HomeMy WebLinkAboutTR-1278Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERlvtIT NO. 12.?.~ ' DATE. S_
ISSUED TO ........~..i..~..1.%.~ Horst~anr '
Authori alio
-- Pursuant fo: f~ provisions o~ Chapter 615 o~ the L~ws of
fha Sfa~ of New York, ~ ~3, end Chapter ~ 0f the ~ws of
',Sfa~e of New Yor~ 1952~ and fha ~ufho~ Town Ordinance en-
fif~d "R~U~TIN~ AND THE P~CING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS
REMOVAL OF SAND, ~VEL OR OTHER' MATERIALS FROM
LANDS' UNDER TOWN WATERS?' and ~n ~:~o~dan:e
Resoluf~on o~ ~e Board adopfed a~ a mee~J.~ held on
19.,Z~:.., d m consideration of the sum of SZO.O0, paid by
a~ .... , .............................
' James H. R~b Inc
~ Sou~o~ Tow, TruCeS euShoMzes e,d ~erm~s $~e ~o~ow~9:
mainten~ce dredge at 4~ at ~W to allow
flotation of inboard pleas~e boat at low tide,
100 cu.yds, m~im~ to be c~ted from site~
a~ in accordance with fha dele;Jarl specifications es pre~n~
the originating appJJcefion.
IN WITNESS WHEREOF. The ~eJd Bo=rd oJ Trustees h,ere-
by causes 'ts Corporate Seal ~o be af~xe~, end these presets fo
~b~ subscribed by e majority of fha' s~ Board es of }~[s
BOARD OF TOWS TRUSTEES
Town of Sonthold
Main Road
Southold, New York 11971
P/1 P~ev/6/72
1. Your application, dated ......... Sm~emb~..19.~.? .......................... has been reviewed by this
Board, at a meeting of the Trustees held on ...... ~..e~.~....e~...~....e~.....~..~...'.....]:.?ZT. ...........................................
and resulting in the action, as indicated below:
)
)
Application approved.
Application denied.
Application tabled.
2. Comment'~ and remarks:
3. If 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 is computed below according to
the Schedule of Rates as ~t forth in the instruction Sheet (Form I/1).
if the Permit Fee is paid rn person to t'he Secretary of the Board, The Permit will be ob[uinable
at the same time. If the fee is paid by mail, the permit will be mailed in reply.
Computation of Permit Fee:
100 c.y. @.10 per c.y. = $10.00
I have credited this account with the $5.00 reoeived
on the application of William Mullen as that was not
in the jurisdiction el the Bo~d of Town Trustees
B~lance due to receive permit - $5.00
Total Fee for this application ............................................................ $ ......... ~.0...%0...0. ...................
Signed ALVA~ B, (]0L~'I
Chin. Board of Southold Town Trustees.
Secretary.
Al4 - Rev. 6/72
BOARD OF TOWN TRUSTEES
Town Of Southold
Main Road
Southold, New York 11971
APPLICATION TO DREDGE and or FILL
1. Does this project involve the use of WETLANDS as defined in the Southold Town Ordinance
in Wetlands? YES or NO. If it does, your application must be filed through the Town Clerk's
Office. , ~]/ ifa-, ~
2. , Applicant s name and address: ...'../~,...~...'..~ ...... ~. ............................. :,~: ........ : .......
....... .......
,
3. Contractors name and address.'~..~.r...~~>. ....................... ~ .............
.... ...........
4. Explain briefly the purpose of this' application'
5. After issuance of Permit, I expect to: (mark with an X)
(al Commence work-- AT ONCE ............ ; ASAP ..,.~.~.; UNKNOWN TIME .............
(bi Complete work 'n 1 DAY ............ ; 1 MO ............. ; 1 YR .............. FUTURE ............
6. Secure the correct Area Map from the Secretary of this Board, and by using an X WITHIN
A CIRCLE as a mark, indicate as closely as possible the location of this work. On the reverse
side of this map, provide a SCALE DRAWING which will ~how the Ordinary High Water
Mark and the size and shape of the structure or work. All dimensions offshore of the
O. H. W. M. should also be shown and include any free standing pilings which will -amain
at completion.
7. Provide the following documents: (al A bicensed Engineer's Survey of the property involved.
(bi A copy of the Contractor's Plans and Specifications.
8. Has any previous application for this work been denied by any other local government agency?
YES or NO. If it has been, name the agency ...... ~....~.....f. ......................................................
Dote of denial ........................................
9. If dredging is contemplated, give your estimate of the following.
(al Average depth of water at M. L. W.where dredging, . ............................................... ft.
(bi Maximum depth of dredging below the bottom, c~ / ft.
£
(c) Maximum length of dredged area ..................... ,.{.~....O.. .......................................... ft
Id) ,Maximum width of dredged area ................... ...~..'~. ........................................... ft.
(el Maxiraum amount of material to be dredged /C)C5 c. yds.
10. f filling is expected, give your estimate of the following:
(al Maximum amount of material required,. ................................................................... c. yds.
(bi Explain how fill will be obtained and where it will be placed.
In requesting approval of this application, I submit that: I am the person accountable for the
performance of the work in accord with the plans and specifications attached hereto; I
have read or am familiar with the provis~ons of any Southold Town Ordinance pertinent to
the work involved; and further,
of the Permit.
Accepted
intend to adhere to and abide by the Terms and Conditions