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Home My WebLink AboutTR-1187Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO ............1.!8.7 ......... ~ DATE: .~.sap~.......13 ,.. 197 ISSUED TO .......... ~.;.G.,....~.i~.~....~....~,.~.....i..~.i~ n .............. ~ ..................... Pursuant to the provlsions of Chapter 615 of the Laws of ('he S+a~e of New York, 1893; and Chapter 404 of +he Laws of +he State of New York 1952; end +he Sou+hold Town Ordinance titled "RE~ULAT)N~ AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS ~nd REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM ~DS UNDER TOWN WATERS;" and in accordance wJ+~ Resolution of T~e Board adopied a+ a nee+lng ~eJd on .~.. ~.~., J9...~.6.., and in c0n~dera~ion o~ ~e sum o( $....5....0.O ......... paid by ................. .Z~G., .~m~....&...~.~...~m~ ................................................. of ....S.o~.t~Q~.~ ......................................................... N. Y. an~ subjec~ fo (~e Terms ~n~ CondlfJons Jisfed on +~e reverse slde ~ereof, of Sou+~o)~ Town Trustees authorizes and permffs +~e foJJowing: .~. ,.~o~t~oZd, ,~r~- all in accordance wi+~ ~e de~ai~ed spec~T~caTions as presenTe~ m +~e orJglnatlng appJlca~ion. iN WITNESS WHEREOF, The said Board of Trustees kere- by causes its Corporate Seal fo be affixed, and these presents to be subscribed by a ma]ority of +he said Board as of th[s data. ....... Z'"'~'~' ;"'V~;('"" ....................... ................. ..................... .... ~~ ....... ~r~s~ees TERMS ~nd C:ONDIT~ONS The Perm{tree I-G. Pi%man & W.L. Pi%man L T'nat the said Board of Trastees and the Town of Southold ~ ~ed f~m ~ ~ wi~ r~pe~ ~ereto, *o ~e ~mplete ~d~on of ~e ~d ~ Tr~e= of ~e To~ of ~&o!d 2. That this Pe~-mlt is valid for a period of t 2 mos. wbJch is consldased to be the estimated time required to complete the work involved, but should dzcc_mshmces win'ran% r~uest for an ext~on may be ~ade to the Boe~d at ~ !arer Jam. 3. That this Permit shoffid be retained indefinitely, or as long as the said Permltme wishe* to m~'oSntain the srrucc~e or projece involved, ro provide evldmce to anyone concerned that orization was originally obt~e~Lued. 4. That the work involved will be vabject to the 'inspection and apprnv~ of ~e Boarcl or its agents, a_nd non-compliance with the provisions of the o~girm~ng applicator, may be c~use fo~ revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a r~--~utt o~ the work herein 6. That there shall be no interference with the right of the public to pas~ s. nd repass the beach between high anti Iow water marks. 7. Tkat if fur. rte o~ations of the Town of Southgld req,~e ~ ~e lomtion of ~e wo~ her~ ~o~ or work sh~ mu~ u~e~o~able ~os~a~ ~o,reef navi~don, ~e u~a due notice, to r~move or Mter ~s work or proje~ hezeh d ~u~ol& S. That the said Board will be notified by the Perr~2ttee ot the completion of the work orlzed. 9. That the Permittee will obtain all other pe~i;ts and coments &at may plementaI to this permit whiCh may be subject to revoke upon ~aituze to obtain AI2 - ~v. 6/?2 BOARD OF TOWN TRUSTEES Town Of Southold Main Road Southold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS l. Applicant's name and address:., ............... : ..................... ..~....~ .......... : ....... ; .......................... ............. ................. 2. Contractor's name and address: ........... ~...~.....~..~-~ ............................................. , ......................... 3, Briefly explain the purpose of this application:..~.....~.,~../.~'../~..¢-,.~.....,,p,~.~.,~,.~.?~,, .... ...... ........ ...... ,. ....... .............................................. ......... , ............ 4. After issuance of a Permit, I expect to: (mark by an X~ (a) Com.mence work -- AT ONCE ............ ; ASAP ............ ; UNKNOWN ............. (b) Complete work in -- I DAY ............ ; 1 MO ............. ; I YR ............. ; FUTURE ............. Secure the correct Area Map from the Secretary of this Board, ,and by using an X WITHIN A CIRCLE indicate as closely 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 floating 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. Will any portion of this construction extend offshore into Town Waters beyond a.n imaginably line Or boundary formed by other similar structures along the areds shoreline? YES or(NO) If it does extend beyond this so-called dock line indicate by how far, approximately,. ....... ~ Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of t'he Contractor's Plans and Specifications. 8. Will this construction require the Pilling of any land offshore of the Ordinarv~igh Water Mark or the Dredging of any material from Town Lands under water? YES or,Nail If it does, Form Al4 (Application for Dredging/Filling) must be completed and attached a~-pa.rt 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 knowledge 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 om 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.