HomeMy WebLinkAboutTR-2070 GFBoard Of $outhold Town Trustees
NEW YORK
Mooring No. N/A
PERMIT NO ...... ~.O.2.0 DATE: ~.~ '.. ~,~.x..,.198-~
Pursuant fo the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the L.~ws of the
State of New York 1952: and the Soufhold Town Ordinance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL Of SAND, ~=RAVEL OR 'OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution o{ The Board adopted afa meeting held on ~P.'~.~....;~..~.,
19_..~.~., and in consideration of the sum of $...~.~_9.Q ........ paid by
.................. ~ ~ ;~,~.~._.~.~... ~;~!~ ~.... ~.E.~.~.~. ..........................................
of ....~.9~9~.?] ........................................................ N. Y. and subiect to the
Terms and Conditions listed on the reverse side hereof,
of Soufhold Town Trustees authorizes and perm;ts the followina:
Application approved under the Grandfather Clause
to secure a permit for a dock in Goose Creek,
Southold~ all ~n accordance with the applicgtion
submitted.
ali in accordance with the detailed specifications as presented in
the originating application.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes ifs Corporate Seal ~'o be affixed, and these presents to
subscribed by a majority of the s_e~..er~rd as of ~is da~.
~.~_,..J~ ~~
~ ~'~ ~ ~~..~~.~~ ~ ~ ................... ~ ..........
Please tear off and return to the Trustee Office.
Board Of South°Id Town Trustees
SOUTHOLD, NEW' YORK
Mooring Permit No. Date:
Mooring No.
I, certify that 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 clearly visible.. I further understand this permit is not valid
until this tear off sheet is returned to the Trustee Office.
TERMS and CONDITIONS
The Permirtee
residing at lq'. ¥o, ~
lowNg: l. That the Trustee Pen~it most be prc~inen%iy displayed on the pr~mises
effected thereby during the period of work under the permit.
1o That the said Board of Trustees and the Town of Southold axe released from any and
ali damages, or dnlmn for d.m.ges, of suits arising directly or indirectly as a result of any oper-
ation performed pursuant to this permit, and the said Permittee will. at his. or her own exTeme,
defend any and ail such suits initiated by third parties, and the said Permktee assumes foZi liabili~
with respect thereto, to the complete exdoslon of the Board of Trustees of the Town of Sotw~hold
2. That this Permit is valid for a l:~tiod of" 12 mos. which is considered to be the
estimated rime required to complete the work involved, but should clrcumstance~ warrant, zc~uest
for an ex're_os'ion may be made to the Board at a later date,
3. That this Permit should be retained indefinitely, or as long as the said Permirtee wishes
to maimain the stmctore or project involved, to provide evidence ro anyone concerned that auth-
orization was originally obtained.
4. That the work involved will be subject to the inspection and approval of the Board or
its agents, and non-compliance with the provisions of the originating application, may be cause for
revocation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation as a result of the work
herein authorized.
6. That there shall be no interference with the fight of the public to pass and repass along
the beach between high and low water marks.
7. That ff future operations of the Town of Southold require the removal and/or alterations
in the location of the work herein authorized, or if, in the opinion of the Board of Trastees, the
work shall cause unreasonable obstrucaon to free navigation, the said Permlttee ~511 be require~
upon due notice, to remove or alter this work or project herein stated without expenses to the Town
of Southold.
8. That the said Board will be notified by the Permittee or the completion of the work auth-
orized.
9. That the Permittee will obtain all other permits and coments .that may be required
plemental to this permit which may be subject to revoke upon failure to obi,;- same.
(See Lear of~ sheet.)
Name of Creek:
BOARD OF TOWN TRUSTEES
TO~,~N OF gOD. HOLD
Town Hall_ 53095 Main Road
P.O. Box 728
Southold, New York 11971
TELEPHONE
f516~ 765-1892
GRANDFATHER APPLICATION
2. Address o£ Applicant:
3. Telephone Number: _~g 5 ~-[fl 0 ~
4, Year o£ Construction: T~Lt~ ~
5. Sketch of the work including sizes:
/2
6. Mark off on the map attached, where your property
using an X.
Pie se t ~
a no e that there is a $o.o~ing fee, which
fee, %or this application.
ms located
is a one time
Mooring Applications- $5.00 ~pplication Fee and a $5.00 annual
fee each year.
renewal
./