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Home My WebLink AboutTR-1048Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO, 1048 DATE: Oct. 7, 1974 ISSUED TO ~1 si~. Mas ufos ~mone ......... Pursuanf fo fhe provlslons.of ChaDfer 615 of fhe Laws of fha Sfafe of New York, 1893: and Chaplet 404 of fha Laws of fha Sfafe of New York 1952: and fhe Soufhold Town Ordinance eh- filled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS ]nd fhe REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" end in ~ccord~nce wifh fha Resotuflon of The Board ~dopfed ~f a meeting held on 0c¢. 7 19.74 ~nd in consideraHon of fha sum of $~ p.ld by .~s~ ~gS~toS ~.O~ .......... of ZnZ~.~.~..~..,~ee~po~[ N~ Y. and subiecf fo fhe Terms ~nd Condifions llsfea on fhe reverse side hereof. of Soufhold Town Trusfees aufhorlzes end permifs fha followbg: 20 ZL., ~Lh avzo moo~g ~Zes aL her p~o~e~z Z~ZeL ~ane E~ensLo~, G~een~o~, New ~11 in ~ccordance wffh fhe derailed spec~fic~fions as presenfed fha orlglnaf[ng ~ppllc~flo~. IN WITNESS WHEREOF, The s~id Bo.rd of Trusfees kate- by causes ifs Corpor~fe Seal fo be ~ffixed, and fhese presenfs fo be subscribed by a majorify of fhe said Board ~s of fhis daf,e, , T~stees TERMS and CONDITIONS the Permirtee Els ie Mas%rosimone residingat Inlet Lane Extension, Greenpor~ 11944 N. ¥., a~ par~ of the consideration for the issuance of Xhe Permit doe~ understand and prescribe to the fol- lowing: t. That the said Board of Tru~ees and the Town of Southold are reteased from any all damages, or clahms for damages, of suits arising dirertl7 or iad~rectiy as a re.ak of any oper- ation performed p,urman[ to this permit~ and the said Permittee will, at 1~ or her own expense, defend any and all such ~ffts inkiated by third parries, and the said Perm/t~ee assumes fall with respec~ thereto, to the complete exclusion of the Board of Trustees of the Town of SourJaold 2. That tl~ Permit is valid for a period of L2 mos. whida is considered ro be the estimated r/me required to complete the work involved, but should ~rcumstances warrant, for an e~ension may be made to the Board ar a later date, 5. That tb~s Permit should be retaLned indef~mitely, or as long as the smd Perm~rtee ro maintain the srruceare or proiect involved, to provide evidence to anyone concerned that auth- orization was orig~mll7 obtained. 3. 1~nat the work involved will be subject to the inspection and approval of the LP'~ard or its aga~rs, and non-compliance with the provisions of the originating app//ca~on, may be cause for revocation of this Per. dr by resolution ol the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorLzed. 6, That there shall be no interference with the right of the public m pass and repass along the beach between high and iow water marks. That if furore operations of the Town of Scmthold reqn/re the removal and/or akeratiorcs in the location of the work here/n author/zed, or if, in the opinicm of the Board of Tru~ees, work shall cause unreasonable obstmcaon ro free navigation, the said Perm~rtee ,~11 be re?a~red~ upon due notice, to remove or alter this work or project herein stated without expensas~m the Town of Southold. 8. That the said Board will be notified by the Permktee ot the c~mpletion of the work auth- orized. 9. ~fhat the Permittee will obtain al] other permks and consents l:hat may be required s~p- plemental ro d~s permit which may be sul0jec~ to revoke upon failure to obtain s~me. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUFFOLK COUN FY Telephone 516 - 765-3783 Southold. L. I.; N. Y. t197t October 17 1974 Southold Town Board 16 South Street Greenporm, New York 11944 Gentlemen: The Board of Southold Town Trustees recommends the approval of Wetland Application No. 20 by Elsie Mastrosimone. for permlsszon co build an open dock across the meadow at her property on Inlet Lane Extension, Greenporm, New York. This type oi open construction has been urged by the Town Trusnees in the paso, prior ho the passage of the ~Ietland Ordinance. it allows for the rise.and fall of tide and will An no way interfere with the ecology of the area. Very truly yours, Alvah B. Goldsmith. 2hazrman Board of Southoid To~ Trussees BOARD OF TOWN TRUSTEES Town O~ Southold Main l~oafl Southold: New York 11971 APPLICATION FOR FIXED and 'or FLOATING DOCKS 1. Applicant's name and address: ~"~' ~q/-~' /4x/~,~ T~O S//g'O ~ ~ 2. Controctor's name and address: ....... (0. ~,...~.~.[~...~.(.. ~t/..(~...~ ....................... 4. After msuance of a Permit, I expect to: (mark by an X9 (a) Commence work -- AT ONCE ............ ; ASAP ...........; UNKNOWN ............ (b) Complete work in -- 1 DAY ............ ; I MO ............. ; 1 YR ........... ; FUTURE ............. 5. 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 mop, 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 e 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 an imag)~as~, line or boundary formed by other similar structures along the area's shoreline? YES o~ NO.) If it does extend beyond this so-called dock line indicate by how fa.r, approximately ........ Nit/. 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 High Water Mark or the Dredging of any material from Town Lands under water? YES or NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as part of this application. 9. In requesting approval of this application, submit that: the information presented herein rs 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 end 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. L. s. Accepted by: - ~ Dated: Town O~ Southold Town Clerk's Of[ice $outhold, N. Y. APPLICATION FOR WETLANDS PERMIT INSTRIJGTIONS FOR PERJ~41T A. This application is to be completely filled in by typewriter or ink ond submitted to the Town Clerk in quadruplicate, accompanied by writter- permission from the owner of the property if not the same as the applicant. B. Pilot Plan must be drawn to scale on the reverse side of this application showing the location of property, the names and locations of owners of adjoining properties, and a detailed description of proposea project. (Note: Copies of the Pilot Plan may be made by a copy machine and attached to the Permit Application.) C. No operation shall be initiated by the applicant until all permits that are required are issued. D. A detailed statement of ~e rehabilitation and proposed condition of the premises after the work is completed must be given, including a survey if required. E. if permit is being sought for a more sizeable excavation than the construction of a private single dock or jetty, then this application must be accompanied by a survey and topographical map certified by a registered land survey or Professional Engineer. 'The horizontal control of survey snail be based upon an approval local coordinate system. The vertical control for elevation and sound- ings shall be based upon United States Coast and Geodetic Survey and/or United States Geological Survey datum. F. A statement must accompany the application describing any known prior operations conducted on the premises n question and whether any prior licenses or permits have been issued t~ erect structures or to dredge or deposit fill on said premises ond whether any such permits or licenses were ever revoked or suspended by a governmental agency. G. A filing fee of $25.00 shall accompany the application. This filing fee includes one inspection, there is a $5.00 fee for each additional inspection. H. The Town Board upon request of the c~pplicant for a perm,it, may waive in whole or in part, me provisions of Art'icle II, Section 210, subdivisions (d) and (g) where it firKls that nature of the proposed operations are such that 'the requirements of such provisions are not necessary for a oroper consideration of a permit opplicotion. I. Upon approval of this application ~he Town Clerk will issue a permit to the applicant. Such permit shall be available for inspection at any time, upon request. Examined ..................................................19 ....... Approved ................................................................ Disapproved ........................................................... Conditions, if any ................................................................................................................................. Examining Body ..................................................................................................................................... Signature of Chairman ........................................................................................................................ APPLICATION IS HEREBY MADE to the Town Board of the Town of Southold, Suffolk County, New York, for t~e issuance of a permit pursuant to the Laws, Ordinances and Regulations govern- ing the Coastal and Interior Wetlands, Flood Plains and Drainage Areas of the Town of Southotd: Permit requested to ~O~.S/~-~c~ C~/t-.j~/~. ,~'~'/ . ~d'/O~/ C ~/~ Lo,or,on of praper for which perm,t wanted ................... Home address of permit applicant if different from aforesaid location .............................................. Creek, Boy or Harbor fronting property ~/'/ ;~Ob o/ Size of proposed work: Length .................................................................................................................................................... Width .................................................................................................................................................... Height Above High Water Depth Below Low Water ......................................................................................................................... Yards to be Excavated ........................................................................................................................... Yards to be Filled ................................................................................................................................... Width of canal~ creek or bay fronting ~rop~ ................................................................................. D~t~ o~ Low Tid~ ~ Average Rise in Tide ~'~' Is this for private or business use? .... Area Zoning ............................................................................................................................................. Manner in which material will be removed or deposited ................................................................... I~tended use of property ~ ~: ~0~;~.~.~ Written consent of owner of property, if not the same as the applicant ........................................ COUNTY OF SUFFOLK ) STATE OF ~'W YORK ) SS: .......... ~~.....'"~~~ ............. being duly sworn deposes and says what he is the applicant for the above described permit, and that all statements contained herein a.re true to the best of his knowledge and belief; that the work will be done in the manner set forth in this application and as may be approved by the Town Board of the Town of Southold. The applicant agrees to hold the Town of Soathold and the Town Board harmless a,nd free from any ,and all damages and cloims arising under or by virtue of said permit, if granted. ~ Signature of Applicant Sworn to before me this ................................ day ........ , t 9...7.....~. OTARY PU~LIC, S~et* ~f New Ycrk No, 52-5613975 ~uaIi~ied in Suffolk Coun~ T~rm ExpJre~ ~rch 30, 19~