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HomeMy WebLinkAboutTR-1263Board Of $outhold Town Trustee SOUTHOLD, NEW YORK PERMIT NO ..........~.~.. DATE: .~9.~.~..~L~.~c~.~7 ISSUED TO .....~9~...X.~.....~.~.~,~.....~.~ ............................................................. Pursuant fo the provisions of Chap+er 615 of fha Laws of the State of New Yor~, 1893; and Chap+er 404. of fha L.aws of +he Sta{'e of New York 1952; and +he Sou+held Town Ordinance eh- fl+led "RE~ULATIN~ AND THE PLACIN~ 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 afa meeting held on ....~.~.~.....~], 19..~.~. , and in consideration of the sum of $ ~..~.~Q. ........ paid by ................................................. ~....~.. ~.,....~.~.~ ............................................ of ...~.~±~t~.~. .................................................. N. Y. and subiecf '~o the Terms and Conditions listed on fha reverse side hereof, of Southold Town Trustees authorizes and perm~'~s {'he following: permit 'to replace demolished dock ~nd floater due to ice and sever winter conditions. all in accordance wH'h the de+ailed specificaflons es presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees kere- by causes ifs Corporate Seal fo be affixed, and these presents fo be subscribed by a majority of the said Board as of this dat, e. Truste~ 765-19~8 September 7~ 1977 Dr~ John S~wicki Deep ~ole Drive Mattituck. New York 11952 Dear Dr. Sawicki: It ha~ ~o the ~ttentien of the Beard ef T~tees tP~t you ~ve e~tended your dock without a permit~ Tr~ is in violation of the Code of the Tow~ of Seuthold. I am enclosing a copy of the applicable eection~ The next meeting of the T~n Tl~ustees will be at 7:30 Tuesday. Sept~oer 1N~ 1977. ~ne Bo~ard request~ ~t you attend this meeting to discuss this mstter~ ¥~urs %ruly~ ~LV~ B~ oJOLD~MITH, Chairm~u B~Mu~lel B~h, Secretmry ~c!osure P/1 Rev/6/72 BOARD OF TOWN TRUSTEES Town of Southold Maia Road Southold, New York 1197] 1. Your application, dated ..,%~p.~,e~D~.la...~L.~....1.9~.7. .......................... has been reviewed by this Board, at a meeting of the Trustees held on ...~..~.~..~...e..al.~.e.~.,~..~..~.....~.~..~..7.. ............................................... a,nd resulting in the action, as indicated below: (.-...~:h.) Application approved. ( ............ ) Application denied. ( ............ ) Application tabled. 2. Commen:ts and remarks: 3. If your application is approved above, A Permit Fee is now due, and' should be made payable to the order of the Board of Southo!d Town Trustees. This fee is computed below according to the Schedule of Rotes as set forth in the Instruction Sheet (Form I/IL if the Permit Fee is paid in person to the Secretary of the Board, The Permit will be ob?uinable at the same time, If the fee is paid by mail, the permit will be mailed in repiy. Computation of Permit Fee: Permit will be issued upon receipt of $5.00 ~plication fee Total Fee for this application ............................................................ $ ........................................ Signed ALYAH B, GOLDSmiTH Chm. Board of Southold Town Trustees. Secretary. BOARD OF TOWN TRUSTEES Town O3 Southold Main Road Southold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS 2. Contractor's name and a~dress: ......... S~I~ .......................................................................... 3. Briefly explain the purpose of this application: .....~J~.~.~.~......~...~.~......~,.~.~.~-~ ......... .... ................................................................................................... 4. After issuance of a Permit, [ expect to: (mark by an ~ (a) Commence work ~ AT ONCE ~ ........ ; ASAP ............ ; UNKNOWN ............. (b) Complete work in ~ ] DAY ............ ; I MO ............. ; ] YR ............. ; FUtUrE ............. 5. Secure the correct Area Map from the Secreta~ of this g~rd, 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 Ordina~ High Water Mark, the shape and size of the dock and any supplemental pilings which are needed to hold a fl~ting d~k or tie-up a boat. Give ~11 dimensions necessa~ to determine the area of the dock su~ace which extends offshore from the O. H. W. M. Will any portion of this construction extend offshore into 'Town Waters beyond an imag~ lin~ or bounda~ form~ by other similar structures along the area's shoreline? YES o~NO~ If it d~s extend beyond th~s so-called d~k line indicate by how fa,r, approxima~ely,...,...~ 7. Provid~ the following d~u,ments: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. 8. Will '~his construction requi~e the Filling of any land offshore of the Ordinar~gh Water Mark or the Dredging of any material from Town Lands, under water? YES o~O~ If it d~s, Form A/4 (Application for Dredging/Filling) must be completed and attached ~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 ~nowledge and belief; I am the person accountable for ~Ne performance o~ the work in accordance with the plans and specifications attached; I have read or am familiar with the provisions of any Southold Town Ordinance pe~inent to the work involwd; and luther, I ~ntend to adhere to and abide by the Terms and Conditions of the Permit, when a'nd if issued to me. ............. BOARD OF TOWN T~U~T~ Town Of ~outnold ~IMn Ro~d Soufl~old. New York 12971 APPLICATION FOR F~XED and[or ~LOATEqG DOCKS l. A~.phcant s name and address: ...................... [ ................................ ......................... ........ ......... 2. Contrcctor'$ name and address: ................................................................................... ........................................................................ 9..:~ ......................................... ~,~.: ......................... · . .... 3- Bnerly exploit ,he purpose or ,n~s cpphc~t~on .... Jc'.A~I,19. ..... · . ......... ....... ......... ...................................................................................... ~-,After issuance of a Permit, work mus~ be completed within one year. LAAGE 5. Secure the correct Are= Mdg from the Clerk of this ~ocrd, and by using a/X WITHIN A CIRCLE ~ndicc:e cs clcselv cs ucsslbie the ~oz~tion cf this dock. On th~.reverse side of mop, provide a SCALE DRAWING which will show Ordinary Hinh Woter M~rk~ the shape cna size of the dock and ~ny supplemental :ii,rigs which =re needed to hold a ffcarin~ dock or tie-ua n bom. Give oh dimensions necess~r,/ to determine the area cf the dock surface 9ZdiCH E>:TEi'~DS OFFSHCP~ from rne O. ~. W. ~A If adjacent prope~y owners have docks, specify location and lenquh to scale. ~VilI any portion nf th~s construction extend offshore into Town %.Vcters'beycnd cn line or boundaw formed uv other similar structures along the sraa;s shoreline? YES or NO. If it does exten~ beyond this so-coiled d~k line indicate by how far, approximately, .......... ft. 7. Prcvlde the following documents: (a) A Licensed Engineer's Survey of the prope~y involved. (b) .~ cody of rna Contractor's Plans cna S~ecifizations.  c Short Environme~! Assessment ~orm. Wetlands ~po..z~at z,on ,, , ii this ccnstruct~orF reauire the Filling of any land oftsnore of the Ordina~, Msrk or the Dredging of any material from Town L~nd; under w6rer? YES or NO. If it dans, , Form A/4 (Ac2licanon fgr Dredging/Filling) must be completed end at:ached as port of this rn reauestm3 approval 0¢ this cgPlicctiom, [ submit that: the mfcrn ]t~on ~s true and correct to tn.2 best cf my kno%~Jed~e and belief; I am the po-zen ccccunt~Die for thc performcnse of the wor~ ~n cccordanse with the p[gns and 5pecifJczt]uns cttu'ched; J hove 10. TO expedite finding specific location for inspection, indicate . '-7ZT~,3.:-'.._-,.:,. by using a =emporary marker¢, . .'f7-2~ A/2 ReP. 2/82 L. 5 ...............................................