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Board Of Southold Town , Trustees �,A
m►�a p�1 SOUTHOLD, NEW YORK ike :
-, ��< �'I i'� ma's,•_ �,
S a�� PERMIT NO: . .....14.50. ........ DATE November 11, 19�1_� �4<
; a ISSUED TO ............... �k.. Fa..cczn ........ ...... .... ................... �,_ •
Ni04,
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Pursuant to the provisions of Cha ter 615 of the Laws of
m� 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= f '
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,.
a
LANDS UNDER TOWN WATERS;" and in accordance with the
l A Resolution of The Board adopted, at a' meeting held on jNpyember.
19....7..4.., and in consideration of the sum of $ ...... ... paid. by
30,50
Frederick Falconer
.............................. .. ............ .. ............... ...... .............
ofFleetwood Rd , Cutchogue,
................... .... ......... ......• , . N. Y. and subject to 'the
\'
Terms and Conditions listed on the reverse side hereof, a >
� a j! of Southold Town Trustees authorizes and ppermits the following: dt,�• 5'
t� I; construct a catwalk 4 ft. by 10 ft. , . ramp 2 ft.by
10 ft. , float 6 ft. by 20 ft. , with. two mooring
Piles and redredge an area 30 ft. by 30 ft. remov`-j -�
:a ind ap =imately lQ0 cu. yds . of fill, which i to be; `-� at I
pia epd on t e applicant ' s upland property at .FTeetwoo ;.:
z'
afl in accor ance with the detailed specifications as presented in "
a Road, oCLAtcho ue, ate ast Creek, effective Oct. 121974Fq` 0 k'
IN WITNESS WHEREOF, The said Board of Trustees.hiero' -
by causes its Corporate Seal to be affixed, and these presents to
be subscribed by a majority of the said Board as of,this date.,
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p T'rustees
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TERMS and CONDITIONS
The Permittee Frederic]< Falconer
residing at Box 10D, Fleetwood Road, CutchoQue 11935 N. y,, as
part of the consideration for the issuance of the Permit does understand and prescribe to the fol-
lowing:
1. That the said Board of Trustees and the Town of Southold are released from any and
all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper-
ation performed pursuant to this permit, and the said Permittee will, at his or her own expense,
defend any and all such suits initiated by third parties, and the said Permittee asses full liability
with respect thereto, .to the complete exclusion of the Board of Trustees of the Town of Southold
2. That this Permit is valid for a period of —12 mos. which is considered to be the
estimated time required to complete the work involved, but should circumstances warrant, request
for an extension may be made to the Board at a later date.
3. That this Permit should be retained indefinitely, or as long as the said Permime wishes
to maintain the structure or project involved, to provide evidence to anyone concerned that auth-
orization was originally obtained.
4. That .the work involved will be subject to the inspection and approval of the Board or
its agents, and non-compliance with the provisions of the originating application, may be cause for
revocation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation ,as a result of the work
herein authorized.
6. That there shall be no interference with the right of the public to pass and repass along
the beach. between high and low water marks.
7. That if future operations of the Town of Southold require the removal and/or alterations
in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the
work shall cause unreasonable obstruction to free navigation, the said Permittee will be required,
upon due notice, to remove or alter this work or project herein stated without expenses to the Town
'of Southold.
8. .That the said Board will be notified by the Permittee or the completion of the work auth-
orized..
9. That the Permittee will obtain all other permits and consents that may be required sup-
plemental to this permit which may be'subject to revoke upon failure to obtain same.
rev. 3/28/88,
• r
BOARD Or TOWN' TRUSTEES
CREE %1 Town of Southold
Main Road
YOUR ORIGINAL PERMIT NUMBER Southold, New York 11971
APPLICATION FOR SPECIAL ICE DAMAGE PERMIT
INSTRUCTIONS : Fill out form below and return to above address. You
should have. this application approved and returned, ,to you with ' a week
1. Applicant.'s Name & Addressf. . .�1! ,� . . .
. . . .Tel. No.
e,
2. Contractor 's Names & Address :
. . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . ... . . . . . . .Tel. No. . . . . . . . . . . . . . .
I. The purpose of this application: Redriving or replacing openwork
dock or openwork pier piling,T. and ooring piles removal of damaged
piling, repair, resetting or replaceme-n-t--o-f floating docks, ramps,
or decking, all necessitated by ice and storm damage resulting during
1987=1988 winter.
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 project at all times while under replacement.
6. Original permit numbers (3 " high) must be permantly displayed on
project.
(Tear.off.and•return)
I, certify that .the work as authorized in
this permit has been completed and is now ready for your inspection.
Also, the permit number required on this project is clearly visible_ .
PERMIT NUZIBER
Signed - Owner Signed - Contrarter
r
P/1 Rev/6/72
BOARD OF TOWN TRUSTEES
Town of Soinhold
Main Road
Southold, New York 11971
To: „Frederick Falconer, Box 10D, Fleetwood Road, Cutchogue, N.Y. 11935
...............................................................................................................................................
1. Your application, dated ......Septegi.ber ,
PP S.e.p.teqi.be.r.... ........................ has been reviewed by this
Board, 6t a meeting of the Trustees held on ...OGt;.Qb..Qx...7.......1.9.7.4...
.�c�..�T.pv�,tri�,��..,11.,,,,,1y7,4
and resulting in the action, as indicated below:
(... ...) Application approved.
(............) Application denied.
(............) Application tabled.
2. Comments 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 Southold Town Trustees. This fee is computed below according to
the Schedule of Rates as set forth in the Instruction Sheet (Form 1/1).
If the Permit Fee is paid in person to the Secretary of the Board, The Permit will.be obi(ainable
at the same time. If the fee is paid by mail, the permit will be mailed in reply.
Computation of Permit Fee:
Catwalk — 4 ft. by 10 ft. — 10 sq. ft. — C 10� .sq. ft. ------------$ 4. 00
Ramp - 22 ft. by 10 ft. - 25 sq. ft. - @ 10� sq. ft. -------------- 1 2 . 50
Float - 6 ft. by 20 ft. - 120 sq. ft. - C 10� sq. ft. ------------- 12 . 00
2 Mooring piles C $1. 00 each-------------------------------------- 2 . 00
100 cu. yds. fill dredged - @ 10� cu. yd. =------------------------ 10. 00
$30. 50
Less filing fee 5 . 00
$25 . 50 DUE
Total Fee for this application ............................................................. $ ...2,5 .50.........................
Signed ....ALVAH B. GOLDSMI.TH
...................... ........................
Chm. Board of Southold Town Trustees.
by � r..� � r .........
Secretary.
P/1 Rev/6/i
BOARD DE TOWN TRUSTERS
Town of Southold
Main Road
Southold, New York ]1971
Lawrence. M. Tuthill, 1215 Inlet Lane, Greenport, N.Y. 11944
a/c
To: Frederick Falconer, Box 10D, Fleetwood Road, Cutchogue, N.Y. 11935
.. ............................................................................................................... ......................
1. Your application, dated ............September 19• •,• ••1•.•9.••7•••4..•..•..•......... has been reviewed by this
Board, at a mee'ring of the Trustees held on .......... q•tober•••7•1...1974
and resulting in the action, as indicated below:
(............) Application approved.
(............) Application denied.
(.. ....) Application tabled. The Board will investigate the site, and make.
a decision at their next meeting on NoveUiber lltl:
2. Comments 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 Southold Town Trustees. This fee is computed below according to
the Schedule of Rates as set forth in the Instruction Sheet (Form 1/1).
If the Permit Fee is paid in person to the Secretary of the Board, The Permit will be obtainable
at the some time. If the fee. is paid by mail, the permit will be mailed in reply.
Computation of Permit Fee:
Total Fee for this application ............................................................ $ ........................................
Signed •• ALVAH B. GOLDSMITH
......................................
Chm. Board of Southold Town Trustees.
Secretary.
A/2 - Rev. 6/72
Ave-
Port Va r / �� BOARD OF TOWN TRUSTEES
/v L Vu I ®°-yam/�j /l U!0 Town Of Southold
Main Road
Southold, New York 11971
APPLICATION FOR FIXED and/or FLOATING DOCKS
1. Applicant's name and address: .. ? '. ,.�Y.1.0.. .... d...lcam.ex...................
....R4). ....(?.a.. a.he. ..ae..,.....N§.v..Y..&A....�1���.�
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2. Contractor's name and address: .....................
......................
3. Briefly explain the purpose of this application: ......�1a...e ..!........ .0�? 4:t<I:',,:J
Z
1�1
G f...: �� .... .. .. .......j�. :`! ........................................... ..
i/�
........................................................................... ....................................................................................
.................................................................................................................................................................
4. After issuance of a Permit, I expect to: (mark by an X)
(a) Commence work — AT ONCE ............: ASAP A.....; UNKNOWN .............
(b) Complete work in — 1 DAY ............: 1 MO. ............; 1 YR. X......; FUTURE .............
5. 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. 121a.1) a.7 —a ell e-4
6. Will any portion of this construction extend offshore into Town Waters beyond on imaginary
line or boundary formed by other similar structures along the area's shoreline? YES '
r .
If it does extend beyond this so-called dock line indicate by how far, approximately,ac'e..ft.
7. Provide the following documents:
(a) A Licensed Engineer's Survey of the property involved.
(b) A copy of the Contractor's Plans and Specifications.
8. Will this construction require the Filling of any land offshore of the Ordinary High Water
Mark or the Dredging of any material from Town Lands under water?4,WorIM. If it does,
Form A/4 (Ap lication for Dredging/Filling) must be co pleted and ttached as part of this
application. ��u, �2_
9. 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 further, I intend to adhere to and abide by the Terms and Conditions of the
Permit, when and if issued to me.
,Accepted Y: .
Dated: ��
L5 �^'
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UNAUTHOR
IZED ALTERATION OR ADDITIOt_y
TO THIS SURVEY IS A VIOLATION OF
0
'�^ '� `'• �Q` j �SECTIOhT 7209 OF THE-NEW,-YORK.STATg-
f S -� EDUCATION LAW;
COPIES OF THIS SURVEY MAP NOT'BEARING
h THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEA!SHALL NOT BE CONSIDERED
TRUE COPY; i
GUARANTEES INDICAT'D HEREON SHALL RUN
ONLY TO THE PERSON.10p. SW;OM THE SURVEY
H
15 PREPARED,AND Om ;'S C__ALF TO THE
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TITLE COMPANY, GOVERNMEN,A-. AGENCY AND
\ \ LENDING INSTITUTION LISTED HERLV,t, AND
TO THE ASSIGNEES OF THE LENDING
e7 \� TUTION. GUARANTEES ARE NOT TRANSFL„A2LE
.� TO ADDITIONAL INSTITUTIONS OR SUBSEL}UENT
OWNERS, 1
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