HomeMy WebLinkAboutTR-584TOVVN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
?E tSf T NO ...... ....
Pursuant ~o the provisions of Chapter 615 of the Laws of 1893 of the Stat(
of New York; Chapter 404 of the Laws of 1952 of the State of New York; the pr, c-
visions of an ordinmnce entitled "Southo!d Town Ordinsmce Regulating the P1aein~
of Obstructi, ons in and on Town Waters and Public Lands, and the Removal of Sand]
Gravel or ,other Materials from Lands under Town Waters", and in accordance with
the resolution of the Board of Trustees of the Town of Southold adopted at a meet-
ing of said Board on ...F~..~+l .2.,.. 1~.7.0 ........ and in consideration of the sum
of S..~.~,{~-.., [awful money of the United States, paid by .~o. ,~J. te~.t .....
residing at . .. ?.i.~.e...~.~.q~:. ~C~,.. ~Oul:b, ol~l ............ , New ~ork, the said
Board of Trustees of the Town of Southold, Suffolk County, New York, hereb~
authorized and permits said ...... .WiLLiam .Po~ll~t ..................... to
redredge channel along property to restore storm and
hurricane damage in Jockey Creek, all in accordance wi~h
the application submitted.
The smd ....~.~.~..~.~.m...~.o.:~..~l~ .............. , as part ,of the conmderatior~
for the issuance of this permit does hereby release the said Board of Trustees and[
the Tovcn of Southold from any and ail damages claims for damages or suits tha~
,.nay arise ~or occur directly or indirectly as a result of any operation carried on un-I
der and pursuant to this permit, and will at his own expense, defend any and allI
suits which may be brought by third parties, as a result of any operation carriedI
on pursuant to .or in accordance,,v_~ith the terms of this permit, and assume full
liability with respect thereto to the complete exclusion of said Board of Trustees
and the Town of SouthoId.
THIS PERMIT is subject to the following terms and conditions:
1. That there shall be no unreasonable interference with navigation as a result of
the work herein authorized. ~
2. That there shall be no interference with the right of the public to pass and re-
pass along that portion of the beach between low and high water mark. said
3. That the work shall be subject to the .supervision .and approval of the
Board of Trustees or its agents.
4. That if future operations of the Tow.n of 8outhold require the removal and/or
alteration in the location of the work herein authorized, or if, in the opini, on
of the Board of Trustees of the Town of Southold, suc.h, work mb. all cause un-[
reasonable obstruction to free navigation, the said ...~.i.~.~.i.~..m..P..o.l.l.~..r.~....
will be required upon due notice from the said Board of TrusteeS, to remove
or alter the location of the work hereby authorized without expense to the
Town of Southold, so as t,o render navigation 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 ............. ~. ,i.~/:.i..a...~.,...P..o...t..]:.~.~, .......... ........................ 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 Che said ........... ~.$.~.,[.~a...m.._?..o...~.[.e..~. .................................... at the
address given in his application, a 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
a majority of the said Board of Trustees, the day and year above written.
seo (L.
....... L, S.'
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
ON THIS ..... ..~.~ ....... day of ........... ~-~.~ ............................ , 19.,....7..O, before me
~)ersonally appeared Alvah B. Goldsmith, Fra.~.~ Dawson, John F.
~4~Nulty, ~ and Douglas ~obertson,
aJJ personoJiy known
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 were members of the Board of
Trustees of said Town of Southold and constituted a majority of the same; that they
knew the corporate seat of said Town of SouthoJd; that the seal affixed to thc foregoing
instrument was such corporate seal; that it was so affixed thereuntO by order of the
Board of Trustees of said Town of Southold end that each one signed his name thereto es
a Trustee and by like order.
Filed ~
Notary Public
Term Expires
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ................................ !9' .....
Approved .............................................
Application No ...................
Permit No ..... .~.~. ~7...¢ .............
Disapproved ale ....................................................................................... : .....
..................................................... chairman. Board of Trustees
APPLICATION FOR PERMIT
INSTRUCTIONS
A. This application to be comlSletely 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, reIation to adjoining premises, public streets, parks.
etc.. and giving detailed description of proposed layout of project must be drawn on diagram which is part of this
applica'tion. -
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 msne a permit to applicant. Such permit shall be kept on
the premises and available for inspection at ali times.
E~ Applicant shall notify the Board of Trustees upon completion of the work covered by permit.
APPLICATION IS HEREBY MADE ro the Board of Trustees of the Town of Southold, Suffolk County, New'
York. for the issuance of a permit pursuant to the laws. Ordinances and regulations governing construction of: docks.
piers bulkheads, jettys and dredging in, under, and over the wamrs of Town of Southold. The applicant agrees
to comply with ali applicable laws. ordinances, regulations and condifions specified by said trustees, and ro hold the
Town of Southold. and all Town officials free from liability and damages of any kind.
Name of Owner of Premises ..... ~:[~].~;a~ .Pt~.~ ........................................................
Street Address of Property ....... P'~it~ .1~{~ .~O~1..~ -~qOtl~l~l,.. ~]~,-~ .............................
Home Address If Other Than Location ......................................................................
Creek, Bay or Harbor Fronting Property .... .~.1~1~.~.~..t~.O0}g .................................................
Permits Requested To: J~OglRt~tgll~. ~1~1~ .a~lo~g.
Size of Proposed Work: Lengtl~l~O~7~~. ~[~- Width ............ Heighth Above High Water .............
Depth Below Low YVater .............. Average Rise In Tide . ~? ......... Yards to Be Excavated
Width of Canal, Creek or Bay Fronting Property . ~.07 ................ Depth at Low Tide -~/6.;g%. .......
Is This For Private or Business Use? .' .......... .~,.~.~..'~...~.~. .................. Area Zoning . ..~. ................
Complete plot plan to, be drawn on reverse side of this application.
STATE OF NEW YORK )
)s.s.
COUNTY OF )
............................ being duly sworn deposes and says that he is the applicant for the above described
permit, and 'that 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 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 harrcl~s and free from any and
all damages and claims arising under or by virtue ol said permit