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Home My WebLink AboutTR-866 Board Of $outhold Town'Trustees SOUTHOLD, NEW YORK ~ DATE:A.p.~.~i 2, 1973 ISSUED TO ....... Bo~ge .Espensen ...................... Autl uri atiun Pursuant ~o the provisions of Chapter 615 of the Laws of the State of New York 18.93; and Chapter 404 of the Laws of the ~ Sta{'e of New York 1952i and the Southod Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS- IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL O,P,, OTH.ER MATERIALS FROM LANDS UNDER TOWN WATERS; and ,n accordance with the Resolution of The Boa~'d adopted at a m.eeflng held on April 2 . 197.~ .... and in consideration of the sum of $4~3'60 .. paid by Borge Espensen o; .WYPc?~%.~.~ .9~._~ ~a'~tL~c~..~ N. Y. and subiect to the T~rms end ConditiOns listed c~n the reversd side hereof of Southold Town Trustees authorizes and permits the following: ~onstruct fixed clock 3 ~t. ~v ?0 ft., 12 ft. floating dock 5 ft. ~y .14 ~t_.~,. -,. on the east side Mattituck CreeK, o~ Drive, Mattituck, New York, all in a. cfor.dance with .the detailed specifications as presented in the omg~nating ~pplcahOn. IN WITNESS WHEREOF, The said Board of Trustees here- by causes 1ts Corporate Seal to be affixed, and ~hese p.resents to · b'e subscribed 6y a majority of the sald Board as of th,s date. The Petm~tte~ Borge Espensen r r~idinga~ Woodcliff Drive, R.R.1, Box 149, Mattituck N.Y.. as part of the consideration for the ~an~ of ~e Pe~t d~ ~d~s~ ~ p~ m ~e fol- 7 alt d~ageg o~ d~for d~ag~of ~ts ~ing a~o~ pe~o~ pu~u~t .tO &~e~ any ~d all su~ With res~c~jhe~ ~V ~e ~p~ete ~cl~ion of ~ B~d of .T~e~ of ~e To~a~ ~ld ' 2. That ~s Pe~t e~mat~ ~me ~u~[~d ~for m ex~msi~ mag ~"mde ~o ~he ~d a~ a later da~. '~ '3. ~at~ Pe~ s~ be rer~lned ~d~itely, or as ~l~g ~ ~e s~d P~t~ wi~h~ m mai~ta~ the m~e or Beard or r ~ mse for ~e ~ ~,~ un~e~omSle up~ ~ n0O~, m ~m~ve or ~tat me BY ................ DATE ......... SUBJECT_ .... '_ ...... _' ............................ SH EET'Nt] ........ DF ......... :HKD, BY ........ DATE ........ ................................................... dOB NO._ .................... .... =~ ........................... DEPT. OR PROJEI~T .............................. BOAi~D OF TOWN TRUSTEES Town Of Southold Main Road Southol& New York 11{171 APPLICATION FOIJ FIXED and/or FLOATING DOCKS 1. Applicant's nome and address: ~{r. Borge Espensen ]7oodeliff Drive -~{a~ituuk, Ne~ Yerk 11952 ~// ] Same as abo~e 2. Contractor's name and address:. .... 3. Briefly explain the purple of this application: ~o provide e~ve~iea¢ access 4. After issuance of a Permit, I e~ect to: (mark by an ~ (a) Commence work ~ AT ONCE · ASAP X , ............ , ............ ' UNKN~N ............. (b) Complete work n 1 DAY ............ ; 1 MO .............. 1 YR ...... ~...-; FUTURE ............. 5. Secure the correct Aree Map from the Secreto~ of this B~rd, and by using on X WITHIN A CIRCLE indicate as closely as possible the I~ation of this dock. On the reverse side of this map, provide o SCALE D~WING which will show Ordinary High Water Mark, the shape and size of the d~k and any supplemental pilings which ore needed to hold ~ fl~ting dock or tie-up o boat. Give all dimensions necessary to determine the or~ of the d~k surface which extends offshore from the O. H. W. M. 6. Will any portion of this construction extend offshore into Town Waters beyond an imaginary line =r boundo~ formed by other similar structures along the area's shoreline? ~ NO. If it does e~end beyond this so-called d~k ~ine indicate by how fo~r, approximately,. ......... ft N0 7. Provide the following documents: (a) A Licensed Engineer's Su~ey of the pr~erty involved. (b) A copy of the Contractor's Plans ona Specifications. 8. Wil this construction require the Filling of any land offshore of the Ord na~ High Water Mark or the Dredging of any material from Town Lands under water? ~ NO. If it does, Form A/4 (Application for Dzedging/Filling) must be compIet~ and attached as ~ of this application. N0 9. n requesting approval of this application, I submit that: the information presented herein ,s true and correct to the best of my knowledge and belief; 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 pe~inent to the work involved; and further, I in,nd ~o adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. Accepted - /