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TR-1099
Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. J.C~99 ..................... DATE: ISSUED TO ..,..L.Si.~aey...Ql~.~.e~..; ............................................................. ~ Pursuant to the .provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on 19 ............. and in conslderation of the sum of $ .._...~8..,..8.0...... paid by .............................................. Si~ey....O1 ms~..ed ............................................................... of ............. ]~.i.ct..f~., ........................... N. Y. and subject to the Terms and Conditions listed on 'the reverse side hereof, of Southold Town 'Trustees authorizes and permits the ~ollowlng: Permission -~o clock 56'x4' w/ 12 plllngs, ramp 12' x 3', £1oat 20'x 4' w/ 2 pilings in Mattituck Creek. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees kere- by causes its Corporate Seal to be affixed, and these presents be Subscribed bY a majority of the said Board as of this datP. Trustees ' Town o£ Southold CREEK. ~ / ~ Ma'~n Road Southold, New York 11971 YOUR ORIGINAL PEP~IT NUMBER APPLICATION FOR SPECIAL !CE 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 & Addr_~ess: .~ ~... . ~.,~ J.~.'.~r. .................. . .©. A ~i. :5 .~... :~...?....../?..~. ~'. ~ ~. T/.~. ..~.~. L./. ~... ~..'~el. No .... AY... . / 2 Contractor's Names & Address: " ................................................. 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 1984'-1985~-~inter. 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 pro3ect at all times while under replacement. 6. Original permit numbers (3 '~ high) must be perm'antly displayed on project. ............................................................° ~' '~ ~/ (Tear 'off and return) -~ ' ~' ''~'~ .... ~''' 'I, ~ ~ ~ 7~ ~./ lY/~ (~- ~ , certify that the work as tho i ed i this permi~ h~s been~completed and is now ready for your inspection. Also, the permit number required on this project is clearly visible. BOAF Telephone 516 - 765-3783 July 23, 1975 Si~ey 0!msted 53-20 212st Street Bayside~ N.Y. 11364 Dear Sir: Please be advised that the Board o£ Southold Town Trustees approved your application £or dock, ramp, and float at a special meeting held on July 12, 1975. They have approved your plan # 2 £or the shorter dock. However, this plan gives no speci£ic dimensions for the float. Please supply us with the exact dimensions for the float so that the £ee £or the permit can be computed. Very truly yours, ~~r'etary Board o£ Southold Town Trustees cc:file Rev. BOARD OF TOWN TRUSTEES Town Of Southold Main Road Sonthold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS 2. Contractor's name and address: ....... .~...~....~.....%~... ............................................................................. 4. A,her issuance of a Permit, I expect to: (mark by on X~) (o) Commence Work AT ONCE ............ ; ASAP ............ ; UNKNOWN ............. (b) Comptete work in -- ] DAY ............ ; t MO ............. ; 1 YR ....... ; FUTURE ............. Secure the correct Area Mop from the Secretary &f this Board, and by using ar~ X WITHIN A CIRCLE indicate as c[ose[y as possible the location of this dock. On the reverse side of this map, provide a SCALE DRAWING which will show Ordinary High Water Mark, the shape and size of the dock and any supplemental pilings which are needed to hold a fIoating dock or tie-up a boat. Give all dimensions necessary to determine the area of the dock surface which extends offshore from the O. H. W. M. 6. Wiil any portion of this construction extend offshore into Town Waters beyond ~n imaginary line or boundary formed by other s;mdar struc~u,es along me area s shorehne. ¥~S If it does exzend beyond th~s so-ca,ted cock ~ ne na cc~e by now ,ar, approximately,. ....... Provide the following documents: (a) A Licensed c · =ngmeers Survey of the property involved. Controc,or s Plans and Specifications. (b) A copy of the * ' 8. Will this 'construction require the Filling of any land offshore of the Ordinory~High Water Mark or the Dredging of any material from Town Lands under water? YES or(N~.~ tf it does, Form A/4 (Application for Dredging/Filling) must be completed and attached.as port of this application. In requesting approval of this application, I submit that: the information presented herein is true and correct to the best of my knowIedge and belief; I om 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 provisions 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. Dated: