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Board Of South o! d T oven Trustees � _ '�, ;
SCUTHCLD, NEW YORK
MCCRI_;G NO. NSA p�-•: ::,•>;
PERMIT NO. .. ................... ........ DATE: SePt..... 2�.i....1983;� :r - '
. -� ...J�1- .��j. yli•
ISSUED TO Mar uerite M. Cato
9 ....... .•--- •-• ............«...................... ..................................................
r l :=:•� •i;,. .n 1+1 1r f.�lit,
1�..s ..� •i!• 'yyy}}}' �. .•;''�-41 ..5'�t:\\.
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�'i ;�•f-� Pursuant to the provisions of Chapter 615 of the Laws of
ti.P ->y;r„•; the State of New York, 1893; and Chanter 404 cf the Laws of me
State of New York 1952; and The Southold Town Ordinance en-
titled "REGULATING AND THE PLACING OF DESTRUCTIONS ;
' ON TOWN WATERS AND PUcLIC LAND
11�r AND S and the
REMOVAL OF SAND, GRAVEL OR OTHER o �
-., . �.•.:: • MATE*.:) FROM ''��' .=: ::•:.
Y. �.. LANDS UNDER TOWN e\1� -;'• .�•i• TO vV WATERS;" and In accordance wIfn the �"' �"�•%-`'�`•T.:r'�/
/'V - .�.ii". J tY•'•'r(d ern
Rescluiien of The Board acopTed a} a meeting p„ ..J-
held on S� t.... , -,••s_-;�
sideration of the sum of 5 00
-' 19....8.3 and in con $. pain by
«...... ........................Marc nerite....M.....Cats ............................................._....«.......
_ of ............ allmel....................................................... N. an ..suo ct to the
Terms and CcndlTlons listed on the reverse side hereof,
;�' !•; of Southold Town Trustees authorizes and permits the following:
Z '-` Application under the Grandfather In
-;.:•. •; . �;.,.,; approved u r Clause
to secure' a permit number for a dock 14 ' 10" xa;c-== ;•
16 ' 7" in Brushs Creek.
all in accordance wftn toe detailed speclTlcaTlons as presented In
Q?;;.+' the originating application. �'� �:�"
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporate Seal to be affixed, and these pres--nts to 1
be su'bscrioed by a majority of f^he said ooard s oT this date.
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Board Of Southold Tov,,n 'T rustee_s
SOUTHOLD, NEW YORK
MOOR1_!G NO. N/A
PERMIT NO. .............168.2 DA T�• Sept. 27 1983
Grandfather ISSUED TO ....Marguerite 1bi!Ln((&;:S AND BULKHEADS MUST
\\ Clause D-1SP .... `i•• VISIBLE PERMIT NUMBERS
that the work; as authorized
\ in t his per;tit has been cc;n:,leced and is -
- now re_dy for your inspec-
tic.•.
Also, the nuri:;ar required on th; s croiect is clearly visible.
\ I further understand this per.-iit is not valid until this tear sheet -
is recur.^•ed to the Trustees.
I
t"
y
TERMS and CONDITIONS
�I
The Permittee Marguerite M. Cato
tA residing at North Oakwood Road, Box 27, Laurel N. Y., as
part of the consideration for the issuance of the Permit does understand and prescribe to the fol-
lon•ing: 1. That the Southold Trustees Permit must be prominently
,r• I disolaved on the premises effected thereby during the period of
2. Triat the said Board' of Trustees and' the Town of Southofd are released from anv and work
Si all damages; or claims for damages, of suits arising directly or indirectly as a result of any oiler- under
ation performed pursuant to this permit, and the said Permitter will, at his or her own e.-peuse, e
1I defend aay and all such suits initiated by thud parties, and the said Permitter as
sumes full liability the
with respect thereto, to the complete mcclusion of the Board of Trustees of the Town of Southoldpermit-
3. That this Permit is valid for a period of `'. ' "`'aR which is considered to be
I soy-lei ent time required to complete the work involved, but should circumstances warrant; zequ-t
f=� for an extension may be trade to the Board at a later date.
F3
4. That this Permit should be retained indefinitely, or as long as the said Permirree wishes
to maintain the structure or project involved, to provide evidence to anyone concerned that auth-
��' orizacion was originally obtained.
�I •
R : 5. That the work involved will be subject to the inspection and approval of the Board or
its agents, and non-compliance with the provisions of the originating application, may be cause.for
revocation of this Permit by resolution of the said Board.
6. That there will be no unreasonable interference with navigation as a result of --work---
herein authorized. _
fyl 7. That there shall be no interference with the right of the public to pass and repass along
tal Lc a beach between high and low water marks, j
Thar if future operations of the.Town of Southold require the removal and/or alterations r
.�� in the location of the work berein authorized, or if, in the opinion of the Board of Trustees, the
work shall cause unreasonable obstrumon to free navigation, the said Permittee will be required,
upon.due notice, to remove or alter this work or project hereia stated without expenses to the Town
of Southold.
-I 9. That the said Board will be notified b the Permittee oz the completion of the work auth-
orized. P
?ai orized• (See tear off sheet. )
►.;1 10. That the Permittee will obtain all other permits and consents that may be required sup-
{ I elemental to this perriut which may be subject to revoke upon failure-to obtain same.
c.
TELEPHONE
(516)765-1801
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
PLEASE FILL OUT THE FOLLOWING FORM AND RETURN WITH YOUR SIGNED
STATEMENT:
1. Was the structure put in in accorda ce to the plan submitted?
Yes No
If no, please explain on the r verse side.
2. Was structure placed on t e applicant' s property according
to the plan submitted? The distance must be at least
15 feet from his neig or' s line. )
Yes NO
If no, please explain on the reverse side.
3. Is there easy access over or around the structure, so that
pedestrians c7 move along the public' s right of way below_
high water mark?
a
Yes NO _
If no, p ease explain on the reverse side.
4. Is the structure high enough so as not to inhibit the growth
of th natural grasses along or below the structure?
Yee,s NO
if/no, please explain on the reverse side.
5. Additional comments:
Date
Signature of Truster
i
IL�jlDi�
v i!
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES .
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
September 27 , 1983
Mrs. Marguerite M. Cato
North Oakwood Road
Box 27
Laurel, New York 11948
Dear Mrs. Cato:
Transmitted herewith is your permit which was granted
under the Grandfather Clause, for your structure. Please
post your permit number on your structure, so that it
can be seen from the water.
Thank you for your co-operation, in regard to this
matter.
Very truly yours ,
Board of Town Trustees
Ilene Pfifferling
Clerk to Trustees
Attachment
BOARD OF TOWN TRUSTEES \
Town of. Southold
.Main Ro.zd
Southold. 1rew York ]1971
NOTICE OF AC^1ION — NOT A PERMIT
Marguerite M. ' Cato
To: ........... ................................................. ...........
...................................................
1. Ycur application, dated ........8/30/83
. .................................. ..... has been reviewed evewed by this
Board, at a meeting of the Trustees held an ........
...............................
and resulting in the action, as indicated below: . .'••.
(••XXXX) Application approved.
............ Application Application denied. --
............ Application Application tabled. 1
i
2. Comments and remarks:
Application approved under the Grandfather Clause to secure
apermit number for a dock in- Brushs Creek.
3. If ur I; ^ti n ioard of Sou hold A PERMIT FEE
to the order of the B
n ve i�- rm;r- r is now due and should be mode payable
tTown Trustees. This
'he,Schem' I pf R res s set forth in the Instruction c fee is computed below accordin to paid wit in 90 days or re-a 1 zn Qn�ha ttcSS1F. rm I 1 , his 9be
If the Permit Fee is paid in person to the Secretory of ha Board,lo che Permit�wi I be�ebsainc',
of the same time. If the fee is paid by mail thea necessai
permit will be mailed in reply—
Computation of Permit Fee: ,
ALL DOCKS AND BULKHEADS MUST
DISPLAY VISIBLE PERMIT NUMBERS
Total Fee for this c
pplication .............. � 477
............................................ ........................................
signed
Pres.
Board of Southold Tcwn Truste
_ by ..............�
Clerk .1 ."
11;_%L-: 01 CREEK f3
BOARD OF TCV,1' TRUSTEES r
Town Of -Southold
Main Road
Southold, New York 11971 p(�3
S
APPLICATION FOR FAXED and/or FLOATING DOCR'S
V1. Applicant's name and address: ........... ... ................. ....:�.:��................................
......:1� .. , t:�� ..<r .,:�. . .7.... 7...��.� ......�� Ta�.:. .%��`.�.: .ate
2. Contractor's name and address:
...................................................................:.................................
............................................................................. ..................................................T e-1...........................
1/ 3. 5riefly explain the purpose of this application: ....... 4?.,��,?,: ,�,�,;,,, y -�
................................_................................................................................
. ......................................................................................................
. ..............................................................................................................................
4. After issuance o= a Permit, work must be completed within one year.
LARGE
5. Secure the correct Area P%ap from the Clerk of this Board, and by-using a/X WITHIN
A CIRCLE indicate as closely as possible the location of this deck. 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 ore needed to hold a flooring deck
or tie-uD n boat. Give all dimensions necessary to determine the area of the dock surTCC�
t; =C.? E:{mE_iDs OFT S H OR E from the O. H. W. M. If adjacent property owners have
docks, specify location and length to scale.
6. Will any portion of this construction extend offshore into Town Waters beyond on imaginary
line or boundary formed by other similar structures along the area's shoreline? YES or NO.
If it does extend beyond this so-called dock line indicate by how for, approximately...........ft.
7. Provide the following documents:
(b) A copy of the Contractor's Plans and Specifications.
((c Short Environmental Assessment Form.
td.� Wetlands Application
8. V I this ccns�ruction require the Filling of any land offshore of the Ordinary High Water
Mark or the Dredging of any material from Town Lands under water? YES or NO. If it aces,
Form A/4 (Applic°t on for Dredging/Filling) must be completed and attached as part of this
application.
9. In requesting approval of this application, I submit that: the information presented herein
is true and corr.2ct to the best of my knowledge and belief; I am the person accountable for
the performance of the work in eccordanc e with the plans and specifications attached; I have
read cr am familiar •.vith the provisions at any Soutnoid Town Ordnance pertinent to the work
involved; and further, I int^nd to adhere to and abide by the Terms and Conditions of the
Permit, when and if issued to me.
10. To expedite finding specific location for inspection, indicate
_ by using a temporary marker::
Al2 Rev: 2/82 L. S. .../�1✓ '.+,4;ttaa � ........................ .....� th+ey✓)
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