HomeMy WebLinkAboutTR-413 TOW'N OF SOUTHOLD
BOARD OF TOVVN TRUSTEES
Pursuant to the provisions ,of Chapter 615 of the Laws of 1893 of the State
of New York; Chapter 404 of the Laws of 1952 of the State of New york;the pro-
vim,ohs of an ordinance entitled "Southold Town Ordinance Regulating the Placing
of Obsi~ctions in and on To~n Waters 'and Public Lands, and ~e ~emovalof Sand,
Gravel or other ~¢ateriaM from Lands under Town Waters", and~ accocdan~ with
the resol~on of the ~oard ,of Trustees of the Town of South,old adopted ate m~t-
mg of ~id Board on ...~. ~,. ~957 ........ and in consideration of ~he sum
of 2. JgSJ*~., la,,~ul money of me Un,ted States, paid by .~.~. ~.
residing.at .... ~.~,~..~ .................... New ~k, the s~d
Board O~ Trustees of the 'To~ ol Southold, Count, New York, he,by
aumeriX~: ~d permits Said ..... .~¢~.~ ......................... to
the
may arise
der and
suits
............ as par~ of the consideration
hereby release the said Board of Trustees and
and ail damages claims for damages or suits that
or indirectly as a result of any operation carried on un-
permit, and will at his own expense, defend any and .all
by third par*des, 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 complcte exclusion of said Board of Trustees
and the Town of Southold.
THZS PEBS[ZT is subject to the following terms and conditions:
t. That there shall be no tmreasonable interference with navigation as a result ,of
the %york herein authorized.
2. That there shall be no interference with the right of the public to pass and re-
pass along that potion of the beach between low and high water mark.
3. That the work shall be subject to the supervision and approval of the said
Board of Trustees or its agents.
4. That if future operations of the Tow,n of Southold reqmre the removal and/or
alteration in the location of the work herein authorized, or if, in the opinion
of the Board of Trustees of the Town of Southold, such work .shah cause un-
reasonable obstruction to free navigation, the said .l~..~l~t~c]. ~¢¢~.~ .......
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 .............. ~?..~..?.~..~......~....~.~ .................................... to
comply with the terms and conditions herein imposed. In them event of such termination,
this permit sh~ll be deemed revoked five (5) days after the d~e when the Board of
Trustees shall mail to the said ......... :..: ........ ; .......... .. .............. . .............................. , ..... at the
address given in his applicat on, o certified copy of a resolution of the Board of Trustees
directing such termination.
IN WITNESS WHEREOF, the said Board of Trustees of theTown 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.
.......
STATE OF NEW~ YORK )
SS:
CO.UNT~ OF SUFFOLK )
I ?th AuguSt. 67
ON TH S .................... day of ..................................................... t9 ........ , before me
personally appeared A].V~I~ B. ~o1~t~h, ~k' ~O~, Jo~ F.
Mc~ulty, ~ a~d Douglas ~obertson,
oil personally 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 ~ majority of the same; that they
knew the corporate seal of said Town of Southo]d; that the seal affixed to the foregoing
instrument was such corporate sea; that it was so affixed thereunto by order of the
Board of Trustees of said Town of Southold and that each one signed his name thereto as
a Trustee and by like order.
Notary Public ~ '
NOTARY PUBLIC, State ~f ~"~ew York
J~o, 52-3233120 SUHo~R Count
FO]EM NO. l
TOWN OF $OUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Disapproved a/c .......:......,.......o.......,... .. ;.. ~ ...... , ~ .~.Z ......
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 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 be drawn on diagram which is part
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 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 MADE to 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 waters of Town of Southold. The applicant agrees
to comply with all applicable laws. ordinances, regulations and conditions specified by said trustees, and to hold
the Town of Southold, and all.~.~e.. '// ~/--/-/'~ ~~ /~r~////T~m~'°fficlals ~free :[rom liab>'~i~y~nfl~, damases of an_v kind.
~ome address ~ Other Than ~ocation .....................................................................
Permit Requested To: .......
Width of Canal, Creek or Bay Fronting Property ...................... Depth at Low Tide .....................
~Is This For Private or Business U~e? ............... Area Zoning ..........
..'~ Complete plot plan ro be drawn on reverse side of this application.
STATE OF NEW YORK )
)S.S.
COUNTY OF )
Sworn to before me this ...... /..O.. :'T..day of..,
Notary p .. unty
................................ being duly sworn deposes and says that he is the applicant for:;the above
scribed 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 Soufhold. and the applicant agrees ~o hold the Town of Southold and said trustees harmless and free from any
and all damages and claims arising under or by virtue of said permit.
~ (applicant)