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Home My WebLink AboutTR-1206 Board Of Southold Town Trustees SOUTHOLD, NEW YORK ~ PERMIT NO:' ..1:~.0~.6..:......i......;._' . ' - i_~ DATE: I;~e:ee~er...6., ZS ISSUED TO ..,A..~b_o...~z.....~c~Q~;~....~...~],.~T.i~.._~.~;~ti~ ........ Pursuant to the provisions of Chapter 615 of the Laws of +he State of New York, 1893: and Chepter'404 o'F the Laws of ('he State of New Yor~ 1952; and +he Southold Town Ordinance en- tltled "RE~ULATIN~ AND THE PLACINC~ OF OBSTRUCTIONS IN AND .ON TOWN 'WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, C~RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on .~Q.~.~' 6 ~ I97.~ ....... and in consideratlon of the sum of $ ......... ~.~.9.O. ....... pald by & /~elvin Morris~ Wampum Way, ~So~thold,. ~.Y. 11971 o~. ......................................................................................... N. Y, and subiect tO the Terms and Conditions listed on the reverse slde hereof, ;' _ of Sou+hold Town Trustees authorizes and permits the following: ': Permission for dock at Core~ Creek, ~unnakoma Wa%ers, Sou%hold, a~l in accordance with the detai{ed spech¢ications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees hiere- by causes its Corporate Seal tO be affixed and these presents to be subscribed by a ma{ority of the said Board as of this dat,e. TF.P,.MS ~nd CONDITIONS T~Permlxee Anthony Lewandowski, Bow Road ~ Southold, ~ & Melvin Morrisv Wampum Wav~ Sout~hoidv residing at - N.Y., as part of the conside/rafion for the ~ssuance Of the Permit does understand and prescribe to the £ol- lowing: L That the said Board of Trustees and the Town of Southold are released from an7 and all damages, or ct~;m~ £or damages, of sx~s arising dJrectly or ktdirectly as a result of any oper- pefformed pm'surer to permit, will, at or own expense. this and the said Per. tree her defend any and all such suits initiated by third parties, and the said Pem~e a~um~ fiffi Na~ky with respect thereto, to the ~complete exdnsion of the Board of Trustees of the Town of Soathold estimated time required to complete the work involved, but should clro,,~r~nces warrant, request for an extension may he made to the Board at a hter dam 3. That this Permit should be retained [udefinkely, or as long as the said Permittee wLshes to mfimin the mine or project involved, to provide evidence to anyone concerned ~b~ crfi2at/ow was origiua/ly obtaine& 4. That the work involved will be subject to the inspection and approval of the Board or ks agents, and non-compliance with the provisions of the odgSnat~g appL~cafioa~ may be ermse flor revocation of this Permit by resolution of the said Board. 5. That there vfilt be no unreasonable interference wi'th n~vigation as a result of the work herein authorized. 6. That there shal/be ~o interference with the fight of the public to pass and repass along the beach between high and Iow water marks. 7. That if fiature operations of the Town of Southold require the removal and/or of work herein in the of the Board of the in t_he location the fi, Tsusteeg work shall muse unreasonable obstruc~on to free nav~gatinn, the said Permi~zee will be upon due notice, ~o remove or alter ~Ss work or project herein s'mted wlthou~ expenses to the Town of Southold. 8. That the sa~d Board will be notified by the Perm~ttee ox the completion o~ the work anth~ orize& 9. That the Permittee will obta~ all other p~rm;rs and consents that may bu required plemental to this permit which may ~e subject to revoke upon fai/nre ro obtain same. . .AY2 - l~ev. BOARD OF TOWN TRUSTEES Town Of Southold Main Road Southold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS I Applicant's name and address: ............. 2. Contractor's nome and address: ......... ./..~...~.~...~.(TT....~. ........................................................................ -- ......... ...... ............................................................................................................................... (a) Commence work AT ONCE ............ ; ASAP ............ ; UNKN~N ............. (b) Complete work in 1 DAY ............ ; 1 MO ............. ; 1 YR ............. ; FUTURE ............. 5. Secure the correct Area Mop from the Secreta~ of ~his B~rd, and by usi~ a~ X WITHIN A CIRCLE indicate as closely as possible the I~ation of this dock. On the reverse side of this map, provide a SCALE D~WING which will show Ordina~ High Water Mark, ~he shnpe and size of the dock and a~y supplementa~ pilings which are needed to ho~d a floating dock or fie-up a boat. Give all dimensions necessary to determine the area of the d~k surface which extends offshore from the O. H. W. M. 6. Will any portion of this construction extend offshore into Town Waters beyond an Jmaginaw line or bounda~ form~ by other similar structures along the area's shoreline? Y~, er NO. [f it does e~end beyond this s~cal[ed dock line indicate by how for, a~roximately//~..ft. / 7. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's PEons and Specifications. ::.,~ 8. Wilt this construction require the Filling of any land offshore of the Ordinary High Water .,~. M~rk or the Dredging of any material from Town Lands under water? YES or NO. If it d~s, ,'r Form A/4 (Application for Dredging/Filling) must be completed and attached as pa~ of this application. ~ 9. 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 per~n 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 ~inent 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. .Accepted by: ~ D~ted: