HomeMy WebLinkAboutTR-510 TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
NO .... ......
I~3csuant to the provisions of CBapter 615 of the Laws of 1893 of the State
of New Fork; Chapter 404 of the Laws of 1952 of the State of New York; the pro-
visi~ms of an ordinance entit/ed "Southold Town Ordinance Regulsating the Placing
of Obstrueti,ons in and on To~vn Waters;i and Public Lands, and th'e Removal of Sand,
Gravel or ,other ~/Iateria~s from Lands under Town Waters", and in accordance with
tile resolution of the B0~ard Cf Tnlste~s~!O~ }he To~vn. of South~old a~top~ed at a meet-
Lng of said Board on..~.. ~]~',-'.~.~[6~'8' i..., and in considerat{on of the Sum
of $..~.~.:~.., law~tfl .money of the ~&ted States, pa}d by ...... ~.........~,,..;.,..
Board ,of Trustees of th~ T0~vn of Sou~hold; Suffolk C¢~y, ~w York, hereby
45' x
~e
The said . ~'~ ~ ~n ~n as par~ .of the consideration
for the issuance of this [~ermit does hereby release the said Board of Trustees and
the Town of South, old from any and ali d~n~ages claims for damages or suits that
may arise .or occur directly or indirectly as a result of any operation carried on un-
der and pursuant to this permit, and will at his own expense, defend any and all
suits which may be brought by third l~arties, as a result of any ol~eration carried
on pursuant to .or in accordance with ih e terms of this pemit, and assume full
liability with respe~ thereto to the complete exclusion of said Board of Trustees
and the ~own of Southold.
THIS PER1VIIT is ~subject to the following terms and conditions:
I. That there shall be no unreasonable interference with navigation as a result of
the work herein authorized.
2. That there shall be no interference with the right of the public to pass and re-
pass along that portion 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 T{ustees or its agents.
4. That if future operations of the Tow,n of Sou/hold require the removal and/or
alteration in the location of the work herein authorized, or if, in the opinion
of the Bom~ of Trustees of the Town of Southold, such work shall cause un-
'' i' Lest. er & Arvn Seaman
reasonable obstruction to free navigation, ~ne sa u ................... .... -...
will be required upon due notice from the said Board of Trustees, ~o remove
or alter the location of the w. ork hereby authorized without expense to the
Town of Scut.hold, so as %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 .......~..~..G...~.....~...~..~.....~.~.~.. .............................. to
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.~...,~...~..~,~.~..~. ............................. 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 o~ 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.)
s.,
..... .......
STATE OF NEW YORK )
ss:
COUNTY OF SUFFOLK )
ON THIS ..... .[..D....~t... ...... day of ...... .~..e.~..~...e.~.e..~.. ........................ , 19....G...8., before me
~ersonally oppeared Alvah ~. Goldsmith, Frank DmWson. Job~
Me~l~y, ~e~rge Simpson and DOuglas Rober~s~,
al 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 majority of the same; that they
knew the corporate seal of said Town of SouthoJd; 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...z..~....~ ....~.:. ~~.... "~-"//'~~....C- ...
File~: Notary Public
NOTAff¥ PUBLIC State of New
TOWN OF SOUTHOLD
'row
omc
soumo o,
Examined ..... >~. .... '.. ) ................. 19 ..... Application No ...................
Approved ... ~ ~&q ~f*. .... 7....~ ~.~' ............... Permit No ..... ~ ................
Disapproved a/c ~ ... ~ ........................ -.../. ..................................
.......... ~ ~ ~9 ~' '.~ ~ ~ ./~; ................
........... ~= f :.~. ? ........ (~ J fJ ?-'.~ ............. ~, ~d ~
~PPUC~T}ON FOR P~RM{T
I~sTgUCT~o~s
A. This ~ypHcalion ~o be completely filled iu by ~ypew~i~c~ or in ink and submk~ed to thc Tow~ T~us~c~s in duD-
~. ~lot pla~ showin~ location u~ Iot aud buildings on premises, relafio~ m adjoinln~ prem{ses, public s~rectg.
~m.. a~d ~vin~ d~tailed desc~pfion o~ proposed layou~ o~ project must be drawn on diagram which is
appHca~iom
C. The work eov~ed by th[s appl{cadon may no~ be commcuced before the msua~c~ of a permit.
~. ~pon ~pprova] of this application, Towu Truslees will issue a permi'~ to applicant Such permit shall be kept on
the prem{ses and ava{lable ~or {~spec~iou at all 1{roes.
~. Applicant shall uot{~y the ~oard o~ Trustees upou completiou o~ ~he work covered by permit
~PPLi~T~O~ ~ ~R~ ~ m the ~oard o~ Trustees of the Towu o~ Southo]d, Suffolk Couuty, New
~ork. for the {ssuance of a permk pursuaut ~o ~he laws. Ordinance~ and regulations ~overn[ug construction o~: dock~
p~ers, bulkheads, jetty-s and dred~in~ in, u~der, a~d over t~c wa~ers o~ Towu o~ Southold. The applican~ a~rees
m comply with all applicable laws ordinances. ~e~u]afions and conditions spedfied by said ~ustees, audto hold the
Town of Southold~ aud all Town~fficials free ~o~ IiabHity and damages o~ auy kind.
.... .... ...............................
~o~e ~ddress ~ Other Than Location ..~ ......................................... ~ ~ 3 .........................
Complete plot pla~ m be d~aw~ on rewrs~ side of d~is applicafiom
STATE OF NEW YORK )
)s.s.
permit, ~nd 'that all statements contained herein are true to the best of his knowledge and belief; that the work
~vill be clone in the manner set forth in the application and as approved by the Board of Trustees o~ the Town of
Southold, and the applicant agrees to hold the Town o~ Southold and sa~d trustees harmless and free from any and
ali damages and claims arising under or by virtue o~ said permit.
~ ~ (applicant)
Sworn t; before me this .... ~..~. day of ~.~.~ 19 ~ ~