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HomeMy WebLinkAboutTR-7944A James F.Kin President 11 Sqf t4-`' g, ��'0 OGy Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President o. P.O.Box 1179 Dave Bergen W Southold,NY 11971 John Bredemeyer., �� ♦ ! Telephone(631)765-_1892 Michael J.Domino �Q( `a� Fax(631)765-6W BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction % constructed Project complete, compliance inspection James F.King,President *QF S�(/Ty Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O� Ol0 54375 Main Road P.O.Box 1179 Dave Bergen [ Southold,New York 11971-0959 John Bredemeyer Michael J. Domino c� ,c G pQ Telephone(631) 765-1892 COUMV Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7944A Date of Receipt of Application: November 1, 2012 Applicant: William C. & Donna M. Goggins SCTM#: 117-10-14.1 Project Location: 1780 Jackson Street, New Suffolk Date of Resolution/Issuance: November 14, 2012 Date of Expiration: November 14, 2014 Reviewed by: Board of Trustees Project Description: To replace the wood fence on west side of property, outdoor shower and portion of southwest property adjacent to the fence that was damaged in the storm. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by William C. & Donna M.. Goggins, received on November 1, 2012, and stamped approved on November 14, 2012. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. 97 James F. King, President Board of Trustees r James F.King,President y Town Hall Annex Bob Ghosio,Jr.,Vice-President w r 54375 Route 25,P.O.Box 1179 Dave Bergen �.f� �' Southold,NY 11971 John Bredemeyer �0,( 'nQ Telephone(631)765-1892 Michael J.Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Please be advised that your application dated has been reviewed by this Board at the regular meeting of Z and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction'($50.00) % Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ D.D BY: James F. King, President Board of Trustees James F.King,President OSUFF04/( O P.O.Box 1179 Bob Ghosio,Jr.,Vice-President ] roe o Southold,NY 11971 Dave Bergen - Telephone(631 765-1892 coo John Bredemeyer Fax(631)765-6641 Michael J.Domino Southold Town Board of Trustees Field Ins pection/Worksession Report Ilk0b Date/Time: /U6✓ 7 1 Z WILLIAM C. GOGGINS, ESQ. request and Administrative Permit to replace the wood fence on west side of property, outdoor shower and portion of southwest property adjacent to the fence that was damaged in the storm. Located: 1780 Jackson Street, New Suffolk. SCTM# 117-10-14.1 Type of area to be impacted: PS'altwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: hapt.275 Chapt. 111 other Tye of Application: Wetland _Coastal Erosion _Amendment ✓Administrative_E merge ncy Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: 4/ J. King `'IB. Ghosio y D. Bergen, _,v. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field byKIA Mailed/Faxed to: Date: • z'• '':'.ram �...,+� :J�'.�.1.`.� ��- � •+�• '�.� . -16 .'r` qk t. q t. .� I z (13 unread) - williamgoggins(a�yahoo.com- Yahoo! Mail Pagel of 2 �,.... . 1 M. , d A r . x y rw« a i �s O � , y C N O i http://us-mg4.mail.yahoo.com/neo/launch?.rand=99ngpfk 1 oa6up 10/31/2012 [2�'Tl' B--7iC 1 osaN N U HILL RD to x I� s 3 u I r s 'r BEE SEC.xO. ) e 1M xeMe1 O - I IIeO3u01 / � tGEORGE � 2. 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Main Rd. &Youngs Ave.) CA Southold, NY 11971 Q Telephone: 631 765-1938 �� Fax: 631 765-3136 COUNT`I LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM 17 iD) To: Jim King, President ( �,; NOV 14 2012 Town of Southold Board of Trustees I From: Mark Terry, Principal Planner eL3 i:Ust�es LWRP Coordinator Date:- November 13, 2012 Re: Proposed Wetland Permit for WILLIAM C. GOGGINS, ESQ SCTM# 1000-117-10-14.1 WILLIAM C. GOGGINS, ESQ. request and Administrative Permit to replace the wood fence on west side of property, outdoor shower and portion of southwest property adjacent to the fence that was damaged in the storm. Located: 1780 Jackson.Street, New Suffolk. SCTM# 117-10- 14.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268,'the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse,Assistant Town Attorney Jill M.Doherty,President Town Hall,53095 Main Rd. James F.King,Vice-President �,: P.O.Box 1179 Dave Bergen *' Southold,NY 11971 Bob Ghosio,Jr. ►� Telephone(631)765-1892 John Bredemeyer `` Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Applicationit _Wetland Permit Application Administrative Permit f . —Amendment/Transfer/Extension i' NOV - 2012 Received Application: I I 1 Received Pee:$ 1 Y Completed Application I / BcG. a;--u c` .e....._- 'JiC S _Incomplete - _SEQRA Classification: Tvpe I Type II Unlisted Coordination:(date sent) — 'A LWRP Consistency Assessment Form NCAC Referral Sent: �:Datc of Inspection: / Receipt of CAC Report: _Lead Agency Determination: Technical Review: Public Hearing Held: It/ 2— Resolution: Naive of Applicant w llliam C. Goggins and Donna M. Goggins Address 1780 Jackson Street, New Suffolk, New York .Phone Number:( } (631) 298-4200 Suffolk County Tax Map Number: 1000- 117.00-10.00-014.001 - Property Location: 1780 Jackson Street, New Suffolk, New York (provide LILCO Pole#, distance to cross streets,and locations) AGENT: (If applicable) Address: Phone: E d of Trustees Application GENERAL DATA Land Area(in square feet): 41,510 Area Zoning: R-40 Previous use of property: residence Intended use of property: residence Covenants and Restrictions: Yes No If"Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes xx No If"Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? xx No Yes If yes,provide explanation: Project Description(use attachments if necessary): repair fence, outdoor shower, and area depicted in attached photos caused by hurricane. B d of Trustees Applicati.or COASTAL EROSION APPLICATION DATA Purposes of proposed activity: repair damage caused by hurricane Are wetlands present within 100 feet of the proposed activity? xx No Yes Does the project involve excavation or filling? No xx Yes If Yes,how much material will be excavated? (cubic yards) How much material will be filled? 5 (cubic yards) Manner in which material will be removed or deposited: wheel barrol: Describe the nature and extent of the environmental impacts reasonably anticipated.resulting from implementation of the project as proposed. (Use attachments if necessary) none PROJECT ID NUMBER 617.20 SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME William C. Goggins Goggins 3.PROJECT LOCATION: Municipality Southold County Suffolk 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide maq 1780 Jackson Street, New Suffolk, New York . 5.IS PROPOSED ACTION: ❑ New ❑Expansion ❑Modification I alteration Repairs 6.DESCRIBE PROJECT BRIEFLY: Repair damage cause by hurricane 7.AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 20 Square feet 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? FX'4Yes' ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) xA 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) ®Yes ❑No If yes, list agency name and permit / approval: permit to replace jetty expired, waiting Board of Trustees of the Town of Southold. response from DEC to amend length CURRENTLY VALID PERMIT OR APPROVAL? ElYes I­x­,ENo 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 HAT THE INFORM TION PROVIDED ABOVE 1S TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Na a it -am Gog Date: 11/01/12 Signature If the action:is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II- IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. Ej Yes a 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. El Yes a 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 pattern,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: . ... ...... .... ..... .... . ........ d3. 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 uantit or!ype of energy? Ex lain briefly- ............. - - D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA? If .es,explain briefl : El Yes No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes ex lain: ❑ Yes M No F .......... PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or 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. If question d of part ii was checked yes,the determination of significance mustevaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have Identified one or more potentially large or significant adverse impacts which MAY occur.Then proceed directly to the FUL 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 actin WILL NOT result In any significant adverse environmental impacts AND provide, on attachments'as necessary,the reasons supporting thi determination. Board of Trustees Name of Lead Agency Date tlq)yl:-S r, l,(/16 President p Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer 94a:!,� J-4� Si ature of Responsible Officer in Lead A e Signature of Preparer(If different from responsible officer) _bard of Trustees Applicat.Lu" County of Suffolk State of New York William C. Goggins BEING DULY SWORN ..DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH-IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HAPIVILESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S)OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH VIEW OF THIS APPLICATION. RF Signat e SWORN TO BEFORE ME THIS / DAY OF ,�IVG�/L � ,20 �. Notary Public Anthony H.Palumbo Notary Public State of New York No. 02PA6114032,Suffolk County Commission Expires Aug.91"2=(0 APPLICANT/AGENTMPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessar to-avoid o avoid same. YOURNAM& William C. Goggins (Last name,first name,ilaiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate.thb.other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee xx. Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship.with any officer or employee of the Town of-Southold? "Relationship"includes by blood,marriage,or business interest."Business interest'means a business, including a partnership,in which the town officer or employee has even a partial,ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO xx If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title br position of that person Describe the relationship between yourself(the applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Subtnftted t / da of )WO' Signature. Print Name Form TS l f j Town of Southold i LWRP CONSISTENCY ASSESSMENT FORM i A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a.determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form.should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its sing f cant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non-. supportink facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees O€f cei thee-r Plann ng De a nentzf-all local libraries and the Town Clerk's office. E, C L �1 i B. DESCRIPTION OF SITE AND PROPOSED ACTION f NOV 1 2012 SCTM# N)ON - I C! 0 r PROJECT NAME 1"49/� Bouo o;Trus'tees The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate"response): (a) Action undertaken directly by Town agency(e.g. capital ❑ -construction,planning activity,agency regulation,land transaction) ❑ (b). Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval, license,certification: Nature and extent of action: ` l i /�7 X`C) J Location of action: S�l a Site acreage: Ot Present land use: 46 06144a Present zoning classification: %O 2. If an application,for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: �`�'�L �-�7 ?ilyli✓ (b) Mailing address: pio Telephone number: Area Code (c) e p ( ) (d) Application number, if any: Will the action be directly undertaken,require funding;or approval by a state or federal agency? Yes ❑ No r1Q If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III=Policies Pages 3 through 6 for evaluation criteria i ❑ Yes ❑ No gNot Applicable i i •5� Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No LF Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve.water quality and supply in the Town of.Southold. See LWRP Section III =Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of,Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ I Yes No Not Appliva`Ole I Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LW" Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes- ❑ No . Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the.Town of Southold. See LWRP Section III-Policies; Pages 38 through 46 for evaluation criteria. ❑ YeF-1 No Not Applicable i Attach additional sheets if necessary I I 1 WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural.lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No Not Applicable i i ,Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. 'See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED BY TITLE DATE i i GOGGINS & PALUMBO ATTORNEYS AND COUNSELORS AT LAW P.O. Box 65 13235 Main Road Mattituck,New York 11952 Phone: (631)298-4200 Fax: (631) 298-4214 WILLIAM C.GOGGINS,ESQ. ANTHONY H.PALUMBO,ESQ. TRACY L.KARSCH,ESQ. DONALD A.MATES,ESQ. November 1, 2012 Of Counsel DONNA M.PALMER Paralegal Board of Trustees of the Town of Southold P.O. Box 1179 � Southold, New York 11971 IN �'V/j � Re: 1780 Jackson Street, New Suffolk, New YorkL�F ' NOV - !� 12012H. Dear Sir/Madam: V 4;j;;•. T ..DLGIu�1 T"i Enclosed please find the following: 1. Emergency Permit Application; 2. Application Fee of$50.00; 3. Copy of survey from prior permit; and 4. Photographs. We seek to make repairs from Hurricane damage. Thank you. Ve truly your , William C. )0919i "-� WCG/bh