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Home My WebLink AboutTR-1729 GF ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUMBERS ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PERMIT NUMBERS A q k kF 1' '? Board Of Southold Town Trustees SOUTHOLD, NEW YORK Mooring # 164 PERMIT NO. 17.2.9................ DATE: .....0.9.t........2.6...... 198 ISSUED TO ........ Marie A. Dorman ........................................................................................................................... W lkj: Pursuant to the provisions of Chapter 615 of the Laws of 4 i the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- 0. i% titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM V LANDS UNDER TOWN WATERS;" and in accordance with the 14 meeting held on ...... c.t....... Resolution of The Board adopted at a 0. MA 19. ... 8.3 and in consideration of the sum of ............. paid by Marie A. Dorman ..................................................................................................................................................................... of .. Laurel ........................................................................................ N. Y. and su6ject to the PF Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Ap plication approved to secure a permit number .0 for a dock in Brushes Creek, under the Gran dfather Clause. all in accordance with the detailed specifications as presented in 3-0 the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. 1, !3�q�F ........ . ..... 'i.......... ... .Nl .....................f�Z......................... i ......... ........ ...... . .... ....... ij.......... ......... ............. ..................................................... ..... .. ......... ...... ... Trus.-lie it r ZT Y, 41 J Please tear off and return' to t-he Trustees Of Southo' d Town B oc. I V T rust.-Eos Grandfather SOUTHOLD, NEtiXL1,CMCKS AND BULKHEADS MUST Clause MOORING NO. DISPLAY VISIBLE PERMIT NUMBERS PERMIT NO. 1729 DATE: Oct. 26, 1983 ) TO - Marie A. Dorman cerzifl that the work as authorized in this permit has been cc.-ipieted and is now ready fc:- your inSpec— ticn. Also, the number required on thin ProJect is clearly visible. understand this per-iit is not I - I further unders valid until this tear sheet is re--urned to the '_rrurtees. ALL DorKl; TERMS and CONDITIONS The Permittee Marie A. Dorman residing at NOrth Oakwood Road, Laurel N. Y. as part of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1. That the Southold Trustees Permit must be prominently displayed on the premises effected thereby during the period of That the said Board of Trustees and the Town of Southold are released from any and work all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper- unde 43tion performed pursuant to. this permit, and the said Permittee will, 'at his or her own expense, -the :defend any and all such suits initiated by third parties, and the said Permittee assumes full liability permit with respect thereto, .to the complete exclusion of the Board of Trustees of the Town of Southold 3, That this Permit is valid for a period of 12 mos.-which is considered to be the sufficient time required to complete the work involved, but should circumstances warrant, request > for an extension may be made to the Board at a later date. 4.' That this Permit should. be retained indefinitely, or as long as the said Permittee wishes to maintain the..structure or project' involved, to provide evidence to anyone concerned that auth- orization was originally obtained, 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 the work herein authorized. 7. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 8 . That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. 9. That the said Board will be notified by the Permittee or the completion of the work auth- orized. (See tear off sheet. ) 10 . That the Permittee will obtain all other permits and consents that may be required sup. plemental to this permit which may be subject to revoke upon failure to obtain same. Ln TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 October 26, 1983 Mrs. Marie A. Dorman North Oakwood Road Laurel, New York 11948 Dear Mrs. Dorman: 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 l Ilene Pfiffe i g Clerk to Trustees Attachment .P1r 1 C� C:1rEK Y, BOARD OF`T0WN TRUSTEES Town Of Southold Dlain Road i 3 Southold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS 1. Applicant's name and address: ......ljz! .. :.... .....��;�- � ........ ..�f.-��2�........................................... /.6 ........... 2. Contractor's name and eddress: ..................._........................................................................ ................................................................................................................................T e ........................... n . 3. Briefly explain the purpose of this application: .......... �..... � :.. ................ ..- ....... 4. After issuance of a Per;�it, work must be completed within one year. Lx'-RGE, 5. Secure the correct Area Map 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 are needed to hold a floating dock or tie-uo n boat. Give ail dimensions necessary to determine the area of the dcct' surface EXTE:'-NDS OFFSHIOR 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: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. ((c� Short Environmental. Assessment Form. (d Wetlands Application 8. W i I this construction require the Filling of any land offshore of the Ordinary High Water Mork or the Dredging of any material from Town Lands under water? YES or NO. If it aces, Form A14 (Application 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 correct to the best of my knowledge and belief; I am the person ecccuntabie for the performance of the work in accordance with the olons and specifications attached; I have read or am familiar with the provisions of any Southold Town Ordinance 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:: A/2 FP.V. 2/8 2 L. S. ...................:.......................................: ........ . . . - .. �f aw-.�e.crau-fancamsva�' 'RT �.. �'-`awe.+_ �44�'Sy wm�r �� f ,/ ///-/l}' V V ' �, � �� V /� /\ v SysnQ a k ALDRICH L i _ 3 D z i - Q � a arc _i Ln