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Home My WebLink AboutTR-1078Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO;- DATE: .9./.3~ .............. Pursuanf fo fha provisions of Chapfer 615 of fhe Laws of fhe Sfafe of New York, [893; a~d Ghapfer ~04 of fha Laws of fhe Sfafe of New York 1952~ end fha Soufhold Town Ordbance em flfled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and fhe RE~OVAL OF SAND, GRAVEL OR OTHER MATERIALS FRO~ LANDS UNDER TOWN WATERS[" a~d ~n accordance wffh 'fha ResoJufion of ~he Board adopfed afa meefing held on .~g~ ..g, ........ 19.Z~ ...... and in consJderafion of fhe sum of $.....2~.,.~ .... paid by ...... ~ ............ .~...!~.~.!.i~...~ ................................................................................. of .......... Q4k¢~g~4.e .................................................. N. Y. ~nd subjecf fo fhe Terms an~ Cond~fJons Jlsfed on fhe reverse side hereof, of Soufhold Town 'Trusfees eufhorizes and permffs fhe following: Perm3. s~on to place 3'x12' ramp ¢o 5~x40'' ~1oatLng dodk with two (2) mooring piles in'~unneweta Pond, directly ~n fro~t of hi~ p~perty on Litgle Pe~nlc Bay Road, 02%dxo~e~ New Yor k~ all ]n accordance w[fh +he derailed spec]{[ca{[ons as presenfe~ [. fha or[g[naf[ng app[[caf[on. IN WITNESS WHEREOF, The said Board of Trusfees here- by causes ifs Corporate Seal fo be affixed, and fhe~e presenfs fo be subscribed by a majorffy of ,*he said Board as of +his BOARD OF TOWN TRUSTEES Town of Southold Main Road Southold, l~;few York 11971 1. Your application, dated ............. [~J~:t'...2¢~,i.... "'1~.?.5 .............................. has been reviewed by this Board, at a meeting of the Trustees held on ..... J. lzl~te...2~...;lLg~.~ .......................................................... a,nd resulting in the action, as indicated below: (...~) "Application approved. ) Application denied. ) Application tabled. 2. Comments and remarks: 3. [f your application is approved above, A Permit Fee is now due, and should be made payable to the order of the Board of Southold Town Trustees. This fee ~s computed below according to the Schedule of Rates as set forth in the Instruction Sheet (Form I/1). If the Permit Fee is paid in person to the Secretary of the Board. The Permit will be ob?ainabie at the same time. If the fee s paid by mail, the permit will be mailed in reply. Computation of Permit Fee: Ramp 12ft. by 3 ft. = 36 Sqo ft. - @ 10~ sG. ft. = ........ $ 3.6D Flo~t - 40ft. by 55 ft. = 2~0 sq~ fto - @ 10~ sq. ft. -- ........ ~0.0G~ 2 - Mooring Piles @ SJi.00 each ............. Fee Due~ $' , 2~00 ~5.60 Total Fee for this application ............................................................ $ ....2..5.,,~O....[.e.~:.~.D~..e. ..... Signed ........ AZ~.VAH.. ~.,...G.0.Z,D,S ~TH ................ Chin Board of Southold Town Trustees. ~2 - l~ev. 6/?2 BOARD OF TOWN TRUSTEES Town Of Southold Main Road Southold, Near York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS 1. Applicant's nome and address: ......... /~.....?..~..~ ........... ,~..~ ...................................................... ..... ....... ............. 2. Contractor's name and address: ..... .~.../~....-C~.L .~..~........~. z~..~J~. ~.~.. .............................................. · ............................................................... 3. Briefly explain the purpose of this application: ...... ...... ......................... After ~ssuance of a Permit, I expect to: (mark by an X) (a) Commence work AT ONCE ............; ASAP ......~.....; UNKNOWN .......... (b) Complete work in 1 DAY ........... ; 1 MO..J~....; 1 YR ........... ; FUTURE ............ Secure the correct Area Map from the Secretary of this Board, and by using an X WITHII~ A CIRCLE indicate as closely as possible the location of this dock. On the reverse side of this mop, 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 a boat. Give all dimensions necessary to determine the area of the dock surface which extends offshore from the O. H, W. M. Will any par'don of this construction extend offshore into Town Waters beyond a.n imaginary line or boundary formed by other similar structures along the areo's shoreline?~-'~~ or NO. If it does extend beyond this so-called dock line indicate by how far, approximately,. ......... ft. Provide the fallowing documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. Will this construction require the Filling of any land offshore of the Ordinary High Water Mark or the Dredging af any material from Town Lands under water?q~ or NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as part of this application. 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 ~he 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 pertinent to the work revolved; and further, I intend to adhere to and abide Dy the Terms and Conditions of the Permit, when and if issued to me. ~?