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q Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
;. �... PERMIT NO 41.32... DATE �k/29/93
• ...
ISSUED TO .......EDWAU....NORD,STROM...........................................................
Pursuant to the provisions of Chapter 615 of the Laws of
1 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-
r titled REGULATING AND THE PLACING OF OBSTRUCTIONS !b•; ,.4
{j IN AND ON TOWN WATERS AND PUBLIC LANDS and the Eli
_ REMOVAL OF SAND GRAVEL OR OTHER MA
TERIALS FROM I�4 �, �•�
r ' LANDS UNDER TOWN WATERS;" and in accordance with the
�! Resolution of The Board adopted at a meeting held on ...4.1.2.9............. I;
19..93..., and in consideration of the sum of $... . ........... ....... paid by
;I
r; -a of ....... an su bjec to th e
................................ ................ ............................ N. Y. d
z
Terms and Conditions listed on the reverse side hereof,
\ a of Southold Town Trustees authorizes and permits the following:
V. To replace 38' bulkhead with 4' return on eastside and 16'
a"I return on westside. Grandfather Permit. �4 '
all in accordance with the detailed specifications as presented in
the originating application. «`
5N' 4
IN WITNESS WHEREOF, The said Board of Trustees here- j
6y causes its Corporate Seal to 6e affixed, and these presents to
`? be subscribed by a majority of said Board as of this date. '4 '
Ai OG .............
..... ......
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Trustees
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11 �•• 11�� 1^1 1�
t
PUBLIC HEARING
IN THE MATTER
OF
EDWARD & REGINA NORDSTROM
FEBRUARY 24, 1988
7:40 p.m.
NOTICE IS HEREBY GIVEN THAT A PUBLIC HEARING WILL BE HELD BY THE
TOWN TRUSTEES OF THE TOWN OF SOUTHOLD, AT THE SOUTHOLD TOWN HALL,
MAIN ROAD, SOUTHOLD, NEW YORK, ON WEDNESDAY, FEBRUARY 24, 1988 ON THE
FOLLOWING APPLICATION FOR A PERMIT UNDER THE PROVISIONS OF THE
WETLAND ORDINANCE OF THE TOWN:
In the matter of the application of Edward and Regina Nordstrom to construct a 3'
x 49' catwalk, 3' x 16' ramp and a 6' x18' float with 12 pilings. Property is located
on Wood Lane, Peconic.
Present were: Trustee Bredemeyer, Trustee Smith, Trustee Bednoski, Trustee Krupski,
Clerk Ilene Pfifferling.
Trustee Bredemeyer:. Is there anyone here to speak for this application? No comment.
Is there anyone here to speak against this application? No comment. Trustees?
C.A.C.?
Trustee Smith: No problem.
Trustee Krupski: Did we decide to shorten the length on that? Or is the length
satisfactory.
Trustee Bredemeyer: We will have to refer to our field-notes.
Trustee Krupski: There is a lot of water there. It is sort of in the corner. The
channel flows through, I don't think that it will be a problem.
Trustee Bredemeyer: I don't remember? We can review it further prior to the
vote on it.
Trustee Krupski: I don't see a problem with the location. They have a little
deck out there and they are getting it off of the marsh. r-
Trustee Smith: I don't see any problem with that.
Trustee Bredemeyer: We will review it prior to the vote. Is there anyone here to
speak further.
Mrs. Nordstrom: Is there a problem with-this?
Trustee Bredemeyer: No, I'm surprised that you didn't speak up on your application?
We have to review our field notes prior to the vote. Are there any other comments?
No comments. Then I will close this public hearing.
7:41 p.m.
I J TELEPHO
BOARD OF TOWN TRUSTEES `892
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 1 1971
APPLICATION IS HEREBY MADE TO THE. TOWN TRUSTEES OF THE TOWN OF
SOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR THE 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 _
IDENTITY OF APPL,I CANT
PHONE NO
ADDRESS OF APPL I CANT V-1V-fi;-p
---(�-4&iYALTAIV -AA&W---------------
TAX MAP NO ----+�k __�, ------------------- -- --- —_
AGENT ----
____—Y—_---- __ PHONE NO .
PERMIT REQUESTED TO ---
-------------
LOCATION OF PROPERTY FOR WHICH PERMIT WANTED _
----------HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION
""TAY
CREEK, BAY OR HARBOR FRONTING PROPERTY
—Rij
SIZE OF PROPOSED WORK—_—��( a�L Ik . Djf(���,s _ _J' • _�— � —
LENGTH—CONSTRUCTED —(1,/� ��W � �SS(�111f�f(� :�-� � _--_-----
tz-
WIDTH----1-__
HEIGHT ABOV 2----------- -- -----
E HIGH WATER— ---_-----
DEPTH BELOW LOW. WATER
----------------------------
YARDS `TO4-13E"••EXC+i4VATED
YA R D S�, T'O_�. B E'ew`FN L L E D,. -
-� --------.---------------- --
WIDTH OF CANAL; `CREEK OR BAY FRONTING PROPERTY--- /
DEPTH AT LOW. T I DE�
--- _-5------------------ _------- ---
AVERAGE RISE IN TIDE
--------------------------- -- ---
DISTANCE TO THE NEAREST CHANNEL----N—FT.
DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA
--- F T.
IS THIS FOR PRIVATE OR BUSINESS USE?-__ � �-----------
AREA ZONING- — _--- -- --------- — ---
MANNER IN WHICH MATERIAL WILL BE REMOVEQ OR DEPOSITED
-
INTENDED USE OF PROPERTY-- re r
DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE
AND WHETHER ANY PRIOR LICENSE OR- PERMITS HAVE HE'EN 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 GOVERNMENTAL
AGENCY
DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE ,
PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITIONAL SURVEY OF
THE PROJECT SITE IF NECESSARY
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? .410
... . . . :.;off ...
,95-20-7(10/90)
� a
New York State Department. of Environmental Conservation
Supplement to Application for Permit
STRUCTURAL ARCHEOLOGICAL ASSESSMENT FORM (SAAF)
PART 1 — APPLICANT COMPLETES
Applicant Information
1 . Applicant Name �11A-YEAr
2. Applicant Address
Project Information .
3. Project/Facility Name �T\ �P—�-
4. Project/Facility Location
5. Is the proposed project adjacent to, or does it contain a building or
structure listed in the State or National Register of Historic. Places?
Yes No X
6. Are there any buildings or structures built prior to 1940 adjacent to or
within the proposed project area.
Yes No X '
If the answer to question 5 and/or 6 is yes, provide the following
information for each building and structure (use attachments if
necessary) :
a. name of structure
b. location
C. type of structure (ex: house, outbuilding, barn, bridge, dam, ruins)
d. approximate age or date of construction
7. Might the proposed project have any impact (physical/visual) upon any
buildings or structures listed in the State or National Register of
Historic Places or built prior to 1940?
Yes _ No x
If yes, describe briefly (use attachments if necessary):
i
8. Provide photographs of every building and structure that may be impacted Jh
by the project as described in number 7, above. The following standards
are recommended:
o minimum of two photographs
o minimum size 4" x 4" prints from negatives preferred; polaroid
photos are acceptable
o photos must be clear and focused
o clearly label photos so it is obvious what is being illustrated; key
photos to map or plan, if possible
o photo 1: show both the entire front and side of the structure in a
single shot from as close to the building as possible. Be sure the
structure is not partially or fully blocked by trees or other
obstructions
o photo 2: show relationship of building or structure to roadway or
surroundings
9. Has the land within the proposed project area been previously disturbed or
altered (excavated, landscaped, filled, utilities installed)?
Yes X No
If yes, describe briefly, including depth of disturbance (use attachments
if necessary): --//
I S O K 2 x i 5`7 'bc. % cc.l Lt. w — S CJW GcG To S
10. Approximate percentage of proposed project area with slopes:
0-10% % 10-15% % 15% or greater %
11. Approximate percentage of proposed project site with the.following
drainage characteristics:
well drained %
moderately we rained %
poorly drained %
Prepared by
Date R3
SAAFI.LK/G 10/90
STRUCTURAL—ARCHEOLOGICAL ASSESSMENT FORM (SAAF)
PART 2 — DEPARTMENT OF ENVIRONMENTAL CONSERVATION (DEC) COMPLETES
Applicant/Project Information
1 . Applicant Name
2. Project/Facility Name
3. DEC Number
Buildings and Structures
4. Might the proposed project have any impact (physical/visual) upon any
buildings or structures listed in .the State or National Register of
Historic Places or built prior to 1940?
Yes No
If yes, DEC must consult with the Office of Parks, Recreation and Historic
Preservation (OPRHP). The DEC must request a determination of eligibility
for the State Register of Historic Places and/or comments regarding
project impact. Include information supplied by the applicant in 'response
to questions 5, 6, 7 and 8 of Part 1 of this form.
Archeological Sites
5. Does the proposed project area coincide with a circle, square or stippled
area on OPRHP's Statewide Archeological Inventory Map?
Yes No
6. Is the proposed project area outside of a circle or square, but one for
which information has been provided (ex: documented reports of known
sites) that suggests the area is archeologically sensitive?
Yes No
If yes, what is the nature and source of information?
7. Is the proposed project area apparently undisturbed?
Yes No
8. Will the proposed action include a physical disturbance of the project
area?
Yes No
9. Is the slope in the area characteristically less than 15% (unless on j
limestone/flint escarpments)?
Yes No
10. Is the proposed project area characteristically moderately well. or well
drained?
Yes No
If the answers to 5, 7-10 are yes, an archeological survey should be
performed by the applicant. Provide the applicant with a copy of Report
Format for Cultural Resource Investigations and list of archeological
consultants.
If the answers to 6-10 are yes, -DEC must consult with OPRHP before
requiring that the applicant perform an archeological survey.
Results of Evaluation
No buildings, structures or archeological sites identified at the
project location (SHPA-1)
Buildings, structures or archeological sites identified, but no
impacts will occur, no survey required. No further cultural
resources review required (SHPA-2)
Consultation by DEC with OPRHP required
structures archeology
Archeological survey required
Prepared by
Date
SAAF2.LK/G 10/90
14-16-4(2/87)—Text 12
PROJECT I.D. NUMBER 617.21 SEAR
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1. APPLICANT/SPONSOR 2. PROJECT NAME
our cl 1U0 r 9 e n
3. PROJECT LOCATION:
Municipality , e County f
4. PRECISE LOCATION(Street address and road Intersections, prominent landmarks,etc.,or provide map)
6066 L oiYt e — a � . �,�i NeG�
5. IS PROPOSED ACTION:
❑New ❑Expansion Modification/alteration
6. DESCRIBE PROJECT BRIEFLY:
Y e_ &-72� 6u z s + c
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. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
0 Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/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)?
DO Yes ❑No If yes, list agency(s)and permit/approvals
Iowa l� �v Q .
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
❑Yes ®No If yes, list agency name and permit/approval
12. AS A 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/sponsor name: Date: (
Signature:
If the action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
-OVER
1
PART ti=ENVIRQNAAENTAi' AS3E; _,__:�CyT,(To,be.Gompleted 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 FULL EAF.
❑Yes ❑No
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration
may be superseded by another involved agency.
❑Yes ❑No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH 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 erosion,drainage or flooding problems?Explain briefly:
C2. Aesthetic,agricultural,archaeological, historic,or other natural or cultural resources;or community or neighborhood character? Explain briefly:
C3. Vegetation or fauna,fish,shellfish or wildlife 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. Growth,subsequent development,or related activities likely to be induced.by the proposed action?Explain briefly.
C6. Long term,short term,cumulative,or other effects not identified In C1-05?Explain briefly.
C7. Other Impacts(including changes in use of either quantity or type of energy)?Explain briefly.
D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
❑Yes ❑No If Yes,explain briefly
PART ill—DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant.
Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration;(d)
irreversibility; (e) geographic scope; and (f)magnitude. If necessary, add attachments or reference supporting materials. Ensure that
explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed.
❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY
occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration.
❑ Check this box if you have determined, based on the information and analysis above and any supporting
'documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts
AND provide-on attachments as necessary, the reasons supporting this determination:
Name of Lead Agency
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
Signature of Responsible Officer in Lead Agency. Signature of Preparer(if different from responsible officer)
_ Date
2
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