HomeMy WebLinkAboutTR-4 rev. 3/28188
CREEK
YOUR ORIGINAL PE~IT NUMBER
BOARD OF TO~/N TRUSTEES
Town of Sonthol~
Ma,.' n Road
Southold, New York 11971
F
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°
1. Applicant's Name & Address:. !
............. ~ ................ Tel. No ...
.-.
2. Contractor's Names & Address: ...................
................................................ . Tel. No ...............
3% The purpose of this application: Redrivinq 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
1987-1988 winter.
SPECIAL CONDITIONS
1. No dredging or filling is permitted.
2. Repairs to existing structures shall be limited to replacement of
timbers without 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 project at all times while under replacement.
6. Original permit numbers (3'~ high)"'must be permantly displayed on
projectl
(Tear off and return)
, certify that the work ~J authorized in
this permit has been completed and is now ready for your inspection.
Also, the permit number required' on this project ~s clearly visible.
PERMIT ~vJ~iB
Board Of $outhold Town Trustees'
SOUTHOLD, NEW YORK
PERMIT NO ............. ~ ...... DATE.- .~.U~t....2.~.~i...~-9~9
ISSUED TO ' ~iltiam Nicol i
? ~ Pursuanf ~o fhe provls;on~ o~ Chapter 615 o~ ~he Laws o~
[he Slate o{ New Yor~ I ~93; and ~ap~r 404 o{ ~he L~ws
5fa~e o~ New York 1952.- and fha Sou+hold Town OrBmance en-
rolled "RE~ULATIN~ AND THE'PLACIN~ OF OBSTRUCTIONS
IN AND .ON TOWN WATERS AND PUBLIC LANDS and
REMOVAL OF SAND. ~RAVEL OR OTHER MATER;ALS FROM
LANDS UNDER TOWN WATERS;" and' in accordance with
ResoJuHon of Th~ Board adopted afa meef~ng hem on ....~.g.~...~.~.
19.'.~.., and in consideration of fhe sum of $....~.t.~ ........... paid by
. '~ ' ' Wilii~ Nicol ' '
o~ Cutchogue N.Y. and sub,ecl fo
Ter~['"'";;'J'""~J~'~;';'""i~;~;j'""'~'~"'"'+he reverse side he.of.
of Soufhold Town'Trusfees aufhorlzes and permi+s fhe follow~nq:
~Z~ceme~ o~ ~o ~Z~gs o~ e~8~g ~oc~
all in accordance 'wifh {,he de{,ailed speclficaHons as presen{,ed in
{'he originating application: -
IN WITNESS WHEREOF, The sam Board of Trus{-ees J'~re-
by causes i{,s Corpora{,e Seal fo be affixed, and {,base preseM's {,o
be subscribed by a maioH{,¥ of {'he said Board as of {,bls da{,,e.
Trustees
ALL MOORINGS AND ~ 'MUST DISPLAY VISIBLE-'i~.'~RING NUMBERS
ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PERMIT NUMBERS
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
Mooring ~ N/A
PERMIT NO .... %~.~.'~ ............... DATE: ...J./~!_y...2.5.,...~..!984
SSUED TO ~.~,~:~±.e:.m Ni.~o..1 ......................................................................
Pursuant to the provisions of Chapter 615 of fhe Laws of
. the State,of New York, 1893; and Chapter 404 of fha L.aws of ~rhe
Sta~fe of New York 1952; and the Sou+hold Town Ordmnance en-
tlt&d "REGULATING AND THE PLACING OF OBSTRUCTIONS '
IN AND .ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND GRAVEL OR OTHER MATERIALS .F. ROM
LANDS UNDER TOWN WATERS;' and in accordance w~th the
Resolution of The Board adopted at a meeting held on
19._..8..~.i., and in consideration, of the sum of $.._.~..C~.(~ ........... paid
........................................ ~i.~.!i..a_.~...~i.~ ~.3= ................................................................................
of ....... .~.~..qb.~g.!~..e., ................................................. N. Y. and subject to the
Terms and Conditions Ils+ed on the reverse s,~e hereof,
of Southold Town Trustees authorizes and permits the-fol!owlng:
Application approved under the Grandfather Clause
to-secure a permit for a 3' x 48' catwalk a
4' x 15' float plus 14 pilings in East Creek.
aJJ in_accordance with the detaiJed specifications as presented in
the originating application.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporate Seal to be
be subscribed by a majority of
Please tear off and return to the Trustees
BOar'cJ Of Sou+hold Town Trustees
MOORZi~G NO.
PERMIT NO
SOUTHOLD, NEW YORK
DATE:
ISSUED TO
I, ,, certify that the work as authorized
in this permit has been completed and ~Ls now ready for your inspec-
tion. Also, the number required on this project is clearly visible.
I further understand this permit is no~ valid until this tear sheet
is returned to the Trustees. :
TERMS .~nd CONDITIONS
The Permitte~ . William Nicol
~iding at Fleetwood Road, Cutchogue lq. ¥. as
pa~ of the con~demfion for the [~uance of ~e Pe~t d~ ~d~nd ~ p~ to ~e {ol-
low.g: 1. That the Southold Trustees Permit must be prominently
displayed on the premises effected thereby during the period of
~at ~e s~d B~d of T~s ~d ~e To~ of ~u~old ~ ~ fr~ ~y ~d work
~ d~es, or da~ for d~ag~, of ~ ~g ~y or ~y ~ a r~t of ~y o~-
~fion ~fo~d p~t to ~ ~ ~d ~e ~d P~ ~ at ~ ~ h~ o~ ~e, the
.... &fend my ~d ~1 su~ ~ ~t~ ~ ~d p~ md ~e ~d Pe~ m~ ~ ~ pom~t
~ respect ~ero, to ~ mmpl~e ~d~on of ~e ~d of T~e~ of ~e To~ ~ ~old
3% That this Permit is valld for a period of 1 ? mos. which is considered to be the
sufficient time required to complete the work involved, but should drcomstances warrant, request
for an extension may be made to the Board at a later data
4,~ That this Permit should be retained indefinitely, or as long as the said Permittee wishes
to maintain the structure or project involved, to provide evidence to anyone concerned that auth-
ofization was originally obtained.
5'~ That che work invoNed will be subject to the inspection and approval of the Board or
its agents, and non-compliance with the provisions of the originating application, may be cause for
revocation of this Permit by resolution of the said Board.
6. That there will be no unreasonable interference with navigation as a result of the work
herein authofized.
7. That there shall be no interference with the fight of the public to pass and repass along
the beach between high and low water marks.
8 · That if future operations of the Town of Southold require the removal and/or alterations
in the location of the work herein authorized, or if, ia the opinion of the Board of Trustees, the
Work shall muse unreasonable obstruction to free navigation, the said Permittee will be required,
upon due notice, to remove or alter this work or proiect herein stated without expenses to the Town
of SouthokL
That the said Board will be notified by the Permlttee ot ~ completion of the work anth-
(See tear off sheet.)
10. That the Permittee will obtain all other permits and consent~ dmt may be required sup-
plemental to this permit which may be subject to revoke upOn failure to obr.;- same.
ALL DOCKS AND BULK-
HEADS MUST DISPLAY
VISIBLE PERMIT NUMBERS.
ALL MOORINGS AND
STAKES MUST DISPLAY
VISIBLE MOORING NUMBERS.
C
BOARD OF TOWN TRUSTEES
TOWN .OF SOUTHOLD
Main Road
Southold, New York 11971
Telephone
(516-765-1892)
PI1
NOTICE OF ACTION - NOT A PERMIT
_ _, 7/10/84
1. Your application, aa'~ec~ .................................. has been reviewed by
this Board, at a meeting of the Trustees held on...qg.l.~...1.8.,..1..9.8.~. ............
and resulting in the action, as indicated below:
(. ~.~) Application approved.
( ..... ) Application denied.
( ..... ) Application tabled.
2. Comments and remarks:
Your application to register your dock under the Grandfather
Clause has been approved. Please post your permit number on
the structure.
Thank you for your cooperation, in regard to this matter.
If your application is approved above, a Permit Fee is now due, and
should be made payable to the order of the Board of Southold Town
Trustees. This fee is computed below according to the Schedule of
Rates as set forth in the Instruction Sheet (Form I/1). This fee must
be paid within 90 days or reapplication and additional fee will be
necessary.
If the Permit Fee is paid in person to the Clerk of the Board, the Permit
will be obtainable at the same time. If the fee is paid by mail, the Permit
will be mailed in reply.
4. Computation of Permit Fee:
Total Fee for this application ............ ..... ... .. .......$ ................ . .
Clerk, Boar o'f/Southold T~;n Trustees
,ii Z ~
0 0
.o
BOARD OF TOWN TRUSTEES
Town of Southold
Main Road
Southold, New York 11971
DATE:
APPLICATION FOR SPECIAL ICE DAMAGE PERMIT
Instructions:
You should have
a week.
2.
3.
4.
5.
6.
Fill out form below and return to above address.
this application approved and returned to you within
Applicant's Name ~ Address: //(/,'/f[/~2v~ /~, ~_~d) L
Tel.
Contractor' s Name & Address: ~-f~
Tel.
The Purpose of this application: Redriving or replacing openwork
dock or openwork pier piling, and mooring piles, removal of
damaged piling, repai~., resetting or replacement of floating
docks, ramps, or decking, all necessitated by ice and storm
damage resulting during the winter.
THIS PERMIT EXPIRES ON MAY 30 OF THIS YEAR
No dredging or filling is permitted.
Repairs to existing structures shall be limited to replacement
of timbers without change in design or dimension.
No repair or replacement of bulkheads is permitted under this
permit.
No freshwater or tidal wetlands are to be disturbed under and
circumstances.
A yellow permit sign provided by this office shall be displayed
on the project at all times while under replacement.
Original permit number 3 inches high must be permanently displayed
on project. ~
in this special
your inspection.
visible.
certify that the work as authorized
ice permit has been completed and is now ready for
Also, the permit number on this project is clearly
Signed - Owner
Signed - Contractor -Date
· ~ · ~t :~ ~<'~; BOARD OF TOWN TRUSTEES
Town Qf Somhold
Main Road
Southold, Near York 11971
APPLICATION FOR FIXED and/or FLOATING DOCKS
=. Contr=,or's name and address: .......
4. After issuance of a Permit, work must be completed within one year.
LARGE
5. Secure the correct Area Map from the Clerk of this Board, and by using a/X WITHIN
A CIRCLE indicate as closely as oossibie the location of this dock. On the reverse side of this
mop, provide a SCALE DRAWING which will show Ordinary High Wat~i: Mark, the shape
and size of the dock an° any supplemental oilings which are needed to hold a floating dock.
or tie-ua n boat. Give ail dimensions necessary 'to determine the area of the dock surface
9~ICH EXTENDS OFFSHORE from the O. H. W. M. If adjacent property owners have
docks, specify location and length to scale.
6. Will any portiom of this construction extend offshore into Town Waters beyond an imagincw
line or boundaw formed by o(her similar structures along the °tea's shoreline? YES 0~ NO.
If ~it does extend beyond this so-called d~k line indicate ~y how far, approximately, .......... ft
7. Provide the following documents: (a) A Licensed Engineer's Survey of the prope.d-y involved.
(b) A cooy of the Contractor's Plans and Specifications.
Shoru Environmental Assessment Form.
Wet tand~ Application
8. I this cons?ruction rec~ire ~e Fi[ lng of any land offshore of the Ordinary High Water
Mark or the Dredging of any material from Town Lands under water? YES or NO. If it does,
Form Al4 (Application for Dredging/Filling) must ae compieted and attachec as part of this
application.
9. In requesnng approval of this application, I subrdit that: the information presented herein
is true and correct to the best of my kno~Iedge and belief; I am the person accountable for
the performance of the wor~ in accordance with the olans and specifications attached; t have
rea= or am familk=r with the provisions of any Southotd Town Ordinance pertinent tc the work
involved; ,and further, I intend to adhere to and abide by the Z{.rms and ~itions of the
Permit, when and if issued to me.
10. TO expedite finding specific location f~ )in~io~/ndicate
. _ ~ by using a temporary, marker. ..
.... 9"::-':.:':'~/2 Re~ 2/82 -:;:- .. . . ..................... ~J...i-; .......................
BOARD OF TOWN TRUSTEES
Town of Southold
Main Road
Southold; New York 11971
A J1 - Rev. 6/~2
APPLICATION FOR A MOORING IN TOWN CONTIIOLLED WATERS:
1. Applicants narr~ and address: ......~...~.~....L.. ....................................................................
....... ................................................................
2. Contractar's name and address: .....T'~.......~....~r....~...~.~,...~~ ..............................
3. What is bei.ng moored? .~ .................................................................................................
If a boot is being moored, state:
Name of manufacturer ....~..~ ...................... ] .................. Reg. No. ~.~....~../-~
...... /.4g
Name of boat .'~...~./.~.~.,~-/..',/~. ..................................... Color .......................... ..~.....
Length .~...~ ............................. Powered by ..... ..Z~....~.....~..~ .................................................
5. What is your method of mooring? (mark by an X in the proper space)
( ) OFFSHORE MOORING (type & weight) ......................................................................
( ) OFFSHORE STAKE
OFFSHORE STAKE with pulley line to ONSHORE STAKE
TIEiUP BETWEEN PILINGS (number of piles) ..... ,.~,,. .........
( ) SOME OTHER METHOD (describe) ....................................................................
After issuance of o Permit, I expect to: (mark by an X)
(a) Commence work AT ONCE ....~N, ...... ;~ASAP ..... ~....; UNKNOWN .................
(b) Complete work in--] DAY ...,~.....; 1 MO ............. ; 1 YR ............. ; FUTURE ............
Secure the correct Area Mop from the Secretary of fhis Board, and by means of an X WITHIN
A CIRCLE indicate as closely os possible the location of this mooring. On the reverse side of
this map, provide a SCALE DRAWING which shows Ordinary High Water Mark, stokes, pilings
or other anchoring devices to be used, and all distances in feet between stokes and stakes.
8. Is ~rl_cess ta the proposed rrkoonng from PUBLIC or PRIVATE shoreline property? (state which)
....~[5~.~..~.!.~.~F.F~ .................. If fram private property not belonging to the applicant, provide a
letter of consent from the property owner.
At the mooring's location:
What is the approximate distance to the channel? ........
Number of other boats moored within 100 ft.
10. In making this application, I declare that the placement of this mg~g will not be on im-
pediment to the normal boating needs of others. ~'~, ,~
L. S ..... .~...~......~..._. ............................
Accepted by: Doted~.t~ ]/~- ~