HomeMy WebLinkAboutTR-1414Board Of $Outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO ..... 3~ .............. DATE: ..~:~?~?i~3- 23.
SSUED TO .......................... ...........................................
Pursuanf fo fke provisions o~ Ckapfer 615 o~ fhe Laws o~
fke Sfafe o{ New Yor~, 1893, an~ ~apfer 404 o~ fke L~ws
Sfafe o{ New Yor~ 1952; an~ fha Sob+bola Town Ordinance en-
flfled"RE~ULATIN~ AND THE PLACIN~ OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS an~
REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" an~ in accordance wlfh
Resoluf[on o{ The Boar~ a~opfe~ afa meeflng hel~ on .~.~.~...~.~
19...~.~.., 'an~ in consi~erafion 0{ fhe sum o{ $. ~.~.~.Q . pa~ by
................................... ~.b~;~. ~.~....~;~ .....................................................
Terms an~ Con~iflons llsfe~ on fha reverse si~e hereo{,
o~ Souf~o]~ Town Trusfees aufhorlzes an~ permifs fha
~e s~[~c~ ~ ~c~ C~ee~ ~ ~e~
all in accoraance wifh fee ~efai[e~ speci{icafions as pr~enfe~ in
fha orlglnaflng appllcaf[on.
IN WITNESS WHEREOF, The said Boar~ o{ Trusfees here-
Ey causes ifs Corporafe Seal 'fo be a{{ixe~, an~ fkese pre~n~s
be subscrlbe~ by a maiorlfy o{ fha saia Board as o{ {his ~a~.
BOARD OF TOWN TRUSTEES
Town of Southold
l~Iain Road
Southold, New York 11971
To: Anthony J. DeMaula, Jr. ' .
]. Your applicat on, dated ...~.e.R~..~,,~,b...e.?..~....,~.~.~,,~. ............................... has been reviewed by this
Board, at a meeting of the Trustees he d on October 3, 1978
end resulting in the action, as indicated below:
(...~...) Application approved.
( ............ ) Application denied.
( ............ ) Application tabled.
2. Commen~ and remarks:
The Board requests a drawing of the dock. Please show
high water mark in relation to dock.
3. If your application is approved above, A Permit Fee is now due, and should be mode payable
to the order of the Bo~rd of Southold Town Trustees. This fee Js computed below ~ccording to
the Schedule of Rates as set forth in the Instructio~ Sheet (Form
If the Permit Fee is paid in person to t-he Secretary of the Boord, 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:
I will compute the fee upon receipt of the above.
After payment of the fee, permit will be issued.
Total
Fee
for
this
a~,,,co,,on~,~n .: ................................ ............................ $ ......................................
Signed Philip G. Horton, President
~. Board of Southold Town Trustees.
b Secretary. ~Z/
BOARD OF TOWN TRUSTEES
Town O£ Southold
Main Road
Southold, New York 11971
APPLICATION FOR FIXED and/or FLOATING DOCKS
3. Briefly explain the pur~se of this application: ....~,...~~......~..~
4. After issuance of ~ Permit, I expect to: (m~rk by ~n
~b) Complete work in -- 1 DAY ............ ; 1 MO ............. ;~~U~URE .............
5. Secure the correct Are~ Map from the Secret~ o~ this B~rd, ~nd by using ~n X WITHIN
A CIRCLE indicate as closely ~s possible the ~tion of this dock. On the reverse side of this
m~p, provide e S~LE D~WING which w~ll show Ordin~ High Water ~rk, the shape
and size of the d~k ~nd ~ny supplement~ pilings which ore ne~ed to hold ~ floating dock
or tie-up a bo~t. ~ive all dimensions necess~ to determine the are~ of the dock surface
which extends offshore fram the O. H. W. M.
6. Will any potion of this construction extend o~shore i~to Town Woters beyond ~n, im~gm~y
. line or bounda~ form~ by ~her similar structure~ along the area's shoreline? YES or NO.~
.... i( jt d~ e~end beyond this so.ailed d~k line indicate ~y how
(~) ~ Licensed Engineer's Survey of the property involved.
(bi ~ c~y of f~e Contractor's Plons and Specifications.
8. Will this construction requffe the Filling of any I~nd offshore of the Ordin~r~High W~ter
M~rk or the Dredging o~ ony m~teri~l ~rom Town L~nds under water? Y~ or~ If it does,
Form A/4 (~plic~tion for Dredging/Filling) must be compJet~ and attached os ~rt of this
application.
In requesting epproY~l of this ~pplice~ion, I submit th~: the information presented herein
is true ~nd carrot to the best of my E~ow[edge ~ belief; I em the per~ ~c~nteble ~ot
the performance of the work [~ ~cc~rd~nce with the pi~ns
re~d or ~m ~mili~r with the provisions of ~n~ Southold Town Ordinate ~inent to the work
involved; ~nd +urther, I intend to ~dhere to ~nd ~bide by the Terms ~nd ~onditions of the
Permit, when end if issued to me,
~5~Pted ~Y: n _ Dated:
TOWN OF $OUTHOLD