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HomeMy WebLinkAboutTR-E 111-15-8.2 TERMS and CONDITIONS The Permittee residing at N. Y•, as part of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper- ation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, .to the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Permit is valid for a period of mos. .which is considered to be the estimated 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. I 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. 4. 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. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That these shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. 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 wotk 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. 8. That the said Board will be notified by the Pern*tee of the completion of the work auth- orized. 9. That the Permittee will obtain all other permits and consents that may be required sup- pletnental to this permit which may be subject to revoke upon failure to obtain same. S 'OLD T RtUls EES 0 UTI issued T Date Address THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD SOUTHOI.D, N.Y. 11971 TEL.: 765-1892 �oSUFFoc,��o TRUSTEES John M.Bredetneyerj III;PfeAdent SUPERVISOR Henry P:Smith;Vice President CCO2 = SCOTT L. HARRIS Albert 1.Krupski,Jr. p Johtt L. 'edfi kit Town Hall Jolui 11,Tuthill �`a 53095 Main Road P.O.Box 1179 TeIephone- (516)'765-189i BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1823 TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT APPLICATION TOWN WETLANDS PERMIT APPLICATION , - - .TRUSTEE LANDS PERMIT APPLICATION Office Use only: Coastal Erosion Permit Application Wetland �Permit Application Trustee Lands Permit Application XGrandfather - wErm,vr)5 i9-of/-?X 6M672. PF—P-of 17 (Completed Apps: Date: Variance Required, AR Neighbors notified Date: '::SEQRA. Type Cooed�,. Review-opt. ,mand. Date Rec. by Office Xltisp: -comp./date: SEQRA Determin:/date: Public Hearing/date: Findings: Peririit Vote' : (Y/N) i Special Conditions: (also see file) Application Fee: vQA-E.1S Application Number; 'SCTM 41000- .5-- Project Name (if any) Date Prepared e / /.�/ (q-3 Applicant: 6Al-inlu Address: ( Phone (5 ) Interest: (owner, con ultant,lessee,etc. ) . (� Owner of Property: Address Phone ( ) S Subject Property Location: >3' (Provide LILCO Pole '#, Distance to cross Streets if not on location map) THIS IS NOT A PERMIT I Yds: <to, be; excavated: 'Yds to be filled: A- Mannerin; which mat rial w 11 .be, removed or deposited: Width ,-of canal, cr ek or bay fronting property: Depth at low tide: �vek: ' rise in tide: Distance to n earest hannel Dista ce roject extends Fbeyofid similar projects in area: AIIA Area %zoririg e - Land area in' acres I Is project for private or 'business' use: 417U Q Intended use of property: 4klc-Q , Describe known prior operationcns�c�onducted on premises: ,.:.. . s; Has any prior •license- or" permit been/�issued` to' 7- .rect structures, dredge _._or, deposit fill on said premises: ,. Has , any license or permit ever been revoked or, suspended by a Gov6kru mefital Agency: o 1 Project Description The #proj"ect description must also include plans for reclamation of land"=3disturbed during construction of the principle and accessory structures and underground structures. (i":e. , pipeline andiseptic system; make additional attachments if necessary) , iI�v LE 3. • 4 � _ 1 a Authorization (Where the applicant_.is not the owner) I residing at (Print-owner of subject property) (Mailing address-phone) , do hereby authorize . to apply for Coastal, ,Erosion_,permit(s) from the .Southold .Town Trustees Signature THIS`IS`NOT `A"PERMIT County of Suffolk ) State of New York ) Cn rae Co + I( , Sr---" BEING DULY SWORN DEPOSES AND AFFIRMS HAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF' TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN, OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S.) , IF GRANTED. IN COMPLETINd THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(s) OR REPRESENTATIVE(s) , TO ENTER ONTO MY PROPERTY TO- INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. R GNA`1'URE SWORN TO BEFORE ME THIS DAY OF : 4Clw r 119 ct-3 SUSAN E.LONO Notary Public,State of Now York No.01 l.04958343 NOTARY PUBLIC Qualified in Suffolk County Commission Expires November 0,1 Suggested space for location Map THIS IS NOT A PERMIT PRGb5A � � a {� E� j N,AssRv ?o tvT CF SCtt�. lbb� - ( I � - 1�-� _1 � �lv l� I i v �yhLK�JCI {- 4J ZNStAL Io -PPek j RSTMuiNG WAIL !� I • / � � cb p� 4 4 � R£� aA[CP/Lit RFQLACB :roar 5T/'y . i 1;fC�N5?RyCT Apppr-tiac! pTfil. BO srR�+u I .-4.. fk^,rp*cmz.l KT_YLAtr -S'Y, I 8£C!C, . =t�15TAL'a-.:h�.�s5 :STltlR3 .:f#torrl .:Bvi.KlF�D jc F.tt�M,.9 - FILL Scc-tom ierp-b.3 cLEAQ pILd.O' B' CDST LJ,D N )hlefWE CbP.f__ AuD ApP.1cA,YJT pRcPFa2T� P.o Box 6Rss tN P>OKT , y 119y AMENDMENT ' ZA.WV~Ry III �i53 btCFM Yir� 2`1J IZ �Nsr�}�� boo( UPPER KE-ThlW) 0G �a -PEP.L.At_e- .40ST" •• SILL (,SaaYb�) �� I6" -PiLIn/G rlE P- d l� „ r VRI�fARED $y cot$no ANarins tRaE E Iz Corme�otin�12�core. PA.Box 2SS� OmnpoM NY 11944-0 170 COSTtttt) MARE CONTRACTIN& CORPORATION DOCK IUILbINd a A:tflF-9 • MULKIIFADING STFFL & WOOD PILING FOUNUATIONS a P � 1 rfi.Y r AUTHORIZATION FORM bate: NO U efi,, kk, L�, /�yz I �`o�a�1zT ��i I�P owner of .Business/property name located at �� Z$- /L�i'f55�-v `'T= �6�� ���"c.�atiue. ,sr•�, do •h6rby Marine contracting Corp. the authority to act ee dgofit .1h my behalf in applying for all of the necessary perniite in Order fat work to be done on my property described signature oSUFfoc�.c TRUSTEES John M.Bredeineyer;III,President y� SUPERVISOR Henry P. Sinith�Vice Pi ideiit CCO2 r, _ SCOTT L.HARRIS Albeit i Krupski,Jr. p. John L.Bedtw§K:Jr. Town Hall , Johii.B Tuthill t ��'� �`� 53095 Main Road P.O.Box 1179 Telepfione(516j 765-189 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765=1823 TOWN OF SOUMOLD COASTAL EROSION MANAGEMENT- PERMIT APPLICATION TOWN WETLANDS PERMIT APPLICATION TRUSTEE LANDS PERMIT APPLICATION Office Use Only: *oastal Erosion Permit Application , Wetland Permit Application Trustee Lands Permit Application VGraiidfath6k 6,v6-rZAwVS I nk ✓Completed Apps. Date: /)- 1 Variance Required, Neighbors notified Date: SEQRA Type /Coord 4; ReVJlew-opt. mand. • Date Rec. by office Insp;.'-,comp./date: .rY-�v . - SEQRA: Determin. /dates Public Hearing/date: Findings: Permit ,Vote: (Y/N) : Special Conditions: (also see file) Application Fee: U,aw--r{ Application fqumb6i; SCTM #1000- I ( I- I:E Project Naiie (If any) Q Q Date •Pr'eparede ial :�glg� Applicant: Address: p' Pho I nterest i (owner consultant,lessee,,etc. )_'A 6 e 4 Owner of Property:-,:: ' Address - Nitel _ q ,Pho e ( ) Subject ISroperty Location: (ProVide LILCO Pole #, Distance to cross Streets if not on location map) THIS IS NOT A PERMIT Ids. itd. be .excavated: p Yds% to be filled: Mcinner,Fin- which m terial`.will be. removed or deposited: AQAA Wi thvof canal; creek or ay "f ,opting°property: Depth a 16�v tide: — Aver. rise in tide: — Disafice'jto 'f�earest channel — Distance project ' extetiag 'beyofid similar rojects in area: Area >Ztihing: } Land area in° acres: is project for private or business use:; Intended tine of property: O d 0 11M o /V Describe known prior operations conducted on, premises: Has any prior license or permit been-issued to erect structures, dredge, . of deposit fill on said premises: -� t Has , any license or permit ever been revoked or sus ended by a Governmental: Agency: �/y`�o ' t 3 Project Description Theproject description must also include plans for reclamation of ian&1disttirbed during construction of the principle and acc6986ry structures and underground structures. (i.e. , pipeline and #septic system; make additional attachments 'if necessary) A D Cm Authorization. Where the applicant is , not the owner) I residing at (Print-owner of subject property) (Mailing address-phone) do hereby authorize to apply for Coastal. 'Erosion-permit(s) from the Southold Town Trustees Signature THIS 'IS`NOT `A 'PERMIT I County of Suffolk ) State of New York ) Q 20 .V a 2 S r• BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAE ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE .TOWN- OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S) , IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(s) OR REPRESENTATIVE(s) , TO ENTER ONTO MY PROPERTY TO- INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. GNATURE SWORN TO BEFORE ME THIS I ' DAY OF , 19901) SUSAN E LONG Notary Public.State of Now York No.01LO4956343 NOTARY PUBL C Qualified in Suffolk Counj Commission Expires November l8�3 Suggested space for location Map THIS IS NOT A PERMIT m Nt:i �.It ql i �r N <a 6, .r• '" _0.01,• l o b0 III - is- 'e'CP__ { 1 „ern f f tl �+ „' •+,.a+f1 •a ..1' +•• '••N ,.1 o., 1•,a 1ls { � ! 1, { �„ 1.M+ WI IT • d•\ +,r+ 1 ••+, rr�p• E • • up1 1• + urn { '� • N LO le 0 N • ,w+le a�r.l r• + . IS { ura { ,.r` 10 41A Igo�/� SEE lee. Na 171 a is • .. i a d •- 11 ♦f 4o ....1 tau %ft.•••� i • , t 'V VON \a;+•, +r {� 'r s+ '• t7 , /�e•• •,• N It +,, Low 8 1•e Ira p j7 ,,.•+ ' / �a \ •� ,•.+ it lei pol •: pN to �+ •., ' ,+• � o•" 4• O ,• ."'. 1A ; ,,` ? a,n 1s� ! +..• j I t0 s IAAI. •''` `'•' I2.0Alo1 t.! • �' :1 I 12 Jk 7.9 MAN !1� •+; raw,.,pr 1'n' '!! tJ 1`• I ,u r+ \ A•i�- • ••o I 1 ` � . • I I I•I ♦ �,. to '�• LM11. �� n...♦w 3' ls 1 • 11 I!I I 1 1..n1 o a '•r'• + T.1 I '.• `�� LOAN I I III , w f 1. # ,•• Real %- ,,,• �• ' ♦ I 1 a � na • 1.7 AI L 1 1/24 0.0 •,• e•, l,t ' • • + •M, NENrErA PoND � ��„��{ Q.l Al.l ,ifs ,.,� ..Iy k. s '••„r` ��11 FOR PARCEL Na. '� e.'"la 15 s 4ep1 .« SEE lee.No.Ill of-Oft is t' MATCN LINE ' .1 1.l �' t 'Q q1 j 9 1.00 •• \\ r 1.3 Aul , � nr 371 KEY up © COUNTY OF SUFFOLK TowwSOUTHOLD mc. VA• 16 ' °°-- ° '°"--. Real Property Tax Service Agency U�'=OF f1 Ito 111 I.t .CALF NrElT 4 County Center OISTt7:Too.1000.--- It. Riverhead,L I.,Ne v York � � PROPERTY MAP FOR ADJOINING AREA SEE MAP NO. 23 _4 ter 40 4 4-1 42 LITTLE _ 1. HOG r SQ I�410-A ! tid "Glny ureiH4o NASSAU /5oHA P _ G r 1f\ 1Ir _- Cove C. 4 /i �j Wj'�j A; lVu nnrtutta to rti `3 J D r ° 1+ 4. '�- r. o, i r Nassau. Point "v f t,• � . r 1` T T L 0 1V L, ' I C :1 --' R P ,; '4 Landing ��1 Mr^�?•x'":��. 'r5 a. .. � .�4f� t 6 k o\goo .vuhle f5ew;c Y.C. ,��/J �a• rowY(INeckf r Na 84 ROSE G~ DVE Wo (✓ �� H 7awd PG i olt - J Cow .0 /JO (f � SEA D4t1 ` •'' ttkrrr��� _ N I:C/t< _ / HARBOR O ov n6 ``\•i' Q C q \ Cr. ' �aJt Cj 1 i; °roc¢ �(C�'�c�•+ Lyh _ r�rr�rn � t :rFnle 9� n 1 nD iQ�tt"��i a•r T7'r �:, COu 119 1 1.QQ 7 F ( A n — '\\ DEERFIELD i AUTHORIZATION FORM bite: X/a 0 ew►be,c. Lo, 17?z owner of orxc"= ..Business/property name loadt:Cd t. A8ZS" /ISSN 19 RQ4cl Cvfic�eSup. w , do *16kby 41VO,toatello Marine ContrActihq Corp. the authority to act till &JOnt .ih My behalf in applyinq for all of the necessary perMitd !ri drdOk for work to be done on my property described aboV�o - C i• s gnature i i 7 gPi-AtE .4oST DILL (50aYb5) T/E /40 U MIPAREb Co deft Marina L L LR CoMrecNno Corp. F.o.8ox2121 -WILLA�J__P21[�1_T_. OmnpoM NY I 944-o 170 7 1 -PSpt,dt.E- -4osT /FI LL (,,5aaYd5 ra PILIAIG 1 MEPARREbcodwom�yam;+ R Cont dho Corp. P.o.Box2124 OmnporL NY 11944-0970 C.0 cC ur jk -.I[- Consultant r Project Name SCTL\I #1000- �- Date The Southold `Down Trustee office has de-termined that your application for a cn f 'r-,..� ' v / jand germi is non-jurisdictional/incomplete, please consiaer the following information in this regard for any required return" submission: . A ��., u %r °. ice' X .O 171 Trus, "e Representative cc: - `—g' a . Con: rva �-Aclyor�Co-ui� This notice makes no claim with respect to other jurisdictions within or outside the Town of Southold with respect to permits, permission required. 4/92 i I FOR. I RQ, EW T / 1 / L � Z—� K Nxs5Au Fot N3T jow0 OF Sov`r- } 6t- D SCrtM #4= !bb-D - I 1 o RF�uit s� �e $ptCKFlCL /'/ ; i-R � R 1 To cI ti Rats,�IjI.KK�A Rye �� 1 YI Ae� g� i SAtKPLL �r PF-PLACE IODI F-x(5bT�i I URNS SuLK"EA0 AND (a)a i�ECbN5T7VC'` APPRax80I STD/R5 J + PLATF6KM5I iIEPLACC SAX la) DECK .INSTALL ACL`ES5 S5rP R5 FROM $ULKff P To BBACN 8XK FILL Soo-fooO rtKbs c-LI:ArJ FILL, . AUES5 ViA 9 t►.ip1Nrc C�RFT B� Cb5TFL.L.0 NIAlelwZ Ct>trTg. 'Amb AFPklcAPJT PPoPE2-r� �.C> Sax afay GR�� iJ Pa1e� , � y l 19y� bEcF 'Z) / I II97?