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Home My WebLink AboutTR-1562 ' ALL MOORI_':GS AND STAKES MUST DISPLAY VISIBLE I•:OORII G NUMBERS ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PERh1IT NUMBERS r �-7. ram,,. ; .- �k , i+�Yt`" :. „y •:• •'�[7 - .---,. ,•-�',=Y) ._ .• Yam. �yh�•n:::• 1 '��. � ��i l 'rY,1' ''77 '�S' r 'cF y `a,� t� `` r,(y. �rM ✓.• ..' M '. y<{ '"llf `• y.�I : 1 M• _/,- _ :1 '� _ `,r �1+. .S••, ..- �L�ltf:, .,,.13.�,• :•..`L:.:Jt„• H�:_�� f��}"`.�J:•+Y,'a wM.1ttJ�.. '`l�;;iZ�, ��.417 /[!! .•• �'�T+?• w�Z t. �,.. a, '"�(r 1•vt`r C�•i.,:^ y T[ti• },;'1' t7 b:�( "•\( vS. , \'/:.r C.c ram% /'+: L...� u1 ....a�.1+.� ,if - ':•:�J7.��;-...a.2"i..-:�l.S.-�= _ �r:t.�:_:r::l:�.�'��e�._r , ��;:.�•T.. �� Tv'.' { -;�' — - - - -- - '?•'��-_` �:r�tip;,,_., �\ �f�,�(`•• I a !.'!__i�-/. _ i � __ _i�.._-.. .-_ _ - _ - - sue;.,- --J:-_ � _ �<.• '�/S. Board of Southold Town Trustees ti,��,�• \ Y��. SOUTHOLD YORK �"'-' NEW � '1_..• `, MOORING NO. N f A . I PERMIT NO. 1562• DATE• October 1, 198 �� = .��• .. �•, 'i ISSUED TOMunch. Robert J :`•�; -•.`'-�.-:; ,.r,;�; f'�..'� '� it �.r��«-�+ lj Pursuant to the provisions of Chapter 615 of the Laws of a �.»• the State of New York, 1893; and Chapter 404 of the Laws the aws o C2 ems;! State or New York 1952; and the Soutno,d Town Ordinance en- �',:�,:�. . ��:•� titled "REGULATING AND THE PLACING OF OBSTRUCTIONS •a` IN AND ON TOWN WATERS AND PUBLIC LANDS and the RE.,(OVAL OF SAND GRAVEL OR OTHER MATERI " LS• FRO -�= UNDER TOW ,, ?�{ _, LANDS N WATE,.S; and in accordance with the r Resolution of The Board adopted at a meeting � r� p held' on P..............�.. j and in consideration of the sum of $295 .00 paid by / :":•�::: N. n. . . .... ..__.�. _ �.......for...Rob...rt J. Munch - �'•- - <; .-_. of ............ .__.._._.k:.$.......................................... N. Y. and tot = z'� Q�l 5�.1 n_ \ Matti.tuc c''�` `:�1 subject the Terms. and Condit reverse side hereof ions listed on the , e•_�,�:,F�.:� of Southold es authorizes and Town Trustees -� ermi;s th followin . . •,;,. to construct 72 ft. .of timber l ulkhee genet lly I+:; .._. .• ..__:,� . above the line of MHW- except in one. location .where. confi' uration of shoreline is indented. Backflll t with: 50 cu .yds of clean fill to be trucked in from �'�- ,= upland and to construct x 4 ft fixed p source uct .a 25 al, in accordance with the detailed specific one t presen ed din �G the originating application, c.�`-:.''% I - a'' �• WITNESS ;t:: a;•• S WHEREOF, The said Board of Trustees here- of y , C .,•' by causes its Corporate Seal to be affixed, and these resents to'•:' �: be subscribed by a majority of the said Board as of this dare. • Lr Trustees \•aa- �.+�,��y ,i,a t2. 4:%^•�Yiti.;�. C"^,,"_ ',." rT'Y--''•.,.�•.a.r.- F"'T-c•``�•c••---s.�Y: ..�.'. _ — ,,� /. .Ii y >-• =r_' _ : ems,c•.e �►a+.:T•".3 /��.:' .�• '��-' :'�fv`t-. .t%'-/.% �'"`• �""»S;.,n'�'� L `.c•.- r�'7^�L.+ems �4 7 •! _ � r.__.ay. , JFL J• ,. ��-w`�:., -.tom<`T -'=_a. '.LLYr' _ �Ly..-..'.,_:. ._. .',, ... `� s4•�� r - �ly"�;". .. ... .. s :-z='-•z:;� :a:a� -��"�'�"�.--,>r...._- �?r,1 `;.a ich;;:.. .. �_,2 t I••,r,>: •.�` '^t ---�-�-_�_ .. -/� �-.: ��.-._' ,- - `�r�x--•� -..;,,k;,�.'�`=�:�=K; �� .,.,,.,ice•. ,fJ — _ -------- _ar*�F_send_`'�3`rus�-e`�� --`--3----- Bo Cal rd of Southold Town Trustees SOUTHOLD, NEW YORK MOORING NO. N/A PERMIT NO. A-5.6.2 DATE: ........ ISSUED TO .............. Robert Munch. Ir 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. Sianed -- ()':mr-r �L � � PSTf�+ir+os�+•�o.c . elevated catwalk, 12 x 4 ft hinged ramp and 8 x 16 ft floating dock secured by two pilings in Mattituck Creek, Mattituck, TERMS and CONDITIONS The Permittee Robert Munch 2790 ?Vest �I residing at Westphalia Road, 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 Yv displaved on the premises effected thereby during the period of 2• That the said Boarct of Trustees and the Town of Southofd are released from any and work all damages, or claims for damages, of suits arising directly or indirectly as a result of any oiler- under ' arnn 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 parries, and the said Permittee assumes full liability the P9 with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southoldpermit_I; ' 3. That this Permit is valid for a period of -QNF; YF'AR which-is considered to be sufficient time required to complere.the work involved, but should circumstances warrant; request for an extension may be made to the Board at a Iater date, �I 4. That this Permit should be retained indefinite) o �I y, or as Ions 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 �I work shall cause unreasonable obstrucoon 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 9. That the said Board will be notified by the Permirtee or the completion of the work auth- orized. (See tear off sheet. ) R'al 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. i •�y -1�':r. -ram. •. -:�_ .. . �• _ .. .. .. TELEPHONE (516)765-1801 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 September 22 , 1982 Mrs. Judith T. Terry, Town Clerk Town Hall Southold, New York 11971 Dear Mrs. Terry: The following action was taken by the Board of Southold Town. Trustees at a regular meeting held September 7 , 1982 : RESOLVED to recommend to the Southold Town Board approval of the wet- lands application ##105 of Robert Munch to construct 72 ft of timber bulkhead generally above the line of MHW except in one location where configuration of shoreline is indented. Backfill with 350 cu yds of clean fill to be trucked in from upland source. and to construct a 25 ' x 4 ft. fixed elevated catwalk, 12 x 4 ft hinged ramp and 8 x 16 ft floating dock secured by two pilings . Yours truly, Paul Stoutenburgh, President Southold Town Trustees r SUUTHOLD TRUSTEES NO. mz__ Issued To.:2?-o Rwr-/j7vn/cd Dade Address b dq,47-77TU�.r_ THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE, TOWN OF SOUTHOLD . SOUTWOLD. N. Y. 1197] TEL.: 765-1801 A/2 - `Rev. 6/79 BOARD OF TOWN TRUSTEES `T Town Of Southold Main Road- Southold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS 1. Applicant's name and address: Inc;,,,for. Robert....: .Munch .. .. 64 N. Main Street 2790 Westp halia�Road� ..............................................................Souxhamptan,...N..X119158........ Maitzxxu� 2. Contractor's name and address: ..................................................................................................... .............................................................................:.................................................................................... 3. Briefly explain the n .Purpose of this application: ..�ostruction of 72+ 1.f.: of timber bulkhead generally above the line of MHW except in one location whet"e"c"orifil guration o.£..shareIine..is..indented.,....) �Ck�£. .1..I..V11;h.. SO... u;, xds; of...clean fill to be trucked in from upland source. 'zotrs a-ed entwalk ................................................ ................................................................................,................................................................................ 4. After issuance of a Permit, I expect to: (mark by an )0 (a) Commence work — AT ONCE ............: ASAP ..W....; UNKNOWN ............. (b) Complete work in — 1 DAY ............: 1 MO. MR..; 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 O. H.. W. M. 6. Will any portion of this construction extend offshore into Town Waters beyond on imaqjoacy line or boundary formed by other similar structures along the area's shoreline? YES o NO. If it does extend beyond this so-called dock line indicate by how far, approximately,.......... 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 Ordinar High Water Mark or the Dredging of any material from Town Lands under water? YES N .. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as part of this application. 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: July 30, 1982 A/8 - Rev. 6/72 BOARD OF TOWN TRUSTEES Town Of Southold J / 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. Applicant's name and address: ....En-Consultants Inc. fo.K,.,,Robert J. Munch 64 N. Main. Street 2790 West? halia Road .................................................................S.authampton.,.M.x... 119.68........Ma t.t.i taa c k,..Ly.Y....IL9. 2 4. Contractor's name and address: ..................................................................................................... ................................................................................................................................................................... 5. Explain briefly the purpose of this application: ................................................................................................................................................................... Construct a 25' x 4' fixed elevated catwalk 12' x 4' hinged .................... ............................ .............................................................................................................. ramp and 8' x 16' floating dock secured by two pilings. 6. After issuance of Permit, I expect to: (mark with an X) (a) Commence work — AT ONCE............: ASAP .... ..; UNKNOWN TIME ............. (b) Complete work in — 1 DAY ............: 1 MO. .... X.; 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. 4Cj r 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 oundary formed ES by existing works of a similar nature along this area's shoreline? Y o .NO If it does, state the approximate distance beyond. ............ ft. 10. Will this construction require the Filling of any land offshore of the OrdinaD"Jigh Water Mark or the Dredging of any material from Town Lands under water? YES o 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. ...... ... ........... ............................. .... Accepted by: Dated: July 30, 1982 r Town Of Southold ' k Town Cleric's Office RECEIVED Southold, N. Y. AUG 0 3-1982 J, Town Clerk Southold APPLICATION FOR WETLANDS PERMIT Oq� Ns7` 3, 1 q8a. i Application No. ...,! .`,,) .............. Date of Application Identity of Applicant ..... Inc for Robert J. Munch -;� 64..N;...ManS''treet. ............... .2790"West�^Bala"ftoa�......................... Southampton, N.Y. 11968 Mattituck, N.Y, 11952 Addressof Applicant ..........................................................................................................:.................. INSTRUCTIONS FOR PERMIT l is A. This application is to be completely filled in by typewriter or ink and submitted to the Town a t z 4 ? `Clerk in quadruplicate, accompanied by writter permission from the owner of.the property if not 01' the some as the applicant. i•'; 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 revoked 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 t eo applicant for a permit, may waive in whole or in part, the provisions of Article ll, Section9 , subdivisions A 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. f r' [(h <tm t t . r' Examined 19. ;Approved .............................................................. c}? �f Disapproved ........................................................... Conditions, if any .................................................................................................................................................................. ExaminingBody ....................................................,................................................................................ Signatureof Chairman ........................................................................................................................ IN APPLICATION IS HEREBY MADE to the Town Board of the Town of Southold, Suffolk County, r ' 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: rw}+ P rm' re nested t „ En-Consultants, Inc. for Robert J. Munch -�� . .. /� ;1 ' .... .. ........ Vor r. ..2 .... ........... ......... ........ Location of property Yich permit wanted....,2790 West .halia.Road,..Mattituck�..Town... of Southold, County of Suffolk, N.Y. 1 ............................ ..... .............,................................................................................ Home address of permit applicant if different from aforesaid location ...........SAME........................... r ' Creels, Bay or Harbor fronting property ............................................................... Size of proposed work: Length ..........7 ....................... ...... n Width .. HeightAbove High Water ...5.!............................................................................................................... DepthBelow Low Water ...IQ..'..±............................................................................................................ Yardsto be Excavated .......U/A U/A.............................................................................................................. Yardsto be Filled ..................... .....,.................................................................. . .......... Width of canal, creek or bay fronting property..2A0,t...................................................................... -' Depth at Low Tide .................................................................................................................... AverageRise in Tide 6..........................................,................................................................................ ' a , a s� Private use. Is this for private or business use? ......................................................................................................... AreaZoning .....................................RgA1 0=14.1.................................................................................. Mbriner in which material will be removed or deposited ...Rack£i,ll..M.he-trucked-in............. . 1, ......f.r=..co=erci.al..upland..source_............... ............................................................................... 1ritendeduse of property .................................No..ohe,rge..................................................................... Written consent of owner of property, if not the same as the applicant ..,See attached i;. .................................................................................................................................................................. .................................................................................................................................................................. COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS: 11�t .....RQy..L.... eJ.e................................................................................. being duly swom 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 vi of s rmit, if granted. ....... r.X...... ......� ........................................ Signo u of Applica Sworn to before me this ........,�.................... y 1 r ROBYN L.LEGMND ' .... ...........1t,,0._ .(1�,�`�. ................ NOTARY PUBLIC,State of New Yes► Notary Public No.4750507,MOW C Pty Term Expires March 30, 198.5 4 t I a,j„• • 5'vfFol.k Co. HAGSTRom ,.b } .� MAP a3 ScA.LE DATUM:Mcw focus PURPOSE : 6RO616H �oNTRO� PRfdATE l5oA r MooRi,4G 1 ADJACENT owvifies: ' ARM OF r T TI'TO Lk <R. A. S FujitiARA /"IA vp-s /sq G.J.1. UooDCiuRN i f�oo0�0d(� g, o PROP. s x/c r 1 1 I FLOAT %lid M'xl;1 IL �• RAMP Pep i; } .7S'CAT- S. a IS'IREitvRN �4oI 'IJ Ar ffe wzv 8r,4,r Miff s C, lop., �4 + �► o' ?S' lip Lpor � sr• aQ C o s is <s s - EE7n. x�S�c7. 7wRu�Ro Po s E D (3u,L HF-AO Doc.,t D . � s O /o Ftirea, WALk RAMP ,��®AT PROPOSED DOCK ` �a,`/6, ,•••„O .f.r ROIDERT MuNCN MH .6.0 `�. at MArr/ roc $-c/FF04,4 ' 3i/fir I � q• Co., �. Y � . •o-o ow ARM OF Mi9rrime, 1 1DEA011AN e'°dx�SiPiai�4 ;�i. r 1 FxrtT�M6 br EN-CONS(DLTANTS�' N ai I 1 e0 1 T� �=ol i P��.riv4 I 6RAOE (oit /Y MAIw Sr. s S HEATNiulr 1 I j er Y') SD u r H A M P ro X.,N SHE t T /o-F / l Town Hall, 53095 Main Road ® P.O. Box 728 ®1 `� Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (516)765 1801 REGISTRAR OP VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 4, 1992 Mr . Paul Stoutenburgh, President Board of Southold Town Trustees Southold Town Hall Southold, New York 11971 Dear Mr. Stoutenburgh: Transmitted herewith is application no. 105 for a wetland permit submitted by Enconsultants, Inc. for Robert J. Munch. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Judith T. Terry Southold Town Clerk Attachment Ivc ACH Ij Ld . C ti HAF J AVE �o ARC L � ��✓ -L=- --- ) � q c1 7-) - G `I v E �Q 11 ��J (�• / ACC Cr I F 4 V P R I 07 O _ R n WICK � � I LEER OR A LL •Y; �' 1 Cb D 1 ' N X FR LU o q. N `� _ !I $ufFoik Co. NAGSTROM MAP a3 SCALE /"-8ao8' R R OATuM:McW PuRPoSE : ERoSreN CoNTRo� � I' �`'' PRI&oArE BoA r MooR,,v*- ACUAcENr owNEvRs: II / ARMTTo uck CR. A. S FuJIIJAPA I I F 000- ea yQ•S9 /s 15. J. UOOD 13ur?M I PRof 8 X/I. I V, % FLOAT ' PRO P. HRAMP xl� r,u ' +. J7S CAT S a I IS'REtuRIf /S/RETr,RN :; D. y o' 2S' a 4600 psi ID x-Secr. PtRoPRo Po s E O (3uik wEA0 Doc,t; D . o - /O .76 i F,rEO: WA�.k RAMP loll PROPOSED .DOCK � SULK HE AD PR.� S',., �s .—�6 •-�PLOAT • -l- Ro acR T MUNCH'. . cf *-JArr/ r&c ! 'uoF#Qtk' .: i oh ARM OF /`9f1TrITvCire; CRT- . ''. QEAOKAN g'-0)(d iPi�iv4 ; i. IT me, by EN-CoNSUGTANTS� • 1 (0,q N. MA/07 ro`r= I � � � � 8p�i��N4 � GRACEI�f -S T. �' I 517 Crrp> SD V TH A H P re N�N�,�lF .' SHt r Hof f: .t. S.FFo4k Co. HAGSTROM a o �-► AID o 1 OATuM:ML.&j • PuRDos� : ER05/oN C'oNTRoL PR(&pATE BaA r Moo Ai,4c- ► ` ; ADJACENT OWNERS: f � ARM Or uck <R. A. J: FuJlc„1ARA I ! TN F o00��8a 13 UooD GURA/ i � C PRoP, N i3 FLOAT \` poopIL H�irl� f'. RAMPS. S• � PREP y'K" a l+•' PRo P �'L7' Ar REruRN av�K Hip• IPA o' 2s' sb' A 9 IQI D��Y G'Ao K �G �nf o Ss Y. aR C�I.L.s Fir �V\OVSG �P X-$Ee-T. T HRo PRO Po s E D 6uok HE Ao te OoC-kc u1 . r � PRo POSED DOCKO` go�e w .k RAMP A �G°A ' BULK HE AD Nor. S L o•' �-�--.7S�--♦ f.►- RoD6RT MUNCH rrrr a t l"/ATr/ rock, $'uFFQ4*" LW NO o n ARM OF M TT/7i dk` o A �R ptA01YAN ` ►^ �xriTiNG b EN-CONSVCTANTS� =NC ' g dx os�P��.�� Y ` (o y N. MAIN S r. gp� OiG. � GRr�sa � ., T.65r.. i I i �r1-P.) SO u T H AMP To N/N f►'`/!Q�$= $NF11T1I�+rG• S'HE t T /o-r 1 e/.2/8,�;,. APPENDIX 5 NAME OF PROJECT Robert J. Munch SHORT ENVI CNMENTAL ASSESSM-vNT FOR14 INSTRUCTIONS: (a) In order to answer the questions in this snort EAF is is assumed that the oreparer will use currently available i:.f ormation 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 result in a large physical change to the project site or physically alter more than 10 acres of land? . , • , . . • . • . • • Yes K No 2. Will there be a major change to any unique or ' unusual land form found on the site? • • , . a Yes ( No 3. Will project altar or have a large effect.on an existing body of water? . , . . . . Yea I No 4. Will project have a potentially large impact on groundwatar quality? . • • . . • • • • • . • Yes No 5. Will project significantly effect drainage flow on adjacent sites? . . . • • Yes ! No c• Will project affect any threatened or endangered' plant or animal species? , . , , , , . • • • • Yes I No 7. Will project result in a major adverse effect on +� air quality? , • . • • • • • . , . , Yea No 8, Will project have a major effect on,visual char- acter of the community or scenic vievra or vistas I known to be important to the community? , , , Yes No 9• Will project adversely impact any site or struct- ure of historic, pre-historic, 'or paleontological importance or any site designated as a critical environmental area by a local agency? . Yes No 10. Will project have a major effect on existing or future recreational opportunities? . , , Yea No ll. 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 disturb- ance as a result of the project's operation? . Yee No 13, Will project have any impact on public health or safety? . . , , , _N Yes No ' 14. Will project affect the existing community by directly causing a growth in permanent pczula- Lion of more than 5 percent over a one-year period or have a major negative effect 'cn the character_ cf the community. or neighborhood? , Yes No 15. Is there public ntro r!y,/ oncerning the project? Yes �17 No PREPARER+S SIGNATURE: TITT E: President for En-Consultants Inc. REPRESENTING: _Robert J. Munch DATE: _ July 30, 1982 ' 9/1/78 APPENDIX B NAME OF PROJECT Robert J. Munch SHORT ENVIRONMENTAL ASSESSMENT FORM INSTRUCTIONS: (a) In order to answer the questions in this short EAF is is assumed that the preparer will use currently available information concerning the project and the 1 iksly impacts of the actions 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, (a) If all questions have been answered No it is likely that this project is Lot 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? . , • ,. . . . . , , , , Yes No 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 an existing body of water? ... . Yea No 44 Will project have a potentially large impact on gToundwatar quality? , . .. . . . . . Yes No 5. Will project significantly effect drainage flow an adjacent sites? • • • • • • • • • • . • Yes No _ fi• Will project affect any threatened or endangered plant or animal,specias? • . , . , , , .� Yes No 7• Will project result in a major adverse effect on air quality? . . . . . . .• • . . . . Yea No 8• Will project have a major effect on visual char- acter of the community or scenic views or vistas known to be important to the community? • , Yee No 9• Will project adversely impact any site or struct- ure of historic, pre-historic, 'or-paleontological importance or any site designated as a critical environmental area by a local agency? . . Yes No 10. Will project have a major effect on- existing or future recreational opportunities? 0 • Tea No ll. 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 disturb- ance as a result of the pr.oject's operation? Yes No 13• Will project have any impact on public health or safety? 0 a 0 0 0 0 0 0 0 4 8 0 Yes No Will project affect the existing community by directly causing a growth in permanent popula- tion 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 �titeq oncerning the project? Yes \7 No PREPARERS SIGNATURE: 1/� TITLE: President for En-Consultants, Inc. REPRESENTING: Roy J JMn&h DATE= _ July 30, 1982 9/1/78 4 V • I W R , HA 5 AVE R O OPT �r�,\e�• cb o q F rn n�UF _ NO�LbY D NE ,Q tul� Ci U WICK DEER OR cb y l,NA A L FR EMaN 0 J a LL _ `� t P/1 RevA142 BOARD Or TOWN TRUSTEES Town of Southold T4Iain Road Southold, 'New York 11971 NOTICE OF ACTION — NOT A PERMIT' To: .................. EnConsultants for Robert Munch ..................................................................................................................................... 1. Your application, dated ..........Aug.L1S.t;..4,....1.982............................ has been reviewed by this Board, at a meeting of the Trustees held on ....-Se�tember..7 1982 �. ............................................... and resulting in the action, as indicated below: ( M.) Application approved. (............) Application denied. ............ Appl,3cation tabled. 2. Comments and remarks: 3. If vcur A PERMIT FEE _��lic^tion is aeQrwed cbove �-0- mrt-= D is no:v due and should be made payable to the order of the Board of Southold Town Trustees. This fee is computed below according to the Schedul of R tes s set forth in the Instructicn ghee Fe i co This l ust be paid wit in �0 ca_vs or re—applying and ac izional fee wI �e neeessaL If the Permit Fee is paid in person to the Secretary of the Board, The Permit will be obtaincble at the some time. If the fee is paid by mail, the permit will be mailed in reply. Computation of Permit Fee: 72 ft of timber bulkhead C $3.00 per ft. . . . . . . . . . . .$216. 00 25 x 4 ft catwalk: =.: 100. sf,@._ $,25 per sf. . . . . . . . . . . . 25.00 12 x 4 ft ramp = 48 sq ft C $.25 per sq ft. . . . . . . . . 12 .00 16 x 8 ft floating dock = 128 sf @ .25 per sf. . . . . . 32.00 2 piles C $5.00 per pile. . . . . . . . . . . . . . . . . . . . . . . . . . 10. 00 $295. 00 c � Total Fee for this application ............... $ 295 . 00 0 Signed Q Pres. Board of Southol Town Trus es.� by . P, k...... c 1 .................