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.