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HomeMy WebLinkAboutFishers Island White House, LLC Glenn Goldsmith, President ®1 SO// Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoskiid Southold,New York 11971 Liz Gillooly C, Elizabeth Peeples ® Telephone(631) 765-1892 Fax(631) 765-6641 UN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 13, 2023 Glenn Just J.M.O. Environmental Consulting P.O. Box 447 Quogue, NY 11959-0447 RE: FISHERS ISLAND WHITE HOUSE, LLC CRESCENT AVENUE, FISHERS ISLAND SCTM# 1000-6-2-8 Dear Mr. Just, The office of the Board of Trustees received your Wetland Permit application for a proposed new dwelling and septic system for the above referenced property. The Board reviewed the file and determined that this proposed project is considered Exempt per Ch. 275-4-A.(1)(m) Operations landward of a public road whereby the public road is located between the water body that is the source of Trustee jurisdiction and the operations. Because that section of Crescent Avenue it maintained by Southold Town, it is considered a public road therefore no permit to perform the proposed work on this property is required at this time. This is not a determination from any other agency. Sincerely, Glenn Goldsmith President F � S Drawing Copyright©2015 BSE VED BY ::TPETE PARENT, P.E. (CHA) - N E R S 01/11/2023 \ / S A C 0"-6" TOPSOIL N D 6"-30" SANDY LOAM NTH COBBLES (SW) v 30"-85" FINE TO MEDIUM SAND WITH COBBLES (SW) 'V _ v D 400 Capital Boulevard,Suite 301 85"-150" FINE TO MEDIUM SAND (SW) � � - - EN AVENUE SITERocky Hill,CT 06067 NO WATER ENCOUNTERED 860-885-10551 www.chacompanies.com EXPECTED SEASONAL HIGH WATER BELOW ELEV. 7 NY Certificate of Authorization#0015021 SOIL CLASSIFICATIONS RdC - RIVERHEAD SANDY LOAM 8-15% SLOPES i, IM SEPTIC SYSTEM UPGRADE FOR 5 BEDROOMS Q PROVIDE 2 L.F. 4" C.I. PIPE BETWEEN HOUSE AND CLEAN-OUT. PROVIDE 2 L.F. 4" C.I. PIPE BETWEEN COTTAGE AND CLEAN-OUT. z LOCATE CLEAN-OUTS 2' FROM FOUNDATION WALL. • --�_� PROVIDE FUJI CLEAN WASTEWATER TREATMENT SYSTEM - MODEL CEN 10 �_... ••• (1000 GPD CAPACITY - MAXIMUM 9 BEDROOMS) PROVIDE FOUR 8' DIAMETER LEACHING POOLS 19j 92, BENCHMARK: DH 4065 TRAPWASTESHALL NOT NSTALLEDTREATMENT M UPSTREAMSHALL NOFTUNOUG NOHADDITIOE ADDITIONAL GHOUSE N >5�3p�\ EL=9.56' REQUIRED G INVERT ELEVATIONS— �\ F SITE DEVELOPMENT PLAN PREPARED FOR: OUTLET AT HOUSE - 18.6 (VIF) \\ FI WHITE HOUSE LLC OUTLET AT COTTAGE - 18.5 (VIF) �\ MANHOLE INLET - 18.10 \ ;' " "-% MANHOLE OUTLET - 18.00 ;= C LOCATION MAP SCALE 1 "=400' 4923 CRESCENT AVENUE TANK INLET - 16.92 TANK OUTLET - 16.75 F _ (NORTH HILL ROAD) DISTRIBUTION BOX INLET - 16.47 S C FISHERS ISLAND DISTRIBUTION BOX OUTLET - 16.30 NEW YORK MAP REFERENCES LEACHING POOL INLETS - 15.80 70 / 1. PLAN OF PROPERTY OF THE ESTATE OF MRS. CHARLES S. DRAINAGE CALCULATIONS y' / CAMPBELL FISHERS ISLAND, N.Y., SCALE: 1"=40FT., / DATE: NOV. 1967 REVISED MAR. 2, 1970, PROPOSED ROOF AREA = 3,420 SF PREPARED BY CHANDLER & PALMER ENGR'S. REQUIRED = 3,420 SF X 2 IN/12 IN/FT = 570 CF I ' 3 / NOTES DRY WELLS i0 570 CF / 50.26 CF/VF = 11.34 VF REQUIRED 1. THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE USE Two (2) 8'� x 8' DEEP DRY WELL N I 10 --� s s�'�s" INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR I \ EXCEEDS THE SCOPE OF THE ENGAGEMENT. _ I < 2. IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED SL LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. 3. ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND ,`�O E(tiY 3 I \ 110 - SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL �P��P M. Pqq I PROVIDE POLYETHYLENE MATER SERVICE PROVIDE dt MAINTAIN A CONTINUOUS LINE OF O ARE THE PRODUCT OF THE LAND SURVEYOR. <v �2 Z '' I _- - - - COORDINATE WITH FISHERS ISLAND WATER COMPANY SILT FENCE THROUGHOUT CONSTRUCTION * 2 A r - (TYP. SEE DETAIL) 4. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND - - w y GEODETIC SURVEY TRIANGULATION STATION "PROS" SAW CUT, REMOVE do REPALCE N EXISTING PAVED DRIVEWAY (TYP) RAZE do DISPOSE OF EXISTING 5. SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX O 0,99 1\ -- RESIDENCE (TYP) MAP 1000, SECTION 006, BLOCK 2, LOT 8. AgOFESStONP� \ SF \` \ _ \ / � cP 1 •� 20 SF 6. TOTAL AREA = 0.84± ACRES. Expires 12/31/2023 7. SITE IS LOCATED IN ZONING DISTRICT R ARE -80. ITIS ACCTING"uroER n�DIREcnOON OR o YA PERSON.D PROFESSIONAL L _. \ ,.,-...+ ENGINEER,ARCHITECT,LANDSCAPE ARCHITECT OR LAND _ SURVEYOR TO ALTER AN ITEM IN ANY WAY.IF AN ITEM BEARING THE 8. PERCENT OF LOT COVERAGE ALLOWED- 20% STAMP OF A LICENSED PROFESSIONAL Is ALTERED,THE ALTERING .,.I '. ENGINEER,ARCHITECT,LANDSCAPE ARCHITECT OR LAND _ { S PROVIDE SURVEYOR SHALL STAMP THE DOCUMENT AND INCLUDE THE 1 t' NOTATION'ALTERED BY FOLLOWED BY THEIR SIGNATURE, ,r-•� , i' r TUBE,THE +' 8 0 X 8 DRY WELL \ DATE OF SUCH ALTERATION,AND A SPECIFIC DESCRIPTION FOR ROOF RUNOFF OF THE ALTERATION. 3 �' \ :1 (TYP, SEE DETAIL) :.\ t EXISTING 1 STORY I \ ; r I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DRY SHED TO REMAIN DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCE J \� �T I EXISTING SEPTIC TO BE ► I. I AND WILL ABIDE BY THE CONDITIONS SET FORTH I I THEREIN AND ON THE PERMIT TO CONSTRUCT. PUMPED AND REMOVED OR FILLED W/SAND PROVIDE FORM WWM-080 PROVIDE 6" SDR 35 ROOF DRAIN OUTLET APPLICANT • J O 0.5% MIN. PROVIDE CONCRETE PROPOSED 1.5 STORY WASHOUT PIT SIX BEDROOM RESIDENCE (SEE DETAIL) /, `/ I 3 FINISH FLOOR - ±23.8 / TH M PROVIDE FOUR 8'0 6' DEEP LEACHING POOLS APPROXIMATE LIMITS - - ( Y , SEE DETAIL) T �� - - o 20 I TPD \ l OF DISTURBANCE / ' ±17,500 SF FEB 2 8 _tl 0 EXISTING 1 STORY - - - - - ' 1 BEDROOM COTTAGE TO REMAIN - \ \ 5075 EXPANSION AREA s (TYP) N 06'30'30" E No. Submittal/Revision App'd. By Date 14.20' ,' , '• LOAM, SEED do STABILIZE ALL f DISTURBED AREAS (TYP) 5 .. 46, I �' N - • I 2'52'50" W EXISTING 1 STORY c~iI DRY GARAGE TO REMAIN PROVIDE SYSTEM CONTROLS & ALARM MOUNTED TO BUILDING EXTERIOR 00 rn PROVIDE WEATHER PROOF ENCLOSURES ` i AS REQUIRED (TYP) PROVIDE DISTRIBUTION BOX (SEE DETAIL) 0 (ALL COMPONENTS TO BE HARD WIRED) j LEGEND Q PROVIDE FUJIMAC 15ORII BLOWER IN VENTED '` PROPERTY LINE _JPROVIDE FUJI CEN-10 WASTEWATER __ � ENCLOSURE ON CONCRETE PAD TREATMENT SYSTEM (SEE DETAIL) ABUTTERS LINE PROPOSED INSTALL PER MANUFACTURERS RECOMMENDATIONS I EDGE OF PAVEMENT SEPTIC SYSTEM CnI EDGE OF GRAVEL ------------------- m PROVIDE �4' SCH 40 PVC AIR LINE TO BLOWER EXISTING CONTOUR —__ 60 ——— INSTALL PER MANUFACTURER'S RECOMMENDATIONS PROPOSED CONTOUR 60 - TREE LINE i I Designed By: Drawn By: Checked By: z REMOVE & DISPOSE OF EXISTING TREES NOW OR FORMERLY N/F PMP ZBC/PMP zBOUNDARY POINT ® Issue Date: Project No: Scale: o AS REQUIRED (TYP) (n MONUI WELL WENT ® 02/21/2023 079891 1"=20' f U Drawing No.: 20 10 0 20iiiiii SHEET 1 GRAPHIC SCALE IN FEET LZ Drawing Copyright©2015 CA ,—DISINFECTION 20" MANHOLE (TYP 20" MANHOLE (TYP 24" MANHOLE (TYP CYLINDER (OPTIONAL) INVERT 400 Capital Boulevard,Suite 301 Rocky Hill,CT 06067 1 860-885-1055 1 www.chacompanies.com I I 1'-4" 1'-6" I I NY Certificate of Authorization#0015021 1 � I I 0 M ADJUSTABLE LOCKING TYPE Or I 6'-5" CAST IRON FRAME AND DOVER i 5-2" V-11 1/2" 4'-11 1/2* (TO BE WATER TIGHT AND INSECT PROOF). 2.W MAX 2. MAX 87, TRAFFIC BEARING TO MEET AASHTO—H20 30" SITE DEVELOPMENT PLAN PREPARED FOR: STEPS ARE TO BE COPOLYMER 5• WALL4" FI WHITE HOUSE LLC FUJI CLEAN CEN-10 POLYPROPYLENE COATED 1/2' 1 NOT TO SCALE BUM RUBBER FOR STEEL BARS O tY O.C. JOINT SEALANT TO BE NOTE: RISER COVERS SHALL WEIGH AT LEAST 80 Les, OR HEALTH CODE CONCRETE DIVERT FORMED TO ALL JOINTS, 3" 4923 CRESCENT AVENUE APPROVED SECONDARY SAFETY DEVILS SHALL BE PROVIDED of TMDIAMETER R�HE T� PROVIDE NON—SHRINKING (NORTH HILL ROAD) MAST JOINT SEALANT FISHERS ISLAND NEW YORK CAST DI PLACE FLEXIBLE � � j� 1 � � l < < j � N 08. o o a 0o RUBBER SLEEVE WITH STAINLESS STEEL STRAPS r 12' — 3/4' BROKEN STONE 48' I.D. o MOR FLDaBIE RUBBER BOOT. M _ I 0 TYPICAL MANHOLE DETAIL NOT TO SCALE MSOEAE—MN, IMAC 150 RII NOTES- �------ -4� --- 1. ALL MANHOLES SECTIONS SFWl CONFORM TO "T.M. C-478. LATEST REVISIONI I------ BLOWER 1 STANDARD SPECIFICATIONS FOR PRECAST REINFORCED CONCRETE M.H. SECTIONS ALARM 2. MANHOLE RISER SECTION TO BE FURNISHED IN 1.2.3. OR 4' HEIGHTS. AS REQUIRED. 10 HOLE DISTRIBUTION BOX 3. LOADING TO CONFORM TO AASHTO H-20 LOADING. _ --- 4. ALL CONCRETE IS TO MEET 4000 PSI AT 28 DAY SET. NOT TO SCALE FUJI CLEAN NEMA 4X NOS. PROVIDE DID CAP LEVELING DEVICES AS REQUIRED CONTROL PANEL MAIN PANEL WRING SCHEMATIC ��of- NEF Yp NOT TO SCALE rCC =--. W ILL _ WOVEN WIRE FENCE (MIN. 1461,00 GAUGE W/ MAX. 6 MESH FOFESSION SPACING) Expires 12/31/2023 IT IS A VIOLATION OF LAW FOR ANY PERSON,UNLESS THEY ARE ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL ENGNEER,ARCHITECT.LANDSCAPE ARCHITECT OR LAND MAX. CENTER TO CEN�R 36" MIN. LENGTH ,' . FENCE POSTS M ANSURVEYOR To ALTER AN ITEM Y WAY.IF AN DEM BEARING THE L III DRIVEN MIN. 16" ENGINEER,ARCHTECT,LANDSCAPE ARCHITECT OR LAND INTO GROUND STAMP OF A LICENSED PROFESSIONAL IS ALTERED,THE ALTERING SURVEYOR SHALL STAMP THE DOCUMENT AND INCLUDE THE NOTATION"ALTERED BY"FOLLOWED BY THEIR SIGNATURE,THE (I DATE OF SUCH ALTERATION,AND A SPECIFIC DESCRIPTION OF THE ALTERATION. II I • HEIGHT OF FILTER \\\ 16" MIN. F� p� 6" MIN. Fes/ PERSPECTIVE VIEW WOVEN WIRE FENCE (MIN. 14 PLASTIC LINING STRAW BALE WIRE 1/2 GAUGE W/ MAX. 6" MESH I I ATTVE MATERIA SPACING) WITH FILTER CLOTH I z (OPTIONAL 36" MIN. FENCE POST I 0 UNDISTURBED `V SECTION B-B FLOW— III GROUND WOOD OR NOT TO SCALE PROPOSED ROOF LEADER METAL STAKES \ RESIDENCE (2 PER BALE) A COMPACTED SOIL 24"s� EMBED FILTER CLOTH \��\��\��\�j 0 6" Pvc WYE /`.10' MIN. ;', A MIN. OF 6" IN GROUND OVERFLOW B '` i 1 B 4" 6" PVC Y A TO LENGTHMIN. 6" SOIL COVER OVER DRYWELL CONCRETE COVER VARIES _ SECTION VIEW FILTER FABRIC 4" 9" CONSTRUCTION SPECIFICATIONS $ No. Submittal/Revision App'd. By Date o i 1i ®®®® o 0 8" H " 90'BEND—/ p p OO p ®®®® o o ' 1. WOVEN WIRE FENCE TO BE FASTENED SECURELY TO FENCE POSTS WITH - __ - _ _ - ®®®q®®q IE G WIRE TIES OR STAPLES, POSTS SHALL BE STEEL EITHER T" OR U.1 ®®IC TYPE s' SDR 35 PVC o �'-" " -� -'" -'-" "-'" IE OR HARDWOOD. SLOPE AS REQUIRED O OO OO OO O o 0 0 PLASTIC STRAW BALE 312121®®CKI®2�11® o 0 PN ®®®® 3 2. FILTER CLOTH TO BE FASTENED SECURELY TO WOVEN WIRE FENCE WITH T' STONE OR p o 0 0 m o LINING NOT TTO SCALE (TYP) ®®®® 1$" TIES SPACED EVERY 24" AT TOP AND MID SECTION, FENCE SHALL BE SCREENED GRAVEL 0m CK]EXEI ®® o 0 0 6"----1 � [--4" WOVEN WIRE, 6" MAXIMUM MESH OPENING. CONCRETE WASHOUT TWIT ®®®® o 0 3. WHEN TWO SECTIONS OF FILTER CLOTH ADJOIN EACH OTHER THEY STORMWAIER DRYWELL DETAIL 10 NOTES: 0 SHALL BE OVER-LAPPED BY SIX INCHES AND FOLDED, FILTER CLOTH NOT TO SCALE 1. DIMENSIONS SHOWN ARE FOR TYPICAL RESIDENTIAL SECTION A-A o SHALL BE EITHER FILTER X, MIRAFI 100X, STABILNKA T140N, OR APPROVED CONSTRUCTION, LARGER PROJECTS OR PROJECTS REQUIRING a EQUIVALENT. PUMPS MUST BE SIZED ACCORDINGLY (7 GALLONS/TRUCK, LEACHING POOL (A 50 GALLONS/PUMP, PLUS MIN. 1' FREEBOARD). NOT TO SCALE 4. PREFABRICATED UNITS SHALL BE GEOFAB, ENVIROFENCE, OR APPROVED 2. CAPTURE MATERIAL AND LIQUIDS MUST BE REMOVED FROM Go EQUIVALENT. rn PIT AND PROPERLY DISPOSED OF WHEN THE PIT REACHES 0 5. MAINTENANCE SHALL BE PERFORMED AS NEEDED AND MATERIAL 75% OF ITS CAPACITY. 1-1 REMOVED WHEN "BULGES" DEVELOP IN THE SILT FENCE. 3. INSPECT PIT PRIOR TO EACH USE TO ENSURE CONTAINMENT 0 OF WASH WATER. SILT FENCE CONSTRUCTION F- DETAILS I 00 Designed By: Drawn By: Checked By: 0 PMP ZBC/PMP of �;" E Issue Date: Project No: Scale: 02/21/2023 079891 AS NOTED Li 6! FEB 28 2�:+ Drawing No.: r r SHEET 2 John G.Stein,Chairperson y Town Hall,53095 Main Rd. Lauren Standish,Secretary d 'P.O.Box 1179 • '�' Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Wed., April 5, 2023, the following recommendation was made: FI WHITE HOUSE LLC to raze and dispose of existing single-family dwelling; existing septic system to be pumped and removed or filled with sand; construct a new single- family dwelling with appurtenances, leaders, and gutters; install two (2) 8'X 8' drywells for roof run-off; install new I/A OWTS system; install new water service and remove and replace existing paved driveway. Located: 4923 North Hill Rd., Fishers Island. SCTM#6-2-8 The CAC did not make an inspection, therefore no recommendation was made. I . . Hutcheson's Square Footage MAR — 2 2023 = 1st Floor 2nd Floor _ All Floors_ Conditioned Main House 2509.10 2190.93 i Cottage 279.87 Totals �Y 2788.97 2190.93 4979.90ITotal Conditioned Sq Ftg Unconditioned Front Porch 616.08 Back Porch 184.36 Master Entry Porch 33.00 Master Front Porch 128.00 Front Balcony 1 174.22 522.30 Total 2nd Floor Balcony(no Roof) Front Balcony 2 162.33 Shower Balcony 57.75 2nd Master Front Balcony 128.00 Front Shed&Porch 107.00 Garage 350.71 Totals 14b19.15 1419.15 Total Unconditioned Sq Ftg Under Roof �Total Gross Sq Ftg Under Roof Site Elements Walkways 51.00 aR; '-' 6921t3S<Total Gross Sq Ftg Under Roof+Balconies Retaining Walls 215.00 Outdoor Shower Front 48.30 Outdoor Shower Back - 25.00 Steps 85.00 Driveway 4265.58 Totals 4689.88 4689.88 Total Impermeable Site Elements LIMITED AND SPECIFIC POWER OF ATTORNEY I, Rossie C.Hutcheson,Manager and sole member of Fishers Island White House LLC, a Virginia limited liability company,the "Principal", do hereby grant a limited and specific power of attorney to Skip Broom of H. P. Broom-Housewright, Inc. as my"Attorney-in-Fact". Said Attorney-in-Fact shall have full power and authority to undertake and perform only the following acts on my behalf: To negotiate and sign any and all documents, including,but not limited to,any applications or permits with the town of Southold and other agencies pertaining to and dealing with any proposed improvements to the property located at 4923 North Hill Road, Fishers Island,NY 06390, and having a Parcel ID#s 1000/6/2/8 & 1000/6/1/14. The authority herein shall include such incidental acts as are reasonably required to carry out and perform the specific authorities granted herein. My Attorney-in-Fact agrees to accept this appointment subject to its terms, and agrees to act and perform in said fiduciary capacity consistent with my best interest, as my Attorney-in-Fact deems advisable. This power of attorney is effective upon execution. This power of attorney may be revoked by the Principal at any time by signing a Revocation. This power of attorney shall automatically be revoked upon my death or incapacitation, provided any person relying on this power of attorney shall have full rights to accept and reply upon the - ---authority ofrn3-Attorncy-in-Fact.until in-receipt..ofactual_notice_nfre_vocation., Yi C' 166. January 18,2023 Rossie C.Hutcheson,Manager and Date sole member of Fishers Island White House LLC, a Virginia limited liability company. STATE OF VIRGINIA%*q CITY/COUNTY OF ,to-wit: I,the undersigned, a Notary Public in and for the jurisdiction aforesaid,hereby certify that Rossie C. Hutcheson, whose name is signed as Manager of Fishers Island White House LLC to the foregoing Limited and Specific Power of Attorney dated January18,2023,has acknowledged the same before me in my jurisdiction aforesaid. Given under my hand this 18th day of January, 2023. My commission expires: "' tv ` - • • PUBLIC Notary Public : REG.0245636 a MY COMMISSION' =n 's EXPI08131 Q Glenn Goldsmith,President � o(Jrs - Town Hall Annex �'' b . 54375 Route 25 A.Nicholas Krupski,Vice President �, a:_ P.O.Sox 1179 Eric Sepenoski f f Southold,New York 11971 Liz Gillooly Elizabeth Peeples ';_, � �.�' :�; Telephone(631) 765-1892 ` kti� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application X Wetland Permit Application I - Administrative Permit : Amendment/Transfer/Extensi n '9 V. Received Application: �•?g 23 e FEB 2 8 2023 Received Fee: $2 t r.. Completed Application: __ F Incomplete: -- SEORA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): ----74LWRP Consistency Assessment Form Sent: AC Referral Sent: •`r Date of Inspection: Receipt of CAC Report: _ _ Technical Review: Public Hearing Held: �—Resolution:_ Owner(s)Legal Name of Property (as shown on Deed): F I White House LLC. Mailing Address: P.O. Box 290, Manakin-Sabot,Virginia, 23103 Phone Number: c/o 860-526-9836 Suffolk County Tax Map umber: 100,0 - 1000-006-2-8 Property Location: _ , Fishers Island (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): JMO Environmental Consulting Mailing Address: P.O. Box 447, Quogue, NY 11959-0447 Phone Number: 631-653-0607 �� Email: c/oSKIP@HPBroom.com�� _ _ .board of Trustees Applicatioh GENERAL DATA Land Area(in square feet): 36,590.4 Area Zoning: R-80 Previous use of property: Existingsingle ingle family dwelling Intended use of property: Single family dwelling Covenants and Restrictions on property? —ayes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code?Will _nNo If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? =Yes _2_No If"Yes", please provide copy of decision. hisproject reqpzq any demolition as per Town Code or as determined by the Building Dept.? ✓ Yes No Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No Prior permits/approvals for site improvements: Agency Date Unknown No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? Fv� No_a Yes If yes,provide explanation: _ Project Description(use attachments if necessary): Please see attached Applicant proposes to raze existing single family dwelling; existing septic system to be pumped and removed or filled with sand; construct a new single family with appurtenances, leaders and gutters; install two (2) 8'x8' dry wells for roof runoff; install new I/A OWTS system; install new water service and remove and replace existing paved driveway. aoard of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: New single family dwelling with appurtenances Area of wetlands on lot: 0 square feet Percent coverage of lot: less than 20 Closest distance between nearest existing structure and upland edge of wetlands: 96 _feet Closest distance between nearest proposed structure and upland edge of wetlands: 95 feet Does the project involve excavation or filling? , 1:1 No _R_Yes If yes, how much material will be excavated? 20 cubic yards How much material will be filled? 20 cubic yards Depth of which material will be removed or deposited: 8 feet Proposed slope throughout the area of operations: 1:1 Manner in which material will be removed or deposited: Backhoe Statement of the effect, if any,on the wetlands and tidal waters of the town that may result by reason,of such proposed operations (use attachments if appropriate): As proposed the project shouldhave nonegative impacts upon the wetlands or tidal waters of the Town. 61 Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification; Complete Part 1 based on information currently available. if additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information �~ Name of Action or Project: Proposed new single family dwelling Project Location(describe,and attach a location map): 4923 North Hill Road, Fishers Island, location map enclosed Brief Description of Proposed Action: Please see attached Name of Applicant or Sponsor: Telephone:C/o 860-526-9836 F I White House LLC. E-Mail:c/oSKIP@HPBroom.com Address: w P.O. Box 290 City/PO: State: Zip Code: Manakin-Sabot 1 VA 23103 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? ❑ ❑ If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,'approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: F-1 FV1 Southold Town Trustees, N.Y.S.D.E.C. & S.C.D.H.S. 3.a.Total acreage of the site of the proposed action? Qy8 acres b.Total acreage to be physically disturbed? f) 01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.84 acres 4. Che La 11 land us--6at occur on,adjoining anfUliar the propq=4 action. Urban Oiural(non-agriculture) Industrial Commercial []Residential(suburban) Forest Agriculture Aquatic QOther(specify): Parkland Page 1 of 4 I Applicant proposes to raze existing single family dwelling; existing septic system to be pumped and removed or filled with sand; construct a new single family with appurtenances, leaders and gutters; install two (2) 8'x8' dry wells for roof runoff; install new I/A OWTS system; install new water service and remove and replace existing paved driveway. 5. Is the proposed action, NO YES N_/A a. A permitted use under the zoning regulations? ✓ -F- 1 b.Consistent with the adopted comprehensive plan? / 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed action located in,or does it adjoin,.a state listed Critical Environmental Area? NO YES If Yes,identify:_F�shers IsJ_and $ou_nd _____+���� _____�� � � ❑ ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO_ YES b.Are public transportation service(s)available at or near the site of the proposed action? ✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ ❑ 10. Will-the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ n 11.Will the proposed action connect to existing wastewater utilities? NO LYES If No,describe method for providing wastewater treatment: ❑ a 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? v FT-1 b, is the proposed action located in an archeological sensitive area? ✓ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO T YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres- 14' cres: 14.✓ ntify the typic bitat types that oc n,or are likely to be found on tl"roject site. Check all that apply: Shoreline Forest Agricultural/grasslands Early mid-successional Wetland Urban Suburban 15,Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? Ft/_ - 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO If Yes, U � a Ela. Will storm water discharges flow to adjacent properties? '"0 ES b. Will storm water discharges be directed to established conveyance systems ff an m drains)? If Yes,briefly describe: [NO ES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon, dam)? If Yes,explain purpose and size:�.My�<. «m ❑✓ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: .r... ....._.� -__ �.� .. w _ .� _. w, F✓ ❑ ------------- 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? n If Yes,describe: __ _ _ _ .. _ w __ __ F] I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: GI Ju .. Sa811t Date: Signature:_ _ ZZ Part 2-Impact Asses t. The Lead Agency is responsible for the completion of Part 2. Answer all of the_following questions in Part 2 usi a information contained in Part 1 and other materials submitted by the project sponsoror otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflietwith an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? F 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑ establishment of a Critical Environmental Area(CEA)? S. Will the proposed action result in an adverse change in the existing level of traffic or 1:1affect existing infrastructure for mass transit, biking or walkway? El d. Will the proposed action cause an increase in the use of energy and it fails to incorporate (�'� reasonably available ener y conservation or renewable energy opportunities? l�..l 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? S. Will the proposed action impair the character or quality of important historic,archaeological, ❑ ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands,� � ❑ f—I waterbodiesgroundwater,air quality,flora and fauna)? _ � 1 Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? El 1J Part 3-Determination of significance. The Lead Agency Is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3, Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. FTCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency fate President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Y Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Mage 4 of 4 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Tow o u I ' h'c it 1 c s int n the ygrt gftQ—wn6L&cgrsandcrngj=s.The of this formis to provide information whie c Wert the t6wn of gm-lble conflicts of intorat and a ow It o take w z ver Wign is ,necessaty.to avoid same. YOURNAME: Jl1St, Glenn, E (Last name,first name,iriddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building ✓ Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest,"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 510/0 of the shares. YES . NO n if you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title br position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): n,A)the owner of greater than 5%of the shares of the corporate stock of the applicant _n (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,parineii,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this d f, . 20.12 Signature _ Print Name en Just Fonn TS 1 Board of Trustees Application AFFIDAVIT _BEING DULY SWORN DEPOSES AN AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT($)AND THAT ALL STA'T'EMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER 104OWLEDGE AND BELIEF,AND THAT ALIO 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 BOARD OF TRUSTEES HARMLESS AND FIX E FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID .PERMIT(S),IF GRANTED. IN COMPLETING TII.IS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A.FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ON'T'O MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. C Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS � y. DAY OF_�`� �iC 20' Notary Public Board of Trustees Applicat"ion. AUTHORIZATION (Where the applicant is not the owner) r—. owners of the property identified as SCTM# 1000- ? ,s .: in the town of New York,hereby authorizes ` to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. `p On rty w sw.e Signature NAL Property Owner's Signature SWORN TO BEFORE ME THIS \ DAY Op' Notary Public APPLICANUAGENTIREPRE,SENTATIV TRANSACTIONAL DISCLOSURE FORM" ,l tc�.n+v oLSo!ttltctilli'�r!►S.ic ol.'��iti_cl�tro ihiiti ctn t i�;►s f!f ititt;,rr�►�tl..S.il�»!!)!.1 ctl",lttiv_ts,n(lccrs,�try�!cil;J�e>�n:� .�.l:l).t`,.lm�•.;t�.!2f lt,,,frtrrn i,c,iss vicic info{n+rticzt yJ cls Csmt,sllsCt.thr Snmuli Jxs^il+lr ucif�tlie1l ur ioigtr at-aw!it!k) it ts►1►)4 w)i:Ue:vcr rictklt ticmmury La 1—mi_It �ti�;. YOUR NAML• ,. .� e, -:L. 1T+t?...� L. L C— (Last namFitsi rtame,.>icuttdle Initial,upiess yois art applying hi the name of someone else or other entity,such as a company.Ifso,indicate the other person's or company"s name.) NAME OF APPLICATION. (Check all that apply) Tau grievance _ .,_. ,.. ..____. Building Yarlanct Trustee Change of Zone __ Coastal Erosion _•_. Approval of plat _._,.. ,...__ Mooring. Exemption from plat or official map _.. ..._.. ...,_..__._, Planning Other (ir"tither",name the activity)._......._....._ ._......,._..._n.,.....,..... ..___ Do you 1>Gi umtsily(or through your co(npany,spouse,sibtiog,parent.or child)haven telationship witl►any nfliver or employee or therown or Sowidiald? "liclallonshil>"includes by blood,marriage,or business intrre:,i."itusincss interest"rnctu►s a bnsilwss, includiur n patioership,in which the town officer or employee bas even it partial ownctship.of(or ensplcyinetu tw)a corporatido in which lite(own ofricar or einployoc owns pore then 5%of the shaues. YES _._..._ _.._ _ NO -11—kL.___.r. If you answered"YES",complete the balance of this form and date and sign where indieattd. Name of person employed by the Town of Southold Title or position of that person . ...yu_. �.,_..__,__.. __,......._.....__ ....... ... __........ Describe the relationship between yourself(the upplictatdat ciiVmpresentativc)and the town officer or employee.Either check the appropriate line A)through D)and/or deseritsr in the space provided. The town ofticer or employee or his or her spouse,sibling,parent,or child is(check all that apply), A)the owner orgreatcr than s%or ase shares of the corporate stock of the applicant (when the applicant is a co;poratiunr _D)the legal or bcncficial owner of any interest in a non-corpotate entity(when the applicant is not a corporiuion); C)an officer,director,partner,or employee of the applicant;or n)the actual applicant, DESCRIPTION OF RELATIONSHIP Submitted thi I.-I day of &M1 UtY 200 jj r Print Namo I _IP 66 tM Form TS I Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt .minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A ,proposed action r will be evaluated as to its significant beneficial and adverse effects upon the coastal area which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Xhus, each answer must be ex lainM in detail listing both supRorting and non- supporting ages. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# ovs ,.2 _8 PROJECT NAME Proposed single family dwelling The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑✓ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: Please see attached Applicant proposes to raze existing single family dwelling; existing septic system to be pumped and removed or filled with sand; construct a new single family with appurtenances, leaders and gutters; install two (2) 8'x8' dry wells for roof runoff; install new I/A OWTS system; install new water service and remove and replace existing paved driveway. Location of action: 4923 North Hill Road, Fishers Island Site acreage: 0.84 Present land use: Existing single family dwelling Present zoning classification: R-80 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: F I White House LLC. (b) Mailing address: P.O. Box 290 - Manakin-Sabot,VA 23103 (c) Telephone number: c/o 860-526-9836 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes Fv�' No❑ If yes,which state or federal agency?N.Y.S.D.E.C. _ C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ✓❑Yes ❑ No ❑ Not Applicable There will be no impact upon the character of the community or open space Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria 0 Yes ❑ No ❑ Not Applicable There shall be no impact upon any known historic or archaeoloical resources. t ach Mfo—nal sheets IR necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes F J No❑ Not Applicable There wIII be no Impact upon scenic resources or the visual quality of the Town. Attach tions sheets i necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRJ' Section III—Policies Pages S through 16 for evaluation criteria Yes ❑ No*m Not Applicable The project will not impact structures or natural resources by flooding or erosion. Attach additional sheets if necessary _.a,._�.w.u,,.... _._.�,...... Policy S. Protect and improve water quality and supply in the Town of,Southold. See LWRP Section III Policies Pages 16 through 21 for evaluation criteria Yes ❑ No oNot Applicable There will be no impact upon the quality or supply of water. A-ft-a-EF 03tffohal s eets i necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. 0 Yes [—]No ❑ Not Applicable intro kdGB.ka fmpnd�nlho pu.Gly.ml Nndl.n Mtl.Taun'e aoosYa•omt wNokiM of signpic.of ao.afN Fhh uitl Wddita Hahllafa 77ro1nwLL+llanaf o r0furd tb1LLmQN NdfaSona wnuH WdaaweA. Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Fi/ Yea F-1 No F-j Not Applicable There will be no impact on the quality of the air Attach additional sheets if necessary Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes 11 No F&/�Not Applicable The project does not involve solid waste or hazardous substances and wastes. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III--Policies; Pages 38 through 46 for evaluation criteria. 21 Yeo No❑Not Applicable There will be no impact upon the public access to, or the receational use of, coastal waters, public lanc Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section IU—Policies; Pages 47 through 56 for evaluation criteria. R]Yes ❑. No ❑ Not Applicable e i o ' ' Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑✓ Yes ❑ No❑ Not Applicable There will be no Im act u on the sustainable use of living marine resorces in West Harbor or the Fishers Island Sound. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III--Policies; Pages 62 through 65 for evaluation criteria. Z. Yes ❑ No❑ Not Applicable 'rhe pro ect does not Involve agricultural lands, Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III--Policies; Pages 65 through 68 for evaluation criteria. 21 Yes ❑ No❑ Not Applicable The Qrooect does not involve thR use or development of enUr M or mineral resorces. PREPARED BY Glenn E. Just TITLE Agent DATE k�.93 la 3 _•' 14 Fisher • IWjv t •, , ''• ♦• � ,�:,i�1 '- ,tib_- i� �,"•t * ��:��•�•• t 7 IL ki\F 'r's+,i.;.,. jai �-- x•-iii •' a Aw �' a ali• i • ' f S Lap a �• a �� �".. moi. � ..a • y�j♦v♦ � l ,,�- � ,�• Y Y Ci t S It I . . r :d�• �y//� '. � w '. fa.� •hs �sv� Z .moi"r�i �',���'� >�':+ � ' it y. _� .�;j -,.. '�re.�-- l; y` (. ti �� . � ,� � ' i .l .. 3. 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(2tl u ------ ��- --�-- — -- m NOTICE COUNTYOFSUFFOLK © E of WIIIIIe1D SECTION NO E —�— E --- _� --m-- ��-- -- Real ca,ProrocP.e<r Tax iu..m..nServi pAgency v a SIAI{l/9/]� U rrr" Mn rryxiNalstT�r w —__— om.� --r-- o"wu--gym'-- " A Tmcr rq 2,,,k1 ++w�^�• P PROPERTY MAP