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Home My WebLink AboutTR-1203Board Of , :-SouthOld :Town Trustees SOUTHOLD, NEW YORK nI'l ari atinn Pursuanf fo fhe prov~.slons of C;hep~'er $15 of ~'he Laws of ~he Stale ~ New York~ 1~93, and ~ap~r ~4 of ~he Laws Sfafe of New 'York~ 19~2;- and .~he Sou~old Town Ordinance. Y,+ied "RE~U~?IN~ ~AND THE P~O~ OF ~STRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the ~R~VAL ~ S~ND, ~RAVEL OR OTHER'~ATERIALS FROM LANDS UNDER TOWN WATERS~" an8 in ~oraance wi~ ~he Resolution o~ The Boa~ adoPfed af ~ meeting held on .~.~ 6, t9.._._7~ and in con~derafion of fha sum of $ ...~.e..g.9. ......... paid by E ~....~i~o.,.....B.o~.~.~o~d.,.... S~hol~,...~. ................................... ' ~chard C. ~la~, Tepee Tra~,..Sou~hq~d, ~.~,. o ......................................................................................... N. 1. a,a Su~le~t to Terms aha Co~Si~Jo,s isfe~ o~ 'fha reverse sia~ hereo~, Of Soufhold Town 'Trust's author~es and perm;~ +he following: all in accordance wi~,-k ~'he de~'ailed specifications as presenfed in ~'he originating appllca~'ion. IN WITNESS WHEREOF, The said Board of Trusfees here- ' by causes, ifs Corporate S.e. al ~'o be affixed, and ~hese p.resen~s ~ro ' ' be Subscribed by a maior,'ry of +he said Board as of ~h,s dante. ........ ................ Trustees TERMS end CONDITIONS ~ T~ Per _m~3~_ . Frank Rico,. Bow Road, Sou~hold, N.Y. & Richard C Hitary, Teepe Trail, $outhold~. y~ ~ parr of the consld~ration for ~ ~ce of ~e Pe~'d~ ~d~d ~ p~ to ~e ~ol- 1. That the said Board of Trustees and the Town of Southotd are released from any and all damage% or. ~l~irn~ for d~m~ges, of suits arising dh~y or indirectly as a result of any opex- adon perfon~ed p~rsua~t to this perwit, and the said Pe~mi~tee w~l, at his o~ he~ own expeme, defend any and all such suits initiated by ~hird parties, and the said Permittee assumes fixtl tJahi/ity with respect thereto, to the complete exchtsion of the ~Soard of Trustees of the Town of Southold 2. That this Permit is valid for a p~od of 12 mog which is considered to be the est/mated time required to complete the work involved, but should drcamsmoces warrant, recf~est for an exzension .ma.v be made to the Board ar a later date~ 5. That this Per't-should be retained indefinitely, or as long as the said Permiteee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that a~h- orization was origitmlly obtained. 4. That the work involved wilI be subject ro dae inspection and approval of the Board or irs agents, and non-complimace with the provisions of the odghaating application, may be cause for revocatxon of this Pe,tmi_t by resolution of the said Board. ~ ... _. :3 '. - 5. That there will be no ufirtmsdnabI& interference wiLh' 'fiavigation as a result of the work her odua authorize& 6. That there shall be no interference with the right of the public to pass and repass ai0~g the beach between high and Iow water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in tbe location of the work herein authorized, ot if, in the opinion of the Board of Trustee% the wozk sh~.dl cause uoxeasonable obstruct;on to free nav~gatinn, the said Pertt~ttee will be requit~ upon due notice, ro remove or alter dais work o~ project herein stated without expenses to the Town of SoutholcL 8. That the said Board will be notified by the Permittee ox the completion of the work ar~a- o£aed. 9. That the Perxrffttee will obtain all other permits and consents that may be re~&~ed sap- plemental to ~ permit which may be subject to revoke upon failuxe to obtain same. BOARD OF TOWN TRUSTEES Town O~ Southold Main Road $outhold, New York 11971 APPLICATION FOR FIXED and for FLOATING DOCKS 2. Contractor's name and address: ..................................................................................................... .................................. ...... ........ 3. Briefly explain the purpose of this application: ...~J~.~.......~:~.~.'~.......~..~......~.~.~.~..... ...... .......... ...... by ........ ....... II 4. After issuance of a Permit, I expect to: (mark by an X~ ia) Commence work AT ONCE ............ , ASAP ............ ; UNKNOWN ............. (b) Complete work in -- ] DAY ............ ; I MO ............. ; ] YR ............. ; FUTURE ............. 5. Secure the correct Area Map from the Secretary of this Board, and by using on X WITHIN A CIRCLE indicate as closely os possible the location of this dock. On the reverse side of'this map, provide a SCALE DRAWING which will show Ordinary High Water Mark, the shape and size of the dock and any supplemental pilings which ere needed to hold o floating dock or tie-up a boat. Give oil dimensions necessary to determine the area of the dock surface which extends offshore from the O. H. W. M. 6. Will any portion of this construction extend offshore into Town W?,ters beyond an magjj~,m~' line or boundary formed by other similar structures along the areas shore ne? YES o~'NO.,~ if it does extend beyond this so-called dock line indicate by how far, approximately ........ ..,'J~l___________.~~. Provide the following documents: ia) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. 8. WilJ this construction require the Filling of any land offshore of the Ordinai~kJ. igh Water Mark or the Dredging of any material from Town Lands under waterP YES or~NO.I If it does Form Al4 (Application for Dredging/Filling) must be completed and a'ttached ~'~ert of tHi~ application. In requesting approval of this application, submit that: the information presented herein is true and correct to the best of mv knowledge and belief; I am the person accountable for the performance of the work in accordance with the plans and specifications attached; I have read or am familiar with the provisions of any Southoid Town Ordinance pertinent to the work involved; and further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. ~Accepted by: Dated: '- ' · ': : ? 'L