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HomeMy WebLinkAboutTR-1474Board Of Southold 'Town Trustees SOUTHOLD, NEW YORK PERMIT NO. .~:~'. ? 4 .......... DATE: l¢, ~-.~-le. l I 13 .~ l l., ]~-98 1 Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893: and Crhapter 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 WATERS 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 at a meeting held on ...,Z~ne...3 ..... 19 81, and ~n consideration of the sum of $~.C~? .......... paid by of .!.Z.Z.5....Sm$~c.b_.P.~.~Y~.f~.9~tt~0.:ZF~,N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: To place floating dock off private property of the applicant. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal fo be affixed, and these presents be subscribed by a maiorify of the said Board as of this dat,e. ~ Trustees TERMS and CONDITIONS The Permittee Florencio A. Gomez residingat 1775 Smith Dr]_ve, Southold, N. Y, as part of the consideration for the issuance of the Permit do~ understand and proscribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are re/eased from any and all damages, or claims for damages, of suits arising directly or indicecfly as a result of any oper- ation performed pursuant to this permit, and the said Permi~tee will, at his or her own expense, defend any and ail such suits initiated by third parties, and the said Permittee assnm~ dali ~ 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 period of 12 mos. which is comldered to be the estimated time required to complete the work involved, but should ciro~mst, ances.warrant, ~eqixest for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, ro provide evidence to anyone concerned that auth- orization was originaily obtained. 4. That .the work involved will be subject to the mspectton and approval of the Board or its aganrs, and non-compliance with the provisions of the originating application, may be c~_,qe for revocation of this Permit by resolution of the said Board. 5. That there will be no ,mreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if furore operations of the Town of Southold require the removal and/or aiterations in the location of the work herein anthoHzed, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstmenon to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work or project herein stated without expanses to the Town of Southold. 8. That the said Board will be notified by the Permktee os the completion of the work auth- orized. 9. That the Permittee will obtain all other permits and consents that may be required sup .~plemental to this permit which may be subject to revoke upon failure to obtain same. BOARD OF/.TowN TRUSTEES T°wn Of Southold Main Road Southold, New York 11971 Rev. APPLICATION FOR FIXED and/or FLOATING DOCKS 2. Contractor's name and address: . ..... ,.~...~..~...[ ............................................... ................................. ........ ........ : .................................................................... .... 3. Briefly explain the purpose at,this application: .~ ................. ; ................................................. ............................................. ........ ........ ........................................... After issuance of o Permit, I expect to: (mark by an X~) (a) Commence work -- AT ONCE"..~.....; ASAP ............ ; UNKNOWN ............. (b) Complete work in I DAY ............ ; 1 MO...~...] ..... ; 1 YR ............. ; FUTURE ............. 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 i.nto Town Waters beyond on imaginj~y line or boundary formed by other similar structures along the area's shoreline? YES or(lxJCi~~ If it does extend beyond this so-called dock line indicate by how for, approximately, ......... 7. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. 8. Will this construction require the Filling of any land offshore of the Ordinary,:,~J'~'/ZWater Mark or the Dredging of a.ny material from Town La,ads under water;~ YES or ~qC~. If Jt does Form A/4 (Application fo.r Dredgmg/FHhng) must be completed and attached as part of this application. .Ac.cepted by: In requesting approval of this application, I submit that: the information presented herein is true and correct to the best of mv knowledge and belief; I am the person accountable for fha 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: