HomeMy WebLinkAboutTR-1343 & 1409Board' Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO...~.~ ............. : ......
ISSUED TO ~- Charles S. Levien ' '
Au h.riza iou
DATE:~h,....g3.,..:.~9?9
Pursuant fo the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New. York 1952; arid 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- .~.9.~.m~b~ 5,
19...~.., and in consideration of the sum Of $..._9.(~*~.0..0. ...... paid by
........................................ L. ................................................
of S..°.~¢.~.B~'P~qg.~ ................................................. N. Y. and subiect to the
Terms and Conditions listed on the reverse side hereof,
of SoutholdTown 'Trustees authorizes and oermi'~s the followlna:
placement of bulkhead and/or r&taining wall 6ff
private property subject to (1) retaining wall be
added along the southeasterly boundary (2) conform
with building code for property line setbacks
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 to
"be subscnbe~l by a ma[o~'ity of the said Board as of this date.
Trustees
TERMS end OONDITIONS
The P~mitt~ m Charles S. Levien
residing at 12 StratFord Road, Roc.kville Centre, N. ¥., as
part of the consideration'for the issuance of ~:he'Permi¢ does mademtand and prescribe to the fol-
lowing:
1. That the said Board of Trustees and the Town of 8onthold are released from any aml
all damages, or cl~im~ for damages, of Suits arising directly or indirectly as a result of any opet.
ation performed pm'mant to this permit, and the said Petmitten. will, at his or her own expeme,
defend any and all such suits initiated by third parxies, and the said Permlttee assumes fnli liabili0y
with respect thereto, ro the complete exclusion of the Board of Trostees of the Town of Somtxold
2. That this Permit is valid for a pi~dod of .. 12 mos. which is considered m be the
estimated time required to complete the work involved, but shotdd circumstances warfare, request
for an extension may be made to the Board at a later date.
3. That this Permit should .be zeral-ed indefinitely, or as long as the said Permlttee wishes
to maintain the structure or project involved, to provide evidence to anyone concerned that math-
orization was Originally obtained.
4. That the work involved will be subject to the inspection amt approval of the Board or
its agents, and non-compliance with the provisions of the odin-flag application, may be cause for
revocation of this Permit by res6Iution of the said Boar&
5. That ,there will be no unreasonable 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 b~ch between high and Iow water marks.
'/. Thae if future operations of the Town of Southo!d require the removal and/or alterations
in the location of the work herein authorized, or if, in the opinion of the Board of Trostees, the
work shall cause unreasonable obstmcnon to free navlgadon, the said Permlttee will be required~
upon due notice, ro remove or alter this work or projec~ herein stated without exj[mnses to the Town
of Southold.
8. That the said Board will be notified by the Permlttee ot the completion of the work auth-
or~ed.
9. That the Permlttee will obtain all other permits and coments that may be required
plemantal to this permit which may be subject to revoke upon failure to obtain same.
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
ISSUED TO ......... q~a~3~.&.~.~$~2 .....................................................................
Pursuanf fo fhe provisions o~ Chaplet 615 o{ fha La~s o{
fhe Sfafe o{ New York, 1893 an~ ~epfer 404 of fha L~ws of fhe
Sfafe of New York 1952: and the Soufhold Town Ordinance en-
tiffed "RE~ULATIN~ AND THE PLACIN~ OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and f~
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance wifh the
Resolufion of The Board ~dopfed afa meeting held on .~gV- .~.~ ....
19...~_, and in cons[aerafion of +he sum of $ ~.t..~ ...... paid by
of ~.g~m~o~ ................... N. Y. and subjecf fo fhe
Terms and Cond~fJons JJsfed on fha reverse side hereof,
of SoufhoJd Town Trusfees aufhorlzes and permffs fha following:
all in accordance wffh fha derailed specifications as pre.rife8 in
fha origMafing application.
IN WITNESS WHEREOF, The said Board of Trusfees h,ere-
by c~uses ifs Corporafe Seal fo be affixed, and fhese preseM's fo
be subscribed by a majorify of fhe said Board as of fh[s daf, e.
Trustees
BOARD OF TOWN TRUSTEES
Town Of Southold
Southold, New York 11971
Main Road
Rev. 6/?2
APPLICATION FOR A BULKHEAD. DIKE, OR JETTY
I. Does this project involve the u~se of WETLANDS as defined in the S0uthold Town Wetlands
Ordinance? YES or NO. If it dbes, you must file through the Town Clerk's Office.
2. Is the proposed work entirely within the boundaries of your own property as substantiated
by your Deed or Survey? YES or NO. If it is, a Permit is NOT required from this Board,
but the Town Building Inspector should be contacted for full details.
3. Applicant's name and address: ..~.,'..~..~ .......................................................
......... .............. .............
4. Cqntractor s name and address: ....~.~..'.....~-.~..~.:.....~..~¢~ ~ .~...'~
...... t !:!!i/. ..... ~ ..................................................................... ~ ....... : .....................
5. ~~e'~o~":'~;':i~ii on: . ..~..~ .~~. ....... ] ....
...............
6. After issuance of Permit, I expect to: (mark with an X)
(a) Commence work AT ONCE ............; ASAP ..:~..; UNKNOWN TIME .............
(b) Complete work in, I DAY ............ ; t MO ............. ; 1 YR ............. ; FUTURE .............
Secure the correct Area Map from the Secretory of this Board, and by using an X WITHIN
A CIRCLE as a mark, indicate as closely as possible the location of this project. On the
reverse side, provide a SCAL~ DRAWING which will show Ordinary High Water Mark as well
as the size and shape of the structure or work to be done. Also include all dimensions for
portions which extend offshore from the O H. W. M.
Provide the following documen.ts:
(o/ A Licensed Engineer's Survey of the property involved.
(b) A copy of the Contractor's Plan and Specifications.
9. Does this project extend into Town Waters beyond an imaginary ]inez,ca'~koundary formed
by existing works of a similar nature along this orea's shoreline? YES c~ NO,/If it does, state
the approximate distance beyond, ............ ft.
10. Wi!i this construction require the Filling of any land offshore of the Ordinap~c~l~h Water
Mark or the Dredging of any material from Town Lands under water? YES e~ NO. If it does
Form A/4 (Applicot on for Dredging/Filling) must be comp eted a~d attached~rt of this
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; am the person accountable for
the performance of the work in accordance wi~'h t'he plans and specifications attached; I have
read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work
invoivea; and further, intend to adhere to and abide by the Terms and Conditions of the
Permit, when end if issued to me.
Accepted by:
BOARD OF TOWN TRUSTEES
Town Of Southold
Main Road
Southold, New York 11971
APPLICATION TO DREDGE and or FILL
I. Does this project inv.~h,~the use of WETLANDS as defined in the Southold Town Ordinance
~he Town Clerk's
through
in Wetlands? YES o/NO.)If it does, your application must be filed
Office.
.............. ............................................................................
3. Contra. ctor's name and address: ..~.C:.:..~..~.r..~,;.~Y...~ ........................................
.......... .................................................
5. After mssuonce of Permit, I expect to: (mark with an X)
(a) Commence work-- AT ONCE ............ ; ASAP ............ ; UNKNOWN TIME ~
(b) Complete work in ~/1 DAY · I MO. .; 1 YR. ' FUTURE
6. Secure the correct Area Map from the Secretary of this Board, and by using an × WITHIN
A CIRCLE as a mark, indicate as closely as possible the location of this work. On the reverse
side of this map, provide a SCALE DRAWING which will snow the Ordinary High Water
Mark and the size and shape of the structure or work. All dimensions offshore of the
O. H. W. M. should also be shown and include any free standing pilings which will remain
at completion.
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. Has any previous application for this work been den:led by any other local government agency?
YES o N~ If it has been, name the agency ...........................................................................
Date of denial ........................................
9. If dredging ,s contemplated, give your estimate of the following.
(a) Average depth of water at M. L. W. where dredging, . ........... :...........~.,, .................. ft.
(b) Maximum depth of dredging below the bottom,. ........................................................... ft.
(C) Maximum length of dredged area ......... ..~....~...] .................................................... ft.
I
(d) Maximum width of dredged area ~-~.b ft
(e) Maximum amount of material to be dredged ............. ..~...~.. ........................ c. yds.
10. If filling ,s expected, gwe your estimate of the following:
(a) Maximum amount of material required,. ..................... ~....~.. ....................................... c. yds.
(b) Explain how fill will be ob/~ined and where it wiJJ be placed.
..........
1 ~. !n requesting approval of this application, I submit that: I om the person accountable for the
performance of the work in accord with the plans and specifications attached hereto;
have read or am familiar with the 9rowsions of any Southold Town Ordinance pertinent to
the work involved; and tuft'her, ! intend to adhere to and abide by the Terms and Conditions
of the Permit.
L. S ........... .~.~..: .....................
Accepted by: Dated:
_M