HomeMy WebLinkAboutTR-1079Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
ISSUED TO ' George ~urre!!
Pursuanf eo fhe proGslons of Chaplet 615 of fhe Laws of
fhe Sfafe of New York, 18931 and Chaplet 404 of fhe Laws of fhe
Sfafe of New York 19S2; and fhe Soufhold Town Ordbance
rifled "REGULATIN~ AND THE PLACING OF OBSTRUCTIONS
JN AND ON TOWN WATERS AND PUBLIC LANDS and fhe
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and b accordance wffh fhe
Resobfion of The Board adopfed afa meefbg h~id on ..4~n~...g. .......
19 ........... 75~ and b cons[deraf[on of fhe sum of $ ..... ~.~fl......:. pa~d' by
of .................. gu~kag~e. ..................................... N. Y. and subiecf fo fhe
Terms and Condffb~ l~sfed' on +he reverse sMe hereof,
of Souf~8ld Town 'Trusfees aufhor[zes and permffs fhe followbg~
Pe~iss~on ~o place 30'x3' catwa!k~ r~p !O'x2'~ ~loa¢ing
deck_ 20'x6' , w~h b.~,o (2) mooring p51es ~n Wunnewete
La~d, d~rectly in front o~ hi~ Property
a~ Nassau Point, Oa~o~e,
all [n accordance w[fh }he defo[Jed specJf[caf[ons as presenfed
{he or[g[nafing applicaf[on. -
IN WITNESS WHEREOF. The said Board of Trustees here-
by causes frs Corporate. Sesl to be affixed, and fhese presents
be~:subscr]bed by a rfal0rffy of.the said Boara as of this time.
BOARD OF TOWN TRUSTEES
Town of Southald
Main Road
Southold, New York ] 1971
P/1 i~ev/6/72~
To: ....... .O..°...°.UK .e.....B..~.V..17.e...~..~..a,. ~ .a..8...8.gY.-l... ?..O. ~.~,....0..~,~ Oh OgN~. ~ .N..... ~.. ~, ................
1. Your opplication, doted ~..ILU.~ 2:~ . 1_9.7..~ ........ hes been rewewed by this
Board, at a meetiag of the Trustees he d on June 2~ J,97.5
and resulting in the action, as indicated below:
(..~..)
)
)
App cat on approved.
Application denied
Application tab[ed.
2. Commente and remarks:
3. tf your application is approved above, A Permit Fee is now due, and ehould be made payable
to the order ct the Board of Southold Town Trustees. This fee is computed below according to
the Schedule of Rates as set forth [n the Instruction Sheet (Form I/1).
If the Permit Fee is paid in person to the Secretarv of the Bocrd, The Permit will ce obtainable
at the same time. If the fee is paid by mail, the per'it wilt be mailed in reply.
Computation of Permit Fee:
Catwalk 30ftc by 3 ft. = 90sq. rs; - @ ~0~ sq. ftc = ....... ~ 9.00
Ramp ~0ft. by 2 ft. = 20sq. ft. - @ 1:0~ sq. f~. = ....... 2'.00
Float 20ft. by 6ft. 120sq. ft. - @ ~0~ sq,. ft. = ....... ~2o00
2 - ~ooring Piles @ ~o00 each ........................... 2.00
Fee Due ~~
Total Fee for this application ............................................................ $ ......
Signed ~L.V...A.~ ..B., C-0~.D...~....tI.~.H, .................
Chin. Board of Southold Town Trustees.
BOARD OF TOWN TRUSTEES
Town O2 Southold
Main Road
Southold, New York 11971
APPLICATION FOR FIXED and ~or FLOATING DOCKS
Applicant's name and address:
2. Contractor's name and address:
~,,~ / ,7~'.~,z.~_~a _#_ ~ ~ ~,~ _/~' ......... T;' ............... '~
........ ..........
? ' ...................................
4. After issuance of c P6rmit, I expect to: (mark by an X)
(a) Com.mencework ATONCE ............ ; ASAP ............ ; UNKNOWN~~~
(b) Complete work in -- 1 DAY ............ ; 1 MO ............. ; 1 YR ............. ; FUTURE .............'
Secure the correct Areo Map from the Secretary of this Board, and by us,ng 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 ~ boat. Give all dimensions necessary to determine the area of the dock surface
which extends offshore from the O. H. W. M.
6. Will any portion of this construction extend offshore into Town Waters beyond ~n magii~'~
line or boundary formed by other similar structures along the area's shoreline~ YES orf~lO.d
If it does extend beyond this so-called dock line ind cate by how far, approximately,. ........ ~
Provide the following documents:
(a) A Licensed Engineer's Survey of the property involved.
(b) A copy of the Contractor's Plans and Specifications.
8. Will this construction reqmre the Filling of any land offshore of the Ordinar.~,~,h Water
Mark or the Dredging of any material from Town Lands under water:~ YES o~,NO. It it does
Form A/4 (Application for Dredging/Filling) must be completed and a'ttached ~ of thi;
opplication.
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 specifications attached; I have
read or am familiar with the provisions of any South0[d 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 aind if issued to me.
Accepted~by: ~. ~-~ /
Dated:
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