HomeMy WebLinkAboutTR-5741Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. .~.~9(~ J ... DATE: ,.~.~.ri~..30.~,...~g03
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893~ and Chapter 404 of the Laws of the
State of New York 1952; and the Southold Town Ordinance en-
titled ."RE~ULATINC~ AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS a~ the
REMOVAL OF SAND, GRAYEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN'WATERS;!.'. end in ec¢o~cla~e w~tk the
Resolution of The I~ard edopted at a meutincj held on .~?.~:~...3.0.~....
~003 and in consideration of the sum of $ 75.00 ... paid by
...... ~...~?~.~ ................
of .............. ~.~.~.~ ........................... N. Y. and su~iect to the
Terms end Conclitions lls~ed on the reverse side I~eof,
of Southold Town Trustees authorizes e~cl permi~s the JoJJowJng:
O~$~o~e/o££$~o~e st~ke ~ ~/est ~,~ke o~ o£ t~e p~¥~e p~ope~
$~ke ~o be ~o l~er ~h~ ~ ~,~ ~ st~ke o~ ~' ~o~ pipe,
ell in ~ccorclence with the cle~ail~d me¢ifications as preseuted in
the o~cjinetlncj applicetlon.
IN WITNESS WHEREOF, The sa;d Boerd of Trustees here-
by causes its Corporete Seal to be affixed, and these I~.resen~ to
be subscribed by a'rnejodfy of the se,d Board as of this date.
'_,.
T~ustees
TERMS and C. ONDmONS
MARK SAPORITA
reslalng at 1405 Water Terr~ce~ Southold N. ¥. as
pan. of the consklermioa [o, d~e is~u~ce o[ ~he P~mlc does uncl~ and pmscdbe to the [ol-
1. Th~ the said Board of Trustees -~d_ the Town el Somhold ~e released fio~. any ~md
damages, o~ .~.i,~ f~ ~ of suits raising 4izec~ oe tudi~dy as a result of any o1~-
~ m~pec~ thereto, to the cmupiete'~ of cbe BasM e~ Tmseees ~ rise Tram e~ Soudsotd
for an ~'~oa nu~y be made to the Baerd at
~. That this p,,m~h should be ~'tsined indefinitely, or as io~ as dsc said t',~L.'~e wishes
to maintain the sram'me or pcojea involved, to provide evidence to sayone concerned that sath-
odzadoa was o~igimlly obtained.
4. 'l'aat d~e wodc ,'...,.;veal will be subject to the impectloa md approval of the Bcsmi or
ils agents, and non-compllaace with the p~ovisiom of d~e m4~n~*l,,~ spplicago~ stay be _~,,~ fo~
~vocatlon of th/s Permit by xesoludo~ of the s~bi Boe~L
5. That there will be no umeasomble iaterfel~ce wich mvigatloa as · result of the work
be~in a~thorized.
work shall cause unv~son~le obstmctton to free nsvi~ the said Petn~ will be ~
upo~ due notice, to ~move ot altec d~Ls ~ oc project betdn stated without ezpenses to the Town
8. That the said Board will be notified by the Pennittee ot gbe cempledoa.of the wodc mth-
odzed.
9. That the Petmittee will obtain aH other petmlts and consenl~ dzat ~ be required sap-
plemental to this pem~t v~ may he subject to revoke upon f.a~,.~ to obt~n sam~
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie F~ster
Ken Poliwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (515) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Please be advised that your application, dated
has bee~F~ed by this Board, at the regular meeting of
and the following action was taken:
( ~)Application Approved (see below)
(__) Application Denied (see below)
(__) Application Tabled (see below)
If your application is approved as noted above, a permit fee is
now due. Make check or money order payable to the Southold Town
Trustees. The fee is computed below according to the schedule
of rates as set forth in the instruction sheet.
The following fee must be paid within 90 days or re-application
fees will be necessary.
COMPUTATION OF PERMIT FEES:
BY:
PRESIDENT, BOARD OF TRUSTEES
C~Ek~, BOARD OF TRUSTEES
4~98
I~J~ OF TOWN TRus'n~s
TOWN OF SOUTHOLD
53095 Hain Road
Southol~ N.Y. 11971
LOC4L ADDRE~2 1¥°-C' ~ .~ ~--~'~
14AIL~G ,a~DRE~
Length: (up to
RegL~b atlon Number:
Han~of boat to be moored:
Name of Boat:
Color of boat:
Powered by: C Znboard, Outboard, Sail )
Method of moodng: C mark with X in appropriate space )
( ) OFF~HOP-_ENO0~/~ - Mushroom only - Weight
( ) OFF~VO~
(~ OFF~ORES7'A/~ W/77q pO~ ~Pt' TO 0~sHOREST'A/~
{ ) 7'ZE UP OETWFF~ pr~ r,~l~ (:Number of piles)
( ) OmO~ ~-mO0 (desa~e)
6. Ac~ss t~ proposed
location 0 ~ w~i
~g 0~ H~h
8. ~ ~g ~:
Approx. dlst~nc~ to 0~.' "~o o ' Number boats mo.'ed wlth~ 100' /-
Zn maldng this applicaUon, ! dedare'that the placement of rids mooring wa not be an
Impediment to the normal needs of others.
*Permit, when issued, is valid for one year, at whic~ Ume renewal Is necessary. Permit
Fees are based upon length of boat. No mooring permit will be issued for boats over
Rev. 1//93