The URL can be used to link to this page

Home My WebLink AboutNELSON, ANN MARIEBflARD rlf TE]WN TRUSTEES TFIWN 1:3F S~LITHI-ILD November 14, 1967 Mrs. Ann Marie Nelson 34 Rocky~ood.Road Manhassett, New York Dear Mrs. Nelson; The Southold To~rn ~rustees reviewed your application to dredge in Goose Creek at their meeting on November 13, 1967. The Trustees request that you indicate on your application, which I am enclosing, wh~ you intend to place the excavated material. This information is necessary bsf~re a permit can be issued. Very truly yours, South01d Town TrusSes Marion A. Regent, Sec. TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............................... 19 ..... Application No ................... Approved ............................................. -- Permit No ............................. Disapproved a/c ............................................................................................. ..................................................... chairman, Board of Trustees APPLICATION FOR PERMIT INSTRUCTIONS A. This application to be completely filled in by typewriter or in ink and submitted to the Town Trus'~ees 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 be drawn on diagram which is par~ of this application. C. The work 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 av/dlable for inspection at alt times. E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit. APPLICATION IS HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk County, New York. for ;he issuance of a permit pursuant ro the laws,,Ordinances and regulations governing construction of: docks. piers, bulkheads, jettys and dredging in, under, and over the waters of Town o~ Southold. The applicant agrees to comply with all applicable la~vs, ordinances, regulations and conditions specified by said trustees, and to hold the Town of Southold. and all Town officials fre~om liability and damages of ~ny.kind.~ Name o{ Owner o} Premises ............. ~...~...~ .......... Street Address of Proper~y ........... ,. ~~ Creek, Bay or Harbor Fronting Property ...... ~~~ ~ ~ ..... ~ -~ ... . , ff... Permits Requested To: .. ~b.~.. ~~.. ~ ~.L/f~..~t ~ .~)P~(T.~.. ~:.. Size of Proposed Work: Length .... ~.. Width ..~Z~. Heighth Above High Water .............. Depth Below Low Water .. ~.~ ~Average Rise In Tide . .~.. Yards to Be Excavated ~.~ Width of Canal, Creek or Bay Fronting Property ~ k~d~. ~F ~[~h at Low Tide . .~ ~.~.~ ...... Is This For Pf[~ate or Business Use? ..... ~.~ ............................. Area Zoning .~f~F/~ Complete plot.plan to be drown on reverse side of this application. STATE OF NEW YORK ) COUNTY OFS)/~d'--'~~-~'-/~?)S'$') ~f~,~.. ~/fl.~,2~ .... being duly s,vorn deposes and says that he is the applicant for the above described permit, and 'that all statements contained herein are true [o the best of his knowledge and belief; that the work will be done in the manner seJ forth in the application and as approved by the Board of Trustees of the Town of Southold, and the applicant agrees to hold the Town of Southold and sa£d trustees harmless and free from any and all damages and claims arising under or by virtue of said permit. ............. (applicant) Sworn to before me this .... ./..~.-..~.. .... day of. ..... ..~--~ ........ 19..0(.:. Notary public ., unty of ..... -~ADELINE CA~.D~/ NO 30-5609650 FOI{.~[ NO. I TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................................ 19 ..... Application No ................... Approved ............................................. " Permit No ............................. Disapproved a/c ............................................................................................. ..................................................... chairman, Board of Trustees 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 premtses, public streets, parks. ere and giving 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 nor be commenced before the issuance of a permit. D., Upon approval of this application, Town Trustees will issub a permi't to applicant. Such permit shall be kept on the premises and available for inspection at all times. E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit. APPLICATION IS HEREBY lViADE to the Board of Trustees of the Town of Southold. Suffolk County, New York; [or the issuance of a permit pursuan't to the laws. Ordinances and regulations governing construction of: docks. piers, bulkheads, iettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees ro comply with all applicable laws ordinances, regulations and co~_~di~tions specified by said trustees, and to hold the Town of Sodthold, and all Town o~~liability~and(.~;~ld~ ~ 3~ da~a~e~of j~fly klnd~.~ /~.~t~" Name of Owner of Premises .... .~.."7,...?:~?..~g..~.~ ....... ~ .'-_-..~..-..~..~ ......... ~..; .... ~. ..... Street Address of Property .... Home Address If Other Than Loc~ ~~~/~~~ Size of Proposed Work:Length . ./.t~.~ .~.~.. .... -~Vidth . .~Z} ...... Hmghth Above High Water .. .... Depth Below Low Water.. i~..T.~Average Rise In Tide.. ~..~..~: .~.~ .. Yards to B;E~ckva~red .~../.~.{~.ff~ Width of CanaL. Creek or Bay Fronting Property 0. Zk.~.[ .~-&.~2T'. d/~/~/.//J(.~-~q~epth"~ at Low Tide/...~...3.'~..TT~ ....... Is This For Private or Business Use? ....... .~.~..2..~ .......................... Area Zoning . ~...Z..-.S./. Complete plot plan to be drawn on reverse side of this application. STATE OF NEW YORK ) COUNTY ) permit, and that all statements contained here£n are true to the best of big knowledge ~and belief; that the work Sonthold,Wili be dOneandinthe applicantthe manrter se~ forth in hoIdthe a~plicationd~e.Town and as appro~red by the Board o~ Trustees of the Town of agrees ~o o~ Southold~ ~nd sa~d trustees harmless and free from an~ a~d :alt damages~¢d c~a{~ ,,arising under or by vitt~ ~ai~ pbrm{~~ ' - ,. ~ .......... ~ ~ ' '(applicant) Notary ptbh~~~' ~ county of ~~ADELI~ CA~ No. 30~S609650 [e~m Expires March 30, [9~