HomeMy WebLinkAboutSTEWART, ROBERT TRUSTEES
John M. Bredemeyer, III, President
Henry P. Smith, Vice President
Albert J. Krupski, Jr.
John L. Bednoski, Jr.
John B. Tuthill
Telephone (516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
CREEK
YOUR ORIGINAL PERMIT NUMBER
APPLICATION FOR SPECIAL ICE DAMAGE PERMIT
INSTRUCTIONS: Complete form below and return to above address.
You should have this application approved and returned to you
within a week. ~ g~-?~ov ~ ~~ ~~o ~ ~o ~'re~ ~c~
l. Applicant's Name & Address:
2. Contractor's Name & Address: Tel.No.
3.The purpose of this a~lication: Redriving or replacing
o~enwork dock or o~enwork ~ier piling, and mooring ~iles,
removal of damaged ~ilin9, re~air, resetting or replacement of
floating docks, ramps, or decking, all necessitated b~ ice and
storm damage resulting during 1989-1990 ~inter.
SPECIAL CONDITIONS
1. NO dredging or filling is permitted.
2. Repairs to existing structures shall be limited to
replacement of timbers without change in design or dimension.
3. No repair or replacement of bulkheads is permitted under this
permit.
4. No freshwater of tidal wetlands are to be disturbed under any
circumstances.
5. A yellow permit sign provided by this office shall be
displayed on the project at all times while under replacement.
6. Original permit numbers (3"high) must be displayed on project.
7. Groins and bulkheads are-subject to inspection prior to
issuance of permit.
rev. 3/28/88
BOARD OF TOWN TRUSTEES
CREEK, /~./~/~7,/{C/(~ //~//--- ~'~'" Town of Southold
YOUR ORIGINAL PEP~MIT NUMBER
t%{Mn Road
Southold, New York 11971
APPLICATION FOR SPECIAL ICE DAMAGE
INSTRUCTIONS: Fill out form below and return to above address. You
should have this application approved and returned to you within a week°
1. Applicant's Name & Address: ..................
~-~ '33 > ~ w- ~' -
......... Tel.
2 Contractor's Names & Address: t?.~
· .~.~. t~/~-
............ ~L~??~.~?~¥ .! ;lJ . Tel. No .~.~..~. - ./.~.~-~'~..~..
3'. The purpose of this application: Redriving or replacing openwork
dock or openwork pier piling, and mooring piles, removal of damaged
piling, repair, resetting or replacement of floating docks, ramps,
or decking, all necessitated by ice and storm damage resulting during
1987-1988 winter..
SPECIAL CONDITIONS
1. No dredgirig or filling is permitted.
2. Repairs to existing structures shall be limited to replacement of
timbers withoht change in design or dimension.
3. No repair or replacement of bulkheads is permitted under this permit.
4. No freshwater or tidal wetlands are to be disturbed under any
circumstances ~
~5. A yellow permit sign provided by this office shall be displayed on
the project at all times while under replacement.
6. Original permit numbers (3'~ high) must be permantly displayed on
project.
(Tear off and return)
I, ~ , certify that the work as authorized in
this permit has been completed and is no~ ~eady for your inspection.
Also, the permit number required on this project is clearly visible.
PERMIT 4U33iBER