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please tear off and return to the Trustee Office. ·
BOard Of South~Oldlown Trustees'-
. SOUYHOLD, NEW YORK-
Mooring PeImit · No. Date:
Mooring No.
I, - ' certify th~t~the-work as
authorized~ in this permit has been completed and is now ready
for your inspection. Also, the number required on this project
is q%early visible. I further understand this ~ermit is not valid
until'this tear off Sh~eet is returned to the Trustee Office.
TERMS end CONDITIONS
The Permlttee Herbert Mandel
residing at 1000 Inlet Lane, Gre~nDort N.Y., as
lowing: 1. That the Trustee Pe~it rc~st'l:~ proadmea~_y clisplayecl on the premises
e~fected thereby du~ing the l:~ciod Of v~rk under ~he
· 1. That the ,said Board of Trustees and the Town of Southold are released from any and
all damages, or el.;m~ for damages, of suits arising directly or indirectly as a result of any oper-
ation performed pursuant to this permit, and the said Pemalttee will, at his or her own expeme,
defend any 'and all such suits initiated by third parties, and the said perrrdrtee assumes full ~
with respect thereto, ~o 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 considered to be the
esllmated time required to complete the work involved, but should circumstances
for an extension may be made to the Board at a later date.
3. That dais Permit should be retained indefinitely, or as long as the said
to maintain the structure or project involved,, to provide evlda~ce to anyone concerned that auth-
was originally obtalned.· - .......... :- - -. _ -: _
4. That the work involved will be subject to the inspection and approval of the Board or
A~its agents, and non-compliance with the provisions of the originating applicatinn~ may be cause {or
revocation of this Permit by resolution o~ the said Board.
5. That there will be no Unreasonable interference with navigation as a l~ult of the w0~k
herein authorized. ' - -~
6. That there shah be no interference with the right' of the_ public to pass and repass along
the beach between high and low water m,r,t~s. -
7. That if futoge operations of the Town of Santhold require the removal and/or alterations
in the location of the work herein authorized, or if, opinion.of Trustee%
the
the
Board
work shall cause unreasonable obstracuon to free navigation, the said Permittee will be ~:erlulred~
upon due notice, to remove o~ alter this work or project herein stated without expenses to the Town
of Southold.
8. That the said Board will be notified by the Permktee ot 'the comple~don of the work ant, h-
orized. _.
9. That the Permit~:ee will obtain all other permits and consents .tlmt nmT' be required
pl~mental to this p_er~,'t whi,ch ma7 be ~bject to revoke upon failure to olxain ~ame.
(See tear of~ snee~.~
Town Flail. 53095 Main Road' Fax (516) 765-1823
Soulholc New Yo~ 11971 '
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
STOP WORK ORDER
YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT:
Pursuant to Section 45-8 of the Code of the Town of Southold,
New York, you are notified to immediately suspend all work and
building activities until this order has been rescinded
STOP WOI~K ORDER. cx/-~-,~--_ - / ~
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
TELEPHONE
~5~6) 765-Is92
BOARD OF TOWN TRUSTEES
TOWN OF $OUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
APPLICATION NO. DATI~ OF A~PLICATION
YARDS TO BE EXCAVATED
WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY
AGENCY__
ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD
PROHIBIT THIS PROJECT~
BOARD OF TOWN TRUSTEES .....
TOWN OF. SOUTHOLD
SHORT ENVIRON~ENTAL ASSESSMENT FORM
Project Information [To be completed by App icant or Project sponsor}
[] New ~[' Expansion [] A~lod~ficatior'alteration
6, Precise location (road intersections, prominent landmarks, etc. or provide map)
Residential [] industrial ~--' Commercial [] Agriculture [] Parkland/ouen space [] Other
r~ No J[ yes, list agency(s} and permlt/approvals
~ No If yes, list agency name and permitJapprova~ type
PART II Environmental AssesSment (To be completed by Agency) .
C3. Vegetation or fauna, movement of fish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:.
PART III Determination of Significance (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above determine whether it is substantial, large, important or otherwise
significant. Each effect should be assessed 'n connection with its [a)setting Ci.e. urban or rurall; Cb) probability of occurring;
(c) duration; (d) irreversibility; (e) geographic scope; and Cf) magnitude. If necessary, add attachments or reference supporting
materials. Ensure that explanations contain sufficient detail to ~how'that alt relevant ~dverse impacts have been identified
and adequately addressed.
[] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then
proceed directly to the FULL LONG FORM EAF And/or prepare a positive dec[aration.
[] Check this box if ',ou have determined, based on the information and analysis above and an~, supporting documentation.
that the prooosed action WILL NOT resuJt in any significant adverse environmenta[ impacts AND provide here, and on
attachments as necessary, the reasons supportng this determination:
COUNTY OF SUFFOLK )
STATE OF NEW YORK )SS:
7
Approved 2/27/85