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HomeMy WebLinkAboutTR-67CREEK N/A Hog Neck Bay
YOUR ORIGINAL PEr'tIT NUMBER
BOARD OF TOWN TRUSTEES
Town of $oathold
~lala Road
$ou~old, New York 11971
APPLICATIO~ ~OR SPECIAL ICE DAMAGE PEP. MIT - '
',I~S~R~CTION~: ~ill out form below and return to above address.
shouldhave this application approved and returned to you within a week°
1. Applicant's Name & Address~.~r.~ Sw~c-p~%~PW$~W ..................
~ 734-$845
6300 ~ndian Neck Lane, Peconic, N.Y. ~/.9~3 .... Tel..No ........... ·
2. Contractor's ~ames & Address:.~q~%1° ~rine Contractinq corD.
........... ~.~ ............................... Tel. No ...............
3% The purpose of this application: Redriving or replacing o~enwork
dock or openwork pier piling, and mooring piles, removal of damaged
'n
pill g, repair, resetting or replacemen~ of floating docks, ramps,
or decking, all necessitated bY ice and storm damage resulting during
1984-1985~%w~nt~r.
1. No dredging or filling
SPECIAL CONDITIONS
is permitted.
2.~Repair~ to existing structures shall be limited to replacement of
timbers wz~ho~t change in 'design or dimension.
3. No repair or replacement of bulkheads is permitted under this permit'.
4. No freshwater or tidal wetlands are to be disturbed under any
circumstances.
.5. A yellow permit sign provided by this office shall be displayed on
the pro~ect a= all times while under replacement.
6. Original permit numbers (3" high) must be permantly displayed on
-project.
I, .... , certify that the work ae authorized in
this permit'has been completed and is now ready for yqur inspection.
Also, the permit number requirsd on ~his project is clearly visible.
PERMIT NUM~Ei~ ~,
..~c.', ' 'Signed - Own
D&te Aug, u S t 28,1~ 985 .
630o .Indian Neck Lane
Bu$ine~s/Prop~r~¥ N~me
~pply~ ~or ~uch permits ~ necea~ry in order fo~ wo~k to bo doae, on ,m~