Dock application form

Dock Repair/Building Approval Form
Truesdale Lake, South Salem, NY

(* items are required for registration)
First Name *
Last Name *
E-mail *
Mailing address (only if different from property address)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Address of property on Lake *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number (best number to contact you at in case we have questions) *

Area Code Phone Number
Association Name *

TEA TLPOA Vreeland/Lovecross Lake Shore Drive - not in TLPOA
Details about dock:
Short description of your project. *
Is this a repair, addition, or new construction? *

Repair Addition New Construction
Town Tax Map, Block and Lot # where dock will be built (e.g. 36L-10816-31). This is on your Real Estate Tax bills *
If you are not sure of your Tax Map, Block, and Lot number, consult your tax bill.

You can also check our maps section here for scanned in tax maps of the lake area:

http://truesdalelake.com/projects/maps/
What is the zoning of the property where dock is to be bulit? (e.g. 1/4 Acre, 1/2 Acre, 1 Acre) *
Have you had your septic pumped within the last 18 months? (need to send verification to mailing address at bottom) *

Yes No
What is the length of your waterfront? If you have multiple adjoining properties, please include full length. *
Describe the materials your dock will be made from (e.g. wood, composite, plastic, metal, type of floatation, anchors, etc.) *
What are the full dimensions of the dock? (Please also send scale diagram with dimensions noted of dock and how far away it is from neighbor's property lines) *
Do you have a certificate of occupancy for all structures on this property? *

Yes No
Are your lake dues current? (no approval will be given if lake dues are not current) *

Yes No
Do you have current homeowners insurance that covers property extensions? *

Yes No
If you have questions about your lake dues, contact tea@truesdalelake.com.
Is there any other information you have that might be important?
Forms Needed

The forms below are needed for the Truesdale Dock application. They are also required by the Lewisboro Wetlands Inspector and Lewisboro Building Department in order for them to issue permits. Getting them in order now will help your application to the town.
IMPORTANT: REQUIRED FORMS

If you can include these documents below with your online application, it will speed up our response since we can distribute them to committee members right away. If you can't include them here, you MUST either email them to truesdaledock@gmail.com after you submit this online application. Or as a final resort, send paper copies via mail (mailing address: Dock Committee c/o TEA, PO Box 363, South Salem NY 10590). But paper copies sent via mail will delay the committee's response.

We CANNOT complete your application review without ALL of these documents.
Add detailed plan of dock as it will sit on your waterfront. See examples here: http://truesdalelake.com/docks/dock-reasonable-use-criteria/
Add survey of Property where dock is to be built
Add certificate of occupancy for property
Add scan of your latest septic pumping bill with date of pumping clearly shown
Add scan of your homeowners insurance showing property extension coverage
Please verify that you are human *
Thanks for your application. Once you hit submit button below -- and we have received all supplemental forms outlined above -- we will get back to you within two weeks with approval or rejection. All dock applications must also apply for a permit and receive approval from the town building department and the wetlands inspector/planning board.

The town wetland inspector and building inspector will ask if you have obtained the Truesdale Lake Dock Committee approval before you can proceed with your town permit application. Bring the association approval letter to the building department and submit with your building permit application. The documents required for this approval are also needed for a town permit.

Any questions, please email truesdaledock@gmail.com.

Thanks! Don't forget to press the Submit button below...
Should be Empty:

Dock Repair/Building Approval Form

Forms Needed