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HomeMy WebLinkAboutTR-1719 GFALL ALL MOORINGS AND STAKES }lUST DISPLAY DOCKS ~ND BULKHEADS MUST DISPLAY VISIBLE MOORING NUMBERS VISIBLE PEP~IIT NUMBERS Board Of Southold Town Trustees SOUTHOLD, NEW YORK Mooring # PERMIT NO .... :~.~.~.P ................. ISSUED TO ............... ~.9....b...e.. K~....~.~.~..e. .............................................................................. · ulljurizaliun Pursuanf fo +he provisions of Cha/rer 615 of +he Laws of the Sfa+e of New York, 1893; and Chap,'er.404 of +he Laws of S+a+e of New york 1952; and +he Southold Town Ordinance eh'- fl+fed "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and +he REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance w|fh +he ReSolution of The Board adop+ed afa' meefing heid on Q~.t ....... 11.,.. 19...8...3.. .... and in consideration of +he sum of $ 10.00 paid by .......................................... Ro.b~r.t....W~i te .......................................... of~..a.~.~.~.~..e....k.. ............................................................. N. Y. and subiec+ to +he Terms and Conditions Ils+ed on +he reverse side hereof, of Soufhold Town Trus+ees aufhorhes and permifs +he following: Application 'approved under the Grandfather Clause to secure a permit for a dock, ramp and bulkhead in James Creek. all in accordance wH'h +he de+ailed specificafions as presenfed in ~he or;ginafing applicafion. IN WITNESS WHEREOF, The said Board of Trusfees here- by causes ifs Corporafe Seal 4'o be affixed, and fhese presenfs fo be subscribed by a majorffy of the said Board as of +his daf.e. TERMS and ~ONDITIONS The Pezrni~ee Robert White r~idingat BOX 206, Ole Jule Lane,. MattitUck N.Y., as part of the consideration for the issuance of thePermitdoes~de~mnd andprescri~ to thefol- lowing: 1. That the $outhold 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 claims for damages, of suits arising directly or indirectly as a result of any oper- undeI ~.~tion performed pursuant to this permit, and the said Permittee will, 'at his or her own expense, -the- 'defend any and ali such suits initiated by third parties, and the said Permittee assumes full liability permit with respect thereto, ro the complete exclnssion of the Board of Trnsrees of the Town of Southold 3~ That this Permit is valid for a period of I 2 mos. which is considered to be the sufficient 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. : 4-i 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 anth- 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 by resolution of the said Board. 6. That there will be no unreasonable interference with navigation as a result of the work herein authorized, r. - 7. 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. 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, thi said Permit'tee will be required, upon due notice, to remove or alter this work or project herein stated without-expenses to the Town of Southol& 9. That the said Board will be notified by the Permlttee 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 requited sup- plemental to this permit which may be subject to revoke upon failure to obt~- same. ZU-,:-L~ O? CZ~EK ~_~. L DOCKS AND BULKHEADS MUST DISPLAy VISIBLE PERMIT NUMBERS BOAIID OF TOWN ..... Town Of Sou~hold ( ....................... South01d, ~[e'~ York t!97Z ! {1~~ -. ............ -~~.~ t ............ ' . ................................................................................................................................ I // / i · . ~ Z ~J~ ~ ~': ~ ~_ & ~ ~ q ' ~ -/ .............. ........................................................................... ............. .............. ..... ........... 4. Af"~ ' ~o .... must ~e completed w~tn~n one y~ar, 5. Secur$ the correct Area Mop from ,h~ Clerk of this Socrd, end by using a/X WITHIN A C~.CLE indic~:c cs c~e~eiy as pcsZble the locution of this doc:<. On thq.reverse ~.[de of mzp, provide a SC,~L~ DRAWING which will show Ordinary High Wot'er Murk, the cad s~ze o~ the dock and any .u~pJ~.men,al pilings which ~re needed to hold a floc:ins 4~;~ .i" or tie-u~ a beat. Give a~l dimensions mece-z~ar,., to deform;ne the urea ~; the doM: IC-[iCH E?TE}iDS QFFSHOP~ fram the O. H. Mi. A.i. Zf adjacer~ ~rome~h, --~ ~ --y owners have// docks, specify location and length to sc~!e. V/ill uny portion of this construction ext.~,nd offshore into Town ~cters beyond cn line or boundary ~ormed by other simi]~r structures along the areo"s ~hore~ira? YES or If ~t does extend b~,,on4 this so-called dock line indicate by how ~cr, cpgrox ma*e~v 7. Pravide the follow/ns documents: (a) A Licensed Engineer's Survey oF the 9rcpcuv involved. lb) A copy of the Contractor's ~lcns and Specifications. d -, _ _ - - ,.- .- .... ~oo,,,~.~= Form, ?etlanas Aupzzcatzon 8. ?¢d~ ,n~ constructioN-require ~he ~[Jing of cay land offshore of the Crdinam/ HiGh V/cter Mark or the Drcdg,n~ of any material from Town Lands under water? YE5 er NO. if it ,A..l~ce.'.c,n for Oredgino,/FiJlkw:) must be completed and attcche~ as pa:t cf-th~s application. " ~5 [rU~2 cad COrrect ~O "', ', ,m_ best cf my ~no~led~.z and belief; I em the per:c~ ccc:unrck~ for read ar am fcm,i~cr with ~he prcv~sion; or o,n: ~ou:'.~o d ~o',vn Ordnance perrmen~ to the work invoN'ed; amd further, I ~nt;~r!d to adhere to and ankle bv the T~rras and Permit, ~hen and ~[ issuea ~o me. To expedite find;nc ':~'~=ic · ' -'~ ,-~ .... location for :.nspection~ i. ndi by uszng a temporary marker~ · 2. !s the proposed Work entir~Jv within .~he bound,]ri~ -~ ?y your Deed or Su~ey~(~)or ~"[~ :,' :-' - ~, ~'.Y~u~ uwn property as su~antiah~ ......... ~ ........ /~'~':'~-~./l-~ ~'~ '~ 'r~ ~:~ - 5. ~p!a~n briefly the purpose of this oppNcat~n..,,~ ....... ~.~.~.~ ................................... .................. :..~...x...~ .... ~L~.~...~iSZ'.~ X ,~ ~ " . .................. Z f 6. After ~ssu, cnce of PerrniLwork ~nk:st be co:~pleted within one year. 7. S~cur'e th~ correct ~re., Map From the Clerk of this 8o~rd and by uslnga/Z~RGE reverse s~de, provide a SCALE D~N'vV~NG which w~ show Ordinary H~gh Wa~er M~rk as az ~he s~ze ond shape of the structure or work to be done, Also h%~ude oH dim:.~n~ions for pordcn~ ~hich ex¢cnd offshore from the O. H. W. M. State Adjacent property Prev~d~ the foHow~ng document-s: A Licensed Engineer'S Sure,/ of ~he ProOerty (b) A copy of the Contractor's Plan and Specifications. (c)$}zo~c ~nv~ronmenCa~ A~sessment Fo~m. by existing works c~ o ~m,mr nature o)on~ th[sorca's sho'e~ine? YES or NO. IF itdoes, t),e approximate 'i '~ a v,ance beyond ...... . ....... i0. V/iii this construction require ihe FJ)Jing of on/ ions offshore of the 0rd~r~ary High Mark or the Ored~u¥} at any matermj from Town Lan, is under wc{::r} YES or NO. if it" FormA/4 (Application for OredgJng,IFilling) must b~ completed and attached as pratt of tms oppiicc[~on. ,- - is true and correct to the bose of my knew~edoe and beJ~ef; j ,,.~ ~arformance of the work in accordance wi;h the pk;ns anrJ s'~ciimm,~ans attached- i have read or am familiar with the prov~siar;s oF any c : , .... :Jnc~ per~;nent fo ~' ~ invoN, cd; and {urth~r, I imend ~o adhere to and ab~de by th~: '['erms and Ccndit¢on: ot Permff, ~hen '~nd ~f iss~ed ra me. 12. TO EXPEDITE FINDING SPECIFIC LOCATION FOR INS~EC%iON, INDICATE UU< S ,m ' Numa,s BO..kz,D 0F TOWN TIIUSTEES ~own O[ Somh~id ,' .......................................... Does this ~ro~ect M'colve the use o~ WSFkANDS ~ defined in the Southo[d Town Oral}no.ce} YSS or ~. ~ it does, you mu~t file ~hrough the Town C~erk% FK:~D~CK V~N TUY~ P. SUPPLY AND 6EWAG.~ ~ ~F~M ~ THE GREAT PE ¢ ON I C, BAY