HomeMy WebLinkAboutTR-1129Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO ..... J..129 ........ : ........
DATE: ....Apr. il._..J.2., 19[
ISSUED TO ................. -~-~.a...A ...... Be.cbOe ............................................................................
Pursuant to the.provisions of Chapter 615 of the Laws of
· 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
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, C~RAVEL OR OTHER MATERIALS FROM
~LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at a meeting held on .Ap.r±l......12,
19 ....... .7..~ and in consideration'of the sum of $ ......... ~.....~. ...... paid by
..] ........................... .' ......... ~,~a...A ..... Be. ch:l: ..................................... i .............................................
of .............................. S.o.~:bhoZ.d ............................... N. Y. and subiect to the
Terms and Conditions I~sted on the reverse side hereof,
of Soufhold Town 'Trustees authorizes and permits the following:
Permission to place dock 12'x5'6" attached
to applicant's bulkhead at Jockey Creek, Southold
all in accordance with the detailed specifications as presented in
the originating application.
. by
be
IN WITNESS WHEREOF, The said Board of Trustees h~re-
Causes its Corporate Seal to be affixed, and these presents to
subscribed by a maiorlty of the said Board as of tl~isdat,e.
.... .....
....................
BOARD OF TOWN TRUSTEES
Town of Southo]~l
Main Road
Southold, New York 11971
P/1 P~v/6/72'
To: .......... ~.a.. J~ .... B.echt,...9.7..5.. Hill.. Bo.ad.,...Smu.thold~,...N...Y ........ .~ J.gT..J ......................
]. Your application, dated ...... Har. c,b...23.,...J.9.7.6 ................................ has. been reviewed by this
Board, at a meeting af the Trustees held on ........ Ap~il..J.2.,...J.c~7.~. ..................................................
a,nd resulting in the action, as indicated below:
(.XX~...)
( ............ )
( ............ )
Application approved.
Application denied.
Application tabled.
2. Commen.~s and remarks;:
3. If your application is approved above, A Permit Fee is now due, and should be made payable
to the order of the Board of Southold Town Trustees. This fee is computed below according to
the Schedule of Rates as set forth in the instruction Sheet (Form i/1).
If the Permit Fee is paid in person to the Secretary of the Board, The Permit will be ob'~ainable
at the same time. If the fee is paid by mail, the permit will be mailed in reply.
Computation of Permit Fee:
12' x 5'6' Dock - x .10¢ per sq. ft. = 6,60
less $5.00 filing fee paid -5.00
$ I. 60 AMOUNT DUE
Total Fee for this application .............................. 64.60 ..................... $ ..... .1.,.60..J~0.-LI~?...D..U.$
Signed A~.. V~...~ ~...GOL~S~I.T~ ........................
Chin. Board of Southold Town Trustees.
by
~Z
Iii :
BOARD OF TOWN TRUSTEES
Town Of Southold
Main Road
Southold, New York 11971
APPLICATION FOR FIXED and/or FLOATING DOCKS
l. Applicant's name and address: .......... ..~,.~.t~... .... .f)....:.....~....~..?...~....!.~-~ ..................
................................. ...... ..... ............................................
2. Contractor's name and a~lc~ress: ..:,~~~...~..~ ......................
....................... ....... ...... .................... ................... .........................
3. Briefly explain the purpose of this application: ........................................................................
....
4. After issuance of a Permit, I expect to: (mark by an X)
(a) Commence work AT ONCE ............ ; ASAP ............ ; UNKNOWN .............
(b) Comp]me work in- 1 DAY ...~.... .... ; 1 MO ............. ; 1 YR ............. ; FUTURE .............
Secure the correct Area Map from~ the Secretary of this Board, and by using an X WITHIN
A CIRCLE indicate as closely as possible the location of this dock. On the reverse side of this
map, provide a SCALE DRAWING which will show Ordinary High Water Mark, the shape
and size of the~dock and any supplemental pilings which are needed to hold a floating dock
or tie-up a boat. Give all dimensions n.ecessary to determine the area of the dock surface
which extends offshore from the O. H. W. M.
Will any portion, of this construction extend offshore i.nto Town Waters beyond a:n imaginary
line or boundary formed by other similar structures along the area's shoreline? YES or NO.
If it does extend beyond this so-called dock line indicate by how far, approximately,. ......... ft.
Provide the following docu,ments:
(a) A Licensed Engineer's Survey of the property involved.
(b) A copy of the Contractor's Plans and Specifications.
Will this construction require the Filling of any land offshore of the Ordinary High Water
Mark or the Dredging of any material from Town Lands under water? YES or NO. If it does,
Form Al4 (Application for Dredging/Filling) must be completed and attached as pa~rt of this
appl ication.
In requesting approval of this application, I submit that: the information presented herein
is true and' correct to the best of mv knowledge and belief; I am the person accountable for
the performance of the work in accordance with the plans and specifications attached; I have
read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work
involved; and further, I intend to adhere to and abide by the Terms and Conditions of the
Permit, when ond if issued to me.
Accepted by:
~40fb°~
1,44 II