HomeMy WebLinkAboutTR-1778ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUMBERS
ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PE~IT NUMBERS
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
Mooring # N/A
PERMIT NO. 13.18 ............
DATE:
ISSUED TO ........... .~-.~e..~.....~.:...~.~.~.~.,~....~.. t ............................................................
Attthnrt at ott
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the L,.aws of the
State of New York 1952; and the Southold Town Ordinance en-
titled "REC=ULATINC= AND THE PLACINC= OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, C=RAVEL OR OTHER MATERIALS I:ROM
LANDS UNDER TOWN WATERS;" and in accordance wlth the
Resolution of The Board adopted at a meeting held on
19._..~.~., and ~n cons~deratlon of the sum of $ ~.~..~.~ ........ paid by
................................................ ~....~.,.....~.~b ,.....~.,. .....................................................
Of ......~Qg.~.]~ ....................................................... N. Y. and subject fo the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
AppZ£cation approved 'co repair in p/ace a~d in
kind, ~he existing jetty in front of ycur
property on Town Creek, Southold.
ail in accordance with the detalJed specifications as presented in
the orlglnafing application.
IN WITNESS WHEREOF, The sald Board of Trustees h,ere-
by causes ~ts Corporate Seal to be affixed, and these presents to
be subscribed by a majority of the said Board as of this da~e.
Please tear off and re~urn
Board Of
MOORING NO.
PERMIT NO.
ISSU£D TO
to the Trustees
$outhold Town Trustees
SOUTHOLD NEW YORK
17?8 DATE: ~983
James H. Rich, Jr.
I, certify that
in this permit has been completed and %s no~ ready
tien. Also, tke number required on tkis project is
I further understand tkis permit is no~ valid until
is re;urned to the Trustees.
the work as authorized
for your inspec-
clearly visible.
this tear sheet
TERMS and CONDITIONS
The Permi~ee Mr. James H. Rich, Jr.
1470 Hobart Road, Southold N. ¥., ~
residing at
part of the consideration for the issuance of the Permit does understand and prescx-ibe to tbu fol-
lowing: 1. That the Southold Trustees Permit must be prominently
dispiayed On the premises effected thereby during th.e period of k
-" That the said Board of Trustees and the Town o~ Southold axe released from any and ,wor
all damage% or dalm~ for damages, of suits arising directly or indirectly as a result of any ope. r- ~unde~
defemd an and all such stats xmtiated by third parnes, and the smd Permattee assumes ~tY
with resp~t thereto, to the complete exclusion of the Board of Trustees of the Town of Southold
3~ That this Permit is valid for a period of 1 ?. mos. which is considered to be th~
sufficient rime required m complete the work involved, but should citoamstances warrant, request
for aa extemion may be made to the Board at a later date.
4.~ That this Permit should be retained indefinitely, or as long as she said Permirtee wishes
to maintain the structure or project involved, to provide evidence ro anyone concerned that antho
orization was originally obtained.
5~ That .the work involved wl/1 be subject to the inspocdon and approvaI of tim Board ot
its agents, and 'non-compliance with the provisinns of the originating application, may be cause for
revocation of this Permit by resolution of the said Bcra~d.
6. That there will be no tmreasonable interference with navigation as a result of the work
herein au&orized, c~ ---
7.. That there shall be nc interference with the right of the public to pass and repass along
the beach between high and low water marks.
$. That if fui:oxe 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 Truste~, the
work shall cause uureasonable obstroctmn to free navigation, the said Permittee will be required,
upon due notice, to remove or alter this work or project herein stated without expenses to the Town
of Southold.
9. That ~e said Board will be notified by the Permirtee ox ~he completion of the work auth-
orized. (See tear off sheeL.)
10. That the Permitree wiU obtain all other permits and consents that may be required sup-
Piemental to this permit which may be subject to revoke upon failure to obtain same.
ALL DOCKS AND BULK-
HEADS MUST DISPLAY ....
VISIBLE PERMIT NUMBERS.
ALL MOORINGS AND
STAKES MUST DISPLAY
VISIBLE MOORING NUMBERS.
BOARD OF TOWN, TRUSTEES
TOWNiOF SOUTHOLD
Main Road
Southold, New York 11971
Telephone
(516-765-1892)
P/1
NOTICE OF ACTION - NOT A PERMI,T
_ ~ _ 11/4/83
1. Your application, aa~eo ......... ; ........................ has been reviewed by
this Board, at a meeting of the Trustees held 12/13/83
and resulting in the action, as indicated below:
Application approved.
Application denied.
Application tabled.
Comments and remarks:
Your application has been approved at the December 13, 1983
Mee%ing. This permit is approved with the provision that
all work is done in kind and in place__.
If your application is approved above, a Permit Fee is now due, and
should be made payable to the order of the Board of Southold Town
Trustees. This fee is computed below according to the Schedule of
Rates as set forth in the Instruction Sheet (Form 1/1). This fee must
be paid within 90 days or reapplication and additional fee will be
necessary.
if the Permit Fee is paid in person to the Clerk of the Board, the Permit
will be obtainable at the same time. If the fee is paid by mail, the Permit
will be mailed in reply.
Computation of Permit Fee:
Total Fee for this application ............................. $.. ~....o~.'.
Signed. .
President, Board of Southold Town Trustees
Clerk, Board of SoO'thOId Town I run, tees
NA~L~
BOARD OF TOWN TEUSTEE5
Town Of $outhc4d
Seuthold. New York ]'1971
~[aln t~oad
APPLICATION FOR A BULKHEAD. D1KE, OR JETTY
I. Does this prelect involve the use of Wb-"TLANDS os defined in the Southoid Town Wetlands
Ordinance? YES or NO, ff it does. you must-file through the Town Clerk's Office.
2. Is the pro~osed work entirely within the boundaries of your own property os substantiated
by your Deed or Survey? YES or NO, If it is, a-Petmlt is NOT required from this Board,
but the Town Building Inspector should be contacted for full details,
3. Applicant's nome and address: ..... X:. . Jh( .............................................
· ......................
....... .................................................
........ ...... ............. .............
6. After 'ssuance of Permit.work muse be comoleted within one year.
.LAP. GE
7. S¢CLJre th~ correct Area MOD from the Clerk of this Soarg. and Dy U~[~g~/ X
A C~RCLE cs a mark, indicate as closely os possible the ~ocation of this prolecr~ On the
reverse side, provide c SCALE D~WING which will show Ordincry High W~ter Mcrk as
as the size one shape of the structure or work *o be done. Also include alt dimensions for
pardons which exreno offshore from the O. H. W. M. S~aOe hd3acenC prcper~7
owners.
8. PrcvJde the fo~Jow[ng documents:
-- fa) A Licensee 5mg~n~er's 5~n~ev of ~h~ properW JnvoJve~,
- (b) ~ copy of the Contractor's ~[an and
-(c) Short Environmen~a! Assessmen~ Forte.
9. Does this prelect extend into Town '~%ters beyond on imagma~ ]}~e~o~ndary formed
bs; existing wor~s of o similar nature along this orea's shoreline? YES o~lr ~t does, state
the approximate distcnce beyond, ............
10. V/ill ~his construction require ~he F~llin9 of ~ny !and offshore of rne Ord;naW~gh
&¢~ork ar the Dredging of ¢n~ material from Town Lands under wcter? YE5 or¢O¢if it ooes,
Form A/4 (Agpli~ation for Dredging/F[Jiing) must be completed and ~trached ~ort of this
¢ppJiccfion.
] J. In refluesting cpprovoi of this appJic~fion, I submit that: the information presented here~n
is true and correct re the best of my kncwledge and belief; I am the person eccountab!e for
fme performance of the work in accordance wi~h the piot]s amd soec[Ficat[ons attached; J have
reaa or om ¢~m~fior w~th the orovisJons of any 5cuthoid Town Ordinance perrment to the work
involved: and further. ~ inten) to adhere to aha abide by the Terms and Conditions of
Permit, when and if issued ~o me.
12. TO EXPEDITE FINDING SPECZFZC LOCATION FOR INSPECTION, INDZCATE
BY USING A TE~,[PO~RY M~qRKER.[~.~ e ~ ~
A/3 Rev. 2/82 L.