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TR-1640 GF
J _ GI JB�y :;5 i7.: , -1 j ALL DCL.-�S A114D IMUS T DISPLAY VISIBLE P_ _*•1IT NU si,'_,E-->.S / pc�`�-:r'"-t�'�� =r�T:..'�=•�=�i.s'1'~�'�-. `."z�•,_.4,�J�r +-+v���:c`rl�"'���!��r-,.'=„t`�� 'ri,. ^��i..�� ` �vyr� , \'"y- ', •..z,_.-.-- .r :•�`�,�_ C �:,-^•.�•• < rye .: ..i. ::.--,. ,•. :� 1. . .r,�.i. ,1 �' F�'<Cy.!:r:, ! C �:`.' .10 ;,"C' ..c::w.r. �~ `- f�••: .: -'.: •E, 1!�"•.^^`.:�,:�1 .(. +y`-=`7'f .✓''""'s'm„_P'1 1 "%=•mr%'•:�^f �' r'.`����::�!+ { .+i;' �f •t J .<�.'.1�.� /�� 1�� _fir.- �E'(;=;. _�^, � �~.-r•:i J,�L�.� �•.nr., .!�1�� �' �ZL ((.r •i ,/. +±•.ti'_ _ -�-Z'• _ :lr= ��S �.+.c�f..- _.S•✓ .«•J}i_I._:.:.-11��•• 1J��:.._...Yi_._.s.�:3•::�,-_;'— (r.F'�' .t+• f�`•.. _. r•. -_ _'. �'. -_ -_ .-._- -- .. —ems..— r_ —. —�'.—_—_ _..� .- ,- — _ ,_ -,:��. Yr.�' ,��,.. Board Or Sout;dd ovin T-ustpes SOU T HOLD, NEW YORK b1CCRI_:G N0, N/A % PERMIT NO. .. ....164 0............ DATE. ... July. .5.,.....1983 ISSUED TO ............................. . . rr� �i = a 5:. Pursuant to the provisions of Chapter 615 of the Laws of �,;µ,_��:. �_�/ fhe Slate of New York, 1893; and Chapter 404 of the Laws of fi.. Uzi State or New York I952; and the Soutno!d Town Ordinance en- s �. :•:�\, ` "REGULATING AND THE ?LACING OF OBSTRUCTIONS RUCTIONS , Titled IN AND ON TOWN WATERS AND PUBLIC LANDS and fie REMOVAL OF SAND GRAVEL OP, OT' ' o�.., 1;ER MATEI.I�-.LS� FROM LANDS UNDO? the . TOWN WA T c„S; and in accordance witn h ':fir;;`;}. ' t The Board r r ,.r� ` !_;� '• Resolution Or dGOpied at d meting +,..�.' �•�t\ '+ I )�3......, an in consieeraticn of the sum of $10 00 paid byM` =_`t5 ` '�= •c: ' M.attituck Fishing Station / ) ......................... .....•..._._...._.._..._...._......._..•• _......._......................._........_. .. '\ �`c'••'rt' :i'r Of ..........Matt ltuCk.............. N. Y. and subject t0 the _ N.: Terms .and Conditions listed on the reverse side hereof, •�,�.• !•� of Soutn,old Town Trustees authorizes and permits the following: Application approved to secure a permit number for. docks and a bulkhead in Mattituck Creek - ? .:. ' under the Grandfather Clause. all' in accordance with tnre detailed specifications as presented in fhe originating appllcafion. IN WITNESS WHE?chere- causes r .�GF, I he said Board or Trustees :--- by its Corporate Seal to be affixed, and these presents to - I ' ' 1 •ry o I d Boar I - ' _ti\ ri•�:✓: be sub scribe❑I by a ma orr� ' the said as of this dai.e. 'VI U ^ / C_./. ............ •r, ^ ' Off_. ,Oli ;AM Zia. V, `•rti+i d ct=T':% - w,rr'j.:'%*.cJJ :.�iL..:. �_: •�lr'.�'7•,i.•I�� —' '^ —,>r. 'G r.. �'/ �)1. , tis,• ... �;� Vic.- �K"1.��.-'?—� ���,�-�,..c3;ii�,:.i<i ;`ti:�_'.^,P'.�;r r '/ �1/ � :/Z1:�:.. .,- �'+r��fa\Ir.w t;r �.•r �'y� _-s e a �� ,,� '� �- '�y� <(� //`'. � .,ram^� .ems/i.. i,.�.7ri1:t•^.�.''- '��'�9:-�J.;�i+T:T'.;-__-:-: Jr„��r`.�-.t .sy wf1�17•.'.-:w G.L`•lfa�-..,��. , /� J � �.+• 11�'` /o-s?c�y,, ��-,i+�.��.a.:.ni .( •. .•fix ,_.. �.,;/�tit�: ��..� ,� -`Z 1 � �;�` ,�, 't �` '.(/"' :l�S:. �,.:....z-. .11E: A'v J' .�F ��:. JM�• '!i M,,�,�i'y'''�Qr �'7;J-,�ti� 17 .,.� C. • c '.A '.: . :a�e� ��2�sr,r ^• � ——,—-�c`/•��"='" ��`'c��'�����<�-.. ..:-�c ^' --------_— ---- --T�=- 'f _a�.i'SE?La= =�rllSic==�_"�—\---/---`- �- Board Of Bou ' cold Towin Trustees SOUTHOLD, NEW YORK MOO!"G NO. N/A Grandfather PERMIT N0,164.0.•.. July. 5, 1983 Clause DATE: ....... ISSUED TO .........Mat.t.ituc.k....F.iahin.g.• Station I, certify that the work; as authorized in this permit has 'teen cc;naleted and is now ready for your insoec— ticn. Also, the nuri :er required on this project is clearly visible. I further understand this permit is not valid until this tear sheet is returned to the Trustees. II ��I I C�I �i - TERMS and CONDITIONS i �I The Permictee Mattituck Fishing Station to residing at Naugles Drive, Mattituck, N. Y. part of the consideration for the issuance of the Permit does understand and prescribe to the fol- Iowing: 1. That the Southold Trustees Permit must be prominently disolaved on the premises effected thereby during the period of 2. Tnac the said Board of Trustees and the Town of Southofd are released from any and �I work all damages, or claims for damages, of suits arising directly or indirectly as a result of any oiler- r- anion performed pursuant to this permit, under and the said Permittee Rill, at his or her own e-perse, defend any and aII such suits initiated by third parries, and the said Permirtee assumes full liability he with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southoldpermit.!` •r,g 3. That this Permit is valid for a period of _QNFI =-`- R which is considered to be 1 sufficient time required to complete the work involved, but should circumstances warrant; :equ--t E for an extension may be made to the Board at a later date. fal ` C. N 4. That this Permit should be retained indefinitely, or as long as the said Pezmittee wishes - to maintain the structure or project involved, to provide evidence to anyone concerned that auth- orization was originally obtained• L. d 5. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliatice with the provisions of the originatinglicatio e causa.for • r� a, PP � may b. �K � revocation of this Permit by resolution of the said Board. c 6. That there will be no unreasonable interference with navigation as a result of 'the work-- herein authorized. ��I c 7. That there shall be no interference with the right of the public to pass and repass along E. the beach between high and low water marks. E 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 c. {�I work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, K upon.due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. r-- C 9. That the said Board will be notified by the Permittee of the completion of the work auth- orized. (See tear off sheet. ) 10. That the Permirree will obtain all other permits and consents that may be required sup- +�� plemental to this permit which may be subjea to revoke upon failure-to obtain same. a _ ALL IDGCKS AND CULK Nail CF CP K GLit,(� .f,c,c.( 1.��Zs DI�1P`LAY �!'�SiSt `� °� 'a {� t r�cUS1' BOARD OF TOWN TRUSTEES Town Of Southold �� X 410 Main Road Southold, New York 1I9971 9 S'd. IA APPLICATION FOR FIXED and/or FLOATING DOCT' fop 1� pplicant' name d addre L ` ..... ..... .................... . . . .�. .. 2. ntroctor's name and address: .......... ............................................................................. ..................................................T e 1........................... 3. Briefly x ain the pwrp^se of � is cpplicotio ............... ......... ............... ......... ......... ... ........ _.. ... . .... .. .. ......... 4. After issuance of a Permit;, work must be completed within one year. L.RGE 5. Secure the correct Area Map from the Clerk of this Board, and by using a/X W1 T HIi`! 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 Mork, the shape end size of the dock and any supplemental pilings which are needed to hold n floating deck or tie-uo a bona. Give ail dimensions l necessary to determine the area of the dock surface R CH EXTENDS OFFSHORE from the O. H.M. 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 an imaginary line or boundary formed ,by other similar structures along the area's shoreline?, YES o? 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 Plons and Specifications. ((c Short Environmental. Assessment Form. ld. Wetlands Application 8. W; 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 submit 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 pions 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 marker _ _... :A/2 Rev 2/82 S. .. j . ..... .. •.j. .......................... ......................... NAME Of CREEK r r `���'`'` � A ALL DOCKS AND BULIiTEIADM�RSA DISPLAY VISIBLE PERM BOARD OF TORN TRUSTEES Town Of Southold Southold, New York 11971 Alain Road 1 j APPLICATJOIN FORA BULKHEAD, DIIiE, OR JETTY 1. Does this project involve the use of WETLANDS as defined in the Southold Town Wetlands 1 Ordinance? YES or NO. If it does, you must file through the Town Clerk's Office. 2. Is the proposed work entirely within the boundaries of your own o erty as substantiated by your Deed or Survey? YE If it, i's, a PermitNOT e irecl from thi rd, but the Town Building Inspector o Id cc d four f,4I)de pplicant's ame and ress: ...... . L . / ***;� ***** " ......... ................... ......... ..... ............... . ... d✓ a . 4. Controcto na me and address: .................................................... .................................................................................................... .� .................Te 1...................... .. S. Explain ri fly the purpos of this a plication: ................................................................................... 6. After issuance of Permit,work must be completed within one year. RGE 7. Secure the correct Area Map from the Clerk of this Board, and by usinga/X WITHIN A CIRCLE as a mark, indicate as closely as possible the location of this project. On the reverse side, provide-a SCALE DRAWING which will show Ordinary High Water Mark as well as the size and shape of the structure or work to be done. Also include all dimensions for porticns which extend offshore from the 0. H. W. M. State Adjacent property owners. S. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plan and Specifications. (c) Short Environmental Assessment Form. 9. Does this project extend into Town Waters beyond an imaginary line or boundary formed by existing works of a similar nature along this area's shoreline? YES or NO. If it does, state the approximate distance beyond. ............ ft. 10. Will 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 ()\pplication for Dredging/Filling) must be completed and attached as part of this application. 11. 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 accountable for the performance of the work in accordance wiih the plans and specifications attached; I hove 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. 12 . TO EXPEDITE FINDING SPECIFIC LOCATION FOR INSPECTION, INDICATE \ BY USING A TEMPORARY MA K . � . ..... A/3 Rev. 2/82 �� S . ..................... ......... r i ;L 61 w K II� � � •. '3�`.Clm• SX2cEal FIoT ©_Q I 4G 9 I C-F�fa � \ ��S�FFOLK�o o • � TELEPHONE (516)765-1801 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O.�Box 728 Southold, New York 11971 June 1, 1983 Mattituck Fishing Station Naugles Drive Mattituck, New York 11952 Dear Sir: I am returning your application for you to sign on both forms. There is a Red star near where you are to sign. After completing, please remit again, and then I will be able to process your application. Thank you for your cooperation. Very truly yours, Board of Town Trustees Ilene Pfifferling Clerk Attachments LLJ U Ai tu s - _ VA K -4ig Rer 0) (A j 61 �,��� G ljw D 'TT,) N F. FF A D `w ti� _ --rr -�J Gd v rr r FER r)F, LL Af Cb Ay G ,A L. ui a A A,j — n s 1�"