HomeMy WebLinkAboutBASILE, JOE'BOARD OF TOWN TRUSTEES
TOWN OF SDUTHOLD'
SUFFOLK COUNTY
NEW YORK
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May 4,:i: 1972
Mr. Joe Bas
Sun Lane
South'old, New.York
1971
Dear Mr. Basile:
.
The Board of Town Trustees reviewed your apPlica' ~
tion at their regular meeting on~May.:l, 1972.'L~.Before
any action can be taken, please furnish this office the
fo 1 lowing:
Provide a copy.of a LiCensed Engineer's Survey.
work to be done in relation to your own rpremises,
high water mark, and the adjacent 'bodY 'of water..
2. Provide a copy of.the plans"or drawings which
AlVah:B. GOldsmith
BOard of Town..-Trus'
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tOWER
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IN
BOARD OF SOUTHOLD TOWN TRUSTEES,~-~
TOWN CLERK' S OFFICE
' S OUTHOLD, NEW. YORK 11971
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Form A/1
APPLICATION FOR A PERMIT
1. Applicant ~ s Name:
Address ~'~/ ~ ~~/~
2. Check one or more of the following purposes:
TO MOOR A BOAT
TO BUILD A BULKHEAD
/ TO CONSTRUCT A DOCK
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(secure & complete) Form Al2
Form A/3
Form A/4
TO DREDGE AND FILL
Form A/5
OTHER PURPOSES---State and describe:
3.. Name and Address of Contractor:
Maximum number of months required to complete work:~~
5. Using a DOT WITHIN A CIRCLE as a mark, indicate on the proper
Zoning Map as supplied by the Secretary of this Boar~, the
location of this project, and attach this map as part of this
application.
6. ~ilList below_all other forms or documents you are attaching-
7. In requesting approval of this application, I submit that: the
information presented herein is true and correct to the best of
my knowledge and belief; I am the person accountable .for the
performance of the work in accordance with the plans .and specifi-
cations attaChed; I have read or am familiar with the Southold
.Town Ordinance pertinent to the work involved; and I intend to
adhere and abide by the Terms and Conditions of the Permit, when
and .'.if issued.
L.S. r ~~~
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XXX~LXX~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXxxxxxxxxxxxxxxx
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8 .'-;~ Application
Date:
Amount of Fee--Form A/1--$ 5.00 Minimum
TOWN TRUSTEES
CLE~' S~ ,OFF ICE .
Form A/4
CONSTRUCTING A DOCK
SOUTHOLD, NEW YORK '11.971
~ 1., ~1 Does this Prolject involve the use of WETLANDS as. defined in the
~1.~ i-~'~.~-'wetlandsl OrdinanCe? -(yes Or no). If ~So, YOur application
.
1"~/'" ~' shoUld~be filed through the Southold Town Clerk.
2~ Will ~.the work require-the filling of any land beyond Mean High
Water Mark or the dredging of any Town Lands under water?
- (yes or no).-.~ If so, Form A./5 must also~be .cOmpleted
and attaChed as part of this application.
1
,tats' briefly the intended~use for~this structure:: ~ ~~~..
7
ny Portion of this construction extend~iint° ~Town Waters
beyond a!the°retical bOundary ~f°rmed bY1',Other ~existing docks or
similar~ structures? (yes or:~no), ii~'~If so, by how much ft.
.
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oVide a, copy o.f a Licensed~Engineer's Survey of'your property
i~ and by means .of yoUr own diagram drawn to ~Scale'~ thereon, show
"'the nature-.ofl.the work~!'to be donee, in relation 1to your own, premises, .
er mark, and~the adjacent 'body.off.water.
6, Pr°vide'.a~copy of~the ~Plans or drawings which will be supplied to
~"' ~' ~ractor perfo~rming the work.
·
_
requesting approval 'of this application, I declare there will
be'no interferenCe with the right of the public to pass and
along~ the.~beach'between· high and low water marks.
.on of Fee:'.~'~.i~(for'use'~.of/~the Board) i~'~-~i ~
Area~'of the construction beyond M.H'W~ ~.~the'~rate of
'per sq, ft,' plus $1.00 per Piling for sUpplemental
piles, ~