.20.� .L.......T.a....S_'X....7..-..`.L......
.............. . ..... . ... ..........
..............................................................................................................................................................
6. After issuance of Permit, I expect to: (mark with an X)
(a) Commence work — AT ONCE............: ASAP ...x....; UNKNOWN TIME .............
(b) Complete work in — 1 DAY ............: 1 MO. ............; 1 YR. ............; FUTURE .............
7. Secure the correct Area Map from the Secretary of this Board, and by using an X WITHIN
A CIRCLE as a mark, indicate as closely as possible the location of this project. On the
reverse side, provide a SCALE DRAWING which will show Ordinary High Water ,Mark as well
as the size and shape of the structure or work to be done. Also include all dimensions for
portions which extend offshore from the O. .H. W. M.
8. Provide the following documents:
(a) A Licensed Engineer's Survey of the property involved.
(b) A copy of the Contractor's Plan and Specifications.
9. Does this project extend into Town Waters beyond an imaginary line or boundary formed
by existing works of a similar nature along this area's shoreline? or+tlte. If it does, state
the approximate distance beyond, ..ter�.. ft. yc S
10. 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.
11. 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. ...... .del....... .................
Accepted by: Dated:
1
Tr
A/3 - Rev. 6/72
BOARD OF TOWN TRUSTEES
Town Of Southold r � flkl
Southold, New York 11971 l'
Main Road
APPLICATION FOR A BULKHEAD, DIKE, OR JETTY
1. Does this project involve the use of WETLANDS as defined in the Southold Town Wetlands
Ordinance? YES or NO. If it does, you must file through the Town Clerk's Office.
2. Is the proposed work entirely within the boundaries of your own property as substantiated
by your Deed or Survey? YES or NO. If it is, a Permit is NOT required from this Board,
but the Town Building Inspector should be contacted for full details.
�9E b /7, G/A-) 3-? r r7—ele L/tir,- R)->,3. Applicant's name and address: .........................................�..........................................................
Cu�erg d C-(/r?.. N:.x.........1173f'.....................................................................................
............. .... .....
4. Contractor's name and address: ........ !d...................................................................................
................................................................................................................................�.............. .���
5. Explain briefly th Pfur ose hi application: . eo!..:ST.�V(,I �Q ?v�K/'.rA/�N D l=n;tix ,�xi si�,..� c- a .... ".fl... . ..ro . . .:..................
............................................................................................. .......
( t•c,K/ .FL�4. ..................................................T 0A�r EX7' T/Go�`l...Sr 7a S""'x 2 L
I................ ..........................................................
................................................................................................................................................................
6. After issuance of Permit, I expect to: (mark with an X)
(a) Commence work — AT ONCE............: ASAP ...x....; UNKNOWN TIME .............
(b) Complete work in. — 1 DAY ............: 1 MO. ............; 1 YR. ............; FUTURE .............
7. Secure the correct Area. Map from the Secretary of this Board, and by using an X WITHIN
A CIRCLE as a mark, indicate as closely as possible the location of this project. On the
reverse side, provide a SCALE DRAWING which will show Ordinary High Water .Mark as well
as the size and shape of the structure or work to be done. Also include all dimensions for
portions which extend offshore from the O. H. W. M.
8. Provide the following documents:
(a) A Licensed Engineer's Survey of the property involved.
(b) A copy of the Contractor's Plan and Specifications.
9. Does this project extend into Town Waters beyond an imaginary line or boundary formed
by existing works of a similar nature along this area's shoreline? *Vror-h*5. If it does, state
the approximate distance beyond, ..ter�.. ft. dr S
10. 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.
11. 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.
501�
L. S. .... '.....i�`:......................................
Accepted by: Dated:
a CSLA `
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ELEV. CSL-1°
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or
4 OIA.X / I I I X Kz 90
;3ROOS/ P SEICT►Ot1 I ► 4
'tYP.E422
AWL I
A1nrL-3 SHEETING SI.1E1:T11.lG I
'8 LAND __ :r. :.:.::,.; y:\ i.. %�D1A"Rcb
DESIGN! SECTION! CAP DET�,1L kT"CNOR Q0 )
SGALEli44-Cr SCALE
. . " .;.t �•. .�S�1
CAP CLIP CCL-i CAP IN SERT .CIL-1 a LING
? � t
I I I I I I 4X21BOLT
GCL-1 I WA5HER
JOINT BETWEEN I AWL 5HE:ETING
CAP 5ECTIONS
CAP JOINT DETAIL CAP GIIP DETAIL
TYPICAL BULKHEAD DETAILS
FILTER X~
CLOTH
SAND
WEIDGE., I
DETAIL A A DETAIL 5-B
ELEV +1.5/.. .
• ' ' WATER SIDE
1;,j riw SOIL SIDE
f .
.41
e STAIRLESS
_ I POP RIVETS
` ' 4.•• . '
A.
WEEP HOLE DETAIL
TYPICAL CROSS SECTION 6
• TYPICAL BULKHEAD DETAILS
NOTE WEEP HOES TO BE LOCATED
ON SOFT CENTERS- `r TOTAL M
13
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---DNAUTHORIZED-ALTERATION-OR-ADDITION{ "I
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORY.STATE !
.� � �.�/ EDUCATION LAW. --
3 MAP f
! COPIES OF THIS SURVEY A",AP NOT BEARING +sy,�f v� +� f,•��y� �� P, l
THE LAND SU'VEYOR'S IN,FD SEAL OR / V
lY! EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY. I r
4^• GUARANTEES INDICATED HEREON SHALL RUN / ------ i
ONLY TO THE�c:SO.i FOR VIIfOM THE:URYE I /
IS PREPARED,AND O;HIS DEHALF TO IME r '?i����� ,,C pl LA,•7rQ ��/t'V�'=/�'�`"� _
n j TITLE COMPANY.GOVEP.i<MENYAL AGENCY,ANf �
t6 P �r LENDING INSTITUTION LISTED HeR10Nd,AND ✓le 49 IV 5
L�F it �✓ } r I TO THE ASSIGNEES OF THE LENDING INSTI- =
TUTION.GUARANTEES ARE NOT TRA7i5FiItABLE j `
•' t�r TO ADDITIONAL INSTIMIO"S OR SUBSEQUEM OWNERS.
rya o Pc S /£
Pao
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pit a
I. Upon approval of this application the Town Clerk will issue a permit to me uppli—••• ---
permit shall be available for inspection at any time, upon request.
JUDITH T.TERRY TELEPHONE
TowN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS
Southold, L. I., N. Y. 11971
June 5, 1981
Mrs. Anna Hataier, President
Board of Southold Town Trustees
Southold Town Hall
Southold, New York . 11971
Dear Mrs. Hataier:
Transmitted herewith is application no. 67 for a
wetland permit submitted by Fred Melin.
Please prepare a written report of findings •and
recommendations with respect to this application and
submit said report to me within 20 days of receipt of
this letter.
i Very truly yours,
Judith T. Terry
Town Clerk
JTT
Enclosures
r r_
r
Town df Southold
Town Clerk's Office
Southold, N. Y.
APPLICATION FOR WETLANDS PERMIT
Application No. /
........61............... Date of Application ............................1�1...�..�..
Identityof Applicant ...., �e f�...... .................I. ...........................................................................
Address of Applicant . 3Zg— 5�gR(-!"C' R-D' CJTCH°� /•()Ir /U' l/?is
.........................................................................................................
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 some as the applicant.
B. Pilot Plan must be drawn to scale on the reverse side of this application showing the location
of property, the names and locations of owners of adjoining properties, and a detailed description
of proposed project. (Note: Copies of the Pilot Plan may be made by 'a copy machine and attached
to the Permit Application.)
C. No operation shall be initiated by the applicant until all permits that are required are issued.
D. A detailed statement of the rehabilitation and proposed condition of the premises after the
work is completed must be given, including a survey if required.
E. If permit is being sought for a more sizeable excavation than the construction of a private
single dock or jetty; then this 'application must .be accompanied by a survey and topographical map
certified by a registered land survey or Professional Engineer. The horizontal control of survey
shall be based upon an approval local coordinate system. The vertical control for elevation and sound-
ings shall be based upon United States Coast and Geodetic Survey and/or United States Geological
Survey datum.
F. A statement must accompany the application describing any known prior operations conducted
on the premises in question and whether any prior licenses or permits have been issued to erect
structures or to dredge or deposit fill on said premises and whether any such permits or licenses
were ever revolted or suspended by a governmental agency.
G. A filing fee of $25.00 shall accompany the application. This filing fee includes one inspection,
there is a $5.00 fee for each additional inspection.
H. The Town Board upon request f the applicant f?Qr a permit, may waive in whole or in part,
the provisions of Article 11, Sect7o' , subdivisions 0) and ('where it finds that nature of the
proposed operations are such that 'the requirements of such provisions are not necessary for a
proper consideration of a permit application.
I. Upon approval of this application the Town Clerk will issue a permit to the applicant. Such
permit shall be available for inspection at any time, upon request.
r_
Examined .................................................. 19.......
Approved ................................................................
Disapproved ...........................................................
Conditions, if any .................................................................................................................................
..................................................................................................................................................................
..................................................................................,................................................................................
ExaminingBody .....................................................................................................................................
Signatureof 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 �:".5.�... t S o - A C v;-% i N v ih �3vttl/t d D A�a�ied �.
................................,................................................................................
T?�. . CoNTJt,s C ,Eo247Sf 8 N , Tr X/'-7�' N"b �'x!S-ri N0— -rz.oa•i Fro
. ....................................................................................................................................
Location of property for which permit wanted.......�.'��"� �� c��`�« -.3Ay
-A v,c, /.o o ' N, o r sTinaeG/N F ,e�>,
..................................................................................................................................................................
�z c i
Home address of permit applicant if different from aforesaid location .................�� .........r.......
v ........ , .c..... /93:f-..............................................................................
Creek, Bay or Harbor fronting property ...... .v. .....C.eE.0k.......................................................
..................................................................................................................................................................
Size of proposed work:
Length ...: 3.!..L/t..lf .... . ..... ........... Zt,Cy`..^....?..9:...................................................................
Width Cc3d( -�
.......................................................................................................................................
HeightAbove High Water ......... �.........:� .........................................................................................
Depth Below Low Water ..... '.
..........�....:.............................................................................................
Yardsto be Excavated ......0................. ...............................................................................................
Yardsto-be Filled ........9.....e.`.�:...��°..........S......................................................................................
01
Width of canal, creek or bay fronting property......./..':.�f.��. .'O...x.......z�......................................
Depth at Low Tide ...M/D.2> e-E OC= CR249GeV G '
.............................,................................................................................
2 �
AverageRise in Tide .............................................................................................................................
,r
Isthis for private or business use? .........VRI...... .✓....ATE..................................................................................
AreaZoning .......... N Q�IES I b�................................................... .............................................................
Manner in which material will be removed or deposited .. �� �-o "�C .....V F,�j eJ
........................................................ .
................................::......��°.."'A.,......................... ...............................................................................
Intended use of property ..N..... .
69�. .
I 0v AT.1 G-;
.......... . ... . ...Wd!. . .X... .......... . . ..........................................................................
..................................................................................................................................................................
Written consent of owner of property, if not the same as the applicant ........................................
..................................................................................................................................................................
..................................................................................................................................................................
COUNTY OF SUFFOLK SS:
STATE OF NEW YORK
~61AJ ........................... being duly sworn deposes........ . ... ..............,.... ...............................................
and says that he is the applicant for the above described permit, 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 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
�off said permit, if granted.
Sig ature of Applicant
Sworn to before me this .......Z.....................
1W rl
dayof ....... ........... .. .. ....... ................. 19.........
c
.............................. ... . .......................................,
cry Public
-ICA1P19V�.f0 �. .+�itl�ftV�
POTAR`Y PUBLIC, state of NO YIM
No. 52,4628K1, Suffolk Court
b'Q[m expires March A b;
TOWN OF SOUTHOLD
SHORT ENVIRONMENTAL ASSESSMENT FORM
INSTRUCTIONS :
a In order to answer the questions in this short EAF it is assumed
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 questioni•has been answered Yes the project may be
significant and a completed Environmental Assessment Form is necessary .
(c) If all questionsGhave been answered No , it is likely that this
project is not significant . '.
(d) Environmental Assessment
1 . Will project. resu t in a large physical change
to the project site or physically altex more
than 10 acres of land? . . . Yes�No .
2 . Will there be a major change to any unique or
unusual land form found on the site? . . . . . . ... . . Yes Y No
3 . Will project alter or have a- large effect on
existing body of ' water? . . . . . . . . . . . . . . . . . . . . . . . Yes No
4. Will project have a potentially large impact
on groundwater quality? . . . . . . . . . . . . . . . . . . . . . . . Yes�No
5. Will project significantly effect drainage
flow on adjacent sites? . : . . . . . . .. . . . . . . . . . . . . . . . Yes_"K_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 ,
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_)CNo
9 . Will project adversely impact any site or ,
structure of. historic, prehistoric or
paleontological importance or. any site
designated' at a critical environmental area
by a local agency? . . . . . . . . . . .. . . . . . . . . . . . . . Yes�No
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 systems? . . . . . . . . . . . . . . . . . . . . . . YesX.No
12 . Will project regularly cause objectionable
odors, noise, glare, vibration, or electrical
disturbance as a result of the project ' s
operation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes�No
13 . Will .projecthave any impact on public health .
or .safety? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
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 No
15 . Is there public controversy concerning the'
project? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes�No
PP,EPARER ' S SIGNATURE /1 � . A'Ge-1:01 -- .
REPRESENTING` DATE
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_-. -.. ALTERATION OR ADDITIOM -
JNAUTHORIZED
TO TH15 SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
1 /
f COPIES OF THIS SURVEY AAP NOT BEARING . ,�!f f y/�a l f„71
THE LAND SURVEYOR'S INK:-SEAL OR I
EMBOSSED SEAL SHALL NOT BE CONSIDERED f'i'Q�ev
yam,
r ° �J TO BE A VALID TRUE COPY.
' ��i� L•,� �' ��/. i S" �' �••-• � � I GUARANTEES INDICATED HEREON SHALL RUN ._, ____-__,_ ,--------- '
�^ ONLY TO THE OE.SON FOR WHOM THE SURVEI
IS PREPARED. AND 0..HIS BEHALF TO 041E /4��,�..���
TITLE COMPANY,GOVEKI:MEN-iAL AGENCY ANC ,
LENDING INSTITUT,ON LISTLD HcR3Oti,AM
TO THE ASSIGNEES Of THE LENDING INST'
TUTION.GUARANTEES ARE NOT TRAPUMLAtLEi
• f•' TO ADDITIONAL INSTIMIONi OR SU/SEQU"
OWNERS.
I
�'' — _ •4LW� �',i'4.S;,r'E`'C ,,+�i �l}.���"�`�"11,C.� w pin.t�_ tiR•tiYvlt+tt+•Y�rc+J•9•uw•rrnun'nv.a na —.-.:-...
CsL-1
ELEV. �S- CSL I ?: .
DIN.Xf: l �¢X 2u BOLT
MN TYPE 422 AD.;-2
AWL I
' '..' � AWL-3.S�tEETING :" . � .. ,•,54�iE>=Tlh1G I
DESIGN SECTION "A" GRP OETA,IL XTr"i";C�Ao R RDO
SCALE 1/4=1=0" SCALE
CAP' CLIP CCL CAP INSERT .CIL•1 "LONG .'
CSL-1
.I I X41.1BOLT
G CL_i WA5 N E R
JOINT BETWEEN
CAP 5ECTIONS AWL SHEETING
CAP" JOINT DEYAIL INTERMEDIATE CAM CLIP DETAIL
SCALE V
-: V �,,. .. �. TYPICAL BULKHEAD DETAILS
�c,�'✓ .�.; �.5 ., �i FILTER XA
t CLOTH
' . ... , .- •• •. ' , '� .;• .SAND •-, ' ',' � I � • ,
WEDGE BACKF ILL,
. • ;.. ' DETAIL A A DET€,IL B•B
ELEV.
WATER SIDE
C4&-'05TA
L SIDE
NLESS
IPP RIVETS
:r
... A I _ A. ... .. ,
WEEP HOLE DETAIL
.TYPICAL CROSS SECTION 6
TYPICAL BULKHEAD DETAILS
NOTEWEEP HOLESTO BE LOCATED � 2�
ON 20.FT CENTERS: 'TOTAL ,�
BOARD OF TOWN ,TRUSTEES
Sf o�R.rv► �c� s
Town of Southold '
Main .Oad . ��1Q VW It
Southold, New_,York 11971
APPLICATION FOR SPECIAL ICE DAMAGE PERMIT
. DATE:
Instructions : Fill out form below and return to above address.
You should have this application approved and returned to you within
a week.
1. Applicant' s Name & Address : j�� � �rL 7 L�
S�P✓�C//�-G ��, C'v7 H06Lu1�7 Tel.
2. Contractor' s Name & Address :
Tel.
3. The Purpose ,of this application: Redriving or replacing openwork
dock or openwork pier piling, and mooring piles, removal of
damaged piling, repair, resetting or replacement of floating
docks, ramps, or decking, all necessitated by ice and storm
damage resulting during the winter.
THIS PERMIT EXPIRES ON MAY 30 OF THIS YEAR
1. No dredging or filling is permitted.
2. Repairs to existing structures shall be limited to replacement
of timbers without change in design or dimension.
3. No repair or replacement of bulkheads is permitted under this
permit.
4. No freshwater or tidal wetlands are to be disturbed under and
circumstances.
5. A yellow permit sign provided by this office shall be displayed
on the project at all times while under replacement.
6. Original permit number 3 inches high must be permanently. displayed
on project.
I, certify that the work as authorized
in this special ice permit has been completed and is now ready for
your inspection. Also, the permit number on this project is clearly
visible.
Signed - Owner Signed - Contractor -Date
29 1991
TRUSTEES ® ` � t ` '. COTT L. HARRIS
John M. Bredemeyer, III, President TpWN OF SOUTHOLD Supervisor
Henry P. Smith, Vice President
Albert J. Krupski, Jr. a Town Hall, 53095 Main Road
John L. Bednoski, Jr. P.O. Box 1179
Southold, New York 11971
John B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823
Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800
CREEK /'I U
YOUR ORIGINAL PERMIT NUMBER / .-U
APPLICATION FOR SPECIAL ICE DAMAGE PERMIT
INSTRUCTIONS: Complete form below and return to above address.
You should have this application approved and returned to you
within a week. /
1. Applicant' s Name & Addgress: �2FL� ME Ceti' Tel.No.
YZ -S/ -�.0ZL1NG'
2. Contractor' s Name & Address: Tel.No.
f7 L-,)n.•C 2
3 .The purpose of this application: Redriving or replacing
openwork dock or openwork pier piling, and mooring piles,
removal of damaged piling, repair, resetting or replacement of
floating docks, ramps, or decking, all necessitated by ice and
storm damage resulting during 1989-1990 winter.
SPECIAL CONDITIONS
1. No dredging or filling is permitted.
2. Repairs to existing structures shall be limited to
replacement of timbers without change in design or dimension.
3 . No repair or replacement of bulkheads is permitted under this
permit.
4 . No freshwater of tidal wetlands are to be disturbed under any
circumstances.
5 . A yellow permit sign provided by this office shall be
displayed on the project at all times while under replacement.
6 . Original permit numbers ( 3"high) must. be displayed on project.
7. Groins and bulkheads are subject to inspection prior to
issuance of permit.
Lu
�'y
�_,%:?,� E�•"r,)�-:r-a -,ate
O:tiJaf�,!'
r
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
CREEK STRUCTURES INVENTORY
Current Owner' s Name: { Index No.
Address: r w
Creek:
Purchase Date:
Telephone No. : Date of Field lVork: 7 1I
Previous Owners:
Permit Applicant :
Permit No. : 3 fi 1r
Permit Specifications:
Specifications Found:
Condition: CA,O
0 Comments:
rev. 3/28/88
BOARD OF TOWN TRUSTEES
CREEK /�� �/���1(' Town of Southold
Main Road
YOUR ORIGINAL PERMIT NUMBER Southold, New York 11971
�S �t
l
APPLICATION FOR SPECIAL ICE DAMAGE PE T
INSTRUCTIONS : Fill out form below and return to above address. You
should have this application approved and returned to you within a week.
1. Applicant's Name & Address : . ... . ... . . . � . .� .'.. . . . . . . . . . . . . . . . . . . . . .
. . . . . S . . . . u� /U,Xv . . . . . . . .Tel. No. . . d . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Contractor 's Names & Address : . .
. . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . .Tel. No. . . . . . . . . . . . . . .
I. The purpose of this application: Redriving or replacing openwork
dock or openwork pier piling, and mooring piles, removal of damaged
piling, repair, resetting or replacement of floating docks, ramps,
or decking, all necessitated by ice and storm damage resulting during
1987-1988 winter.
SPECIAL CONDITIONS
1. No dredging or filling is permitted.
2. Repairs to existing structures shall be limited to replacement of
timbers without. change in design or dimension.
3. No repair or replacement of bulkheads is permitted under this permit.
4. No freshwater or tidal wetlands are to be disturbed under any
circumstances.
-5 . A yellow permit sign provided by this office shall be displayed on
the project at all times while under replacement.
6. Original permit numbers (3 " high) must be permantly displayed on
project.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :`. . . . . . . . . . . : . . .
. . . . . . .. . . . . . . . . . . . . . . . . . . . . .
(Tear off and return)
I, , certify that the work as authorized in
this permit has been completed and is now ready for your inspection.
Also, the permit number required on this project is clearly visible. .
411-
PERMIT NUMBER
_ Sinned - Owner
i - 1 7 ( )11
B0AkD O TOWNT TRUSTEES
CREEK C f�&?,E& Town of Southold
Main Load
YOUR ORIGINAL PEP-MIT NUMBER Southold, New York 11971
APPLICATION FOR SPECIAL ICE DAMAGE PERMIT
INSTRUCTIONS : Fill out form below and return to above address. You
should have this application approved and returned to you within a week.
1. Applicant's Name & Address : . . !. . . �t 42 . . . .. �. . . . . . . . . . . . . . . . . . . . .
. s o • a • • • • . • . . • . . . . • o • • • Tel. No. . • . . • • .
2. Contractor's Names & Address : . . .o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . .. . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . .Tel. No. . . . . . . . . . . . .
3-. The purpose of this application : Redriving or replacing openwork
dock or openwork pier piling, and mooring piles,. removal of damaged
piling, repair, resetting or replacement of floating docks, ramps,
or decking, all necessitated by . ice and storm damage resulting during
1866-87 " .-Winter.
SPECIAL CONDITIONS
1. No dredging or filling is permitted.
2. Repairs to existing structures shall be limited to replacement of
timbers without change in design or dimension.
3. No repair or replacement of bulkheads is permitted under this permit.
4. No freshwater or tidal wetlands are to be disturbed under any
circumstances.
. 5 . A yellow permit sign provided by this office shall be displayed on
the project at all times while under replacement.
6. Original permit numbers (3 " high) must be permantly displayed on
project.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Tear off and return)
I, -;K�Xxb Xla i"J , certify that the work as authorized in
this permit has been completed and is now ready for your inspection.
Also, the permit number required on this project is clearly visible. .
PERMIT NUMBER /S Ty ,
�J
Z
•
11
_ 1
r
. • . II/ A
OR
� ass■
r 1
e I / l
: TOWN OF SOUTHOLD
SHORT ENVIRONMENTAL ASSESSMENT FORM
INSTRUCTIONS :
a In order to answer the questions in this short EAF it is assumed
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
1 . Will project. resu t in •a large physical change
- - to" the project site or physically alter more
than 10 acres of land? . . . . 'YesVNo .
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__No
4. Will project have a potentially large impact ,
on groundwater quality? . . . . . . . . . . . . . . . . . . . . . . Yes-4-No
5 . Will project significantly effect drainage
flow on adjacent sit.es? . .... . . . . . . . . .
. . . . . . . . . . Yes_X_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` ds a critical environmental area
by a local agency? . . . . . . . . . . : . . . . . . . . . . . . Yes No
10. Will project have amajor effect on existing
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
12 . Will project regularly cause objectionable
odors, noise, glare, vibration, or electrical
disturbance as a result of the project ' s
operation? . . . . . . . Yes�No
13 . Will. .projecthave any impact on public health .
or .safety? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes�No
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
No
15. Is there public controversy concerning the
-project? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes_X_No
PREPARER ' S SIGNATURE .' 1
REPRESENTING DATE
P/1 Rev/6/72
BOARD OF TOWN TRUSTEES
Town of Southold
== Main Road
Southold, New York 11971
To: Fred Melin......................................................................................
1. Your application, dated .........June„4, 19,$1... has been reviewed by this
Board, at a meeting of the Trustees held on ......Jul1r 1B 1981
.........................................................
and resulting in the action, as indicated below:
(.... ..) Application approved.
(............) Application denied.
(............) Application tabled.
2. Comments and remarks: To construct 25 feet of bulkhead at private
property of the applicant at Mud Creek with the provision his
wetland application is approved by the Southold Town Board.
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 some time. If the fee is paid by mail, the permit will be mailed in reply.
Computation of Permit Fee:
25 feet of bulkhead C $1.00 per of — $25.00
Application fee— 5.00—Paid
TotalFee for this application ............................................................ $ ..25...0.0..........................
S'aned �.r�,:..
Board of South Id Town Trustees.
by a.r �--c,<- �
Secretary.
BOAR PTO 'OE�TO' NI N b -USTEES
` D� �T
J,
SVU0 •K COU Y
Telephone
516-765-1938 ' "` ��
Southo . 11971
November 20, 1981
Mr. Fred Melin
Sterling Road
Cutchogue, N. Y.
Dear Mr. Melin:
This is to notify you that your bulkhead was installed in violation
of your permit. Therefore, it must be removed.
Yours truly,
Anna T. Hataier, President
Southold Town Trustees
BOARD-OfdTODUN�s,T `USTEES
ON OF 30UTH.OLD
SUFFOTK COU
Telephone
�a
516-765-1938
Southo`Y . 11971
December 18, 1981
Mr. Fred Melin
Sterling Road
Cutchogue, N. Y.
Dear Mr. Melin:
A work session of the Board of Southold Town Trustees
was held at 7 :00 PM, Wednesday, December 2, 1981.
Discussion was held on Marino Faraguna 's and your
bulkheads. It was agreed that, due to an error on Mr.
Faraguna 's permit, he be allowed to leave his bulkhead
as is. As yours is right next to it, you, too, will
be permitted to leave yours.
Yours truly,
Anna T. Hataier, President
Southold Town Trustees
RUTHOL
NO. /S3�
Issued T o �i?ED M.=. Dade
Address \STERJ. /!1/6, 1�d &LZ . 0 0TC4OGU.=
THIS 1e107'ICE MUST BE DISPLAYED DlDRIWCs CONSTRUCTION
TOWN TRUSTEES OFFICE, TAM OF SOl!'PHOLD
SOU'TH069, N. Y. 11971
TEL.: 765-180I
Ef
P/1 Rev/642.�
BOARD OF TOWN TRUSTEES
Town of Southold
Main Road
Southold, New York 11971
NOTICE OF ACTION — NOT A PERMIT
To: ....................... Fred Melin
..... ......................................................................................................................
1. Your application, dated March 2It...1982 ... has been reviewed by this
Board, at a meeting of the Trustees held on .......April. ...7.,...1982
....... .... .. . ............................................................
and resulting. in the action, as indicated below:
xxx j Application approved.
(............) Application denied.
............) Application tabled.
2. Comments and remarks: .
A PERMIT FEE
3. If your aooli ati we A—F'uTmff Fes is now due and should be made payable
to the order of the Board of Southold Town Trustees. This fee is computed below aecordin to
the.Schecjul pf Rates s set forth in the Instruction ghee F rm- I 1)). This g�
paid wit in 90 days or re-applying and ac��i`�ior�al fee .wig �esnecessary.
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:
10 , x 5 ' float = 50 sq. ft. @ $.25 per sq ft - $12 .50
1 piling 5.00
$17.50
Total Fee for this application ................................. $17.5
Signed ................................................
Pres. Board of Southold Town Trustees.
l% J
by ..........................................................................
Clerk
P/1 Rev/6;72
BOARD OF TOWN TRUSTEES
Town of Southold
Main Road
Southold, New York 11971
To: ................................. Fred..........Me1in......................................................................................................
request throu h Mr Samuels
1. Your � ?{x1i4 ............ ..........-.............................................. has been reviewed by this
Board, at a meeting of the Trustees held on ......FebruarX 2 1982
and resulting in the action, as indicated' below:
(............) Application approved.
(............) Application denied.
(............) Application tabled.
2. Comments and remarks: to permit you to place clean upland fill behind
your bulkhead.
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:
Total Fee for this application ............................................................ $ ........................................
Ski ned .R-cj.;...'. ........... ...
Boord of Sou hold Town Trust es.
Secretary.