HomeMy WebLinkAboutTR-751Board Of $Outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. 751 DATE£.S..~Pt~ · !~..,.1972
ISSUED TO ............. ~T~,.~:L~.~ ..G.~,~.~ ............................................. ,.. ...........
ulhor zat o.
Pursuant fo the provls;ons of Chapter'615 of fhe:LaW~ of~;
the State of New Y0r~ ~893; and Chapter
State of New York 1952; and the Soufhold Town Ordinance eh*
titled "RE~ULATIN~ AND THE PLACIN~ ~ OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIG LANDS and
REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and m accordance wlfh
ResoluHon of The Board adopted Se
af~ meeting held on ........ ~ .............
_
1972., and m consideration of '
~e sum of
. ~a [~e~ G[~,~ ............ , ...............................................
often ~V~e~ ~. ,So~[~o[d,
of Soufhold Town Trustees aufhorlzes and permits the following:
"~O~e D=~ve", ~o~o[~,
all in accordance wlfh the detailed specificaflon~ as presented
the or;glnafing epplcafion..
IN WITNESS WHEREOF, ~e said Board of
by causes ifs Corporate Seal fo b~ affixed, and these
be subscribed by a meiorlfy of the said Board as
TERMS an~ CONDITIONS
The Permitree Walter Gless
residing at Main Bayview Road, SoUthold, '. ~. Y., as
part of the consideration for the issOance of the Permit does understand and p~e to the fol-
lowing: ~
1. That the said Board of TrUStees and the Town of Southold are x~leased £tom: any and
all damages, or claims for damages, of suits arising directly or indleectly as a resuR of any oper-
ation performed pursuant to this permit, and the said Permittee~ will, at his or her own expense.
defend any and a]l such suits initiated by ~ parties, and the said Permittee assumes fur liability
with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold
2. That this Permit is valid for a l~rind of 3,2 mos. which is coasiden~d to be the
estimated time required m complete the work involved, but should c~xo~m~rance~ warralat~ request
for an extension may be made to the Board at w later date.
3. That this Permit should be retained indefinitely, or as long as the said Perm~fee wishes
to maintain the structure oe project idvolved, to provide evidence to anyone concerned that auth.
oHza~qon was originally obtained,
4. l~hat the work involved will be~ 9ubie~t, to ,the inspection and appr~val Of the Board or
its agents, and nOn-complianee with the, provlsio~ of the originadqg applicadoa~ may:be caese for
revoca~on of thi~ Permit by resolu~on 'of the 'sai~ Board. ' . ~
5. ~hat there will be no unreasonable interference with navigation as a'x~esuit of the work
herein autho,4.zed. : ': ~
6. That therd shall be no interference with the .right of the public to pass and. repass along
the heac~h between high and low wate~ marks.
7. That if fature operatioo, s of th~ Town of Southold requite the removal and/or alterations
in the location of the work he~e:m authorized, or if, in the opinion 'bf the Board of Trustee% the
v~urk shall cause nnreasouahle obstru6tion to free navigation, the sa,id Permlttee will be ~equired,
upon due notice, to remove or alter this work oc project herein stated ~jl~aoar .expenses to ~he Town
of Southold.
8. Th. at the said Board will be flotifled by the Permittee of the~comp1eti°n ~ the work auth-
orized, ~
9. That the Permktee will obtain all other permits and copsants~ehat may ~[Je re, ed sup-
plemental to this permit which m~y he.subject to revoke upon fail~ e to obtaill same.
BOARD OF SOUTHOLD ?OWN TRUSTEES - F/l._
rev/6/72
To: Waiter Gless, Main Bavview Road. $outhold. N.Y. llq?l
1. Your application, dated Seotember ll,197~as been reviewed by this
Board,at a meeting of the Tr~steem-held on September il, 1972
and resulting in the action, as indicated below: ~, ~
(x) Application approved.
( ....~ Application denied.
( ...) Application tabled, t
2, Comments and remarks:
3. If your application is at,proved above, A Permit Fermis now due,
and should be made payable to the order of the Board of Southold
Town trustees. This fee is computed below according to the Schedule.
of Rates as set forth in the Instruction Sheet (Form I/l)
If tae Permit Fee is paid in person no the Secret~ry of the
Board, The Permit will be obtainable at. t~ same ~ime f the fee !is
paid by mail, the permit will he, mailed i~i~.
Computation of Permit Fee:
B~lkhead on applicant's own property
Sign ed
Chm, Board of outhold Town ?rustees.
Secretary.
BOARD OF SOUTHOLD TO,tN TRUSTEES ~
rev/$~. 72
APPLI~ATI~x~ BU~i!<}!~D~ DIKE, OR JE~T~o
. ~ _ pro~ject ~..,~LANDS as~ defined in the
. Doe ~h s involve the use of ~'~
~.~thotd i?,~etlands Ordinance? ~orNOo If it does, you
must file ,gh the Town Clerk's Office j
2. Is the pr~ ;,ed work entirely within the bo ~u~ndaries of your o~
?roperu9 ~ s~ubstantiated by your Deed or $~rvey? YES or NO.
If ~t ls~ a Perm_t ms NOT required from thz,~ Board, bu~t the
Town Building Inspector should be contacted' for full setaits.
3. Applicant's name & address: ~-r~;~- ~-~2~
4o Contractor's name & address: ~-~c~~, ~,~/~/~
5. Explain briefly the purpose of this application:
After issuance of Permit, I expect to: (mark with an X)
(a) Commence work ..... AT ONCE ; ASAPj~; UNi<NO~N TIME .
{b> Complete work ino-IDAY__; 1MO. ~/~ llq{o ~ FUTURE
Secure the correct Area Map from the Secretary of this Board, and
by using an X ~4ITHIN A CIRCLE as ~ mark, indicate as closely as
possible the location of this project~ On the reverse side,
provide a SCALE DRAWING which will show Ordinary High Water Mark
as well as the size and shape of the structure or work to be done.
Also ~nctude all dimensions for portions which extend o~fshore
from the O~Ho~M~
Provide the following documents: (a) A Licensed Engineer's Survey of the prooerty involved.
(b) A copy o~ the Contracto{s Plans & Speci~ications~
9o Does this project extend into To~n Waters beyond an ~mag~nary
line or boundary formed by existing works of a similar nature
along this area~s shoreline? Y~ or NO. If it does: state the
approximate distance beyond~ ft.
t0o Will 'this const~action require the Filling of any land offshore
of the Ordinary High Water Mark or the Dredging of any maneriai
from Toys Lands under water? ~ or NO2 If it does~ Form A/4
{Application for Dredging/Filling) must be completed and attached
as part of this application°
1to Ln requesting approval of this apptication~ I submit that: nhe
information presented herein is true and correct ~o the best of
my ~cnowledge and belief; I am the person accountable for the
performance of the work in accordance with the plans and spec-
ifications attached; I have read or am familiar with the pro-
visions of an~ Southold Tim Ordinance pertinent to the work
involved~ and further~I intend to adhere [o and abide by the
Terms and Conditions of the P~mit~whe~and if issued~ to sea
X X :XX-'<XXXXXXX XXXX~XKXX XXX XX XX XXXXXXXXX:~:XX~'z'.XXXXd~i~XX~ XX ~X X~XX
Accepted by: Dated:
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