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HomeMy WebLinkAboutTR-31-18-15 GF Board Of Southold Town Trustees ►� SOUTHOLD, NEW YORK PERMIT NO. ...:31-18-.15....... DATE: :...1-z8...9.3.......... - d ISSUED TO ...............laichar.d....Frizzi.........:........... �+ ,.> Pursuant to the provisions of Chapter 615 of.the Laws of IN the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled REGULATING AND THE PLACING OF OBSTRUCTIONS aj IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR.OTHER MATERIALS FROM ` LANDS UNDER TOWN WATERS;" and in accordance with the lr • �.;.,, ;• �;,� Resolution of The Board adopted at a.meeting held on .... .-2.8.............. • I�r. .i ... l 19..9.3....., and in consideration of.the sum of $...exempt.-... paid by �•:: 1I 5 r Y d t 5 a; ................ ...............:................... ............... subject to he `. Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: _ ! Grandfather permit to.replace bulkhead damaged by storm : f ti all in accordance with the detailed specifications as presented in �:. i +1 the originating application. S a� IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to l ,h be subscribed by a majority oft said Board as of this date. O Gy *b .. .. • . : ; , o CCCCff � y' ... GG i GO�o �o .... . .................... Trustees . � ,. rK�, .5u rm.+ :e.. �r .✓'.t .4:�.. �X���r r,,,i."..s 04�T"r W.. r��,dC.�.<.�etlu:�."tetY ti..r�'A rt,, — v TRUSTEES i '�-y . COTT L. HARRIS iJ ,•,,; � .� Supervisor John M. Bredemeyer, III, President e'��;•'`?>i''= ^'+ Henry P. Smith, Vice President 1 � Albert J. Krupski, Jr. � t . I' Town'Hall, 53095 Main Roa John L. Bednoski, Jr. P.O. Box 1179 John B. Tuthill Southold, New York 11971 BOARD OF TOWN TRUSTEES Fax (516) 765-1923 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 GRANDFATHER APPLICATION 1 . Name of Applicant• Richard. Frizzi 2. Mailing address. P.O. Box 1265 Smithtown, NY 11787 Tel. No: (516) 265-3661 3 . Address of Property: 628 Rabbit Lane East Marion, NY 11939 4 . Tax Map Number: 1000- 31-18-15 Approx.yr.of construct• 1957 5 . Prior owner if known:-- .. Cyriacks 6 . Diagram of existing structures,' including all dimensions, must be included with this application: a) See Roderick Van Tuyl survey updated for Frizzi on August 16, 1982 b) Application is for Nor'easter 1992 Storm Damage repair 7 . Indicate on attached map: Location, ie; reference point, telephone pole number, adjacent property owners, etc. AUTHORIZATION FORM ATTACHED Signature of applicant: cc c c c �-=��ecretary —Date: January 22, 1993 LATHAM SAND & GRAVEL, INC. * P le�so �� er e ; s a enia ti�►�f-���—$ 95-19-3(8/89)-7e DEC APPLICATION NUMBER NEW YORK STATE DEPARTMENT OF ENV][ ENTAL CONSERVATION 11111111111020 .■. JOINT APPLICATION FOR PERMIT U.S.ARMI'CORPS OF ENGINEERS APPLICATION NO. Please read ALL instructions on back before completing this application. Please type or print clearly in ink.Attach additional information as needed. ❑ARTICLE 9,TITLE 1,ARTICLE 43 6NYCRR 646(LAKE GEORGE RECREATION ZONE) ❑ARTICLE 15,TITLE 3(AQUATIC PESTICIDES CONTROL) 06NYCRR 327(AQUATIC VEGETATION) ❑6NYCRR 328(FISH) ❑6NYCRR 329(INSECTS) S ®ARTICLE 15,TITLE 5 6NYCRR 608(PROTECTION OF WATERS) T A ❑For the construction,reconstruction,or repair of a DAM or other impoundment structure. - T ❑For the disturbance of a STREAM BED OR BANKS or excavation in or fill of NAVIGABLE WATERS. 0401 WATER QUALITY CERTIFICATION E ❑ARTICLE 15,TITLE 15 06NYCRR 601 (WATER SUPPLY) 06NYCRR 602(LONG ISLAND WELL) ❑ARTICLE 15,TITLE 27 6NYCRR 66b(WILD, SCENIC AND RECREATIONAL RIVERS) ❑�--�,,A,RTICLE 24 6NYCRR 662,663(FRESHWATER WETLANDS) OARTICLE 25 6NYCRR 661 (TIDAL WETLANDS) ❑ARTICLE 34 6NYCRR 505(COASTAL EROSION) -------------------------------------------------------------------------------------------------------------------------------------------------- F ❑SECTION 10(RIVER AND HARBOR ACT OF 1899)for structures and work in-navigable waters of the U.S. ❑COASIAI.CONSISTENCY CERTIFICATION. E ❑SECTION 404(CLEAN WATER AC-1 OF 1977)for disposal of dredged or fill material in waters of the U.S. D ❑SECTION 103(MARINE PROTECTION, RESEARCH AND SANCTUARIES ACT)for the transportation of dredged materials for dumping into ocean waters. 1. LIST PREVIOUS PERMIT/APPLICATION NUMBERS AND DATES(If any) 2. APPLICANT IS A/AN ®Owner ❑Operator ❑Lessee ❑Municipal ity/Governmental.Agency (Check as many as apply) 3. NAME OF APPLICANT(Use Full Name) Richard Frizzi MAILING ADDRESS TELEPHONE(Where can be reached during day) . P.O. Box 1265 ( 516) 265-3661 POST OFFICE STATE ZIP CODE Smithtown NY 11787 4. NAME OF ❑Owner Agent/Contact Person (Check one) Latham Sand & Gravel, Inc. MAILING ADDRESS TELEPHONE(Where can be reached during day) P.O. BOX 776 ( 516) 323-2585 POST OFFICE STATE ZIP CODE Orient NY 11957 5. PROJECT/FACILITY LOCATION(Mark location on map, see Number la on reverse side) County Suffolk I Town or city Southold I Village East Marion STREET ADDRESS(If different from applicant) 628 Rabbit Lane POST OFFICE STATE ZIP CODE East Marion NY 11939 6. NAME OF STREAM OR BODY OF WATER Gardiners Bay/Orient Harbor 7. HAS WORK BEGUN ON PROJECT? If YES, attach explanation on starting work without permit, include dates. 8. WILL PROJECT UTILIZE STATE LAND? ❑Yes No Show work on map and/or drawings. Dyes ❑No 9. PROPOSED USE: ® Private 10. PROPOSED STARTING DATE: 11. APPROXIMATE COMPLETION DATE: 12. FEE OF(NYS Permit Only) ❑ Public El commercial February 1, ,1993 March 31, 1993 $ 0 Enclosed 13. PROJECT DESCRIPTION: (e. quantity and type of material to be excavated, dredged or used for fill or rip ra location of disposal sites;b 9 Y ' YP 6 F P. p type of structure to be installed; height of dam;size of impoundent; capacities of proposed water sources;extent of distribution system;etc.) Repair 40+ lin. ft. bulkhead damaTed by Nor'easter Storm, backfill with 60 yds. sand from up laL�d site. Repair bulkhe d a d re la e/ et a xll�0' deck,. Bu,41� he d. repaire hire play nghe° strin er ,Vit, �x6 fasthe� w��+'�utt b�ocks replace s�heat�Ting Iles. 14. WILL THIS PROJECT REQUIRE ADDITIONAL FEDERAL, STATE AND/OR LOCAL PERMITS? 91 Yes ❑ No If yes, please list: Southold Town Trustees I 15. CERTIFICATION: I hereby affirm that under penality of perjury that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. Further, the applicant accepts full responsibility for all damage, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from said project. In addition, Federal Law, 18 U.S.C. Section 1001 provides for a fine of not more than $10,000 or imprisonment for not more than five years, or both, where an applicant knowingly and willfully falsifies,conceals,or Covers up a material fact;or knowingly makes or uses a false,fictitous or fraudulent statement. ®I hereby authorize the agent named in Number 4. above to submit this application on my behalf. \• .Authorization Form attached \ �-tea.- 3?s _ C!'- s IdC --t— DATE SIGTIfTURE TITLE - PLEASE READ ALL INSTRUCTIONS ON REVERSE SIDE nrnui�- nn►a�r.unrn wrr.n i I 3E 46 r x { iq S r �7 .r rt a AOUALrLV y. a SDUTNEP M EAST MAq/ON '4Ci afi 1. -, ?ytF J JD BF,CCH ORIENT PARK Rt�x3tra . Dam Pon x 193 EAST MARION S C � #� t }73Y .n..�.yw•a � �," 5 h St,i d ♦ -t�xs 3.¢'. J P Y n� ZS •�r,"'xa'7 ,. p� i e ti'• ? e} - o tee^ p E 3 -1 S 1 k`�! pip P^ * yx T �.•• i'4 �F •�. �PDP �O V NOR LA R I E N T 1 !tcon m r A rb 3 ! C UTNOL c , 'Ceves Pt so D 5 SNELTER IS f t ". Hay Beach R rF r Long BeacA C7. L.N. Cornelius i Ji{� F. PC CO PD\NT D .E s t y BAY P 46 i FOR ADJOINING AREA SEE MAP NO.37 s 3 �-- a � h �2L� c' `l; 7 O1___ �r�� ^� �"r� T•�Tie ` - .. _- < . . i ,r..... s.:. Lit ZZ El I 'fix Ll . ILI43 _ ROT Es TFS _uroa.ar s inKed J d L ! seal shad not be cc:. fiT Q tic valid true copy. NF - REM- A2E T. I� ifl'SC,'!!!�l hsf'OC:S` �� tt T of --a parson for.,,,n..-. --:r. �ti tr c Vie. fr�:�u!-�1� ut�.il�' ia_ i' arm on his 1 4 a' it:o¢. . M7C u -Pr w Aw tl M -�, �ccA rLT, ttvsC.'RRh+CE COI t GAgot�.l�iZS .__ SAY _--. . �(��.: i�i��� Vr{i�� i `:•� ..rFY ....' �!L `7 Sao G aIs- C NL,/Z N',94KiL ' i.y t-s•,M :1ri i� l r as c. FI L L— ' jj T p _ Glec.,.� II� �C 7 CAP x• _--rim -,0/ / —A !- 5 TRi N FRS /-140A7 PI—EADAIAIV VrAl Z-Al--- 1 � SHEAT/-�/�lG� Richard Frizzi 628 Rabbit Lane East Marion, NY 11939 f TEL 516 36a-m257 P. 2 AUTHORIZATION FORM Date J� Fv owner of property at the following location, do hereby give Latham Sand & Gravel, Inc. authority to act in my behalf as petitioner/agent in applying for-.such permits as necessary in order for work to be done at my property. Signature 0 �1 A �'�"=�' �.`r.+.. ' -- .;fit'_'" �.» _ �c�+��'r►':r� �� .e:�7 r •rr i