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Home My WebLink AboutTR-1143Board Of Southold Town Trustees SOUTHOLD, NEW YORK -' PurSuanf t'o {-he provisions of Chap'l'.er 615 of {-he Laws- of {'he S{-a{-e of New York, 1893; and C.hapfer 404 of fhe Laws of {-he S{-a{-e of New York 1952t and {-he Sou{-hold Town Ordinance en- H{-led "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND .ON TOWN WATERS AND PUBLIC LANDS and fhe REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" - and in accordance wlfh {-he Resolufion of The Board adop{-ed a{-a m:ee{-ing held onMaY.:..:l.Z~ ...... 19._..7~, and in cons~dera{-ion of {-he sum of $.......5.D0 ......... paid by ............................ .......... Haz~old...M,....Gordon ............... i ..................................... i ................ . 124 Hickory Avenue . ot .......... $ou.thold,...; ............................................ N. Y. and subiec{- {-o the Terms and Condfflons lis{-ed on {-he reverse side hereOf, of Sou{-hold Town Trus{-ees au{-horlzes and permffs {-he following: Permission to place dock, ramp, & £1oa~ ak at Goose Creek, directly in front of applicant,s at 124 Hickory Avenue, Southold, N.Y. all in accordance wi{-h {-he de{-a;Jed specificat'ions as presen{-ed in fhe Orlglna{-ing aPplica{-ion. IN WITNESS WHEREOF, The said Board of Trusfees kere- :by causes ifs CorpoFa{-e Seal {-o be affixed, and fhese presen{-s fo be SubScribed by a majOrlfy of {-he said Board..as.of fhls daf,e. Trustees TERMS end CONDITIONS, ~e Permlttee residing at 124 HickorBr Avenue pm of ~e comid~aOon ~or ~e ~ce of lowing: Harold M. Gordon : SO~a%,hold N~ Y., ~ae Permit does understand and presc~'be to the 1. That the smd Board of Trustees and the Town of Southold are released from any and all damages, or claims For damages, of ro~ts arising directly or indirectly a~ a result of any ope~* orion performed pursuant to this permit, and the s~id Permit-tee will, at his or her own exTeme, defend any and all such suits initiated by thlrd parties, and the said Perrrfittee assumes full ~ty with respect thereto, ro the complete exclusion of the Board of Trustees of the Town of Scmth{>ld 2. That this Permit is valid for a period of 12 mos. which is considered to be the estimated *dine required ro complete the work involved, but should circumstances warrant, request for an extension may he made to the Board at a later date~ 3. That this Permit should be retalned indefirdtely, or as long as the said Permittee wishes to maintain the stmctare or pro~ect involved, to provide evidence to anyone concerned that ant. k- orizafion was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board its agents, and non-compliance with the provisions of the originating application, may be cause revocation of this Permit by resolution of the said Board. 5. That there will be no tm_reasonable 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 the beach between h{gh and Iow water marks. 7. That if fumxe operations of the Town of Southold require the removal and/or alteratiom in the location of the work he£ein authorized, or fi, in the opinion of the Board of Trastee% the work shall cause unreasonable obst-mct~on to free navigarion, the said Permirtee will be required, upon due notice, to remove or alter th/s work or project herein stated without expenses to the Town of Sou*hold. 8. 'gnat cl.'re s~d Board ~ be noticed hy the Permitree ot the completion of the work auth- orized. 9. That the Pcrmittee will obtain all other permits and consents el-mt may be required saD plemental to this permit which ma7 Be subject to revoke upon failure to obtain same. Rev. BOARD OF TOWN TRUSTEES Town O£ Southold Main Road Southold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS 1. Applicant's name and address: .~..~ ................................................................... [.~. ................. ........ ..... ...... ...... ........ ................... 2. Contractor's name and address: ....~...c~....~.q..,....L~..~..t~...!..~ ....... ..~...Z.:~.~;'.~...~.. ................................ After issuance of a Permit, I expect to: (mark by an (a) Commence work AT ONCE ....~.....; ASAP . ........... ; UNKNOWN ............. (b) Complete work in -- 1 DAY ............ ; 1 MO...~ ...... ; 1 YR ............. ; FUTURE ............. Secure the correct Area Map from the Secretary of ~his 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 Mar~, the shape and size of~ the dock and any supplemental pilings which are needed to hold a~floati.ng 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 into Town Waters beyond a.n ima igj. D~ line or boundary formed by c~ther similar structures along the area's shoreline? YES o~NO.~~ If it does extend beyond this so-called dock line indicate by how far, approximately,. ....... ~ Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. Will this construction require the Filling of any land .offshore of the Ordinary,~gh Water Mark or the Dredging of any material from Town La.nds under water~ YES or[NO. Jlf it does Form A/4 (Application for Dredging/Filling) must be completed end a'ttached ~t of thi~ application. In requesting approval of this application, I submit that: the information presented herein is true and correct to the best of my knowledge and belief; I am the person accountable for the 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 a.nd if issued to me. ~,ccepted by: ~¢-E~.