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TR-1212
Board Of $outhold Town Trustees SOUTHOLD, NEW YORK ISSUED TO ....~.?.'~....G..~..z..~..©. ................................................................................. knt'l ;ri atinn 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 S~rate of New York 1952; and the Sobthold Town Ordinance en- titled "REC=ULATINC~ AND THE P~ClN~ OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and fha -REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS FROM ~NDS UNDER TOWN WA~RS;" and in accordance w~fh the Resolution of The Board adopted afa meeting held on ..~....~.. 19.~...., and in consideration of +he sum of $.......2.~.~.~.... paid by ................................................................................................................. of ~..?~...~Y~.~..~.....~.~.~ ....... N. Y. and ,ubiecf ~o Terms and Conditions llsfed on ~e reverse side hereof, of Soufho~ Town Trusfees aufhorizes and permifs fhe following: const~ction of a floating dock off applic~t~s proper~ on ~ttituck Creek subject to dock being mt least twenty feet from the extended property l~e s, ~ m accordance wi~h ~he de~e~[ed speclflca~ions as presented +he origlna~ing application. IN WITNESS WHEREOF, ~e said Board of Trustees ~re- by causes ifs Corporate Seal fo be affixed, and these presents ~o be subscribed by a majorffy of +~ sa~d Board as of fhls Tel. 765-1323 BaiRD OF TOWN TRUSTEES Town of Southold Ma~n Road Southold, New York ] 1971 1. Your application, dated .....D..e..qi~..~..l~..e...zq...1...~..~...~...6.. ........................... has been reviewed by this Board, at a meeting of the Trustees held on ...sT..a..~.t!-..~.~r..-/f.,....~-~...~..~. ..................................................... a,nd resulting in the action, as indicated below: (.......TS....) Application approved. ( ............ ) Application denied. ( ............ ) Application tabled. 2. Comments and remarks: Subject te the floating dock being at least twenty feet from the extended property lines. 3. If your application is approved above, A Permit Fee is now due, and should be made payable fo the order of the Board of $outhold Town Trustees This fee s computed below according to ['he Schedule of Rates as set forth in the Instruction Sheet (Form I/l). If the Permit Fee is paid in person to the Secretary of the Board, The Permit will be obtainable at the same time. if the fee is paid by mail, the permit will be mailed in reply. Computation of Permit Fee: 208 square feet @.10 per square foot = $20.80 4 poles @ $1.00 per pole = 4.00 ~24.80 Less paid 12/20/76 5.00 Amount due $19.80 Total Fee for this application ............................................................ $ ....2,~.o.~.0. ....................... ned .................... Chin. Board of Southold Town Trustees. ? December 7, 1976 Mrs° Andrew Galgano 162 Park Avenue Bethpage, New York 11714 Dear Mrs. Ga!gano: As per your telephone request, I am ~nclosing an application form and area map necessary for the filing of an application for a dock at Mattituck Creek. Also enclosed, is instruction sheet to facilitate your completion of the application. The r~xt regular meeting of the Board of Southold Town Trustees will be held at 7:30 P.M., Tuesday, January 4, 1977 at the town board meeting room, 16 South Street, Greenport, N.Y. Please complete and return the application before December 20th in order to set it up on the agenda for the January 4th meeting. If you have any further questions, please contact me at the above telephone nu~er. Very truly yours, Be~evi~le,'Secretary Board of Southold Town Trustees cc:file Januar~8~ i9~? i mm now trying to fi~e out the Permit Fee. 10¢ per ~uare fo~t of ~ck s~face m~k. ~e sketch submitted Theme im of $i.~ per p~ used to ~c~ a ~-Oat or like ~e~ ~ el~t of ~ese. . WO~d ~U,glve ~ a ~1 o~ ~p i~ a~ ~e To~ ~_erk's Office ~ Yo~s ~y~ Muriel Brush, Secretary Board of Town Trustees A/~ - Rev. BOARD OF TOWN TRUSTEES Town Of Southold Main Road Southold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS ............. ........ .................................................... rief,y e×p,oin the purpose of this app,,cat,on: ........... ,,., ....................................... 4. After issuance of a Permit, I expect to: (mark by an X9 (a) Commence work AT ONCE ............ ; ASAP ...~.. ....... ; UNKNOWN ............. (b) Complete work in -- ] DAY ~'~.T.$..; 1 MO. ' 1 YR. · FUTURE 5. 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, ~he 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 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 an imagi[~, line or boundary, formed by other similar structures along the area's shoreline? YES or(NO.~ If it does extenc beyond this so-called dock line indicate by how far, approximately, . ....... ~ 7. Provide the following documents: (o) A Licensed Engineer's Survey of fha property involved. (b) A copy of the Contractor's Plans and Specifications. 8. Will this construction require the Filling of any [and offshore of the Ordinar~,Jz[igh Water Mark or the Dredging of any material from Town Lands under water? YES o~O~lf it does, Form A/4 (Application for Dredging/Filling) must be completed and attached'as part of this application. 9. In reqaesting approval of this application, I submit that: the information presented herein is true and correct to the best of my knowleage 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 Ocdinance pertinent to the work nvolved; and furfher, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me.