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HomeMy WebLinkAbout1000-145.-4-16 OFFICE LOCATION: MAILING P.O. ADDRESS: Town Hall Annex 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) c/s -me .. Telephone:631 765-1938 Southold, NY 11971 + ® 01 $Q LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Leslie Weisman,Chair Members of the Zoning Board of Appeals From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date February 14, 2025 Re: LWRP Coastal Consistency Review for ZBA File Ref HASDAY 2023 FAMILY TRUST/CRAIG HASDAY,TRUSTEE#7997 SCTM# 1000-145-4-16 HASDAY 2023 FAMILY TRUST/CRAIG HASDAY, TRUSTEE#7997-Request for a Variance from Article IV, Section 280-18 and the Building Inspector's October 15,2024,revised December 5, 2024 Notice of Disapproval based on an application for a permit to legalize an"as-built"9.9 ft. by 22 ft. deck addition attached to an existing single family dwelling; at 1)less than the code required minimum side yard setback of 10 feet; located at: 200 MacDonalds Crossing, (adj.to Peconic Bay)Laurel. SCTM# 1000-145-4-16. The proposed action has been reviewed to Chapter 268,Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program(LWRP)Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is INCONSISTENT with the below listed Policy Standard and therefore is INCONSISTENT with LWRP. 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. The as-built structure was constructed without obtaining the required permits. As-built development that does not reinforce the traditional land use pattern of the Town of Southold does not support this policy. Further,the deck is located within a FEMA Flood Zone 0.2%Annual Chance Flood Hazard. Structure within this area should be avoided,relocated, or minimized due to repetitive loss from storm damage, including hurricanes. Pursuant to Chapter 268,the Southold Town Zoning Board of Appeals shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Paul DeChance,Town Attorney BOARD MEMBERS �o��O S�urHOlp Southold Town Hall Leslie Kanes Weisman,Chairperson 53095 Main Road•P.O.Box 1179 ' Southold,NY 11971-0959 Patricia Acampora ;,G� e Office Location: Eric Dantes p� yo, Town Annex/First Floor Robert Lehnert,Jr. ycou" ,N 54375 Main Road(at Youngs Avenue) Nicholas Planamento Southold,NY 11971 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 December 20, 2024 Mark Terry, Assistant Town Planning Director R E CE I V LWRP Coordinator Planning Board Office DEC 2 3 2024 Town of Southold Town Hall Annex Southold Town Planning Board Southold,NY 11971 Re: ZBA File Ref. No. # 7997 - Hasday 2023 Family Trt Dear Sir or Madam: We have received an application legalize as built 9.9 ft X 22 ft deck additions to an existing single family dwelling. A copy of the Building Inspector's Notice of Disapproval under Chapter 280 (Zoning Code), and survey map, project description form, are attached for your reference. Your written evaluation with recommendations for this proposal, as required under the Code procedures of LW" Section 268-513 is requested within 30 days of receipt of this letter. Thank you. Very truly yours, Leslie K. Weisman Chairperson �j I J By: Encl. Site Plan/Survey: Peterson Architectural Works, last dated December 12, 2024 Public Hearing Date: March 6, 2024 FORM NO. 3 TOWN OF SOUTHOLD -7gq-f BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: October 15, 2024 REVISED: November 4,2024 REVISED: December 5,2024 TO: Hasday 2023 Family Trust PO Box 163 Laurel,NY 11948 Please take notice that your application dated August 22, 2024: For permit to: legalize a 9.9' x 22' deck addition to an existing single-family dwelling at: Location of property: 200 Mac Donalds Crossing, Laurel,NY County Tax Map No. 1000 - Section 145 Block 4 Lot 16 Is returned herewith and disapproved on the following grounds: The "as built" deck addition to the existing single-family dwelling in the AE-6 flood zone is not allowed pursuant 280 Attachment 3 Bulk Schedule for Residential Zones which requires a side yard setback to be a minimum of 10 feet. The "as built" deck addition has a side yard setback of 0 feet. Authoriz Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file,Z.B.A. APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS AREA VARIANCE House No.X0 0 Street M O-c- p901'"d CMSS0 Ulamlet LO-U-' - SCTM 1000 Section: 100'0 Block: ll`Cf-Lot(s) ® `(- Lot Size: O ( G Zone ACG I(WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED I o 1 tr� BASED ON SURVEY/SITE PLAN DATED l I -�kfj Owner(s): �PP --,?D 2-3 -Fr�d y IrW-�- CPt1iG f4ASy-1 USA Mailing Address: �b Ro0 c / (a3 La-u re Telephone: 4/�7 f7z�3)� Fax: Email: C�► f7��°��`� �I u�+ NOTE: In addition to the above,please complete below if application is signed by applicant's attorney,agent, architect,builder,contract vendee,etc.and name of person who agent represents: Name of Representative: for( ) Owner( ) Other: Address: Telephone: Fax: Email: Please check to specify who you wish correspondence to be mailed to,from the above names: ( ) Applicant/Owner(s), ( )Authorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED I ?A and DENIED AN APPLICATION DATED q�t2 --,-OZ' FOR: ?O'Building Permit ( ) Certificate of Occupancy ( ) Pre-Certificate of Occupancy ( ) Change of Use ( ) Permit for As-Built Construction (Other: DcC-< Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by numbers. Do not quote the code.) Article: Section: Subsection: Type of Appeal. An Appeal is made for: A Variance to the Zoning Code or Zoning Map. ( ) A Variance due to lack of access required by New York Town Law-Section 280-A. ( ) Interpretation of the Town Code,Article Section ( ) Request for Reversal or Overturn the Zoning Officer's Denial Other A prior appeal (V has, ( ) has not been made at any time with respect to this vropelqy, UNDER Appeal No(s). G4-1 I Year(s). 41213 & (o 19 (Please be sure to research before completingthis question or call our office fir assistance) Revised 6/2023 QUESTIONNAIRE FOR FILING WITH YOUR ZBA APPLICATION A. Is the subject premises currently listed on the real estate market for sale? Yes x No B. Are there any proposals to change or alter land contours? _,,< _No Yes, please explain on separate sheet. C. 1.) Are there areas that contain sand or wetland grasses? ycs 2.)Are those areas shown on the survey submitted with this application? 3.) Is the property bulk headed between the wetlands area and the upland building area? 4.) If your property contains wetlands or pond areas, have you contacted the Office of the BOARD OF TRUSTEES for its determination of jurisdiction? Iles Please confirm status of our inquiry or application with the Board of Trustees: o✓C_9 If issued, please attach copies of your permit listing conditions of approval with a copy of the approved survey. D. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? 40 E. Are there any patios,concrete barriers, bulkpeads or fences that exist that are not shown on the survey that you are submitting? ra If any of the aforementioned items exist on your property, please show them on a site plan. F. Are there any construction projects currently in process on your property? 'yr-Y If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe scope of work: G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If none exist, please apply to the Building Department to obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? Y`) If yes, please label the proximity of your lands on your survey and identify the Suffolk County Tax Map No. I. Please list present use or operations conducted at your property, and/or the proposed use RGS'i D&j-n A`L- (examples:existing single family,proposed:same with garage,pool or other) thorized signature Date FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ? 4967. . . Date . . . . . . . *Tan 5 , 19 73 . THIS CERTIFIES that the building located at Pvt Bond Of f Pee. Bay B eet Map NoEdgemere Pk Block No. . . . . . Lot No.11 & pt 12 Laurel N.Y.. . conforms substantially to the Application for Building Permit heretofore filed in this office dated Bept .22 19 66 pursuant to which Building Permit No. 3268Z dated Oct. • 13 . . • • • 19 66 ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Private one family•dwelling • • (Approved by •Bd Appealg -Oct 65 1966 The certificate is issued to Alice.Dave . . . . Qwner (owner, lessee or tenant) of the aforesaid building. NOTEt Original house built before April 23, 1957 Suffolk County Department of Health Approval Pre •ea3-sting UNDERWRITERS CERTIFICATE No .Pre.". axisting . • . • • • • • HOUSI: NUMBER 460 Street Private Road # 2. (11eDonald Crossing) Building Inspector >• �� J U r� n" 'Telephone (631) 765-1802 Town Hall Annex 54375 Main Road � P.O. Boy 1179 Southold.NY 11971-0959f(,�� VU BUILDING DEPARTMENTv `' TOWN OF SOUTHOLD l STOP WORK ORDER TO: Chisholm JR Irrv. Trt. 1 P.O. Box 1225 Mattituck, New York 11952 YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 200 Macdon aids Crossing Laurel New York S.C.T.M. 1000-145.-4-16 Pursuant to Section 144-8 Chapter of the Code of the Town of Southold, New York, you are notified—to immediately suspend all work and activities until this order has been rescinded. BASIS OF STOP WORK ORDER: Construction without first obtaining a building permit. CONDITIONS UNDER WHICH WORK MAY BE RESUMED: When a Building Permit has been issued_ Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. DATED: 10 0/2023 Sean Devlin Electrical Inspector (Cert. Mail) ��oFsa�,yo TOWN OF SOUTHOLD BUILDING DEPARTMENT • �� TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 51280 Date: 10/15/2024 Permission is hereby granted to: Hasday 2023 Family Trt PO BOX 163 Laurel, NY 11948 To: Legalize"as built"alterations to include HVAC system and window/door replacements to an existing single-family dwelling as applied for per manufacturers specifications.Floodplain Development Permit required. Premises Located at: 200 Macdonalds Crossing, Laurel, NY 11948 SCTM#145:4-16 Pursuant to application dated 06/05/2024 and approved by the Building Inspector. To expire on 10/15/2026. Contractors: Required Inspections: Fees: As Built Alteration $500.00 CO Single Family Dwelling-Addition/Alteration $100.00 Flood Permit $150.00 ELECTRIC -Residential $200.00 Total $950.00 Building Inspector John M.Bredemeyer III,President �,oE Town Hall Annex Michael J.Domino,Vice-President 4z l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G � p Telephone(631)765-1892 Charles J.Sanders O Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 19, 2016 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: . JOAN R. CHISHOLM 200 MACDONALD CROSSING, LAUREL 1000-145-4-16 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 19, 2016: - RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8207 for the construction of approximately 58 linear feet of vinyl bulkhead; a+/-54'vinyl return in lieu of proposed 100 linear feet of Hesco Barriers; backfill/re- nourish area landward of new bulkheading with approximately 215 cubic yards of clean sand fill to be trucked in from an approved upland source; plant the 15'wide non-turf buffer with Cape American beach grass 18"o.c.; construct a shore-parallel 4'x6' landing and 4'x6' steps to beach off bulkhead in lieu of proposed shore-perpendicular platform with stairs to beach; replace as needed +/-16'x20'on-grade masonry patio; eliminate the proposed replacement of existing retaining wall; and to correct the dimensions of the existing wood deck to be replaced from 13'x23'to a 10'x22'wood deck attached to dwelling; and as depicted on the site plan prepared by En-Consultants, dated September 15, 2016, and stamped approved on October 19, 2016. Any other activity within 100'of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, � J� Ahn M. Bredemeyer III President, Board of Trustees JMB/dd �A TROVED BY E N1CONSULTANTS `- `• !` CA."' BOARD OF TRUStEES �3 9 NORTH SEA RD. 0 _ TOWN OF SO PT@N, NY 11968 DATE -a�e��I► 1, ��G � ®UT [AM r r / W C AGa55 VIA 5LP-fCf m oy�d f'�01'� il'and MACt70NffV.17 I7,) 80' - - - - d� law n 5uffok County Strom Mzr 461 1, � cn .ram i `nN PROP. +54' VINYL RETURN IN PLACE OF PREVIOUSLY EXISTING p J +44' TIMBER RETURN DESTROYED ±10' DURING HURRICANE SANDY +44' EX. 16' x 20' CONCRETE PA110 TO BE REPAIRED/REPLACED AS NEEDED ±68' AREA TO 8E `yl 9p EX. 10' x 22' WOOD DECK BACKFILLED ✓ �R N TO BE REMOVED & REPLACED ± Notes: A 15' I. Puwe:&arisuwwoi("we)of bulkhead �o=•�J ; os�o� destroyed dunnq Ibrricaie Sandy for flood protection 4I PROP. +58' VINYL BULKHEAD IN PLACE anderosioricaitrd OF PREVIOUSLY EXISTING TIMBER BULKHEAD 2, Patum,1988 NAW �� W 6' DESTROYED DURING HURRICANE SANDY 5. New bulkhead to be corist{ucted wa vW sheathM �y � 6' 4' and CCA-treated Afuchm-A t4m6er5;all har-dwae GREAT PECONIC BAY to be hot-dipped Ova- J steel Z� 4. App m 215 W dear sandy fill to 6e trucked in PROP. 4' x 6' PLATFORM from an approved upland source for ba&fdl p°� AND 4' x 6' STEPS TO BEACH 5, 15'nonhaf buffer adjacent to reca wkucted Wkhead to be platted with Cape American beach q-ass(18" o,c,) 6. All extstiriq structures depicted hereon have been D �' � E p transcrl6ed from survey of property prepaed N U Yam&Yam dated July 15,2016 p05�n �CONS'f�!1C�ION 0� 5r0�M 7, P1a7 and�ossview diao3-aris we schematic in nature and a b in Sip 1 9 2016 �OY�n 6I.11.KN�AI7 FOR JOAN P, tended only to establish pro)ect location,scope,and asic castructlon details for permitting purposes aid are not CHI OW ON cam mCONIC my, intended to serve as or%6stltute for ergineerirq or OtAhold Taws L for ca cvn9k L, �7I 1FF01.K COUNTY, NY �im plats istn;ctim purposes 6, Proj%t location:200 Macdaidd Crossirq, OF 2 9-15-16 !-"el;5CfM No,100044!t -4-16 —�`-Ji i� co C rt m Q CO G9 y Y Y)Y) 5�C110N THFU FFOP05�2 k: CON5TP.UC11ON OF 5TOPM PC 5TOt P P I.KHM9 1" = 10' 5fORM EROPW AREA TO P3 PACK 11,07/RMNOURI5fV WITH APPROX.215 CY CLEAN 5" 6'PLAfPORM �--19'NOWO DifffR `I � 2"CAP h"x 6"TOP CLAMP — —— _ PROP.GRA'p-7. yC�ILV�,�iLdL�ILVL�IL�IL EX.REf.WALL "x EX 6P,AM A-W o 2' .1" 1„xlq'51��0� ALW a -0' -y 8" MA12MAN MIN.6' 8"PU5 C typ.) 8"I.AYLOG +12' PEN. � � O r O PROP.VINYL 13LL fAP IN PLACE OF PREVIOU9,Y EX1511NG 10"x 16'Pl.E5 g TIMBER 13ULKFEV 17E5TROYEl7 PLRIN6 HIRRICANE 5AM7Y 1/2"x 10"x 14' Z CS VINYL 9 fATNING N O Oz " ® a-e a_ � � � � � �` ® � � Z9 Town Hall John M.Bredemeyer III,President _AA� t�FQ� 53095 Route 25 Michael J Domino,Vice-President Qom" ��� P.O. Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee ti Charles J.Sanders,Trustee y. r� Telephone(631) 765-1892 EO Fax(631) 765-1366 4-4 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT DATE September 16,2016 OWNER Joan R.Chisholm PHONE 631-298-9668 ADDRESS P.O.Box 1225,Mattituck,NY 11952 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road,Southampton,NY 11968 PROPERTY LOCATION 200 MacDonald Crossing,Laurel TAX MAP NO. 1000-145-4-16 I/We En-Consultants for Joan R.Chisholm request an Amendment to Permit# 8207 to permit the construction of approximately 58 linear feet of vinyl bulkhead and a+54'vinyl return in place of a previously existing+/-58'timber bulkhead and+/-44'timber return destroyed during Hurricane Sandy(all in lieu of the previously approved 1001f of"Hesco Barriers")and backfill/renourish area landward of new bulkheading with approximately 215 cy of clean sand fill to be trucked m from an approved upland source;to plant previously required 15'nonturf buffer with Cape American beach grass(18"o.c.);to construct a shore-parallel 4' x 6'landing and 4'x 6'steps to beach off bulkhead(instead of previously approved shore-perpendicular 3'x 6' landing and 3'wide stairs to beach);to repair/replace as needed+/-16'x 20'on-grade masonry patio;to eliminate the proposed replacement of the existing retaining wall;and to correct the dimensions of the wood deck to be replaced from 13'x 23'to 10'x 22',all as depicted on the project plan prepared by En-Consultants,dated September 15,2016. DC U 9 U Signed By: SEP 1 9 2016 Southold Town _� v m BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK ' PERMIT NO.8207 DATE:JUNE 19,2013 ISSUED TO: JOAN R. CHISOLM b PROPERTY ADDRESS: 200 MACDONALDS CROSSING,LAUREL n M SCTM# 145-4-16 6 AUTHORIZATION \ Pursuant to the provisions of Chapter 275 the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 19,2013,and in consideration of application fee in the sum of$250.00 paid by Chris Howell and subject to the Terns and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove and replace existing f50' retaining wall; install Hesco Barriers for 100 linear feet on south and east sides of property butting up to adjacent property's bulkhead; fill proposed area to level 6' grade and install a 15'wide non-turf buffer area; Hesco Barriers to meet height of adjacent bulkhead and filled with sand,gravel and natural stone; install a 3'x6' landing with 3'wide stairs to beach; remove and replace existing 23'x13' back deck attached to dwelling; with the condition the stairs to beach be retractable or removable for the winter season; and as depicted on the site plan prepared by OLDE South Development,received on May 28,2013 and stamped approved on June 19,2013. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. o�oguFFot,��o O ichae Domi -recused t• � I n D�A�1'M ��i�t/#$Qt�AL c7v�f�tR'ttQ4� W02ke bf indent GO 19 2 =HuOk=W-a*rt4{I* 1 SOMA,. t su to f itvana Ga sv�a�itxn" ?0 aec permit NO. iE�t?age:��i8�2ti`7� f ameufAppFcantftArlW. -J4*h" , St w. NY dip; 11946 Permit CaOtaat fd Off&xa hurn AWiC- nt OM**ItraM= Madfhg Address: 'p.0 Ow 1M vrtFtil: orur!rfl at idiruir bPh �it�:Cutct�ague '�roiect lacadon: n�tvalonz 3itd Town Of.,50abORYU-Mg zp, 1190 county of: &eA Authfo on Type: Feeisi va8er W69ands e=vmft 4�fm k)dab*Vratr3m a Wow adwityCeaK�dibtt ArtidW 24:O MYCRR663 Af ialb i5,6 WCRR$M St also-rr 4ol Clooh.w..dwrAAnti s. 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King,President 0�SQ(/j�o Town Hall Annex Bob Ghosio,Jr.,Vice-President � 54375 Main Road P.O.Box 1179 Dave Bergen [ Southold,New York 11971-0959 John Bredemeyer rn Michael J.Domino ! • �O� Telephone(631)765-1892 COU Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 19, 2013 Mr. Chris Howell OLDE South Development PO Box 75 Southold, NY 11971 RE: JOAN R. CHISOLM 200 MACDONALDS CROSSING, LAUREL SCTM#145-4-16 Dear Mr. Howell: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 19, 2013 regarding the above matter: WHEREAS, OLDE South Development on behalf of JOAN R. CHISOLM applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated May 28, 2013, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 19., 2013, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, -NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JOAN R. CHISOLM to remove and replace existing ±50' retaining wall; install Hesco Barriers for 100 linear feet on south and east sides of property butting up to adjacent property's bulkhead; fill proposed area to level 6' grade and install a 15'wide non-turf buffer area; Hesco Barriers to meet height of adjacent bulkhead and filled with sand, gravel and natural stone; install a 3'x6' landing with 3' wide stairs to beach; remove and replace existing 23'x13'back deck attached to dwelling; with the condition the stairs to beach be retractable or removable for the winter season; and as depicted on the site plan prepared by OLDE South Development, received on May 28, 2013 and stamped approved on June 19, 2013. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, James F. King President, Board of Trustees JFK/amn TERMS AND CONDITIONS The Permittee Joan R.Chisolm, residing at 200 MacDonalds Crossing,Laurel New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. 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 operation 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 24 months,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. 3. 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 authorization 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 there 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 work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. IW4#7 -YA N7 4tiv ��V o ),tddv uj +.'wu•yllero.A:In Al r�,l tR.MAI,IAn • 'O MI4 SIRVIV IS A VIOLATION M 40706 7201 01 W!NTW YOIE STAt, WXATKW LAW ,OPUS 0I THIS SLRVIT MAP NOT SLAkh TNT LAND AXVS"Cd•'S M:10 fSLL OR `>"w"D SIM SMALL NOI M cc.w%,LSH TO Y A VALID TFDt CQq .11ASAIGTLS R+ rAT90 K4WH SIIALI Sur 7NLT TO III(NSSON 109 WHOM ML SIM, V Pi COM0.AND ON Nt3 ENW G TC. / 'ITU[OMfuli,GOVi2NHW)Al AGlNC• ,Nws;Ndtuvrt N LgT(O Nll10N•ANT , .0 TNI.ASSI;i'IiFS OT ItN kINDWG 41,111% j .1TK)N C.II�LA1/Tltf A111ND1 I1ANf11 ' 1 A110111T7Nal IHSf1i11IKMS a OPQ .a5�o 9 o R o: & - t� O fir. •' ?: - Cn ►' �. I atK 1�1� sT .. �,o _ 1 � LTYo 5L, b& D ECEIVE MAY 2 8 oathold Town I and of �G Q NarE: •1,v0N(lAIENT LOT NUMBERS REFER TO AdAPOF �E06EMEAE PARA''F/LED/N INE OFFICE OF THE aEA.rOFSVFFQf K Al mrrON6ure,/93/ASAUP NO.7*?. REVIstoNs YOUNG dt YOUNG 400 OSTRANI)FR AVCNuc nrocOueAn .,, REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORI ALDEN W,YOUNG HOWARD PROFESSIONAL ENGINEER AND LAND■URV LAND SURVEYOR.N.Y.O.LIC.NO.12SAS N.Y,S.L1C. SURVEY FOR: JOAN R.CHISHOLM W. y LOT NO.1 f B PART OF LOT NO,12 *�� fir, * IIMAPOF EDGEMEREPARK" b AT LAUREL GUARANTEED TO: LONG ISLAND NATIONAL 8 �� 4ggg3 � i TOWN of SOUTHOLD THE TITLE GUARANTEE F�LAND a IFFOI K rn N V BY TOWN OF SOUTHOLD, NEW YORH ACTION OF THE ZONING BOARD OF APPEALS DATEOCt. 6 f, 1966 Appeal No. 974 Dated September 23, 1966 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOIiD To Allen S. Dawe Appellant P.econic Bay Blvd. Laurel, New York at a meeting of the Zoning Board of Appeals on Thursday, October 6, 1966 the appeal was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Request for a special exception under the Zoning Ordinance (p Request for a variance to the Zoning Ordinance 1. SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be granted ( ) be denied pursuant to Article ... .. ........ Section .............•.. Subsection paragraph .... . . of the Zoning Ordinance, and the decision of the Building Inspector ( ) be reversed ( ) he confirmed because 8e25 P.M. (E.D.S.T.), Upon application, of Allen S. Dawe Peconie Bay Blvd.-, Laurel,- New York, for a,variance- in' accordance with the Zoning Ordinance, Article 111, Section 307, for permission to construct an- addition with insufficient side yard area. Location- ofproperty: lot number 11 and three feet of lot dumber 12, in Edgemere Park•Subdivision,. Laurel, Ne w York_ 3. VARIANCE. By resolution of the Board it was.determined that (a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary hardship because SEE REVERSE (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because SEE REVERSE (c) The variance (does) (does not) observe the spirit of the Ordinance and(would) (.would not)change the character of the district because SEE REVERSE and therefore, it was further determined that the requested variance ( ) be(ranted ( ) he denied and that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed. ZO BOARD OF APPEALS FORM ZB4 (;•.�(.•� �J �6 ?��Z/L�C�� arbara C. Dittmann, Secretary After investigation and inspection the Board finds that the appellant requests permission to construct an- addition to an existing dwelling and existing garage with insufficient side yard. The house was built on the lot leaving a very small side yard. Ttie Board fipds that the lot in question has a frontage of only 58 feet. The proposed addition to the house will in no way change the character of the neighborhood. The Board finds that strict application to the ordinance will produce practical difficulties or unnecessary hardship; the hardship created is unique and would not be shared by all properties alike in the immediate vicinity of this property and in the same use district; and the variance does observe the spirit of the Ordinance and will not change the character of the district. Therefore, it was RESOLVED thet.Ajlen) $.,Dawe, Peconic Bay Blvd., .Laurel, New, York, be granted permission to construct an addition_ to an existing dwelling and an existing garage with insufficient side yard area on property.located on lot number 11 and three feet of lot number 12 in Edgemere Park Subdivision, Laurel, New.York. Construction must be started within one year from date. 4ROADPNAY A5 SHC^N ON FILED MAP f4ALKA-'.Y oil :oK AALK ri (7 1 1 - -- -- Cc) TE uj < I-K tj i Cs Ll N55'3 I cc"A 5.2- x u no^ or ;orrner, 617.20 Appendix B Short Environmental Assessment Form Instructions for Comnletin� 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 I 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 D EQ C_ 20 Z3 4!9W(L_7 JJ— Name of Action or Project: Project Location(describe,and attach a location ma ): P-DDML-) �7V 6Qct,� ) s P Brief Description of Proposed Action: DC-O -- A-109 07')(J Name of Applicant or Sponsor: MA Telephone: �7 S7 2- Y3 �'S'�s`- 1�� � )h V E-Mail: 61 Of 1-P-WO� M&L C `1 Address: 'Ar'�x 3 City/PO: State: Zip Code: 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 X 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: 3.a.Total acreage of the site of the proposed action? Z g acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned / or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑ Rural(non-agriculture) ❑Industrial ❑Commercial Residential(suburban) ❑ Forest ❑ Agriculture ❑Aquatic ❑Other(specify): ❑ Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? 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: 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: N/ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: r/ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? 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 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? r/ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project 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? J� W-�' 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 YES If Yes, / a.Will storm water discharges flow to adjacent properties? 8 NO❑YES b.Will storm water discharges be directed to established conveyance systems(run and storm drains)? r, ff If Yes,briefly describe: NO❑YES 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: 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: 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? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or 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 i' impact impact may may occur occur 1. Will the proposed action create a material conflict with 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? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? ✓ b.public/private wastewater treatment utilities? 8. 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, waterbodies,groundwater,air quality,flora and fauna)? 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? 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. ❑ Check 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. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same.YOUR NAME : kffi 9�j eRA,G (Last name,first name,middle 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.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning 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 5% of the shares. YES NO k 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 or 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) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) X 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,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this day of ,20 Signature Print Name 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 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", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. 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, ali local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM## 10 O O - 1 �'.5 - c� �f - D 1 (o The Application has been submitted to(check appropriate response): Town Board E Planning Dept. 0 Building Dept. E Board of Trustees 1. Category of.Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital 0 construction, planning activity, agency regulation, land transaction) (b) Financial assistance(e.g. grant, loan,subsidy) (c) Permit, approval, license, certification: R Nature and extent of action: Location of action: Site acreage: 2� Present land use: is S I D r Present zoning classification: 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: h+P� -3 fQM f L1-1 —r(IAS j— (b) Mailing address: \00 @ c7 k (63 49 (c) Telephone number: Area Code( ) i 7 3 1 (d) Application number, if any: Will the action be directly undertaken, require funding,or approval by a state or federal agency? Yes ❑ No O If yes,which state or federal agency? 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- please explain) 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 ❑ Yes ❑ No ❑ (Not Applicable—please explain) Attach additional sheets if 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 0 Yes 0 No 0 (Not Applicable—please explain) Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria E Yes Ed .No E (Not Applicable—please explain) Attach additional sheets.if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria 0 Yes 0 No E (Not Applicable—please explain) h� Q- Attach additional sheets if 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. Yes D No E (Not Applicable— please explain) i Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. See Section III—Policies Pages; 34 through 38 for evaluation criteria. ❑ Yes ❑ No❑ (Not Applicable—please explain) 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 ❑ No ❑ (Not Applicable— please explain) i nl 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. ❑ YeED No❑ (Not Applicable—please explain) 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 III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ❑ (Not Applicable—please explain) rl ( 1, 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—please explain Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages. .2 through 65 for evaluation criteria. 0 Yes ❑ No 0 Not Applicable—please.explain Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. 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LOT bx-I�T F0PJiAER OWNER Ni -, ACR. s w TYPE OF BUILDING s.REE WAS. i VL FARM Cot'w'. CB. wcs. mkt. value LAND REMARKS Imp. TOTAL DATE L I --A TOWN 0i" SOU -7- AGE i i BUILDING CONDITION NEW NORMAL BELOW ABOVE —FARM ± Acre Value Per Vcluz j Acre < T'Illoble FRONTAGE ON WATI ER --L'! Woodland FRONTAGE ON ROAD Meodowland i —i- ----'___r...__.-._; DEPTTH BULKHEAD House Total DOCK r--3_1k5• OLOR TRIM I I I I +« ' a` -r a ' 145.-4-16 3/2014 iqn _ 1 IItI �Exterision I � I •;.Extension 1 Foundation C Both Dinette 3 Porch Basement ((, i��- Floors �: I K. VL l tJi:iF a ` Porch "rT y a !Ext.-Walls Walls l LtLwi {nterior Finish t LR. $reez w s g� Z 2 x 5= 8 I 5 _o Fire Place ;+ Heat DR. �. { AizAu� o A.22 F a ao l.00 i �11' i ,Garage,. a' Fa ��F. c toR�� Rio 2 fo ` �a5 Type Roof �r�/ J Rooms 1st Floor BR. j Patio I -, ,e i j(f 3 Recreation Room. Rooms 2nd Floor FIN. B �� i O. B. I x y� ��� IDoror•ier Driveway l Total y4 f ' �� 00 v, N 291 aet O // F 9s00 �y a / a NO 41 rbo / 8 F k. S` 14 Y' A C1 n 6 r \ Ay011 1�PLc\ 10 (PARK) /\� 0 / Vr1 �� 1 - N 289 581 NOTICE C�Nvmw` COUNTY OF SUFFOLK K 12T TOWN OF SOUTHOLD SECTION NO E MNNTENANDE.ALTERATIDN.SALEDRReal Property Tax Service Agency Y145 DISTRIBUTION OF ANY PORTION OF THE VILLAGE OF Count Center Rlverhead,NY17901 MSUFFOLK COUNTY TA%hVIP IS PROHIBITED + Y 13a4MTHOUTWRITTENPERMISSIONOFTHE SCALE INFEET. — - - 100 D1W 200 A REAL PROPERTY TA%SERNCEAGENCY P OG00 DISTRICT NO 1000 PROPERTY MAP CONVERSION DATE Aug OB•2012 rOO ONMCYfO- 1.631.rRlvara F Men Yak 1— Uai. 9I.T2T3903 Pat.631.T2TDItr HEALTH DEPARTMENT USE m*wya.gc aro=rwcan N _ -- owtg ct-,;-Cocia#4c, Hswaa n Ygeg,tan Sracs. TMaem G.Ib�yat.4olMplpnct Wnpa II 7c+nim E t2a'01 of A..nrofeaibeni 9— A NUaT-a.LaL SivKv SITE DATA AREA=9,976 MADM NEE OF.RL OF SlFFQ[COUNTY ON MY02,1911 A5 FILE NO.7A2 ' S TBHncAL uTUM .NAw n9e1 /. /-- •RASE FLOOD ELEYA=NS BOUNDARY LLNES SHOWN AS SMED FROM ROOD 1N9 R09E RATE MAP PANEL NO.361010Ja0 H LAST DATED 5EPT.25.2009. R=14D0' 1 / P9 (D e EP• o o m 0 CDa�w ENGINEER'S CERTIFICATION/ c bz ME I MCE a1F1'YHATTIE WATER S160.Y[SI AND/OR SEWAGE DLSP05AL rP <o/ SYSTEMIS)FOR YMS Moue TWERE w M DEsulwO E ao DIRKTLM CASED UPON A CAREFUL AND T11wDUG1 SM AND GROUNDWATERNMLRONS.ALLF .i. 1119 CONFORM TO THE SUFFQ[COUNTY DEPAR _O L y CONSTNKTLOISTANDAROSLNEFFECTA50F * �E.•T-�„9p S'f VVV•Q(� T �L� Y • �S TO 5A _THOMA5c W0 ,NY ENN0.61r63 paOfE551G11P�E' .S ppUAAS E ADAM5.NYA PE NO.BM97 R \\ O \ ! 4 YO ! 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