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Home My WebLink AboutTR-1179Board Of $outhold Town Trustees SOUTHOLD, NEW YORK ISSUED TO K~MOGF, NOR pOJCNT AS$OCIATToN uil rization Pursuant fo 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 "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN W~TERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted afa meeting held on Sept..._13., 19..]~..., and in consideration of the sum of $.5°00 ........ paid by ~.g!e ~....~ ~....~9.~......]]~g.~. ........ ( c~.~.t r.~g ~g.~7.) ....................................... Bishog L~n~ of ~Q~:l;h~m.g~Q...., ........................... N. Y. and subject to the Terms and Conditions listed on the reverse s~de hereo~, ol Southold Town 'Trustees authorizes and permits the following: Permission to l)ulkhead property at West Creek, New Suffolk, N.Y. This permission is granted subject to the approval of the N.Y.S. DEC ali ~n accordance with the detalJed spechClcatiOns as presented in the orlg~nat~ng application. IN WITNESS WHEREOF, The sald Board of Trustees h~re- by causes its Corporate Seal to be affixed, and these p.resents to be subscribed by a majority of the se~d Board as of ' .......................... Trustees TERMS and CONDITIONS The Permitte~ KIMOGENOR POINT ASSOCIATION residing at Now Suffolk. N. Y, u part of the consideration for the ~ce of the Peimit does understend and p~sctibe to the fol- lowing: 1. That the said Board of Trustees and the Tow~ of Southold aze ~eleased from any and all damages, or cl,;m, for d~m~ges, of suits arising directly or indirectly as a result of any oper- ation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third par~es, and the said Permlttee asnsme~ full liability with respect thereto, ~o the complete exduslon of the Board of Trustees of the Town of $outhold 2. That this Permit is valid for a Pe. tlod of 12 mos. which is considered to be the estimated time required to complete the work involved, but should drcumsmaces wm-r*m, recluest for an extension may be mede to the Board at a later dat~ 5. That this Permit sho.uld be retained indefinitely, or as long as the said Pe~mittee wlshe~ to maintain the structure or. pr~ect_i~Vol~,ed,` to provide evidence to anyone concerned that auth- orization was originally ol~telned. .... ~ 4. That the work involved will be sabiect to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the otigina~ng application, may be cause for revocation of this Pesmit by resolution of the said Board. : ~. That there WLil be no unreaSo~eble interference with navigation as a result of the work herein authorized. ~ . r 6. That there shah be no interference with the tight of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or altecation* in the location of the work herein authorized, Or if, in the opinion of the Board of Tmste~ the work shall cause unreasonable obstzucoon to free navigation, the said Permlttee will be required, upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittce et the completion of the work auth- orized. 9- That the Permittee will obtain ail other permits and coments chat may be required sup- plementai to this permit which may be ~ubject to revoke upon failure to obtain same. BOARD OF TOWN TRUSTEES Town Of Southold Main Road Southold, New York 11971 ~c/A/~z~ ~ ~-~T/~-x/vx~x~ ~x/__ APPLICATION FOR~r~I~ and/or ~ 1. Applicant's name and address: .... ~.....~...:.....~.4..~..~ ................... 2. Contractor's name and address: .~~.:..~...~~ ...... ~...~....~...~' ...... .......... ............................................ : .................................................... ~ ~ ~ ~ ~ ~ , ~ ~ ............. ~ ~ ~ ............. ~ ~ ............. 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 show 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. 6. Will any portion of this construction extend offshore into Town Waters beyond an imagi~4~ line or boundary formed by other similar structures along the area's shoreline? YES ~'r NO.~ If it does extend beyond this so-called dock line indicate by how far, approximately,..........~'.'.'.'.'.'.~~. 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 Ordinaj~4-~h Water Mark or the Dredging of any material from Town Lands under water? YES o~ NO.~f it does, Form A/4 (Application for Dredging/Filling) must be completed and attached"crs'~art'~'~,t 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 and if issued to me. Dated: / / / / Creei~ / / / / / / Cree# '1 d2