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Home My WebLink AboutParadise Point Assoc. Albert J.Krupski,President ��,0 S11FF01 C� Town Hall James King,Vice-President �'Z' G�� 53095 Route 25 P.O.Box 1179 Artie Foster N :� Z Southold,New York 11971-0959 Ken Poliwoda Peggy A.Dickerson ifi �� Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Elizabeth A. Neville, Southold Town Clerk FROM: Southold Town Board of Trustees DATE: April 18, 2003 RE: Foil Request—Catherine Mesiano—Paradise Point Association There are seven files available for review in our office. All notices of violations or summons must be requested from the Police Department. ELIZABETH A.NEVILLE = Gy� Town Hall,53095 Main Road TOWN CLERK y - P.O.Box 1179 REGISTRAR OF VITAL STATISTICS O Southold,New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER y�1p1 �aO� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: LS"outhold Town Board of Trustees Southold Town Bay Constables FROM: Elizabeth A. Neville, Southold Town Clerk DATE: April 16, 2003 RE: Foil Request of Catherine Mesiano Transmitted herewith is a FOIL request of Catherine Mesiano. Please respond to this office, in writing, within five (5)business days. Thank you. :C MESIANO INC. FAX NO. :631-878-8951 Apr. 15 2003 10:13PM P1 . �oSUFFo��.c ELIZABETH A.NEV1LLE h�0 OG TOWN CLERK o y� Town Hall,53095 Main Road P.O.Box 1179 REGISTRAR OF VITAL STATISTICS .+- Southold;No*York 11971 MARRIAGE OFFICER • Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER �J�1 a0 Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER J�( OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICA'1"toN FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section 1 of this form and give to Town C Of Freedom of Information Officer) . One co I fice agency in response to your request, or as an interim response,copy will be returned tc SECTION I. • - � -----__-------.---_ -_ _--��_-��=-----_ TO: (13epartment or Officer, if known, that has the informat n you are- requ_g_stii RECORD YOU WISH TO INSPECT: (Describe the record sought. If date, file title, tax map number, and any other'lSertinent in ormation )possible, '64a JAA...' Jilt sc. Signature of Applicant: Printed Name: Address- /Z /LL Aogew6 [. Lam_ 1"60�/G � ,y//per` Mailing Address Of'different from above) Telephone Number: 3/—�7a'- 3� _Date: 4/11�r��3 [ ) APPROVED _ - [ ] APPROVED WITH DELAY* [ ] DENIED* Elizabeth A. Neville Date Freedom of Information Officer '� If delayed or denied see reverse side for explanation. BOARQ°OF�To, »T USTEES OWN OF�SOUTH�'�L- SIkFQ, K COU Telephone « ' 516-765-1938 Southol L . 11971 November 17, 1980 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 November 6, 1980. RESOLVED to approve the wetland .application of Paradise Point Corporation as submitted with the understanding that the construction will be landward of the marsh fringe. Yours truly, ANNA T. HATAIER, PRESIDENT BOARD OF TOWN TRUSTEES By Muriel Tolman, Clerk Paradise Point Association c/o Rain Carlson, Treasurer P.O. Box 1614 Southold,NY 11971 1000-81-1-16.10 Victor J. &Mary S. Zupa 719 Weed Street New Canaan, CT. 96840 1000-81-1-13.1 James L. Alberi &Mary Pinker As Trustees c/o Helen Alberi P.O. Box 843 Southold, NY 11971 1000-81-1-11 Patrick J. &Donna Mortimer 10 Westmoreland Road Hicksville, NY 11801 1000-81-1-8 Douglas F. Bernard As Trustee 121 South Shore Circle Vero Beach, Fl. 32963 1000-81-3-8 Douglas F. Bernard As Trustee 121 South shore Circle Vero Beach, Fl. 32963 1000-81-3-7 Steven T. & Andrea Kolyer 24 Gramercy Park South New York,NY 10003 Apt. 3E 10003 1000-81-3-6 Robert J. &Linda Scalia 4550 Paradise Point Road Southold, NY 11971 s 1000-81-3-5 Paradise Point Association c/o Rain Carlson Treasurer P.O. Box 1614 Southold, NY 11971 1000-81-3-29 ®OFF o �O O =OUT JUDITH T.TERRY TELEPHONE Town CLERK 1 (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 October 30, 1980 Mrs. Anna Hataier, President Board of Southold Town Trustees Southold Town Hall Southold, New York 11971 Dear Mrs. Hataier: Transmitted herewith is application no. 57 for a wetland permit submitted by Enconsultants, Inc. for Paradise Point Corporation. 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. Very truly yours, 4,'� Judith, T. Terry Town Clerk Enclosure Town .Of Southold DECEIVE® Town Clerk's Office Southold, N. Y. Q QT Q 1980 �pg SOl1th01�, APPLICATION FOR WETLANDS PERMIT Application No. ........ ............•.•• Date of Application 10/27/80 . ................................................ Identity of Applicant ....Paradise Point Corp. by En-consultants, ......I................... ........................................Inc.................................. Address of Applicant .................................................64 North..r? pt.ti.�..SAuh. INSTRUCTIONS FOR PERMIT A. This application is to be completely filled in by typewriter or ink and submitted to the Town Cleric in quadruplicate, accompanied by writter permission from the owner of the property if not Ile same os 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 stotement 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 sfruc.tures ,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. Ihere is a $5.00 fee for each additional inspection. H. The Town Board upon request�f � applicant for a the provisions of Article 11, Section? ' permit, may waive in whole or in port, subdivisions 6) and %6316 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 Cleric will issue a permit to the applicant. Such Kermit shall be available for inspection at any time, upon request. Examined ..............................:............:...... 19.......... Approved .......................................... Disapproved ............................................................ Conditions, if any ................................................................. ............................................ .. ........................................................................... .............................................................. ExaminingBody ...............:........................................... Signature of Chairman .......................................... APPLICATION IS HEREBY MADE to the Town Board of the Town of Southold, Suffolk County, Now 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 regested to .construct a timber bulkhead 390 ' in length and backfill with 320L cu yds of clean fill to be trucked in. Bulkli�d will be above the line of MHW and landward of marsh fringe. . ..................................................................... of property for which permit wanted.......Man made basin off Briar Lane Paradise Point, Bayview, Southold ""' """'' ...... ................................................................................ Home oddress of permit applicant if different from aforesaid location .. ......................................................................................... Creek, Bay or Harbor fronting property .........`.Man made basin ................................................................. Si:c of proposed work: Length ...........390 ' .......................................................................... Width ..................................................................................................................................................... Height Above High Water .........M......... ................................................................... Dep'rh Below Low Water .......l5 ' '........piles..............and 12 sheathing............ Yords to be Excavated .............................0................. .................................................... Yards to be Filled 320 Width of canal, creek or bay fronting property............. 150 Depth at Low Tide .......................bulkhead to be above MHW ...................................................... 21911 .average Rise in Tide i i i \ Is this`for private or business use? ....................Private ._____,,,,,,,._,~,,,_,~.,.____' ` \ Area Zoning. ceaidential �'---.. ~ --,.-----,.----.-----------.-.— ` —.,...^.....—.—,.--. ` Manner in which material will be removed or deposited -------,—,,—.. ---.--.-------------------.—.~—...,....—..--- Intended use of property ru�i»o:—,--.^------__,_ . � ......................................... ........................ Written consent of owner of property, ` if not the some as the applicant .................................... ... ........,��,`'��',`��_,��`�� --._----- . ` —. --------------... � �----^------.—.---.--.,—.—,-..--,—. ` ` COUNTY Of3UFR]LK ) ` STATE OF NEW Y[)RK ) SS: --_^________,___ Doy L. Ba`e __------------...'------.—.. being duly sworn deposes and /soys that he is the applicant for the above described permit, and that nU statements herein are |*uo to file bor, of his knowledge and 6c//of; |hut the work will be done iz»en � contained ." " . this application and as nnoy be approved by the Town Board of the ' "' "'= manner »or The applicant agrees to hold the Town of Southold and +�e Town Board harmless i/o*n of Sout6o|d� any and all damages and do/nny arising ---`''` oo onn eus and free from under or by virtue of said permit, if granted. --''^—^^-----`------` Signature of Applicant —~'------' Sworn to before me this ................................ day of -----------------, 19.. -.^ ��,�'��'� , ��'�,� �''��`��. , Notary Public ' , " . ' ` ` ' ' � ' ' . ^ ' ~ � . ' 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 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 X No 3 . Will project alter or have a large effect on existing body of water? . . . . . . . • . . . . . . . . . . Yes .K 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 ."� No 6 . Will project affect any threatened or endangered plant or animal species? . . . . . . . . . . . Yes X 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 as a critical environmental area by a local agency? . . . . . . . . . . . . :. . Ye.s < No 10 . Will project have amajor effect on existing or future recreational opportunities? . . . . . . . . . Yes__,/,_No ll . . Will project result in major traffic problems or cause a major effect to existing transportation systems? . . . . . . . . . . . . . . . Yeses No 12 . Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturbance as a result of the project ' s operation? . . . . . . . . . . . . peration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes K No 13 . Will .praject have any impact on public health or .safety? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . Yes -e No 14. Will project affect the existing community by directly causing o' 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 PREPARER ' S SIGNATURE : REPRESENTING R1��t►�c �� '�{� DATEE �U�,�)jSC) TO WHOM IT MAY CONCERN: THIS IS TO AUTHORIZE EN-CONSULTANTS, INC. TO OBTAIN THE NECESSARY PERMITS FOR MARINE CONSTRUCTION IN P7Y BEHALF. Al- `7 " S%3FF01/( ELIZABETH A.NEVILLE �� aGy Town Hall, 59095 Main Road TOWN CLERK o < P.O. Box 1179 W REGISTRAR OF VITAL STATISTICS Southold,New York 11971 Gy • �. Fax(516)765-1823 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER �ol ��0� Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freedom of Information Officer) . One copy will be returned to you in response to your request, or as an interim response. SECTION 1. TO'_� (Department or Officer, if known, that has the information you are requsting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply date, file title, tax map number, and any other pertinent information.) �- 7 ignature of Applicant: I'Ated Namet-e.O Address: Mailing Address (if differentia from above) : Telephone Number: ��02 Date- n [ ] APPROVED APR 2003 [ ] APPROVED WITH DELAY* [ ] DENIED* Southold Town CIP'Th li eth A. Nevill Date Freedom of Information Officer * If delayed or denied see reverse side for explanation. x��I �g RIlia- IC a _ x x�e( 1 7M -'D'_!P AS 'd8°D ---- SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL Southold, N. Y. November 26, 1980 Mrs. Judith T. Terry, Town Clerk Town Hall Southold, New York 11971 Dear Mrs. Terry: The following action was taken by the. Southold Town Conservation Advisory Council at a regular meeting held November 25, 1980. RESOLVED to recommend to the Southold Town Board approval of wetland application of Paradise Point Corporation to construct timber bulkhead 390 feet in length and backfill with 320 cubic yards of clean fill to be trucked in. Bulkhead will be above the line of MHW and landward of marsh fringe. Yours truly, FRAIK CICHANOWICZ III CHAIRMAN By Muriel Tolman, Secretary O Q b •�- ._. v � f J s �-� CLf / —�, Oboa NoSN(�8 0 c �$' 3 V y)4)1 � r� z l7 •duo;, �� E 4Tlna•�� .�i fQNybd oqv bobbF� kt�Qr //�'/ i'N °� h7oJ7tn�• rO�vkinoS ! w .in Nr,o1 %4K> aa� 7rNo��d '�io4lbv �rrr,ci • _ � �•, 1A! n: ✓`` J TELEPHONE (516)765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR 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 -�_�O�p/1—_—DATE OF APPLICATION 1 1/1 6/88--- --_ 765-2227 IDENTITY OF APPLICANT_P-aradise Point Association , Inc . —PHONE NO___ John D.—Sinning ,—Tr esiden1------ ADDRESS OF APPLICANT_P_0__Box 243 , Paradise Point Road, Southold, NY 11971 TAX MAP NO. 1000-081 -1 -Pt. of 16 . 1 -------------------------------------- — 477- 0030 AGENT Peconic Associates:, Inc. _—PHONE NO.-- PERM IT ' REQUESTED TO_Maintenance_dredge_ 500 _cu . yds .—of—material—from--,- .mouth of basin off Southold Town Harbor_ Spoil—is—to—be—placed_as shown. LOCATION OF PROPERTY FOR WHICH PERMIT WANTED_-Basin_Road ,—Southold ---_—1 -HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION__- P . O. Box 243 , Paradise Point Road , Southold , NY 11971 CREEK, BAY OR' HARBOR FRONTING PROPERTY_Southold Town—Harbor/Southold Bay--- SIZE OF PROPOSED WORK_—5 0 0 c u ---- -------- LENGTH ---------- ---------- WIDTH HEIGHT ABOVE HIGH WATER—_N/A_ ______________—____---- DEPTH BELOW LOW WATER—_ 41 to 6 ! YARDS TO BE EXCAVATED 500 CU. yds. YARDS TO BE FILLED N/A W 1 DTH OF CANAL, CREEK OR BAY FRONTING PROPERTY__— 1+ miles___—_ DEPTH AT LOW TIDE _41 to 61 —'----- AVERAGE RISE IN TIDE . 2 _ DISTANCE TO THE NEAREST CHANNEL—N/A --FT. DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA N/A---FT. 15 THIS FOR PRIVATE OR BUSINESS USE? Rr.i-va•te " AREA ZONING residential MANNER IN WHICH MATERIAL WILL BE REMOVED OR" DEPOSITED crane and drag-line INTENDED USE OF PROPERTY same - residential DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE—_—____—_� Corp . of Engineers #10710 date issued - 9/ 14/78 (maintenancedredging) AND WHETHER ANY PRIOR LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER ANY PERMITS OR LICENSES WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENTAL AGENCY NYSDE,C #TW - 15276 - 0275 date issued - 5/ 15/78 (wetlands ) 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 N/A WRITTEN --------------- --=----------------- WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, IF NOT THE SAME AS THE APPLICANT.__ see attached _ ------_-------- ----- ____—_________: ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? no COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS•: John D. Sinning BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, THAT THE WORK WILL ■E 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. TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT, IF GRANTED.: ' r ATURE OF AISPLICANT SWORN TO BEFOR ME THIS DAY OF Ov6N�E� , 1 9 £pw�zD Suf1•a ��%�l� j��{o2t( hlcsfR+�*t pvb�-�C,S4ASE &V ►30,03* SQ"c"C Co�_rC-t �o„�.n,sS�o.a £xs•�eFS rtAart goy 19`s`.� NOTARY PUBLIC EXAMINED APPROVED °WETLANDS" PERMIT (CHAPTER 97) APPROVED °BOAT, DOCKS, WHARVES" PERMIT (CHAPTER 32) DISAPPROVED °WETLANDS PERMIT" (CHAPTER 97) DISAPPROVED "BOATS,DOCKS, WHARVES" PERMIT (CHAPTER 32) CONDLTIONS, .IF ANY EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES 2i6r7 . 'MF z� OFFICE O,F�,�, O CL'E K TOWN OF':SOUTHO>=,p JUDITH T.TERRY S,UFFOLK7COUNTX TELEPHONE TOWN CLERK . I.a� (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 October 30, 1980 Mr. Frank Cichanowicz, Chairman Conservation Advisory Council Southold Town Hall Southold, New York 11971 Dear Mr. Cichanowicz: Transmitted herewith is application no. 57 for a wetland permit submitted by Enconsultants, Inc. for Paradise Point Corporation. 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. Very truly yours, Judith T. Terry Town Clerk Enclosure i- Town Of Southold Town Clerk's Office RECEIVED Southold, N. Y. OCT 3 01980 Toiam Clerk Southold APPLICATION FOR WETLANDS PERMIT Application No. .........4`,7............... Date of Application ......10�?,7/80 ............................. Identity of Applicant ..,,Paradis c Point. . . .Cor. . ...p,...by..En.-con.sul. .t.ants, Inc . . . ... . . . . .... .... ....... ... . . . ... .... .................................. Address of Applicant .................................................64..NorthMa pS. .,.�.. �t..Y.....119 68 INSTRUCTIONS FOR PERMIT A. This application is to be completely filled in by typewriter or ink and submitted to the Town C"`_k in y up uadrlicote, accompanied by writter permission from the owner of the property if not the same as the applicant. PD. Pilot Plan must be drawn to scale on the reverse tide 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. P, 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 singe dock or jetty, then this application must be accompanied by a survey and topographical map certified by a registered fond 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- srigs 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 gr 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 applicant applicant for a the provisions of Article Il, Section? permit, may waive in whole or in part, subdivisions �) and Or 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 jermit shall be available for inspection at any time, upon request. i= f O 'Examined .................................................. 19....... Approved ................................ ............................... Disapproved ........................................................... Conditions, if any ................................................... ............................................................................... . ...................................................................... .. ................................................................................ ExaminingBody .......................................................................................................... .......................... Signature of Chairman ............................................................................ APPLICATION IS HEREBY MADE to the Town Board of the Town of Southold, Suffolk County, Now York, for the issuance of a permit pursuant to the Laws, Ordinances and Regulations govern- inn the Coastal and Interior Wetlands, Flood Plains and Drainage Areas of the Town of Southold: Permit regpested to ,construct a timber bulkhead 390 ' in length and backfill with will be _a 320- cu yds of clean fill to be trucked in. Bulkhmd """ bove the line of D-H14 and landward of marsh fringe. ....................................................................... 1.�-:-.otir.n of property for which permit wanted.......Man„made..basin_.off Briar Lane Paradise Point, Bayview, Southold ' """'."""""""'""....... .. .. .......................................................................... H^me address of permit applicant if different from aforesaid location .............................................. .................................................................. Creek, Bay or Harbor fronting property ..........Man..made..bas.in . . . .......................................................... .............................................................. Size of proposed work: Length ...........390 ' .................................................... Width Height Above High Water ......... .......................... ..................... Depth Below Low Water 15 ' piles and 12' sheathing P .................................................................................................................. Yards to be Excavated 0 ....................... Yards to be Filled 320 Width of canal, creek or bay fronting property............. Depth at Low Tide bulkhead to be above A4IIW ......................................................... r Average: Rise in Tide 2 91r ................................................................ 0 Private Isthis for private or business use? ......................................................................................................... AreaZoning ............. . ............residential........, ............................................................................... Manner in which material will be removed or deposited ..truck .a.. ...nd dozer.... ... ..... ...................................... . .................................................................................................................................................................. Intended use of property .Private use by members of corporation. ......................................................................... ..........................................................................................I....................................................................... Written consent of owner of property, if not the some as the applicant ........................................ ................................................................................,....................................................................... .................................................................................................................................................................. COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS: Roy L. Haje ..................................................................................................................... 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 Kest 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 of said permit, if granted. ................................................................................. Signature of Applicant Sworn to before me this dayof ..................................................... 19......... ................................................................................, Notary Public C' PROPoSg-0 SuljcHEADS-, , -�vr- PIARAOISC PO/N7 COf'.P. �n Tot.J.ti {AF�RGR , PEGoN:� ¢AY A.,d tn1RS�tY %.. 23/�T'r�i�c.1t 7otY ar= SouiHa�D , S� ,<roc.k Co.iY.4•. t �w>`{ HARC�oR .yy �:,f� c'onlsuc-�ft:'Y T5, rtyC �Q,OPbj�'D �uLuNBA� -' � CxtsTuvG 4✓c.krti'g0 .� �, — -- _-- _ CORP PAAAN b if P-6.I-00.P . � t �� PRoiobED Bv�KH£AD PAPA 4D)SE" P-r9a;r�`� CORP. AS//(. Ex�srrryl� � ti. 1 �RcPo5E0 `r�L 1 i 8✓t,kNf90 �� _�- \ 0 Jq Pt OAID ROZI t! ,? �CR•i.l: l �o.00 ` N T �o PARAD(sc Pr. CorRP. s�8" 1t.3a a-.,G' urdLEIZ _ t la�X �3 V,(AVM.,4)v x �bdLC.e 1l I id X - s1�EaJ',�Sll. E f TO WHOM IT MAY CONCERN: THIS IS TO AUTHORIZE EN-CONSULTANTS, INC. TO OBTAIN THE NECESSARY PERMITS FOR MARINE CONSTRUCTION IN P•7Y BEHALF. TOWN OF SOUTHOLD u � 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 b.e 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 'V No .. 2 . Will there be a major change to any unique or . unusual land form found on the site? . . . . . . ... . . Yes .X No 3 . Will project alter or have a large effect on existing body of water? . . . . . . . . . . . . . . . . Yes X 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 -� 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 'K 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 as a critical environmental area by a local agency? . . . . . . . . . . . Yes < No. 10 . Will project have amajor 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? . . . . . . . . . . . . . . . . . . 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 project have 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? . . . . . . . o . . . . oo . . . . . . . . . . . . . ... . . . . o . o . . Yes --,/ No PREPARER ' S SIGNATURE : REPRESENTING_ Rh1�t(Sc TI �►�� DATE /01" so