HomeMy WebLinkAboutTR-955 : ld Town
i( UTHOLD, NEW 'fORK -
PERMIT NO. ~ r ;:
ISSUED TO ~ g. Getches ~
.... ........................ /T
i" Pursuarrt . of Chapter 615 of the
+he State of New Yorl~ 1893, and Chapter 404 of the L~.aws of the
State of New York 1952: and ('he Sou+hold Town Ord nartce .~en- :
fi~ed 'RE~ULATIN~ AND THE PLACIN~ OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC ~NDS and
REMOVAL ~ SAND, ~RAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOW~ WATERS;" and in accordance
Resolution of The Boara adoptedaf a meeting held on ...~e_.~.~.~
19 end ln conslde~af~on ~ ~ sum of 0o by
'~ JoseRh P~' Getche~
of Sou+hold Town Trusfee~ au+hOrize~ and
Build a fixed 2 ft. :by 10
on the John Tuth~ (With
at Orient -New ¥o~k.
~ detailed
affixed, and these p.resents
+he sa,d Board as' of.+h,s dat, e.?
A/2 - Rev. ~/72
BOARD OF TOWN TRUSTEES
Town OF Southold
Main Road
Southold, New York 11971
APPLICATION FOR FIXED and/or FLOATING DOCKS
,. App'ea shame and address: ....... ...........................
............. ....... ......
2. Contractor's name and a~dress: ..~~ ....................................................................
3. Briefly explain the purpose of this application:.
4. After issuance of a Permit, I expect to: (mark by an X)
(a) Commence work -- AT ONCE ............ ; ASAP ............ ; UNKNOWN .............
(b) Complete work in 1 DAY ..... ; ] MO ............. ; ] YR ........... ; FUTURE .............
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, the shape
and size of the dock end 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 fram the O. H. W. M.
Will any portion of this construction extend offshore into Town Waters beyond on imaginary
line or boundary formed by other similar structures along the area's shoreline? YES or NO.
If it does extend beyo, nd this so-called dock line indicate by how ~r, approximately,.......~
Provide the following documents:
(o) A Licensed Engineer's Survey of the ~roperty involved.
(b) A copy of t'he Contractor's Plans and Specifications.
Will this construction require the Filling of any [and offshore of the Ordinary High Water
Mark or the Dredging of any material from Tow, Lands under water? YES or NO. If it does,
Form A/4 (Application for Dredging/Filling) must be completed and attached a~6~'~rt of this
application.
9. in requesting approval of this application, I submit that: the information presented herein
is true and correct to the be~t of my knowledge and belief; I am the person accountable for
the performance of the work in accordance with the plans and specifications attached; have
read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work
involved; and further, I intend to adhere to and abide by the Terms and Condition. s~of the
Permit, when and if issued to me. , ,
. /