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Home My WebLink AboutTR-4148 GFBoard 'Of $outhold Town Trustees SOUTHOLD NEW YORK PERMIT NO. 4148 DATE: ...... 4/c~2/.93 . ISSUED TO ...... ul'hortzat on Pursuant to fha provisions of Chap'~er 615 of the Laws of the State of New York, 1893; and Chapter 404 of the L.aws of the State of New York 1982: and the Southold Town Ordinance en- titled "REC=ULATINC= AND THE PLAC/NC= 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 of The Board adopted at a meeting held on .4/29 19 9,3and in consideration of the sum of $ paid by of N.Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Grandfather Permit so replace dock inki~d/i~place as per survey. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The sald Board of Trustees I~ere- by causes its Corporate Seal to be affixed, and these presents to be subscribed by e maiorlty of ~e said Board as of this da~e. TRUSTEES SUPERV~OR ~hn M. B~demeyen ~. Pr~ident SCOTT L HARR~ Albert J. Kmps~. ~. Vice P~dent Hen~ E Smith Town Hall John B. Tuthill 53095 Main Road William G. Albe~son Re. Box 1179 Southo~. New York 11971 %lephone ~1~765-1892 hx ~1~ 765-1823 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD 30 year Maintenance Agreement Erosion Protection Structures Chapter 37 Southold Town Code Southotd Trustees as Administrator I (we) ~ ~7~- /~--~0 7"~/'~/t"/fi6/~ type or print name(s) the owners of record of p~operty at: ~ ~ /~ ~LL~ /~/~ (type or print street address) SCTM ~1000- in applying for a Coastal Erosion permit for an Erosion Protection Structure do hereby agree to a 30 ~ar maintenance program for a structure commonly known as a ~o~/~ · of ~ ~- as shown on the attached feet of length licensed survey of the as-built structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and or equivalent to the original approved structure and that for any .maintenance which involves more than 5% in length of this structure we are to give prior written notice to the ~dministrator, waiting for their approval in all but true emergency situation's which would seriously endanger life, property and important coastal natural resource features such as bluffs or wetlands. We further understand that failure to maintain the structure could result in a requirement to post a bond and or have the repairs ordered as a lien against the property upon a finding by the Trustees that said lack of mainEenance would risk life, property or important Batural a nimalsreS°urCeSandfeatureSplants, including(~d~~pr°tected~~-~t~------~~ ~ or threatened Notarized Signature of owner of record SWORN TO BEFORE ME THIS DAY OF ,19 NOTARY PUBLIC lease submit three copies of a licensed land survey made within ne year of the original construction. This maintenance greement shall only be valid upon the final approval of the dministrator. Subsequent owners may apply to the Southold Town Trustees to re-authorize this maintenance agreement. TRUSTEES SUPERVISOR John M. Bredemeyer. III. President SCOTT L. HARRIS Albert J. Krupski. Jr.. Vice Presidenl Henry P. Smith Town Hall John B. Tuthill 53095 Main Road William G. Albertson P.O. Box 1179 Telephone (516) 765-1892 Southold. New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only: DATE REC.: g~Coastal Erosion Permit Application __Coastal Erosion Variance Application APR 1 4 Wetland Permit Application Waiver from Chapter 97(Application/peraw~ --Trus~tee Lands Permit Application D] lB ~ ~ ! ~' ~ ~Grandfath~er Permit Application ~'~- Completed Apps..Date: Ill Inspection date. ~m APR l~ [~ CAC comments-Date: Sent Rec. ---__Variance Required: (Y/N) ITO ¥NOF SOUTHOLD Neighbors notified-Date: SEQRA Type __Coord.: Date sent __SEQR~ Determin./date: Public Hearing/date: Findings: Approved (Y/N) pec~al Conditions: (Y/N) (see file) Application Fee: Permit [ s) issued-date: Application Number ;SCTMgl000- ~d)~ q~ ~ Date: Applicant: '~o ~7-- )~o~/7~9~/%/ Address: ~&/~- L3gZ-L~ ~}u/~ ~ ~0¢~.~ ~/~ ~ ~-~)~O ~ t~ Phone (g-/~,) 7~A----$ Interest: (owner, consuitan~,lessee,etc.) Owner of Property: ~/~_ Address Phone ( ) Subject Property Location: ~/~ ~ (Provide LILCO Pole ~, Distance to cross Streets if not on location map) THIS IS NOT A PERMIT Page 1 Yds. to be excavated: Yds, to be filled: Manner in which material will be removed or deposited: Width of canal, creek os bay fronting property: ~ ~l- Depth at low tide: / Er Aver. rise in tide: ~0S- ~ Distance to nearest channel: ).%--~r Distance project extends beyond similar projects in area: /~ ~ Area zoning: ~ g Land area in acres: .S- Is project for pr'ivate or business use: ~/~A~T~ Intended use of property: ~ ~;~/~/O/t~/~a-- Describe known prior operations conducted on premises: Has any prior license or permit been issued to erect structures, ~redge, or deposit fill on said premises: Has any license or permit ever been revoked or suspended by a Governmental Agency: ~/o Project Description The project description must also include plans for reclamation of land disturbed during construction of the princ~pie and accessory structures and underground structures (i.e., pipeline and septic system; make additional attachments if necessary). THIS IS NOT A PERMIT Pa~e 2 County of Suffolk ) State of New York ) BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, ~dg/) THAT WORK WILL BE DONE IN THE MANNER SET FORTHIN THIS APPLICATION ANDAS FLAY BE APPROVED BY THE $OUTHOLD ~OW/~ ~,0~ OF TRUSTEES. THE, ~PPLICANT AGREES TO HOLD THE TOWN OF SOUl.OLD AND THE TOwI~TRUsTEES ~mML~SS AND FRHE F~OM m~ AND,~A~ DAwAsEs~' ~ C~MS ARiSiNG UNDER OR BY v~RTUE OF SAID ~PEP~W-IT(s), IF--GRANTED. ,. IN CoMpLETING THISAPPL!CATION, I HEREBY AUTHORIZE THE THEIR ~F/~T~ .(s)N~I~ OR R/EP~EsENTATIVE(s),TO ENTER oNTO MY PROPERTY TO[INSpEcT~HE PREMIBE~IN CONJUNC~XON WTTHREVIEW!OF THIS~ SIGNATURE SWORN TO BEFORE ME THIS DAY OF ,19 NOTARY PUBLIC Suggested space for location Map THIS IS NOT A PERMIT BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Telephone: Main Road (516) 765-1892 Southold, New York 11971 PERMIT MOORING RENEWAL PERMIT *Mooring No....5.5. .................. Fee Paid...~.5...0..0 ........... Renewal Date..]t~-.c.~. ;~..].9 J3.5. .... Expiration Date?..e.b.~.~.a..~Y..2.8. ~..1.9.~6 To: TELEPHONE NUMBER...2.6..5:-.3.9.9.3 ................................................ LOCATION... ~.o.c. ~.e.y., C. ~.e.~. .................................................... TYPE OF MOORING....2..8,1~.i~l.e.s. ............................................. ,... BOAT...27..~, .t;..~.1. 9g~p .................... REGISTRATION NO..~.~...2.4.], 9..P.~ ....... *T. his Permit is invalid unless the mooring number as shown above is clearly indicated on the mooring and boat being moored. -: P es'd~=~ , B a , ,o/~ Southol~;~Town T-rustees Clerk, Board of Southold '~6w~f'~rustees ~' ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUMBERS.