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TR-1709 GF
ALL DCCi~ A~D BU~C~EADS :.lUST DiSP~:,~ ViSiBLE PEPC.!IT board Or Soutno!d I own Trustees ,~ .... ~.-. SOU~ mOL~, NoW YORK .~-,~ ~;: .~a"~{~ ;j ac=M r ~l~ 17~ :. DATE' Oct. 25, 198 Pursuanf fo fha provisions of Chaplet 61S of fha Laws of fha S,~afe of New York, 1893; and Cha~fer 404- of fha Laws of fha Sfafe of New York 1952; and fhe Soufho!d Town Ordinance en- fff]ec~ "REGULATING AND THE PLACING OF OBSTRUCT[ON~S IN AND ON TOWN WATERS AND PU~ZLIC LANDS and fhe REMOVAL OF SAND, GRAVEL OR OTHER. MATERIALS. FROM LANDS UNDER TOWN WATERS;" end in accordance wffh fha Reso[uf~on of The Board ado/ed afa meefing held on ....O_c....t...........1...1...,. 19......B3, and m cons~erano~ of fha sum of $..._...5......0.~. paid by Norma Pordon '--:' of ............. ~t.ti.t~k.._~ .................................... N. Y. and subiecf fo fhe Terms.and Ccndff~ons Jisfed on ']'he reverse side hereof, of Soufhold Town Trusfees " '- " ' ' ' authorizes and permlzs fne following: Application approved under the Grandfather Clause to secure a permit number for a dock in James Creek. all in accordance wlfh fha derailed specificaf~ons as presenfed in fha o6s~naf[ng app!~caf~an. IN WITNESS W, ,,.R~-OF, The said ~oard of Trusfees here- ~ ~y causes frs Coruor~fe. Seal fo be affixed, and fhes~ pres'Ln'h fo be subscribed by a me[o6fy o~ fha soid Board as of %hk daf.e. .% TERMS and CONDiTiONS Norma R. Porcton Toe Perm~ r~idin§a: P.O. Box 889, Mat~ituck pa~ of Lhe co~ider~o~ for ~e ~ce of ~ F~t d~ ~de~d ~d p~ to ~e fol- IoMn~: ~, That the Southold Trustees Permit must be prominently dis~!aved on,the premises effected thereDv durinq the perio~ of 2~ ~da~ ~e ~a B~d of T~s ~d ~e Town of ~u~ofd ~ ~ed fzom ~f ~d work .... ewmit wi~n res?c: ~erero, to ~¢ ~mpl~e ~ct~{oa of ~e ~d of T~e~ or ~e Town of ~omP 3. That th~ Pe,~-k is valid for a pedod of _©57 ,v~AR which sufficient ~e required to complete the work involved~ hut should cizo~m~mcce~ for ~n exmndon may be nmde to the Board zt a later data. 4. Ti:at this Permit shou/d be retained /ndeflnlteiy, or as long as rim said Per~rr~e wishm tO maintain the structure or project involved, tn provlda e~da=ce to anyone concerned thaz auth- orization was originally obtained. That the work involved wiiI be mbject to r. he inspection and approval of the Board or agents, and non-compliance ~-irh the provision of the orlgi~ating appHm~oa, may be c:mse for revocation of ~his Pe~it by r~otudon of ~¢ said B~rd. 6. That there will be no tmre=soochle interference with na"dg'ztion as a result of 'the work~ herein audmrlzed. 7. That there shall be no interference with the right of the tmblic :o p~s and rep&ts along the beach between high and Iow water maxks. 8.. That H £umre operadon~ of the Town of ~%u~old require the' removal and/or altemffo~ in the location of ~e work her~n =u~oF2~ or ~, ~ ~e opi~ of work sh~ ~use u~e~0nable obs~mon to free navigation, ~e s~d u~n due notice, to remove or alter ~is work or project herein stated ~ou: 9. That the said Board will be notified by' the Permi=ee m th~e completion of the work math- orb. ed. (See tear off sheet.) 10. That the Permlttee will obtain ail other permirs and consent that re. ay be required plemeata/ to this permit which may be subj.~-: to revoke upon fMiure-~o obmln same. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, $3095 Main Road P.O. Box 728 Southold, New York 11971 October 25, 1983 TELEPHON~ (516) 765-1892 Mrs. Norma Pordon Post Office Box 889 Mattituck, New York Dear Mrs. Pardon: 11952 Transmitted herewith is your permit which was granted under the Grandfather Clause, for your structure. Please post your permit number on your structure, so that it can be seen from the water. Thank you for your co-operation, in regard to this matter. Very truly yours, Board of Town Trustees Ilene Pfifferling Clerk to Trustees Attachment ALL DOCKS 'AND BULKHEADS MUST DISPLAY ViSiBLE PF_RMIT NUMBERS ALL [ 189 [NGS AND STAKES UUST ISPIAY VISIBLE MOORING NU ,q. gERS BOARD OF T'OV/N TRUSTEES T;~vn of Southold Main Road $outhold, New York 11971 NOTICE OF ACTION - NOT g PERD1ZT To: Norma Pardon I. Your application, da~ed ...... .9.../..2./...8..3. .................................................... has been reviewed by this Board, at a meeting of the Trustees held on October 1.];, 1983 cnd resulting in the action, as indicated below: ( ............ ) ( ............ Application approved. Application denied. Application tabled. Application approved under the Grandfather Clause to secure a permit for a dock in James Creek. .-. A PEP~Z!T FEE 3. I~ },~ur o~ol[q~;0n t~ ODDrOVe~ ~Qve, R ?u~rnf~ ~-1~rz~ iS mo%~ ~ue, ~n~ should be mede payable to the orcer at the Board of Sourmo~o Town ' the Schedul~ ~ R~t ...... ~ f~,+~ . Trust?s. Thts fee ~s compute~ below accordin to oaZd wzCB~n ~h--~4,~;- zm~" m the Jnstructmn Cheer (~nrm 1/11 ghzs fn~ m~-~ ~ If the Permit Fee i~ ~;4' pp .y~ng. aha addzczon~Z fee wzZZ 5e necessez' · p y muu, the permit will *e m6Hed in reply Computation o¢ Permit Fee: Total Fee far this application ................... , .. Pres, 8oord of Southoid l'own Trustees.~'4~ ...... by . ler'.~ ...... ~' ' ALL DOCKS AND BULKHEADS MU~ DISPLAY VISIBLE PEBJ~IT NUMBEP4 BOARD OF TOWN TRUSTEES Town Of Southold Ble{n iqoad Southold, New ~fork 11971 APPLICATION FOIl FIXED aha/or FLOATIA'G DOCKS 4. After issuance o_= a Permit, work must be completed within one y~ar. LARGE Secure the correct Arco ,~4ap from the Clerk of this Board, end by using a/X WITH!N A CIRCLE indiccce cs closely as passible the {oc~ticn of this dock. On th~feverse side of this map, provide a SCALE DRAWING which will show Ordinary High Water Mark, the shape end size of the dock and any supplemental pilings which ere needed to hold ~ fleering deck or tie-u~ n bc~t. Give aU dimens[ons necefsarv to determine the area cf the deck 9Z~ZCH ~>:T~:':D~ O~HOP~ from the O. H. W. M. Zf adjac~n~ p~ope~ owners have docks, specify Location and length to scale. V~i[[ cay portion o~ this cmnstrucfica extend offshore ~to Tow~ ~cters beyond cn line or boundsW formed by other similar structures along the grea's shoreiine? YES ob NO. If it d~es extend beyond this ao-calIed deck line indicate by how far, approximately,. ......... 7. Provide the following documents: (a) A Licensed Englr~eer's Survey of the property involved. (b) .& copy of the Contractor's ~lons and Specifications. t Short '~-4~- ~ ~1 ' E**~-_onmen~ .... Assessment Form. ~ Wetlands A~¢iicati.on 8. ~[~[ ~h,s ccms~rucUoh'require the ~[~0 o~ ~ny I~nd offshore of the Ord~aa~ ~iDh 5Voter h~erk on the Dredgmg of any material from Town Lands under woter~ YES or NO. If it ~zes, Form A/4 (Application for Dredging/Filling) must be completed cad attached as part of=this cppJic~ricn. i0. To expedite finding specific location for inspection, by using a temoorarv marker~ · ' :. '7'i,'2!,3.?.X.~.3.:. '. - ' * . .: '.' ': ' "-":~-J'''AI2 ~' 2/82 ' ! c In requesting c~prova{ of this cpplic3fian, 1 submit' that: the Mfcrmction presented ?~creJn is i'rue cad correct to the best cf my knowledge and belief; I cm the person cccauntcbie for the performance of the work in accordance with the o/cn~ and ~secif~czficns attached; i have recd cr cm fom,iicr wi~h the prcv,slons of any Sou:hold Town Ordinance pertinent to the work involved; e~d further, I intend to ~dhere to ~nd aside by the Terms and C;ndi:icns of the Permit, ~hen and ~f issued to me. Znd~ca&e