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HomeMy WebLinkAboutTR-563TOWN OF $OUTHOLD BOARD OF TOWN TRUSTEES PERMIT NO ...... . .~..~..~. .... Pursuant to the provisions nf 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- visi, ons of a'n ordinance eh=titled "South,old Town Ordinance Regulating the Placing of Obst.ructi, 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 re.solution ,of the Board .of Trustees of the Town of South, old adopted at a meet- ing of said Board on ....~B~.. ~,.~.,. ~.9. ....... and in consideration of the sum of $..~.,.0~.., lawful money of the United States, pai.d .~..~.~.~.~}~ residing at ..... }~t,~..~l~. ~1~, ,..~Cll~9~e~..~.X,..., Board of Trustees of the Town of .South old, Suffolk County, New York, hereby auth, orized .and permits said .I~.~F..~,..~ .I~;L.t,],~r~. t~.~]:I1A~p~ ~.. to a~l ~ua~eordance~h ~e app~ica~£on sub~i~d, The said ...~.e..lJ~. ~..a.~.d. ~.~.~..~.aA .~..c.h...tl~Aq..k.p~,rt ,of the consi,deration £or the issuance of this permit does hereby release the ,said Board of Trustees and ~he T, own of South~old from any and all d~mages claims for damages or suits that may arise or occur directly or indirectly a s a re.suit of any operation carried on un- der and pursuant t,o this permit, and will at his own expense, defend any and all suits which may be brought by third parties, 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 complete exc!usion of said Board of Trustees and the T. own of Southold. 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 w. ork herein authorized. 2. Th, at there shall be no interference with the right of the public to pass andre- pass along that po{tion 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 require the removal and/,or alteration in the 1.ocation of the work herein authorized, or if, in the opinion of the Board of Trustees of the Town of South.old, such work shall cause un- reasonable .obstruction to free navigation, the said . ..H:. will be required upon due notice from the said Board of Trustees, to remove or alter the location .of the work here by 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 B~rd of Trustees for a failure on the part of the said~ .......... ~.e.~....~;t..~..~..~.....~..~..~.[..~.~...~.~.~.~.~...e.~!l~' 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 the said ..~..~.~....~..e...i~.l[~...~i..~.~,~.a.~..~D~Bl~g.~~.. 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. seal ~.~. (L. S.) ' ' ...... '; ......... {L.{' ......................................................... (L. S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS .../..~. ............ day ~f ................. A...~.~.~...~..t. ..................... , 19...~..~., before' me oersonaily appeared Alvah B. Goldsmith, (1~,~ f%~mF,...~oa, Frank D~w~on~ John F. M=Nul'e,y and Douglas ~ber~4~on, all 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 a majori~ of-the same; that they knew the corporate seal of said Town of Southold; 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 and that each one signed his name thereto as a Trustee and by like order. Filed ~ FORM NO. 1 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................................ 19 ..... A,~,,ll ,~.~.~...ca_on No ................... i ,. Al-, / ~[/ /~ ]''~"/~' / ............... ' ....... Peri:nit No ........... ~ ~ A,,a**vvrove~ ..... ;.?~.:~.~ ...................... Disapproved a/c [ ~ ...... ~. ..... ~. ........................... APPLICAIION 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, rela~tion 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 ~vork 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 pursuan't to the laws, Ordinances and regulations governing construction of: docks, piers, bulkheads, jetfys and dredging in, under, and over the waters of Town of Southold. The applicant agrees to comply with all applicable laws, ordinances, regulation~ and conditions specified by said trustees, and to hold the Town of Southold, and all Town officials free from liability and damages of any kind. Street Address of Property '..:~..~"~..-~.... : I-tome Address If Other Than Location Creek, Bay or Harbor Fronting Property . .~/'.~.~/~¢ .... eff'~. ~..¢.~i .............. r ............................... Size of Proposed Work: Length ...~./.~.:. ( ........ 'vVidt~5/. . .ff./.' ..... Heighth Above High Water .: ............ Depth Below Low Water .............. Average Rise In Tide .-?...~.~. f. ..... Yards to Be Excava'ted ............ Widfh of Canal, Creek or Bay Fronting Property .../. ff.~., f. ............ Depth at Low Tide ............... tComplete plo't plan to be dra~vn 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.Avork will be done in the manner se't forth in the application and as. approved by the B'oard of Trus~tees of the T~.o~n~' of Soutl~01d, a/id the applicant agrees to-hold the Town of Sonthold and said trust'~es:harmlesg and free from ail damages and claims arising under or by virtue o~ said .......... Sworn to before me this ................ day of ........................ 19 ...... .- Notary public .................... county of .................. :