HomeMy WebLinkAboutTR-506TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State
of New Y. ork; Chapter 404 of the Laws of 1952 of the State of New York; the
vlsi. ohs of an ordinance entitled "Southold Town Ordinance Regulating the Placing
of Obstructi~ons in and on Town Waters and Publlc Lands, and the Removal of Sand,
Gravel or .other _Materials from Lands under Town Waters", and in accordance with
the resolution of the Board of Trustees of the Town of Southold adopted at a meet-
ing of said Board on .. AII~.~I~ .],9~..1.91~.8 ..... and in consideration of the sum
cf $~0,ia0.. , lawful money of the United States, paid by .~7~%~. ~.
residing at . ~i~. ~lV~, · S~l~,. ~ ~ ....... , New Y~rk, ~e said
Board of T~stees of the Town of Southold, Suffolk County, New York, hereby
authorized and permits said . .J~ ~,. ~o~ki ....................... to
Fee $20.00
~se ~ 20' x 5', a~l in au~:~e wi~ %he
s~it~, Application to dredge waterfront in ~e same area
75' x 60-70' ~s granted. $10.00.Fee.
The said ..... J~D..~. ~k.% .......... as p~ of the consideration
for the issuance of this De~i/ does hereby release the said Board of ~siees and
the Town of Southold from any and all demages claims for d~mages or suils
may ar~se .or occur di~ec~y or indirectly as a ~sult of ~y operation ca,ed on
der and pursuan~ to ~his 9emnit, and will at his o~ expense, defend any ~d
suits which may be brought by third parties, as a result of any operation
on 9ursuan~ to ,or ~ accordance wi~h the te~s of ~is pe~t, ~d assume ~H
liability with respec~ thereto to the complete exclusion of said ~d of T~tees
and ~he ~own of Southold.
T~S PER~IT is subject to the following ie~s and conditions:
1. That there shah be no ~easonable ~nte~erence with navigation as a result of
the work herein authorized.
2. That there shall be no interference ~iih ~e right of the public lo pass and re-
pass along that po~ion of ~e beach between lo~ and h~gh ~aler mark.
3. Thai the %york ~all be subject %o the supervision .~d appnoval of ~e said
Bo~d of T~stees or its agents.
4. That if ~ture ~perations of the Tow,n of Southold requi~ the ~mov~ ~d/or
~teration in the ~ocation of the work herein authorized, or fi, in the opinion
of the Board .of T~siees of the Town of Southold, such work mhaI1 cause un-
reasonable .obst~ction to free navigation, the said . .J~..~.
will be required upon due notice from the s~d Board of Trustees, to remove
or alter the location of the ~ork hereby au~orized without expense to the
Town of Southold, so as %o render navigation re~onab]y free and unobstruct-
ed.
The authority conferred by this permit~may be ter~ninated by the Board of Trustees
for a failure on the part of the said ............ ~..O~..~...~,..,..~..G.~.O.~.~..~. ................................. to
comply with the terms and conditions herein imoosed. In the event of such termination,
this permit shall be deemed revoked five (5) days after the date when the Board of
Trustees shall mail to the said ................. ~.~....~...~,~,.~0.,.~..~..~ ............................ at the
address g~ven m his application, a certified copy of a resolution of the Board of Trustees
directing such termination.
IN WITNfiSS WHER£OF, the said~ Board of Trustees of the Town of Southold has
caused its corporate seal to be hereunto affixed and these presents to be Subscribed by
*~h~f~'e ~d~B~,Tc~u~t~/s~h~.year above written.
~~.... (L. S.)
STATE OF NEW YORK
SS:
COUNTY OF SUFFOLK )
ON THIS 9t~h day of Sep%ember
........................................................................ , 19--..., before me
oersonally appeared Ai~rah ~. ~l~smi~, ~ Damon, John F.
~ul%y, George Simp~on a~ ~uglas ~rtson,
oll personuily known
to me, who, being by me du~y sworn, severally scid th~f they e~ch resided ~ the Town
o~ Southold, County of Suffolk, Stu~ of New York, ond were membem of the 8ourd of
Trustees of suid Town of Southold ond constituted o mojori~ o~ the s~me; thut they
knew the corporote seol of sold Town o~ Southold; thor the seul offixed to ~c foregoing
instrument wes such corporote seol; thor it wes so offixed thereunto by order of the
Boord o~ Trustees of sold Town o~ Southold ond thor eoch one signed his nome thereto os
a Trustee and by like order.
~iled:
Notary Public
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ....... > ......................... 19 ..... Application No ...................
Approved .......... ~ ~'' .............. :. . .- . ............ Permit No ........................
Disapproved ale - ' ' '
APPLiCATiON FOR PERMIT
INSTRUCTIONS
A. This application t(~ be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup-
licate.
B. Plot plan showing location of Iot and buildings on premises, relation to adjoining premises, public streets, parks,
etc.. and giving detailed description of proposed layout of project must be drawn on diagram which is part of this
application.
C. The work covered by this application may not be commenced before the issuance of a permit.
D. Upon approval of this application, Town Trustees will issue a permit to applicaut. Such permit shall be kept on
the premises and available for inspection at ail times.
E. Applicant shall notify the Board of Trustees upon completion of the xvork covered by permit.
APPLICATION IS HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk County, New
York, for the issuance of a permit pursuant to the laws, Ordinances and regulations governing construction of: docks,
piers, bulkheads, jettys and dredging in, under, and over the waters of Town of Southotd. The applicant agrees
to comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold the
Town of Southold, and all Town officials free from liability and damages of any kind.
Xa=e o~ Owuer of Premises .... .~'h~...,9. .... !.., ..... ~ g..~. ow~.~ ~ .... ~ ...............................
Home Address If Other Than Location .......................................................................
Creek, Bay or Harbor Fronting Property,, .~..~'..~.~.~,...~-..~.."~..'~',..~.. .............................................
Permits Requested To: ...?.~S.C.~.. .... ..~...O .... .~..m'..~.~.. ~e..~... Of.¢... ~.)¢~.. P...~.....~..~.~.. ....
a0.
Size of Proposed Work: Length., ........ %\ridth ' '~" ~'" '; 't' Heighth Above High Water ..............
Depth Below Low Water .............. Average Rise In Tide ...~/. ......... Yards to Be Excavated ........... ~
Width of Canal, Creek or Bay Fronting Propertyc~ ~'" "r-~ ~0 ............... Depth at Low Tide . .~ ...... ~
Is This For Private'or Business Use.~ ..... :-~g,!, tJ.~-~. ~. ..................... Area Zoning ............. q __ _.
Complete plot plan to be drawn on reverse side of this application.
STATE OF NEW YORK )
)s.s.
COUNTY OF.-~,~r ~ )
CN . ~.~.. ~.~..4C...
~~.. being duly sworn deposes and says that he is the applicant for the above described
permit, and 'that all statement, s contained herein are true to the best of his knowledge and belief; that the work
fyi[1 ~e~one in the manner set forth in the a,pplication and as approved by the Board of Trustees of the Town of
So~ol~ and the applicant agrees to hold the Town of Southold and sa~d trust,s harmless and free from any and
all damage~ and cla~ms arising under or byvirtue o~ said p~
.._ ~.~.~~ ..............
/ I (applicant)
Sworn to before me this ._ ~:./~ ..... day of~~ff_~. I9~
No~ Public, Sta
Nol 52~508300, Suffolk Ceu~