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HomeMy WebLinkAboutTR-498 TOWN OF SOUTHOLD BOARD OF ,TOWN TRUSTEES PERMIT NO ...... ~4..~.~. ...... Pursuant to the provisions of Chapter 615 of the Laws of.1893 of the State of New Y~ork; Chapter 404 of the Laws of 1952 of tile State of New York; the p~o- visions of an ordinance entitled "Southold Town Ordinance Regulating the Placing of Obstructi, ons in and on Town Waters and Public La~ds, and the Removal of Sand, Gravel or .other ~_aterials from Lands under Town Waters", and in accordance with the resolution ~of the Board of Trustees of the Town of Sou/h~old adopted at a meet- ing of said Board on . A~J~i:. 19,..~9~0~ ...... and in consideration of the sum of $20,~)..., lawful F,'loney of the United States, paid by .~t~.,J-~ .~yer residing at .. Ke~y.~'~,.l~ .~,..I~,.~,..~ .... , New ~erk, the said Board of T~astees .of the Town of .So~utheld, SuffoH~ County ~ew York, hereby authorized told pe~x?mts saxd.. ~. ~,. goI~ ....................... to The said . ..~'~. ~,..K~..~'e~. ............ as part .of the consideration for the issuance of this permit does hereby release the said Board of Trustees and the Town of Southold from any and all damages claims for damages or suits that may arise .or occur directly or indirectly as a result of any operation carried on un- der and pursuant to this per,nit, and will az his own expense, defend any and all suits whicI~ 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 full liability with respect thereto to the complete exclusion o£ said Board of Trustees and the Town of Sonthold. THIS PERMIT is subject ~o the fo]lowing terms and conditions: 1. That there shall be no unreasonable interference with navigation as a result of the work herei~ authorized. 2. That there shall be no interference with the right of the public to pass and re- pass along that per,ion of the beach between Iow and high water mark~ 3. That ~he work shah be subject to the supervision and approval of the said Boa~d of Trustees or its agents. 4. That if future operations of the Tow,n of Southold require the removal and/or / alteration in the location of the work t~erein authorized, or if, in the opini,on of the Board ~f Trustees of the Town of Southo]d, such work .shall cause un- reasonable obstruction to free navigation, the said . will be required upon due notice from the said t~oard of Trustees, to remove or alter the loc~tion .of the w. ork hereby, authorized without expense to the Town of Southold, so as to ~cender navigatioh reasonably free and unobstruct- ed. The authority conferred by this permit may be terminated by the Board of Trustees for a failure on the part of the said ............... ..~.g~...~..~.....~..[.~ .............................. to comply with the terms and conditions herein imposed. In the event of such termination, this permit shall be deemed revoked five (.5) days after the date when the Board of Trustees shall mail to the said ................ .....; .................... ~..,..~ .................................... at the address given in his application, c certified copy of a resolution of the 'Board of Trustees directing such termination. 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 o majority of the said Board of Trustees, the day and year above written. seal ...~...~~,~. S.) .. ,~L. S.) .... ...... cL.s.) ... ? ................. IL. S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS .,.?~ .......... day of ......... ~...?.?....~:~.,~.~.. .................... , 1~...~....., before me oersonolly appeared Alvah B. Goldsmith, G~orcJe ~son, J~ F. all personally ~n to me, who, being by me duly sworn, severally said that they each resided in the Town of Southold, County of Suffolk, State of New York, and we~ members of Che Board of ~rustees of said Town of Southold and constituted a majori~ of the same; that they knew the corporate seal of said ~own of Southold, that the seal affixed to ~e foregoing instrument was such corporate seal; that it was so affixed thereunto by order of the Board of Trustees of said Town of Southold and that each one signe~ his name thereto as a Trustee and by like order. ~~' .~~~ Ftle~ ~ ...~: .... MARION A. REGENT ' ' ~.~ ~res March ~. Z~ TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES -TOWN CLERK'S OFF CE SOUTHOLD; 'N,, Y. : amined ..... ..... Applieatlon:o, : APPLICATION. FOR PERMIT INSTRUCTIONS A. This application to be completely filled in by typewriter or in ink and submitted to the To~vn Trustees in dup- licate. B. Plot plan showing location of lot and buildings on premises relation to adjoining premises, public streets, parks. etc., and giving detailed description of proposed layout of project must~b.~ drawn on diagTam Which is part of this applica¢ion. C. The w~ork covered by this application may not be commenced before the issuance of a permit. D. Upon approval of this application, Town Trustees will issue a permit to applicant. Such permit shall be kept on the premises and available for inspection at ail times. E. Applicant shah notify the Board of Trustees upon completion of the work covered by permit. APPLICATION IS HEREBY MADE to the Board of Trustees o£ the To~vn of Southold, Suffolk County, New York, {or the issuance of a permit pursuant ro the laws. Ordinances and regulations governing construction of: docks. piers, bulkheads, jetrys and dredging in, under, and over the ~va~ers of Town of Southold. The applicant agrees to comply with all applicable laws. ordinances, regulations and conditions specified by said ffustees, and to hold the Town of Southold. and all Town' ~ of any kind. Name o~ Owner of Premi Street Address of ~ Home Address If Other Than Location Creek. Bay Permits Requested To: .~.. .~:'..~..~.?..~-'.~. "''"'~'~'----'-- ' Proposed Work: Length ~..:... Heighth Above High ~Vater/~f.~..t~ .~.il. ...... Size Depth Below Low Water .............. Average Rise In ro Be Excavated :.~-...~.. ' .... Creek or Bay Fronting P~perty .1,~.~.~ , Depth ar Low Tide .~..~...~.~.~.,~ Width Canal, Is This For Private or Business Use? .... /~. C?..~.~.~..e ....................... Area Zoning A '~' Complete plo't plan to be drawn on reverse side of this application. STATE OF NEW YORK ). c- )S.S. : ................... 1-. ~,' Y ' P Y . ' pp ' t for the above described permit, an~ ~hat all statements Contained herein are true to the- best of his knowledge and belief; that the work Will be done in the manner set forth in the application an~: a~ approved by the Board Southold; and the applicant agrees to hold the Town of 'SohtBold ~said trustees harmless and free from any and ali damages and clMms arising 'under or by virtue o~ said permit~ ) ~ - CppI'cant)