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' � Doard Of South,o' d T oven Trus t e tos
SCUTHCLC, NEW YORKk=`' t -"
? ;c';:•' MOORING NO.N/A
PERMIT NO. .. 1.67.9................ DATE: ...Sept. 27 , 1983{r�:
ISSUED ......................... t F. Falzon
TO Norbert , ram>,�"' ,•;,/
;..�1..- ....................................................................................................
...... +�..•-,^ r! ''
..kc.
no
Pursuant tot o Chapter
the State he provisions f � Ater 615 of the Laws of
,ate of New York, 1893; and Chapter 404 of the Laws of the ��` • ��'�'
State of New York 1952 and 'h Tow
e Soutno,[d n Ordinance en. :, .;•.
w
> �. ,I'�• titled "REGULATING AND THE PLACING OE OBSTRUCTIONS
r '1N AND ON TOWN WATERS AND PUE e ;LIC LANDSand th -"i �
RE {OVAL OF SAND, G�NcEL OR O T' 'ER MATERIALS. FROM
LANDS UNDER aTOWN r �
NDER WATERS; and in accordance witn the
r/ ,. �-: ._,�•• Reso(uiion o, The Board acop;ed at a meeting held on Se t p
. _1
19.. 83., and in consid cn of the sum r
erafi o, $......._5.�.�.O .. ... paid by
,,> .._...............................Norbert...F.....Falzon .\�r
�`` ........................................
..._Mattituck.............:.... N.
:- Y. and subject to the r
—' Terms _and Conditions listed on the reverse side hereof,
of Soutnold Town Trustees authorizes and permits the following:
14��,.' '• ;`'� Application approved under the Grandfather Clause
�" •' y� .
to secure a permit -number for a dock in Mattituck w
'
Creek.
aII in accordance with --le defa[lec specificaiions as presented in
the originating appl:caticn,
IN WITNESS WHEREOF, The said Board of Trustee `�`
t �•• s here- �,_ ,.
:. • by causes its Corporate Seal to be affixed, and these presents to
� •. �_ be su.,scr ibee by a majority of the said Board as of this dai.e.
�f. .. ...............
24
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-
Doard Of Bou ' cold Tovvn -Trustees
SOUTHOLD, NEW YORK
140ORI:;G NO. N/A -
PERMIT PERMIT NO. ............1679 .... . DATE Sept. 27,- 1983
.......... . .
Clause - - • -
ISSUED TO ........Norbert.:F..•.••. 'r�LI�S AND BULKHEADS MUST
DI-S-RL-A.Y VISIBLE 'PE�RM-IT NUM$-ERS
I, certiz:r that the work; as authorized
in this permit has been ccmpleted and is now ready for vour insoec—
tior.. Also, the riu^t ar required on this mroiect is cleariv visible.
I .urther understand this permit is not valid until this tear sheet is returned to the Trustees.
i
Kai
C"
y
TERMS and CONDITIONS
�I
al
The Permircee Norbert F. Falzon �
P.
residing ac Westphalia Road, Mattituck N. Y., as
part of the consideration for the issuance of the Permit does understand and pr=saibe to the fol-
lowing: 1. That the Southold Trustees Permit must be prominently
�I disolaved on the premises effected thereby during the period of
2. That the said Board- of Trustees and the Town of Southofd are released from any and work is
all damages, or claims for damages, of suits arising directly, or indirectly as a result of any open-
under !
ation performed pursuant to this permit, and the said Permitwee will, at his or her own e-pezve, I'
�I defend any and all such suits initiated by third parties, and the said Permirtee assumes full liability the
with respect thereto, to.the complete exclusion of the Board of Trustees of the Town of SouthoidPer:�lit.;
e' I 3. That this Permit is valid fora god of O 'E �R which is considered I.
F� '� "• "`' to be �
'! sufficient time required to complete the work involved, but should circumstances warrant; .equet
f 3� for an extension may be made to the Board at•a later data.
F3
4. That this Permit should be retained indefinitely, or as long as the said Permitree 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 a7th the provisions of the originatinga licatio ma be eatue.for
p • PP � y .
X�� 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. E
�~I 7. That there shall be no interference with the right of the public to pass and repass along
t the beach between high and low water marlks.
8.. That -if future operations of the Town of Southold require the removal and/or alternations
in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the
{ I work shall cause unreasonable obstruction to free navigation, the said Permictee will be required,
01 upon.due notice, to remove or alter this work or project herein stated without expenses to the Town -
3' of Southold.
9� 9. That the said Board will be notified by the Permiace of the completion of the work auth-
orized. (See tear off' sheet. )
Z1I
10. That the Permirtee will obtain all other permits and consents that maybe required sup-
+�� piemental to this per nit which may be subject to revoke upon failure to obtain same. -
3 F
L�
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O..Box 728
Southold, New York 1 1971
September 27 , 1983
Mr. Norbert F. Falzon
c/o Mr. Russell Nine
P. O. BOX 1106
Mattituck, New York 11952
Dear Sir:
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
cJ
Ilene Pfifferling
Clerk to Trustees
Attachment
P/1 Pev/4#42
BOARD OF •TOWN TRUSTEES
Town of Southold
Main Road
Southoldl, New York ]1971
NOTICE OF ACTION - NOT A PERMIT
To: ....Xox.bpxt,..V,...Falzon
.....................................................................................
1. Your application, dated .......9Z8�83 has been b
....................................................... n rev
y this
Board, at a meeting of the Trustees held on .....69ept.....�,a.>.. 12.$ .................... ....................................
and resulting in the action, as indicated below:
(.XXyaN Application approved.
(............) Application denied.
(............) Application tabled. ;
2. Comments and remarks:
At a regular meeting held on Sept. 13, 1983 your application
was approved under the Grandfather Clause. Your permit ; .
will follow shortly. Please post your permit number, once
you have received it. Thank You.
A PERMIT FEE
3. If your Qlic'-tion is aooroyed nhnvP i� --rm;t-F is now dui and should be made to the order of the Board of Southold Town Trustees. This payable
,he.(Z" 'ul A fee is computed below accordin to ehpf Rgt_s s set forth in the Instruction 'zhee F rm I/1 his gg
paid wit. in 0 days or re-applying and ac� F,�rn 1/1 .. This will Eu necessa�
If the Permit Fee is oaid in person to the Secretary of the Board, The Permit will be obiaincb-le
at the same time. If the fee is paid by mail, the permit will be mailed in reply.
Computation of Permit Fee:
Total Fee for this application ..............
Signed �� .. ...........
Pres. Board of Southold Town Trustees.
by • `��� ?�.. ....�... .. .
_ ••lam ... . . .
'� ( 3-o /-q3 .... _...._ Clerk ... .......
-NAi'L:. OF CREEK fV T7'67.o e- ro t ;'
BOARD OF TOWN TRUSTEES
Town Of Southold
Drain Road
Southold, New York 11971
.7 APPLICATI01' FOR FIXED and%or FLOATING DOCKS
Applicant's n NOR:f�� LT q
PPname and address: ............................. ....�. ......... .L . ..................
... al
....�!! .......*......�CA .................. .... ....... ..............
a
2. Contractor's name and address: ................:.........................:..............................:
.............................................................................. ..................................... .........T e Z.:.........................
3. Briefly explain the pprpose of, this application: ........................
.........�V ................ .... ... .. ......... .r...._.....................�:... °,u... ,.. ....................1..7.2:
........ `• ...... ............ w.....................................................�: :..................
- ' .:...... .... .:�.. -........................................:.......................... :........... ::._
4- After issuance of a Permit, work must be completed within one year.
LARGE
5. Secure 'the correct Area Map from the Clerk of this Board, and by using aY*X WITHIN
A CIRCLE indicate as closely as possible the location of this dock. On.the reverse side.of this
mop, 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 f,Ioat�ing dock
or tie-uo n boot. Give all dimensions necessory to determine the area of the -deck surface
WHICH EXTENDS OFFSHO= 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 Applicati',on
8. Wi I this construction 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 does,
Form A/4 (Application for Dredging/Filling) must be completed and attached as part of this
application.
.9. In requesting approval of *this application, I subalit that: the information presented herein
is true and correct to the best of my knowledge and belief; I am the person accountable for
the performance of the work in accordance with the plans 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 intend 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 markers `
- 'AT/2 Rev -2/82 L. S. .............................. .........:.::......
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