HomeMy WebLinkAboutTR-1640 GFALL [,iCO?.ii~GS Ai~D STAY-ES ,.US~ DiSP~%Y ViSi~-n i.iOORii~G
ALL DOCi~ APeD Bu~EADS ,~Uo~ DiSPLaY ViSiBLE P~'~'--~
DO=,d Of Soutnold own Trustees
SOUTHOLD, NEW YORK
~ PERMIT NO ...... ~g. JO_ ........... : DATE: ....E~Z.
ISSUED TO .......... E~ ~.~.% ~ E.g.~....~.~.k.~.~.~....~..~. ~. ~.qE ....................................
Pursuan% ~o ~e provisions o{ C~apfer 6iS 0{ f~e Laws
~e 5~a~e o¢ ~ew Yor~, 1893; an~ Ckam~er 404 o¢ ~ke Laws o{ ~e
S~aie o{ ~ew Yorl 1952; an~ ~ke Sou+ko!~ Town Or~nance
~ff~e~ "RE~ULATff4~ AND THE PLACIN~ OF O~STRUCTIONS
IN AND ON TOWN WATERS AND PUELIC LANDS an~ ~e
R=MO/AL Or SAND. ~RAVEL OR QYHER MAT~RIALSFROM
LANDS UNDER TOWN WATERS;" an8 in accordance wi~h ~ke
' a~optea meeting he[~ on ..J.Uly..~.~ ....
...... ~ S10. O0
J~. ....... anS in cons:oeranon ct ,~e sum o{ ..................... palo
~gttituck FishinE Station
Terms an~ Ccn~+Tons llsfe~ on ~he ~everse si~e
o{ oouTno~- ~own Trustees aufnor~z~s an~ permifs ~he {o~lowmg:
Applicgtion mpproved to secure ~ permit n~ber
for-docks and a bulkhead in ~attituck Creek,
under the Grandfather Clause.
aJ~ ~n accor~ancs w~h %ne ~eTa,[eo sDecmcaT~ons as oresen+e~
%~e or?g~na+{ng
IN WI INc~S WHzR~OF, The said Board of T'usfees here-
' by causes ifs Cor~orefe Seal fo be affixed and fhes~ pres~nfs
su~scr~eo by a ma[orffy of fhe sa~a ~oare as of fhis daf.e.
;{~ ff~:~>¢~-~?.~ ~ ...... ~/.~~~~..
~" ~ ~,~-~ ~ ~,
,t~ .......... ~ u ~.~
TER~S and CONDITIONS
~"ce Permi=~ Mattituck Fishing Station
r~idingat Naugles Drive, Matti~uck,
pa,~ o[ ~he co~id~r~on for ~ ~c~ of ~ P~ d~ ~de~d ~d
lowing: 1. Tha~ the Southold Trustees Permit mus~ be prominently
disD!aved on the ~rem~ses effected thereby durinq the period of
2~ ~ ~e ~d ~ of T~s ~d ~ To~n of ~u~ofd ~ ~cd from ~v ~d work
~ dsm~cs, or d~ for d~, o~ ~ z~ ~y or ~
affon ~do~d p~r to ~s ~ ~d ~e ~d Pe~
3. That ~ Pe~r ~ v~d for a ~ of ~R
for ~ e~emion may be ~de to ~e B~d ar a later dam.
4. ~a: ~s Per~: shoed be rera~M ~def~tety, or as long
to maintain the s=~e or p=}e= involve, to provide e~daqce to =yone ~ncern~_~ au~- - -
orha6on w= ori~=lly oht~ned.
i= agents, and nomcomFHance M~ the provhio~ of ~e ori~na~g app~mdo~ ~y ~ ~e for
6. ~at there w~l be no ~rmsonable inrerf~emc~ wi~ na~on
herein aud:orked,
7. That ~ere ~aH ~ no ~tefference ~ the ~ghr of ~e ~bHc
~he beach Be~een high and low water
8.. That ff furore oper~io~ of ~e Tow~ of ~otd r~uke ~e' r~oval ~d/or
work sh~ ~use u~e~onable obs~mon to free navigation. ~e
u~n due notice, to remove or ~rer ~is work or proje~ herein sta~ed ~ou~ ~ ro ~e To~
9. ~ar nhe s~d Board wHI ~ nodfi~ by the Pe~=ee oI ~e cmpIcdon of
o~ed. (See =ear off sheet.)
i0. ~at the Permkree will obr~a all o~er pe~s and co~en~
plemenrM ro ~is pe~ wh[~ my ~ ~bj~ *o revoke upon f~e-:o
CREEK
OF TOW ' r US ZZS
Town Of Southold
APPLICATION FO~ F~ED and/or FLOATING DO~
2. s name eno cddress: ......................................... : ..........................................................
,. .................... ..............
..... :'--:, .... - ..........
4. After issuance of a Permit, work musu be completed within one v-ear,
LARGE
5. Secure ~he correct Areq MoD from the Clerk o¢ this Board. ond by using a/X WITHIN
A CIRCLE Jarl[cote cs close[~ cs DOSS[bio the ]oc~tion of this dock. On ~h~._reverse side of this
map. provide $ SCALE DRAWING wmcn will snow Ordinary High Water M~rk, me shape
end s~ze af me ~ack an~ ~ny supplemental pilings which are needed to hdd a flacdng deck
or tfe-u~ ~ boat. Give aU dimensions necessan/ to cefermfne the area af the dock surfface
9~;ZCH EXTENDS OFFSHO~ from me O. H. W. m~. ~ adjacen: pro~e~y owners have
docks, specify location and length to scale.
~ViH any pornon of this construction extend offshore into Town Waters beyond an fmagmc~
[ne ar boundan/ formed by mher sfruffar structures along the ~re~',s shareHne? YES ob NO.
if it does exrena beyano th~s s~-caHed ~cck Hne ~ndkate by how far, apgraximateiy,......n..fr.
7. ~rav~de the following do~umems:
ia) A Licensed Engineer's Survey of the ~rope~ involved.
(b) A capy of me Contractor's Pfan~ an~ Specifizatianm
} Short Environmental AsseSsment Form.
~[etl~nds Applice{~,on ,
8. ~1 ,his construction reouire the Fhiing of any lena offshore of the Ordinary High Water
Mark or the Dredging of any rectorial from T~wn Lanes under Water? YSS or NO. If J~ does.
:arm A/4 (Application for Dredging/FHiing) mus~ be compieted and ctracnea as parr oE this
In reauesnng aggrova[ of this c~[]cation, sub.it that: the '~formotJon presented herein
the performance of me work in accomonce w~m the DlOns aha sDecffk~fions at?ecne~: ~ have
10.To expedite finding sp~cif, ic location for inspection, indicate
Dy using a temporarymarc<er'_~-~ ~'- .~.. ~~
Rev;' '2/8Z . . - ........... J ............
MUST-
BULKHEADS
~ ~ ALL DOCKS AND
.. DISPLAY VISIBLE pEP, MIT NUMBEF, S
BOARD OF TOWN TgUSTEE5 r' ~~
Town O~ Southold '
$outhold. New York 11971 ~ .
1. ~oes this project involve ~he use of W~hJDS os defined ~n ,he Sou hod Town We o d
Ordinance? YES or NO. If ~t d~es. you must file through the Town Clerk's Office.
2. Is the proposed work entirely~wifhin the boundaries of your o~ ~eay~as substantiated
by your Deed or Su~eyP YE~. If it ~(s, a Permi~OT /e~ire~Jfr~m thin. rd,
but the ~:w~ BuiJding~Inspec~~de~
4. Contracto~name and 2ddress:
6. After ~ssu*nce of Permit,work must be completed within one year.
.LARGE
Secure th~' correct Ares ~ ~rom the Clerk 9f [h;~ Bo~r~, and by u~s~ a/
A C~RCI5 ~s ~ m~rk, ~ndfc~te G~ c~ose~v Q~ possfb~e the ~oca[fo~ o~ th~s project O~ the
reverse side, provide a SCALE D~WiNG which will show Ordinary High Water Mark as weJJ
as th~ size and shaoe of the structure or work to be done. Also include all dimensions for
portiens which extena off,hare from the O. H. W, M. 9b~e ~j~cen~
8. Prov]de the following documents:
A Licensee EngineeFs Survey of the property involved.
(b)A copy of the Contractor's Plan ~n~ Soecificotions.
(c)Shor~ Environmental Assessmen~ Form~
g. Qoe~ th~ ~ro~ecr extend ~mto ~own ~taters beyond ~ fm~gf~o~ H~e or boundGry for~ed
by existing 'works of a similar nature ~[ong this oran's shoreline~ Y55 o~ NO. Jf it does, state
the approximate distance beyond, . ...........
Mark or the Dredgmg of any materio~ from Town La.ds unaer water? YES or NO. If [t does.
Form Al4 (AppHcatien for Dredging/FHhng) must be completed and attached as part of this
application.
] ]. In reauesting apDrovoi of this application. I submit that: the informction presented herein
is true and correct to the bes~ of my knowledge and belief; J am the person accountable for
read or am familiar with the provisions of any Southold Town Ordinance ,pertinent to me wor~
involved: and further. I intend ~o adhere to ~nd ab~de by the Terms and Conditions of the
Permit, when end if issued to me.
12. TO EXPEDITE FINDING SPECIFIC LOCATION FOR INSPECTION, INDICATE