HomeMy WebLinkAboutTR-1779 GFALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUMBERS
ALL DOCKS AND BULKHEADS MUST DKSPLAY VISIBLE PERMIT NUMBERS
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
Mooring ~ N/A
PERMIT NO ........... .Z...7..7.~ ........... DATE: .....D.~.¢.,......-~.3.., ....
ISSUED TO .................. ~.e...~ ~...zla:..~....~.;..... ~..a...1....k...e..~ .........................................................
A ll ori alion
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the Laws of 1'he
State of New York 1952; and the Southold Town Ordinance en-
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
LANDS UNDER TOWN WATERS;" and in accordance .with the
Resolu~rion of The Board adopted at a meeting held on .?..e...q:......];....3...:
.19_...8...31, and in consideration of the sum of $ ....... 5...:...0....°. .......... paid by
Bertram W. Walker
of ......... ..L..~.~..e....Z. ..................................' .............. : ........... 1'4, Y, and subject to the
Terms and COnditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
Application approved to secure a permit for
a bulkh, ead, under the Grandfather ClauSe.
all in accordance with the detailed specifications as presented in
the originating application.
IN WITNESS WHEREOF, The said Board of Trustees h,ere-
by causes ifs Corporate Seal fo be affixed, and these presents to
be subscribed by a majority of the said Board as of this dafle.
Trust-ees
Please tear off and return to the Trustees
TERMS and CONDITIONS
The Permit~ee Bertram W. Walker
r~iding at Peconic Bay Blvd. , Laurel N.Y.,
part of the consideration for the issuance of t. he Permit does understand and prescribe to the fol-
lowing: 1. That the Southold Trustees Permit must be prominently
displayed on the premises effected thereby during the period of
That the said Board of Trustees and the Town of Southold are released from any and work
"all damages, or dalrm for damages, of suits arising ~y or indirectly as a result of any oper-
q3tion performed pursuant to this permit, and the said Permittee will, at his or her own expense, the
' 'defend any and all such suits initiated b7 third parries, and the said Permittee assumes full liabili~ permit
with respect thereto, so the complete exclusion of the Board of Trustees of the Town of Southold
3.; That thi~ Permit is valid for a period of 1 2 . mos. which is considered to be the
sufficient time required £o complete the work involved, but should circumstances warrant, request
for an extension may be made to the Board at a later date.
4~2 That this Permit should be retained indefinitely, or as long as the said Permittee wishes
to maintain the structure or project involved, to provide evidence to anyone concerned that auth-
orization was originally obtained.
5; 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 b7 resolution of the said Board.
6. That there will be no unreasonable interference with navigation as a result of the work
herein authorized.
7-. That there' shall be no interference with the right of the public 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 Trustees, the
work shall cause unreasonable obstrucnon to free navigation, the said Permirtee 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 Permittee ot the completion of the work auth-
or~ed. (See tear off sheet.)
10. 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.
ALL DOCKS AND BULK-
HEADS MUST DISPLAY ....
VISIBLE PERMIT NUMBERS.
ALL MOORINGS AND
STAKES MUST DISPLAY
VISIBLE MOORING NUMBERS.
BOARD OF TOWN TRUSTEES
TOWN. OF SOUTHOLD
Main Road
Southold, New York 11971
Telephone
(516-765-1892)
P/1
NOTICE OF ACTION NOT A PERMI,T
To Bertram W. Walker
1. Your application, dated...1.0. L .2 .4. /. 8. .3 ...................... has been reviewed by
this Board,. at a meeting of the Trustees held on...1.2./.1.~/.8.3. ...................
and resulting in the action, as indicated below:
( ..... )
2.
Application approved.
Application denied.
Application tabled.
Comments and remarks:
Application approved under the Grandfather Clause to secure
a permit for a bulkhead in Brush's Creek.
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). This fee must
be paid within 90 days or reapplication and additional fee will be
necessary.
If the Permit Fee is paid in person to the Clerk 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.
4. Computation of Permit Fee:
Total Fee for this application ............................. $ ......~.,?..~ .~...~,~.'..
President, Board of Southold Town Trustee- - Us
NA~.LE OF C.~EEK
EOAi:D OF TOWN T~USTEE$
Main I~oad
APPLIC, AT!ON FOR A BULKHEAD: DII<E, O1~ JETTY /O/o~/~.~
1. Does this project involve the use of WETLANDS os defined in the $outhoid 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 prope~y as substantiated
by your Deed or Su~ey? YEs or NO. if it is, a Permit is NOT required from th~s Board,
but the Town Building Inspector should be contacted for full detaiis.
3. Applicant's name and address: ........ /~~~ ~" ~~Z~
/ ......................................... t.~.<.W ..... ~ ......
4 Contractor S name and address:
6. After issuance of Pert,nit,work must be completed within one year.
I_AP.G E
7. S~cure.th~ correct Area Map from the Clerk of this Boarc~, and by usinga/ X WITHIN
A CIRCLE os a mark, indicate as closely as possible the location of this pro~ect. 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 c~ll dirnenSic;ns for
portions which extend offshore from the O. H. W. M. State Adjacent property
owners.
8. Provide the following documents:
t'o~ A Licensed Engineer's .Survey of the property involved.
(b) A copy of the Contractor's Plan and .Specifications.
(c) Short Environmental Assessment Form.
9. Does this project extend into Town Vv'aters beyond an imaginary !ina or boundary formed
by existing works of a similar nature along this oreo's shoreline? YES or NO. If it does, state
the approximate distance beyond ............. ft.
Will this construction require lhe Fitlin.cj of on~, land offshore of the Ordinary High Water
Mark ar the Dredging. of any material from 'Fawn Lon,.Js under waterF' YES or c~O.' ~ If it does,
FormA/4(Apptication for Dredging/Filling) must b~ completed and attached as part of this
application.
I i. In reauesting cppro~,ai, of this aPplication, I submi', that: the informotk;.n pre~ntec"~' ' ~ herein
is true and correct to the best of my knowledge and belief; I am dvz person accountable for
the performance of the work in accordance wi~h the plans and specifications attached; I have
read or om far'nil/ar 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, ~hen and if issued to me.
12. TO EXPEDITE FIN~ING SPECIFIC LOCATION FOR I~SPECTION, INDICATE
BY USING A TEz4PORARY MARKER.~ ~ //-~/ . J /. ~--
A/3 Rev. 2/82 L.S ..... /~/~./~-.~.~~~
!
MA~N