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HomeMy WebLinkAboutTR-368ESOUTHOLD TRUSTEES Issued To~ Date~ Address 'c.. ' . ,~C'1'",~14P-" THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 TOWN OF $OUTHOLD EIOAI~D OF' SOUTHOl rl~ TOWN TRUSTEES~ 8OUTHOLD, NEW YORK This Wetlands .Permi~,_No, .. ,3..6.,8, .,.~ ..... has be~.granted by the ToWn. Trustees according information furnished in Application No. _~.~.1[~.~.... filed.by.Applicept.~/.~j~teaa~.~.9.T .......... John C. D~.ller .................................... on ....N.°..v..;...~a..),~.~7..... 19 .......... A map of ~he proposed work will be kept Dc file in the Trustee Office under the eppticatlon number given. Craek, Bay or Harbor frontidg property _.O.r..e..a.c...~..e..c.o..u.t.?...~..a~ ............................................... . . ...~,, SL~e of work: Length ..................................................................................................................... 2' Depth Below L~w Water .................................................................................. ..~... ~ . ~ards to be Excavated ................................................................................................ Yards 'to be Filled on].y from nocma! disturbance frg..q..R~i:R~RL2~i~ .......... Ma nar ~n Wh~ch materiel ~s ~o be removed or deposited ...............................................,.~ .................... Intended use of prop rty ................................ : ....................................................................... Expiration Date ~?..~..u..a..r.y~.2..9.~.:~.~..9..8..8.~..f....v.~.~r.~"[1~`R~9`~[9~C~. '~'~ a_~ ........... .; ..... Number of Inspections Required ..2.:.?.];gP.I;.qRR.,~T.R..I:.g:~.~I~...9.9.~.Lf, Le.~[~ ""-."~ ~,~,, .a.~ ..... Inspection Fees ....(;.2.~....':...~.l..Q~..na;Ld ............................................................................................... Board Of SouthOld Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 145-2-1 1, 1.2, 1.3, 1.4DATE: . 3/11/9~ ........ · 1'~5' & 1.6 ............. ISSUED 'TO Authorizali n Pursuant to fha provisions of Chapter 615 of the L~ws of the State of New York, 1893: and C. hapter 404 of the ,l~.ws of the State of New York 1952; and the Southod Town Ordnance eh- tided "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBUC 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 at a meeting held on .. 2:LZ5 19 ..93, and in consideration of the sum of $ .......... paid by of ................................................................... N. Y. and subiec* to the Terms and Conditions Ils+ed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Repair existing bulkhead. Located Peconic Bay Blvd. Mattituck Within 18" all in accordance with the detailed spec;fications as presented in i~ ° ' ' the or g hating apphcat~on. IN WITNESS WHEREOF, The said Board of Trustees h~re- by causes its Corporate Seal fo be affixed, and these present~ to be subs~rlbed by a majority o~id Board as of this dat~. ~-~ TI D ht ~et j. McNuft~/ !~fOfe N ECEJVE Sou[hold Town [~oard of Trus[co$ TROPICAL STORM SANDY EMERGENCY APPLICATION Valid thru June 1, 2013 Property Owner Name: ,~, Permanent Mailing Address: Agent (if applicable) ~ON~ Address: jff~ff~ ~l~ Phone Number(s): ~) Board of Trustee Permit Numbers): Will any pail of this project require a Building Phone Number(s): Property Address: Suffolk County Tax Map Number: 1000 - I u~5 - Z How much fill will be required? ~. Project Description: l~,~l~'/,l~,,t~l, dl.&~. ~ / County of Suffolk State of New York ~k-~X_C~ 14- I(~ <~ ~-c~-_ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION, /SignaNre of Property Owner SWORN TO BEFORE ME THIS DAYOF ,20 d' Notary Public Notary ~ ublic. StaLe of Hew York No. 30-4741154 Qualified in Nassau/Suffo~ Counties Commission Expires /~/~r/.A~ AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at 'q (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf.