HomeMy WebLinkAboutTR-218 TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State of
New York and Chapter 404 of the Laws of ! 952 of the State of New York and in accordance
with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting
of said Board on.....F_e....b~...~...a~...Y.....2.?.:.....1..g...G..3. ................. , and in consideration of the sum of
$.....[...0..,..0...0., lawful money of the United States, paid by.....~...a..~...a.....~..~..~...e.~...~... ................
residing at ....... "D~....e~....~...~..~..e.....R...d?..¢~...~...a..t...t..~..t...~.g...k.t.....L......I.~ ....... ~ ................... , New York,
fhe said Bo. ard of Trustees of the Town of Southold, Suffolk County, ~4ew York, hereby
eu orizes and permits said .......... to
dr~ge out the ~mall cha~nel in front of their property
on D~ep Hole Creek. Mattituck, about 150 cu. yar~s, all
in accordance ~ith the application submi~ted.
Guittard
for the issuance of this permit does hereby release the said Board of Trustees and the
Town of Southold from any and oil damages, claims for damages or suits that may arise or
occur directly or indirectly as a result of any operation carried on under and pursuant to this
permit, and will at his own expense, defend any and all suits which may be brought by third
parties as a result of any operation carried on pursuant to or in accordance with the terms of
this permit, and assume fu liability with respect thereto to the complete exclusion of
said Board of Trustees and the Town of Southold.
]1
THIS PERMIT is subject to the following terms end co~ditions~
1. That there shall be no unreasonable interference with navigation os c result of the
work herein authorized,
2. That there shall be no interference with the right of the public to pass and repass
along that portion of the beach between Iow a~d high water mark.
3. That the work shall be subject to the supervision and approval of the said Board of
Trustees or its agents,
IN WITNESS WHEREOF, 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
a majority of the said Board of Trustees, the day and yeqr above written.
seal ~~~.(L. S,)
..... ................. (L.
..... ......
., 3:~,. _ ............................................................ (L. S.)
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
ON THIS......~,.5....~........doy of.~ ........~...a~...~. ................................... , 19..~,.~.., before me
Philip Weil~ ~d Alv~
all personally known
to me, who, being by me duly sworn, severolly s~id that they each r~ided in the Town
of Southold, Coun~ of Suffolk, State of New York, and were members
Trustees o~ said Town of Southold ~nd constituted a majority of the ~me; that they
knew the corporate se~l of said Town of Southold; that the se~l affixed ~o the foregoing
instrument wQs such corporQte se~l; that t wQs so Qf~ixed thereunto by order of the
B~rd of Trustees of s~id Town of Southold and that e~ch one signed his nome thereto
: ...... ~.~.~.:..~ .........
Notary Public
FOEN~ NO. 1
o 'row T UST S
TOW OmC
APPLICATION FOR PERMIT
A. This application to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup-
licate.
B. Plot plan showing location of lot and buildings on premises, relation to adjoining premises, public streets,
parks, etc., and gtwng 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 msnance of a permit.
D. Upon approval of this application, Town Trustees will issue a permit ro applicant. Such permit shall be kept
on the premises and available for inspection au all times.
E..Applicant shall notify She Board of Trustees upon completion of the work covered by permit.
APPLICATION IS HEREBY glADE 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 Sonthold, The applicant agrees
ro comply with all applicable laws. ordinances, reg-alations and conditions specified by said trustees, and to hold
the Town of Southold, and all Town off:trials free from liability and damages of any kind.
Permit Requested To: ... J2J.~-..~. J~...~. ~
Size of Proposed Work: Length .... .~..O... t. ...... \¥idth. ./. ~'-. .... Heighth Above High Water .... .~....
Depth Below Low Water ...... .~.?. ...... Average Rise In Tide .............. Yards to Be Excavated.../. ~ .....
Width of Canal, Creek or Bay Fronting Property ...... J.~.. f. ..Depth at Low Tide ...~.'.?..A('.~. ....
Complete plot plan to be drawn on reverse side of this application.
STATE OF NEW YORK )
)S.S.
COUNT' )
.f.~.~..~.?f:..(f.~. .... ..~?.(--~.../.~.../~.~. being duly sworn deposes and sass that he is the applicant for the above de-
scribed permit, and that all statements contained herein are trim ro the best of his knowledge and belief; that the
-work will be done in the manner set forth in the application and as appro*ed by the Board of Trustees of the Town
of Southold, and the applicant agrees to hold the Town of Southold and said trustees harmless and free from any
said permit.
and all damages and claims arising under or by virtue of ,
'~ ~ ~__ t~ (applicant)
Notary public ...................... o n~
~o~ ~u~t .......... lew York