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HomeMy WebLinkAboutTR-1637 GF Pur~uanf fo fhe prov;s~ons of Chaplet 615 of fhe Lsws of fhe Sfafe of New York, 1893; an~ Cha~fer 404 of fhe L~ws of fhe "SouTno,d" ~ Town Or~Tnance 1952; aha ;ne en- ~ff]e~ "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WA~=~S AND PUBLIC LANDS an~ fhe LANDS UNDER TOWN WATERSf' end ~n acccr~ance w;fh fhe ResoJuHcn o~The Board aaogred ale meeHng heJs on Jul~ 5~ Terms and CcndiHons Jhfed on ~he reverse side hereof, of SournoJ~ Town Trusfees auMor,zes and permlfs fhe fo~towmg: Application approved under the Grandfather Clause for a dock constructed over 12 years ago, which has been replaced in 1982. 2- 5''x 20' dQcks , a~l ;n acccrdanca wifh fne de~ai[e= as ~resen~ed in Grandfather clause Board Of 5outhold Town itu SOUTHOLD, NEW YORK MOOP.!:'~G NO. N/A - ~ ..... ceruifv that the work as authorized in this permit has been completed and is no%v rbady for vou'r ~nsuec- ticn. Also, the n-umber required on .... s pro, eot is cleartZ visible I further understand this permi-t is not valid until ~h_s tear sheet is returned to the Trustees. TERMS and CONDITIONS l'ne Permi~ Emily Jensen r~idin§ at 360 Oak Street, Cut~hogue, N. Y, par~ of the coasiderarion for ~e ~ce of ~e P~: d~ ~de~r~nd ~d p~ to ~: fol- lowing: 1. That ~he Southoid Trustees Permit must be prominently displayed on the premises effected thereby during the period of 2~ ~Ka~ ~e ~d B~ of T~s ~d ~e Town of ~u~o[d ~ ~ed from ~v ~d work ~ damages, or da~s for dmag~, of ~ a~J~g ~y or ~2~ ~ a r~t of ~Y o~- aeon ~rfomd p~t to ~s ~% ~d ~e ~d Pe~ wH~ at ~ ~her own defend any ~d ~1 su~ ~ ~t~ by third pa~=, and ~e ~d Pe~ ~ ~ wi~ respect ~ere:o: to ~ ~mpI~e ~ci~io= of ~= ~d of T~e= of ~e Town of ~oldPermit-[~ 3. That ~ Pe~t N w~d for a ~ of sufficient time r~uired to complete ~e work ~voiv~ but should ~c~m~c~ w~ for ~ e~e~ion may be ~de to ~e B~d at a Iater 4. That this Perm. ir should be retained indefinitely, or as long as the smd Pez~=irree to maintain the structure or project involved, to provide evidm".ce to anyone concerned that autho orizadon was orig{nally obtained. 5. That the work involved will be subject to the inspection and approval of the B~ard or agents, and non-compliance ~"ith the provisio~ of the ori~ating application, may be e~-se for revocarlon of this Permit by resolution of the said Board. 6. TSar there will be no unreasonable interference with navlgar{on a~ a result of 'the ~a~_ herein authorked. 7. That there shall ~ no interference with the right of the FabLic to p~ss and repas~ along the beach bevv~een high and iow water mazks. 8.. That if future operations of the Town of Sou~old require the' removal and/or alteration~ in the location of the work herdn authof2ect, or it', in the opiv2on of the Board of Tru~ee% the work shall cause unre~onabte obsn-ucnon to free navigation, the smd Permlttee will be requk"ect, u~n. due notice, to remove or alter this work or project herein stated without expenses to the Town ~of Sou~old- · 9. Tha~ the said Board will be notified by the PermJ=ee ox the completion of the work math- or{zed. (See tear off sheet.) 10. That the Permitree will obtain all other permits and con~ents that may be r~ulred sup- plemental to this permit whic~h may be subj.~zt to revoke upon failure-to obr.~;~ same. CREEK Eugenes Creek YOUR ORIGINAL PERMIT NUMBER 1637 BOARD OF TO~fN TRUSTEES Town o£ Southold t%faln Road Southold, New York 11971 APPLICATION FOR SPECIAL ICE DAMAGE PERMIT INSTRUCTIONS: Fill out form below and return to above address. You should have this application approved and returned to you within a week° - a licant's Name & nddre s ~-3~~ z. ...... ........ Tel. no ..... . 3. The purpose of this application: Redriving or replacing openwork. dock or openwork pier piling, and mooring piles, removal of damaged ' piling, repair, resetting or replacement of floating docks, ramps, or decking, all necessitated by ice and storm damage resulting during t984~1985--w~nter. SPECIAL CONDITIONS 1. No dredging or filling is permitted. 2. Repairs to existing structures shall be limited to replacement of timbers withoht change in design or dimension. 3. No repair or replacement of bulkheads is permitted under this permit. 4. No freshwater or tidal wetlands are to be disturbed under any circumstances. v5. A yellow permit sign provided by this office shall be displayed on the project at all times while under replacement. 6. Original permit numbers (3'~ high) must be permant!y displayed on project. (Tear off and return) i, , certify that the work as authorized in this permit has been completed and is now ready for your inspection. Also, the permit number required on this project is clearly visible. PERMIT NU~ZBER ~Ab~ OF BOARD'OF TOWN TRUSTEES Town Of Southold ?,Lin ~oad Soutl~old, New Yor~-l1971 APPLICATION FOR FETED and/ar FLOAT!A~G DOCKS "}~ l, AppI?c:nt's nome and address: ........ ; ............. .+ ............................... ; ........................................... 2. Contractor's name and ¢=ddress: Tel. -~ 3. Briefly explain the purpose of this app!icm'ion: ........................................................................ 4. After issuance of a Permit, work must be comD!eted within one year. LARGE 5. Secure the correct Area Map fram the Clerk of this Board, and by using a/X WITH!N A CIRCLE indicate as closely as possible the location of this dock. On thq_reverse side of this map, provide e SCALE DRAWING which will show Ordinary High We~ter Mark, ~he shcp~ and size of the dock and any supplemental pilings which are needed to hold a floating dock or tie.u~ n b~qt. Give aH dimensions necessary to determine the ohm c:f the dock surface I',?!ZCH ~XT~ND80~HO~ from the O. H. W. t~,.Z~ aaj~cen= pzapezuy owners have, ~oeks, spec~EZ LoeaCZon a~a Ze~gth to s¢~te, 6. Will any portion of this construction extend offshore into Town Waters beyond an imegin=w line or bounda~ iormed by other similar structu'res along the erea's shoreline? YES or NO. If it does extend beyond this so-cnHed deck tine indicove ~y how far, :pproximately,. ......... ff. 7. Provide tho fei!owing documents: (o) A Licensed Engineer's Survey of the property involved. -~ A copy of the Contractor's Plans and Specifications.~-~ ~~"~ Ld} Short Environmental Assessment Form. Wetlands AppiicatS~on 8. ii this cons?ruct on require he Filling of any land offshore of the Oral]nag, r'ign Water Mark or the Dredging o~ any materie~ From Town L~nds under woter? YES or NO. If it does, Farm A/4 (AppEcation ~or Dredging~Filling) must be c~mpfeted and ettoched as part of thh opplic~tien. 9. In requesting approval of this apoiicotion, I subrdit that: the information presented herein is true and correct to the best of my know, ledge and belieF; I am thr: person accountable Far the performance of the work in accordance with the plans and specifications attached; t hove rea~ or om iamiiior with the provisions of any Southoid ~own Ordinance per~men~ to the work involved; and further, J ~ntend to adhere to eno ~z;ide by the Terms and Conditions of the Permit, when and i~ issued to !0. TO expedite finding specific location for inspection, indicate ': b_.._ , gf