What is the Bulkhead Structure Permit Application for?

It requests a Town of Hempstead permit for proposed bulkhead or other waterway structure work and collects details about the applicants, property, proposed use, work, and estimated costs.

Who should complete this application?

The form includes sections for the property owner, applicant, and contractor. The owner and applicant must sign their respective statements.

Do I need a notary for the Bulkhead Structure Permit Application?

No. This application has no notary block; the owner and applicant sign their statements. It requests Forms C105.2, D120.1, or C105.21 when applicable.

How do I submit the Bulkhead Structure Permit Application?

Submit it to the Town of Hempstead Department of Conservation & Waterways at 1401 Lido Boulevard, Point Lookout, New York 11569.

Hempstead, NY · Nassau County

No notary required

Structure Permit Application (Bulkhead)

This application is for property owners and applicants seeking a Town of Hempstead permit for proposed bulkhead or other waterway structure work.

What this form is

Use this application to request a structure permit for proposed work on a bulkhead or other waterway structure in the Town of Hempstead. It asks for applicant, owner, and contractor contact details; the work-site location; property and structure uses; and a description of the work and estimated costs. The form also requests applicable workers’ compensation and disability benefit insurance forms.

Who needs it

Property owners and applicants seeking approval for proposed bulkhead or other waterway structure work in the Town of Hempstead should complete this application.

How to submit it

Submit the application to the Town of Hempstead Department of Conservation & Waterways, 1401 Lido Boulevard, Point Lookout, New York 11569.

About notarization

This application is signed without a notary; it requests Forms C105.2, D120.1, or C105.21 when applicable, and the owner and applicant sign their statements.

How to submit this form

1
Download The Application
Download the Structure Permit Application for bulkhead or other waterway structure work.
2
Complete The Application
Provide applicant, owner, and contractor details, work-site information, proposed uses, and the work description and estimated costs.
3
Gather Applicable Forms
Submit Form C105.2, D120.1, or C105.21 when applicable, as indicated on the application.
4
Sign And Submit
Have the owner and applicant sign their statements, then submit the application to the Department of Conservation & Waterways in Point Lookout.

Frequently asked questions

What is the Bulkhead Structure Permit Application for?: It requests a Town of Hempstead permit for proposed bulkhead or other waterway structure work and collects details about the applicants, property, proposed use, work, and estimated costs.
Who should complete this application?: The form includes sections for the property owner, applicant, and contractor. The owner and applicant must sign their respective statements.
Do I need a notary for the Bulkhead Structure Permit Application?: No. This application has no notary block; the owner and applicant sign their statements. It requests Forms C105.2, D120.1, or C105.21 when applicable.
How do I submit the Bulkhead Structure Permit Application?: Submit it to the Town of Hempstead Department of Conservation & Waterways at 1401 Lido Boulevard, Point Lookout, New York 11569.

Need something notarized?

This Structure Permit Application (Bulkhead) doesn’t need a notary — but if you have another Hempstead form that does, a commissioned online notary can help.