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HomeMy WebLinkAboutTR-1561ALL ],:OORIL~GS AND STAKES MUST DISPLAY ViSiBLE ],iOORING NU~,IBERS ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PERbIIT ~NU~iBERS Board Of Southold Town Trustees SOUTHOLD, NEW YORK mooAz~g ~0., N/A PERM IT NO ........... ..1...5..6....1.. ......... DATE:Q..q.t...9._b..e...z:......6....,... 19 8~. IS s u E D TO ................. An~.ei.o....8.p..e...t...s...i...o....t.._e...s. ............................................................ Pursuanf fo fha provisions of Chaplet 615 of fhe Laws of fheSfafe of New York, I8°,3: and Chapfer4:0¢offhe Laws of fha Sfafe of New York 1952: and +he Soufho[d Town Ordbance eh- filled "RE®ULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC: LANDS and fhe REMOVAL OF SAN'D, GRAVEL OR OTHER MATERIAL-S, FROM LANDS UNDER TOWN WATERS:" and in accordance wffh fhe Resolution of The ~ ' ' ~- ............................. ~oaro aaop,ed afa meeting held on Oct. 5, 19.f~.2. ...... and in consideration of fhe sum of $.....5...:...0...0. ....... pa~d by ..... Angelo S~..ets±otes of ................ .C.o..~..t..~,0..Z..d.. ............................................. N. Y. and s~biecf +o fhe Terms end Condff[ons lisfed on fhe reverse side hereof, of Soufhold Town ~ru~fe~s aufhorizes and Der~ff~ buZkhe~d ~t Budd's :Pond, Sout~old. ali in accordance wffh ~,he de+a;[ed specif[¢afions as presen+ed in fhe originafing application. IN WITNESS Wu~cr~c, ,~,,;~,,, The said Board of,"Trusfees here- 'by causes ifs Corpora+e Seal fo be affixed, and fhes~ pres%n+s fo be subscribed by a majorify of +he said Board as of fhls daf.e. ........... : ......................... ........... ~ ~e~_~ ~.:~' . ........... ~. .... , .,~ ~.~~-' - - . .... ~ r""~ ...... . ........ ~,,'. Board Of Southold Town Trustees SOUTHOLD, NEW YORK MOORZ~G NO. N/A PERMIT NO .............!.561 ..... DATE: ....... ISSUED TO A~Delo 8pets-io"ces I, , certify that the work as authorized in this permit has been completed and ~s now ready for your inspec- tion. Also, the number required on this project is clearly visible. I further understand this permit is not valid until this tear sheet is returned to the Trustees. TERMS ,~nd OONDITiON$ The Permi~ Angelo Spetsiotes residing at Budd' s Pond Road, Southold N.Y., ~ part of the consideration for the issuance of the Permit does understand and prescribe to flee fol- lowing: 1. That the Southold Trustees Permit must be prominently disD!ayed on the premises effected thereby during the period of 2~ Tiaa: the said Boardof Trustees and the Town of Southofd are released from any ~nd work al/ damages, or clakns for damage% of suits arising dir~tly or indirectly as a. result of an,v oper- under aden performed pursuant to this Permi% and the said Permittee wil4 at his or her own exp~e, the defend any and ali such suits initiated by third parties, and the said Permittee assumes full LLabLLi~ with respect thereto, to the complete exclusion of the Board of Trustees o£ the Town of SoutholdPermit 3. That this Permit is valid Eot a period of _ON~ ~7~,Ai~ which is ~de~fl to be sufficient time required to complete the work involved, but should circumstances war~' request for an extension may be made to the Board at a later date. 4. That this Permit should be retained indefinitely, or as long as the said Permktee wishes to maintain the structure or project involved, to provide evid~ce to anyone concerned that auth- orization was originally obtained. 5. That the work invoh, ed will be subject to the i~spection and approval of the Board or its agents, and non-compliance with the provisions of the origin..ating application, may be cause.flor revocation of this Permit by resolution of the said Board. 6. That there will be no unreasonable interference with navigation as a result of the work herein aufl~orlzed. 7. That there shall be no interference with the right of the pubtiq to pass and repass along the beach between high and Iow water marks. 8.. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or fi, in the opinion of the Board of Trustee% the work shall cause unreasonable obstrumon 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. 9. That the said Board will be notified by the Permirtee et the completion of the work asath- orized. (See tear off sheet.) 10. That the Permittee will obtain aH other permits and consents that may be rem, aired vap- ptemental to this permit which may be subject to revoke upon failure to obtain same. BOARD OF TOWN TRUSTEES Town Of Southold Southold, New York 11971 Main Road Rev. 6/'/2 APPLICATION FOR A BULKHEAD, DIKE, OR JETTY 1. Does this project i;~¢;~ the use of WETLANDS as defined in the Southold Town Wetlands does, must file through the Town Clerk's Office. Ordinance? YES o N~lf it you 2. Is the proposed/work e.n¢if,~ithin the boundaries of your own property as substantiated bv your Deed 'or Survev?/YES~6r NO If it is, a Permit is NOT required from this Board, but the Town Building Ins~r should be cant.acted for full details 3.Applicant's name and address: ...~...~ .......:. ............................... ................................ ..................... ................. 5 Explain briefly the purpose of this application: ..~.....~...~..~......-m...~ 10. 11. After issua,nce of Permit, I expect to: (mark with an X) (a) Commence work -- AT ONCE ............ ; A,SAP .........1~..'; UNKNOWN TIME ............. (b) Complete work in- 1 DAY ............ ; I MO'. ............1 YR ............. ; FUTUR~: ............. Secure the correct Area Map from the Secretary of this Board, and by using an X WI-i-HIN A CIRCLE as a mark, indicate as closely as possible the location of this project. On. the reverse side, provide a SCALE DRAWING which will show Ordinary High Water ~Mark as well as the size and shape of the structure or work to be done. Also include all dimensions for portions which extend offshore from the O. H. W. M. Provide the following documents: (al A LiCensed Engineer's 'Survey of the property involved. (b) A co.py of the Contractor's Plan and Specificati.ons. Does this proiect extend into Town Wa~ers beyond o.n imaginary line or boundary formed by existing works of a similar nature along this area's shoreline? YES or NO. If it does, state the approximate distance beyond, . ........... ft. Will this construction require the Fillin.g of any land offshore of the Ordinary High Water Mark or the Dredging of any material from Town Lands under water? YES or NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as part of this application. ~n requesting approval o.f this application, I submit thak the information presented herein is true and correct to. the. best of my knowledge an.d belief; lam the person accountable for the performance of the work in accordance wi'th t'he plans and specificati.ons 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 by: Dated: BOARD OF TOWN TRUSTEES Town O~ Southold Southold, New York 11971 Main Road APPLICATIO~T FOR A BULKHEAD, DIKE, OR JETTY 1. Does this project in, gabLe the use of WETLANDS as defined in the Southold Town Wetlands Ordinance? YES or(NO.? If it does, you must file through the Town Clerk's Office. 2. Is the proposed work entirely within the boundaries of your own property as substantiated by your Deed or Survey? YES or NO. If it is, a Permit is NOT required from this Board, but the Town Building Inspector should be conta,cted for full details. 3. Applicant's name and address: .~.....~...~....:....5~...:...:~~:. ...................... ............................... 4..Contrpctor's,. ~ ,~, ~~ ,~.~name and address: ...... ~~../-~..:.~.~.....(,¢~....~...%~...~. ............................ --,'. ............ ............................................ .... .......... After issua.nce of Permit, ! expect to: (mark with on X) (a) Commence work -- AT ONCE ............ ; ASAP ..~... ....; UNKNOWN TIME ............. (b) Complete work in -- 1 DAY ............ ; 1 MO. /t<, · 1 YR. ' FUTURE Secure the correct Area Mop from the Secretary of this Board, and by using an X WITHIN A CIRCLE as a mark, indicate as closely as possible the location of this project. On the reverse side, provide o SCALE DRAWING which will show Ordinary Hig'h Water Mark os well as the size and shape of the structure or work to be done. Also include all dimensions for portions which extend offs'hare from the O. H. W. M. ._ Provide the following documents: (al A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plan. and Specifications. Does this project extend into Town Waters beyond 'an imaginary line ~oundary formed by existing works of o similar nature along this oreo's shoreline? YES or N(~Qfllf it does, state the approximate distance beyond, . ........... ft. Will this. construction require 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'N~lf it does, Form A/4 (AppIication for Dredging/Filling) must be completed and attached as part of this application. c_cepted:: In requesting approval o.f t'his 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 Con:ditions of t'he Permit, when and if issued to me. s .... ............. 0 < <gr-,, 0 9