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Home My WebLink AboutTR-1493Board Of SOUTHOLD, NEW YORK PERMIT NO...:Lft,.9..3 .................. DATE: ..~.~!.Y..2 ~ ...~981 ISSUED TO ........ ~.~ and Muriel Schwartz. of TOWN WATERS the SAND, GRAVEL FROM LANDS UNDER TOWN WATERS;" and in accOrdance With the Resolution of The Board adopted at a meeting held on J;!y. !, 19.8!.., and in consideration of the sum of $ ~.8.~.~.Q ....... paid by ..................... A ! .~tD.d ..!~t~.!e.!. S~.h~ar~ .............................................. of ............... ._t~,._~p.~.~C.b., ........................................ N. Y. and -~ the l: To construct a 3' x 10' dock, ramp, 8' x 12' floating dock and 4' x 10' floating dock at Arshamomque Pond. IN WITNESS The said its Cot malor BOARD OF TOWN TRUSTEES Town o£ Southold Main Road Southold, New York 11971 P/1 Eev/~/72 1. Your application, dated ....... .J,~D.~....1.~...J..9.8.L ................................. has been reviewed by this Board, at a meeting of the Trustees held on ...... ..J..u...]:X...1..,.....1..9..8...1. ......................................................... c,nd resulting in the action, as indicated below: ( ..... ..~.....) Application approved. ( ............ ) Application denied. ( ............ ) Application tabled. 2. Comments and remarks: To construct a 3' x 10' dock, 3' x 10' ramp, 8' x 12' floating dock and4' x 10' floating dock~at Arshamomque Pond. 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 Southold Town Trustees. This fee is computed below according to the Schedule of Rates as set forth in the Instruction Sheet (Form I/1). If the Permit Fee is paid in person to the Secretary 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. Computation of Permit Fee: 3' x 10' dock - 30 .sq~ ft. ~ .10 = 3,00 4 piles ~ 1.00 =~'.00 3' x' 10' ramp - 30 s.f. ~ .10 = 3.00 8' -x :12' floating dock 96 sq. ft. ~ .10 = 9.60 4~ x' 10~ floating dock Application fee 40 sq. ft. ~ .10 ='4.00 = 5.00 Total due -28.60 'Total Fee for this application ............................................................ $ ..2...8.:..6...0..~ ......................... (~ned ...~~..~._r...~~~ · -~s~r. Board of Southol~d Town Trustees. Secretary. ~ BOARD OF TOWN TRUSTEES Town Of Southold Main Road Southold, New York 11971 Rev. APPLICATION FOR FIXED and/or FLOATING DOCKS 1. Applicant's name and address: ................ (4~..~.~...~....~.. ....................... ......... ..... .... ...... ......................... 2. Contractor's name and address: ..l.~..~./.~.~...~. ...... .~../~.~..,/..~.~.. ...... : ....................................... ........ ..... ...... ..... ...................................................... / 3. Briefly explain the purpose of this application: ........................................................................ ..... ~.o..~.~.r.~.~.~.c. ......... .E~./.. ~ .... ~....~..x'...~. ~......F..~. ?. ~.z.~. ~....~¢..r~r.z. ................................... .............. .~...z..t~. ...... ~.~ ........ .~....$...X.L .......... ~.~.~....o....,~.... f.~ ~. ~.~...c ................................ ................................................................................................................................. 4. After issuance of a Permit, I expect to: (mark by an (a) Commence work -- AT ONCE ............ ASAP ............ ; UNKNOWN ............. (b) Complete work in, i DAY ............ ; ] MO ..... ...~.....; 1 YR ............. ; FUTUR£ ............. o Secure the correct Area Map from the Secretary of t'his 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 sh,ow Ordinary High Water Mark, the shape and size of the dock and an.y 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. kl.. W. M. 6. Will any portion; of this construction extend offshore i.nto Town Waters beyond arn imaginary line or boundary formed by other similar structures along the area's shorelineS. ~._.~ or NO. If it does. extend beyond this so-called dock line indicate by how fa, r, approximately,. ......... ft. o Provide the following documents: (a) A Licensed Engineer's 'Survey of t'he property involved. (b) A copy of the Contractor's Plans and Specifications. Will this construction require the Filling of any land .offshore of the Ordinary High Water Mark or the Dredging of any material from Town La,rids under water? ~ or NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as 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 am 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 furfher, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. k. S. ~Ac.cepted by: Dated: .._.- C.o.. - . -.,): ,_. ,.'...:.. AGENCY AND:j LEN~NG tNSTI- - TUTiON. G'L(AP,,ANTEES ,'~E ~.OY TP, ANS,~EP, A~LE ~oc L~