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HomeMy WebLinkAboutTR-1162Board Of Southold Town Trustees SOUTHOLD. NEW YORK PERMIT NO ...... J..:1.62 ........... DATE: . .July....~2.,... 197t ISSUED TO .......................... Henr. y.....Ze±s.s ....................................................................... Pursuanf fo fhe provisions of Ch~pfer 615 of fhe L~ws of fhe Sf~fe of New York, 1893: ~nd Chaplet 404 of fhe L~ws of fhe Sf~fe of New York 1952; 8nd fhe Soufhold Town Ordinance en- +ifled "REGU~TING AND THE PLACING OF OBSTRUCTIONS IN AND .ON TOWN WATERS AND PUBLIC LANDS ~nd fhe REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" 8nd in 8ccord~nce wifh fhe Resolufion of The Board adopfed afa mee+ing held on ~....J.2.~.. 19.Z6. .... and in cons[derafion of +he sum of $..2.0.,..~0. ...... paid by .................................................. H~ry ...~.~.~.~.~ .............................................................................. Mat~it c of ...J.~50....D.e.e.p....Hola...Dr.,.., ................... ~. ~. and sub,ecl fo fhe Terms ~nd Oondfflons I]sfed on fhe reverse side hereof. of Soufhold Town 'Trusfees aufhor]zes and permffs fhe foltowbg: Pe~ission to place dock, r~p, float, & two(2) pilings at Deep Hole Creek,directly in ~ront o~ applic~t's proper~ at Deep Hole Drive,MattiCuck, 81[ in accordance wffh fhe derailed spec]f]caf[ons as presenfed in fhe or[g~naf[ng IN WITNESS WHEREOF. The s~]d Board of Trusfees kere- by ceuses frs Corporafe Seal fo be affixed, and fhese presenfs fo be subscribed by 8 m~jorffy of +he se[d Board 8s of ~h]s TERMS end C. ONDITIONS The Perm~ee ~,l~-ry 7,~.~ g~ residing at 1~50 Deep Sole Drive. Ma%~.~]ak; N. ¥., ~ part of the consideration for the ~suance of the Pern~-t does understand and prescribe to ehe £ol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from m~y and all damages, or dalms for damages, of suits arising directly or indirectly as a result of any oper- ation performed pursuant to this permit, and the said Permittee will, a~t his or her own expense, defend any and ail such suits irdriated b7 third parties, and the said Permittee assumes full with respect thereto, to the complete exclusion of the B~ard of Trustees of the Town of $outhold 2. That this Permit is valid for a period of 12 mos. which is considered to be the estimated time required to complete the work involved, but should chro~rngtances wazrant~ request for an extension may be made to the Board ar a later date. 3. That this Permit should be retained indefinitely, or as long as the said Perm/tree wi~aes to maintain the structure or project involved, to provide evidence to anyone concerned t~at auth- orLzation was originally obt~haed. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the prov/sious of the orig~rmting application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with na~Sgation as a result of the work herein author/zed. 6. 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. 7. That ff future operations of the Town of Southold requke the removal and/or akerations in the location of the work herein authorized, or if, in the opinion of the Board of Tm~ees, the work shall cause unreasonable obstruction to free navigation, the said Pemak~ee w[l! be req~ffred~ upon due notice, to remove or alter this work or pro~ect herein stated without expenses to the Town of Southo!c[ 8. That the said Board will be nofffied by the Permktee ot the completion of the work auth- or:~zed. 9. That the Permittee will obtain al1 other peraffrs and consents e_hat may be required plemental to. this permit w~ich may be subject to revoke upon failure to obtain same. BOARD OF TOW]N TRUSTEES Town of .Southold Main Road Southold, ?gew York 11971 P/1 l~v/6/TZ To: .. H.ekqry... Z.e £~q ~.,... J..~5.0... D.e e.p... Ho lo.. DE iv. ~.,...~a.~.t i.%uok,.. ~...Y ....... J..q 9.52 ............ 1. Your applicolion, doted ............. .J. trae...29.,...J..9.7.6 ........................... has been reviewed by this Board, ara meeting of the Trustees held on ........ J. uly....qZ,....J.9.76 ..................................................... and resulting in the action, os indicated below: ( ............ ) ( ............ ) Application approved. Application denied. Application tabled. 2. Con,men:ts and remarks: Please remit balance of _fee ~15.00 at your earliest convenience! 3. 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 ;'he Schedule of Rates as set forth in the Instruction Sheet (Form I/1). If the Permit Fee is paid in person to the Secretary of the Board, The Permit will be ob?ainable at the same time. If the fee is paid by mail, the permit will be mailed in reply. Compu~ration of Permit Fee: dock 3'×26' = 78 sq. ft. @ .10 per sq. ft. = 7.80 ramp 3'x10' = 30 sq. ft. @ .10 per sq. ft. = 3.00 f!oat6'x12' = 72 sq. ft. @ .10 per sq. ft. = 7.20 2 pilings @1.00 each = 2.00 ¢20. O0 less ~.00 filing fee~f~TgO~~~ Total Fee for this applicotion ..... ~0...0©. ........................................ $ ..~ Signed ALV. A~Tzt.. ]~.,.. ~0 LD,%.~i~t-T_ ........................ Chm. Board of Southotd Town Trustees. BOARD OF TOWN TRUSTEES Town Of Southold Main Road $outhold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS 1. Applicant's name and address: ........... /.ff...~. .................................................. .......... · ,~- ~ ~ , ~,~~.. , ~,- , ........ ......... ....... , ........ ..... ............... ....... .......................... 3 ~ ...... .~...~. ..... 2. Contractor's name and address: ..././{:.~.'C../[~..t.i;...'.~.. .... ~,/~ ' - · ............................................. ........ .... .... .................................................................................. 3. Briefly explain the purpose of this. application: ........................................................................ After issuance of a Permit, I expect to: (mark by an X) (a) Commence work AT ONCE ............ ; ASAP ...~..; UNKNOWN ............. (b) Complete work in 1 DAY ............ ; 1 MO..~ ..... ; 1 YR ............. ; FUrFURE ............. Secure the correct Area Map from the Secretary of this Board, and by using an X WITHIN A CIRCLE indicate as closely as possible the location of this dock. On. the reverse side of this map, provide a SCALE DRAWING which will sh,ow Ordinary High Water Mark, the shape and size of the dock and any supplemental pilings which are needed to hold a floating dock or tie-up a boat. Give all dimensions necessary to determine the area of the dock surface which extends offshore from the O. H.. W. M. Will any portion of this construction extend offshore into Town Waters beyond an imaginary line or boundary formed by other similar structures along the area's shoreline? ~J~or NO. If it does extend beyond this so-called dock line indicate by how far, approximately,. ......... ft. Provide the following documents: (a) A Licensed Engineer's. 'Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. Will this construction require the Filling of any land ,offshore of the Ordinary High Water Mark or the Dredging of any material from Town La,rids under waterP/'~li~or NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as pa.rt of this application. in requesting approval of this 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 Conditions of the Permit, when a.nd if issued to me. ,Accepted by: ~ ~ Dated: C,P~E/,T / ! / / ~_~z / f / / / / / 1 1 / I / / / / !