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TR-1554
ALL I~OO~I=,GS AND STAKES MUST DISPLAY VISIBLE A~OORING NUMBERS ALL DOCKS ANqD BULKI~.EADS ~fUST DISPLAY VISIBLE PERMIT NUMBERS B ard Of Southold Town Trustees SOUTHOLD, NEW YORK MOOaZ G NO. PERMIT NO... ~.~.~.~ .........i ..... DATE: ,A.,u,~., ...2..0...~_.,.1. ISSUED fO ............ Ma r .y._ J..a~n~.e..~ ...... Pursuanf fo fha orovlslons of Chaplet 615 of' fha Laws ~he Sfafe of New York,'t893; and Chaplet 404 of fhe Laws of fha Sfafe of New York 19~2: and fha SoufhoJd Town Ordbance filled "REGULATING AND THE PLAO[NG OF OaSTRUCTtONS IN AND ON TOWN WATERS AND PU~LIO LANDS and the REMOVAL OF SAND GRAVEL OR OTHER MATERIALS FROM kANDS UNDER TOWN WATERS;" and b ~cc~rdance wffh fha Resoluf[on o~ The Board adopfed afa m~et}n~ h~[~ ~ ~....6..,. ...... 19~.~. ...... and b consideration of fha sum of $...~_~z.~.9 .. pa[a by of ........... ~_9.~.~.~2~.~.~ ............................................... N. Y. and sub[ecl fo fha Terms and CondiHons ]kfed on fha reverse side hereof, of Soufhold Town Trusfees aufhorizes and uermks fha to construct a T dock consiseidg of a 26 ft ~ 4 catwalk with a 12 ftx 4 f% doo~ at en¢in_ Creek off Goose Creek, Southold, ft a~l in accordance wDh fha defaiIe8 specff;caf;ons as presenfed in fha orlg~naf;ng app]icaf[on. iN WITNESS WHEREOF, The said Board of Trusfees h.ere- ~ by causes frs Gorporafe SeMI fo be affixed, and fhese pre~e~ fo be subscribed by a ma[ofify of fhe said 8oard as of fhk da~.e. Of Southold Town SOUTHOLD: NEW YORK MOOI{ZNG NO. N/A Trustees PERMIT NO ...... ~.-5..~.4 .......... DATE: ................... ISSUED TO ......................... ~a~z...~.~9.,-..~-ess ............................. certify than the work as authorized in this sermit has been completed and~%s now ready for your inspec- tion. Also, the number required on this projec~ is clearly visible. Z further understand this permit is not valid until this tear sheet is returned to the Trustees. T~Rtvt$ ~al CONDO©NS ~'n~ Permi~ MarV Jane Gross ~-"a~nZat ~75 Sun Lane~ West Creek~_Southoidt ~: t. ~hat ~b=~.~ Sou~hold Trustees Permit must ~L~DiS, V~e O.. t_.e u~-m- effect~ thereb~ during - ~ ~- ~o mmnta~n the s~e or p~je~ invoiv~, ro provide ~d~ce :o ~yone or~a~on w~ ori~lly 5- ~at ~e work Lnvo[v~d ~l~ be ~th~ to ~e ~on i~ agent% ~d non-compliance ~ ~e pro~io~ of ~ ori~g 7. Th~ there shall be no interference wi~ the right of the Fobflc ~:o pa~s ~ repa~ along t~e b~.cn b~s-¢eev~ high and [ow wuter re=inks. 8~ That if future operations of dae Town of Southotd ~ ~e !o~don of ~he work he~ autho~ or n~n due notice, ro remove or ~rer ~ work or proj~r of Sou~oli 9. TEar the said Board will be- nof~rq~ by the P~,~m~=ee ox the compiedoa of the work orbed. (See tear off sheet.) plemental to dais perm/~ w~ch may t:-e su~ect_ ~o revoke u~ ~"e to obtain MARINE BLflLDII G'%TEII'IESeBULKHEADIN6eSTEEL WOOD PlLINGeDtLIE FOUN BOX AK · GREENPORT, NEW YORK 1119~ · ,(516)~477-I199 · (516 477-1393 Mrs. Arthur Gross 21-21 149th Stree~ White s tone, Dear Mrs. Gross: l~ursuant to our construct 26 lin, end o£ the cat~l~ work for ~e price ~f a contrac~ 1/3 we wil{ ~'" on the signing .? Enclosed are like to obtain perm/ts, please work. Usual you would the required cmtract for this months. Very ~trul~r y~urs, George D. Costello. Sec, /T rea s, GDC:mgl eric. 1= S, Permits for this work are also required by Southo!d Town Beard and Southold Town Trustees. Applications may ~ obtained at the To~ Hall, Main Rd., Southold. LoT'._~g Z-or :_ BOHN & BONACCI, P.C.. CONSULTING SURVEYORS 7Z E. OLD COUNTFtY I~D. MINEOLA, N.Y. 11501 'JJARANTEED TO: FI~'5'r JO~ NO. /7___80 DATE /0- 27-~o BOARD OF TOWN TRUSTEES Town Of Southold Main Road Southold, New York 11971 Rev. 6/72 APPLICATION FOR FIXED and/or FLOATING DOCKS 1. Applicant's name and address: ..~..~....~ ............: ................... ; ..................................................... ..................................... L !. 2. Contractor's name and address: ~.~..~'~.~..L.!~?.~.~.~...~.~.~.t~..~..~..~..~.~1~.~.~!.?.~.~.~: ............. ................................... ............................................. 3. Briefly explain the purpose of this application: ...~.~..~.....~.~...~..~...bX...~...~.~......~.....~..%.~..T. ............. .......... ..... .................................................................................................... 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 ............ ; 1 MO...,.X..~.....; 1 YR ............. ; FUTURE ............. Secure the correct Area Map from the Secretary of this Board, ~nd 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 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 Che O. H. W. M. 6. Will any portion of this construction extend offshore into Town Waters beyond an imagi,o~z~ line or boundary formed by other similar structures along the area's shoreline? YES or(NO~) if it does extend beyond this so-called dock line indicate by how fa,r, opproximately,...:......'Tf~. Provide the following 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 Ordinory,~=l~gh Water Mark or the Dredging of any material from Town Lands under water? YES or O,~)lf 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 submff 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 Southold 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. ~ccepted by: Dated: ~7]