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Home My WebLink AboutTR-1168Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO, ~t 1.68 ................... DATE: '... Jz~L3 SSUED TO ........ = ......... ~I~J~Z.-~/~...~.,....MC....~D.T~.~..i...Z ........................... Pursdant~'to' ~e pro~i~s~ ~ >~hapfer 615 of +he' Laws of +~e State o~ New Yo~, t893~ an~ Chapter 4~ bf +he Laws of fha ~Sfafe of New York 1952; and'~he Sou~hold Town Ordinance rifled "RE~U~TiN~ AND THE PLACIN~ OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, ~RAVEE O~ OTHER MATERIALS FROM ~NDS UNDER TOWN WATE[$;' and in accordance with fha Resoluflon of The BoaFd ~dopfed afa meeting held on ...~y....J2, [9.Z~.., and in considerafio~ o~ the sum of $........?..~.~.~.~..... paid by ........................................ -~&~[L ~...~.....MoD.e~.¢ .................................................... of ...Os~e~....~e8~.:~oa~?fl=.ee=~o~¢,Y. and subiecf +o fha Terms end Condifbns hsfed on +he reveFse side hereof, of SoufhS[d Town'Trusfees authoriZeS and permits ,he following: ~loat & r~p AC $~1 pond Greenport-~loat ~'x18', dock ~'x12', 'r~p 2,x5, ~d~6 pilings. all ~n a~ordan~ wffh ~h~ d~+a~ed spe~ff~=o~on~ ~ pre~n~*d +h* or~9~na~n9 appl~=a~on: IN WITNESS WHER~OY. Th~ ~d ~oard ~ Tr~+ees ~ar~- by causes [ts Corporate SeaJ }o be affixed, and these presents be subscribed by a major]fy of +he said Board as of fhJs ......... -- ?~7~.-.~7 ......... ¢~ --~) ........................ TERMS ~md C:ONDITIONS Th~ ~m~ W~ ~ ~ ~ am C. MoDermot~ p~ of ~e comidera~on for ~e ~ce of ~e Pe~t d~ ~de~md ~d p~ to ~e lol- l. ~at ~e ~d B~d of T~s md ~e To~ of ~old ~ ~ from ~ ~ d~ges, or d~m~ far gama~ of ~ts a~ ~y o~ ~ ~ a r~t o~ ~ o~- ~end ~y ~d ~1 ~ ~ ~ by ~d pa~, and ~e ~d Pe~ ~ ~ ~ with r~pe~ ~ereto, to ~e ~mpIete =clmion of ~e ~gd d T~e~ of &e T~n of 2. That ~ Pe~it ~ ~d for a p~8~ of 12 ~. wN~ i ~d~ to ~ ~:ated ~e r~ired m ~mpl~e ~e work ~volv~ but shoed ~c~ w~, for ~ e~on may be ~de to ~e B~d at a later 3. ~ ~ Pe~t shoed ~ re~ ~def~itely, or as t~g ~ ~e smd P~ to m~ta~ the ~m~e or pmje~ ~volv~ to pro~ e~dmce to ~yome ~nc~n~ ~ ~- ~adon w~ ori~mlly oht~n~ 4. ~at ~e wo~ Mvol~d ~ be gabj~ to ~e ~sp~on md approv~ of ~e ~ im ag~, md nou-~mp~n~ ~& uhe pro, iota of ~e ofi~m~g appSmffo~ ~ ~ ca~e for revomfion of ~N Pe~t ~ r~lufion of ~e mid B~d. 5. ~at ~ere w~ be no ~on~le i~f~ce ~& nafi~fi~ ~ a r~t of &e wo~ h~ein 6. That &ere shah ~ no ~te~ereace wi~ the ~t of &e pubic m pass ~d rep~ ~ ~ bea~ be~een ~ ~d low water marl~. 7. ~t ff furmm o~m~o=s of ~e Town of ~u~td r~ ~e mov~ and/or in ~he l~fion of ~e work her~ au~o~e~ or fi, ~ ~e op~ of ~e Bo~d of Tr~, work ~ mine u~e~onable obsma~on =o free naviga~o~ ~e s~d Peewee ~ ~ upo= dne no~c% to r~ve or ~ter ~s work or proj~ h~e~ ~red ~out ~mes to ~e Tom of Sou~ol& 8. ~at ~e s~d Bo~d w~I ~ n~fi~ by the P~=ee m ~e c~pleffon of ~e work or~ed. 9. ~at ~e PeeWee wi~ ob~n ~ ~er p~m md ~enm&~y ~ r~ pl~en~ to ~s ~t w~ my ~ ~gaj~ to ~voke u~n f~m to o~ s~ BOARD OF TOWN TRUSTEES Town Of Southold Main Road Southold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS - 1. Applicant's nome and address: ..Wci21.~..,l~e~a~,~.~.~Ditl~.~...~.O.~...~.~,,~..[.~...a.~.~..~g,$~. 1 .............................................................. P.~...G ~.. ~x...a O~ .. ~-.~ ~....Y~... ~ .1.9 ~9 ......... 2. Contractor's name and address: ..~e~..~1...1~.1,~..~..~..~~ ................................................................. ~..A~ ................................................................ 3. Briefl~ explain the pur~se of this application: ..~~...~..~.~.~.. ?~ ....... · .. r~epl~e~ preSen~ pi~e ~o ~er~en~, ~od spiles~ re~ai~g ~ ~ reeen~e~g as s~o~ em a~aeh~ ske~e~ 4. After msuance of a Permit, I expect to: (mark by an ~) (a) Commence work AT ONCE ............ ; ASAP ...~ ......; UNKNOWN ............. (b) Complete work in 1 DAY ............ ; 1 MO...~ ...... ; 1 YR ............. ; FUTURE ............. 5. Secure the correct Area Map from the Secreta~ of this B~rd, and by using an X WITHIN A CIRCLE indicate as closely as possible the I~ation of this dock. On the reverse side of this map, provide ~ SCALE D~WING which will show Ordina~ High Wa*er Mark, ~he shape and size of the d~k and any supplemental pilings which are needed to hold a floating dock or tie-~ a b~t. Give all dimensions necessary to determine the area of the d~k surface which extends offshore from the O. H,. W. M. 6. Wil any portion of this construction extend offshore into Town Waters beyond an imaginary 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 far, approximately, .......... ft. 7. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. 8. Will this construction require the Filling of any land offshore of the Ordinary High Water Mark or the Dredging of any material from Town La,nds under water? YES or NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as port of this application. Ne 9. In requesting approval of this application, I submit 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 ~rowsions 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 and if issued to me.