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HomeMy WebLinkAboutTR-5732Albert J. Krupski, President James K/rig, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 October 22, 2003 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Catherine Mesiano Catherine Mesiano, Inc. 12 Mill Pond Lane East Mofiehes, NY 11940-1222 RE: DENNIS HENCHY 1325 KIMBERLY LANE, SOUTHOLD SCTM#70-13-20.8 Dear Ms. Mesiano: The following action was taken by the Soutl~old Town Board of Trustees at their Regular Meeting held on October 22, 2003: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5732 to construct a 4'X 15' catwalk with steps, offthe existing bulkhead, and as depicted on the plan prepared by Derek Bossen last revised June 21, 2003. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms CATHERTNE MESTANO, TNC. 12 MTLL POND LANE EAST MORTCHES, NY 11940 PHONE/FAX: 65! ~878-89§! E-MAZL: cmesieno~optonline, net TO: CHARLOTTE / BOARD OF TRUSTEE5 FROA~.: CATHER]:NE MES]:ANO SUBEECT': DENNIS HENCHY ' DATE: 9/22/2003 Please schedule the Henchy application on the October agenda. We have attempted to design a plan in keeping with Mr. Poliwade's suggestion that steps be attached to the existing retaining wall to provide access to the beach. For various reasons, we are unable to comply for his request. TnformatJon will be provided to the Board prior to the October field inspection for their consideration. Thank you for your attention to this matter. Cathy Mesiano FROM : C MESIANO FAX NO. : 8J1-B?8-8951 S~p. 15 200~ 02:00PM Pi CATHERINE MESIANO, INC. lZ MILL POND LANE EAST MORZCHES. NY 11940 PHONE/FAX: 631 -878-8951 E-MA'rL: cmesiano(aopt ontine , net FA¢STMZLE TRANSA~I'TTAL SHEET Board of Trustees Catherine Mesiano 76~-2366 9/25/2003 C~ennts Henchy 1 _ 1325 Kimb?ly Lo~, Southold P!en~ include the Henchy application on the September agenda. We have staked out an alternative location for the erd of the fixed walk. Thank you. Catherine Mesiano Telephone (631) 765-1892 Tov~ H'~. 53095 Main Road P.O. Box 1~.79 Southold. New ¥o~k 1197~. SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Tuesday, May 13, 2003, the following recommendation was made: Moved by Don Wilder, seconded by Melvyn Morris, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of DENNIS HENCHY for the construction of a 4'X 37' elevated walk @ +3.5' with steps to grade. Located: 1325 Kimberly Lane, Southold. SCTM#70~13-20.8 The CAC recommends Approval with the Condition that CCA lumber is not used. Vote of Council: Ayes: All Motion Carried Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO.. ~7 $..~"~ DATE: ..~.reh 18,...2003 ISSUED TO .................. I)..E bi NLS...H.E NC. i.,t ¥ ................................................................. Pursuant to the provisions of C~hapter 61!i of the L~ws of the State of New York, 1893; and C, hepter 404 of the ~w~ of the State of New York 1952; and the Seuthold Town Ordinance titled ."REGULATING AND THE PLACING OF OBSTRUOTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;.'J. and in accordance with the Resolution of The Board adopted at a meeting held on ...~.~.~.~....~.8/ch, · 20.9)...., and in consideration of the sum of $.200.~00 ........ peld by Gat her~ne'-'M'esiarfo;'"'~n-~ :" '6~' 'b'eh'~l'f"Sf 'D'~fifi~"'~'": ......... of ...... ~$t..-Morich-,~.~.; .............. : ........ N. Y. and subject fo the Terms and Oo~c-fifions tided on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit for landscape activity landward of existing bulkhead, as per plans dated and stamped March 18, 2003 all in accordance with the detailed specifications as presented in the originating epplicatlon. IN WITNESS WHEREOF, The said Board of Trustees here- ~ causes ifs Corporate Seal to be affixed, and thesepresents to subscribed by a'majorlty of the said Board as of this date. TERMS and CONDITIONS rest~ at 1325 Kinberly I.an...~,'*hnld, N. ¥. as ~'~ t~e comide~tioa ~o~ (he lsM.~e of ibc Pmai¢ does am:l~,smxl ~]d peesaibc m the icg- 1. Th~ ~he sald Boa,,d c~ Tm___.~__ n~d ihe Town ~ So~d~d ase feles~ed f~ any ~1 whh ~ * __~,*~o, ~ dm emnpkte exdmion of zbe Bom. d ~ Tmsiees e~ d,e Taem e~ ~ for em ,.~.~d,m may be made to the Boerd at · l~e___- d.h. S. That this p. rink ~bould be ze~i,~ed indetrmhely, or ~ Ion& as the ,~d Petmiuee witbe~ to m.lm~in t~e structure o~ pmjec~ involved, to p£,ovlde evidence to anTom~ coacezned ~'t ~ 4. That the wink involved will be subject to the ~ and aH, royal of the ~ ~ h3 ~eau, ~ non-mmpliance with the pzovisions o~ the odginagag application, may be ,~.,o foe l~xx~llo~ of this P,~t b~ t~otmioa of t~e uM Bo~m:L 5. That there will be no unreasonable interference with ntvlgation as · result o~ the wa~k he~a m/tborized. That the sa~d Board will be notified by the Pomdttee ot the com[ded~ni~ d~e ~ ruth- S. That the petmittee will olxaln aH other pennits and comp~a 4hat may be requited asp- plemental to this permit which may be subject to revoke upon fs~h,e to obtain Albert J. Krupski, President James King, Vice-President \ Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 25, 2003 Catherine Mesiano, Inc. 12 Mill Pond Lane East Moriches, NY 11940-1222 RE: SCTM#70-13-29 Dennis Henchy 1325 Kimberly Lane Southold, NY Dear Ms. Mesiano: The Board of Town Trustees took the following action during a Regular Meeting, held on Mamh 18th, 2003 regarding the above matter WHEREAS, Catherine Mesiano, Ina. on behalf of Dennis Henehy applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated February 27, 2003. WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on March 18th, 2003 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 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 approved the application of Catherine Mesiano, Inc. on behalf of DENNIS HENCItY for a Wetland Permit for landscape activity landward of existing bulkhead, as per plans stamped dated March 18, 2003 BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Fee must be pa/d, if applicable and permit issued within six months of the date ofttfis notification. Inspections are required at a fee of $5.00 per inspection. (See attached schedule). FEES: $5.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees rr /cjc cc DEC Albert J. Krupski. President James K/ng. ¥ice-President Artie Foster Ken Paliwoda Peggy A. Dicker~on 53095 Route 25 P.O. Box 1179 uthold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE X __ Pre-construction, hay bale line I si day of construction ¼ constructed Project complete, compliance inspection. Albert J. Krupski, Presiden~ James King, Vice-President Henry Smith Artie Foster Ken Pohwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Catherine Mesiano, Inc. on behalf of Dennis Hench¥ Please be advised that your application, dated February 27, 2005 has been reviewed by this Board, at the regular meeting of ~ ~o ~. and the following action was taken: ( x ) Application Approved (__) Application Denied (__) Application Tabled (see below) (see below) (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: One Inspection @$5.00 TOTAL FEES DUE: $ 5.00 BY: PRESIDENT, ,BOARD OF TRUSTEES ~LERK, BOARD ~F TRUSTEES~ 4/98 Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ¼ constructed Project complete, compliance inspection. Telephoue (631) 765-1892 Town Padl. 5309,5 Ma/n Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conse~ation Advisory Council held Wednesday, March 12, 2003, the following recommendation was made: Moved by Drew Dillingham, seconded by Nicholas Dickerson, it was RESOLVED to recommend to the Southoid Town Board of Trustees APPROVAL WITH A STIPULATION of the Wetland Permit application of DENNIS HENCH¥ for selective hand-pruning and cutting of undergrowth and re-vegetation in the area approx. 30' seaward of the existing bulkhead. Selective cutting and pruning of vegetation landward of the buffer area. Development of a Iow fertilizer dependent lawn area. Trim black locusts and prune all other trees and shrubs to regain ornamental appearance. Beach grass to be planted 12" o.c. throughout buffer area where possible. All lawns areas to be seeded with a Iow fertilizer dependent grass seed mixture. Located: 1325 Kimberly Lane, Southold. SCTM#70-13-20.8 The CAC recommends Approval of the application with the Stipulation that no activity is conducted seaward because there are indigenous species that are currently in place that are protecting the shoreline. Vote of Council: Ayes: All Motion Carried %ALE I"= 40' N Cross Section I~. Fox on OD-2ca-OD OCT 21 =~d. Southotd Town Board of T~ustees ~h~t I OF I TImo~r~ Corfu/Nuraet)'/Lar~l~ape In~. ~ou-r~ol~l New York Albe~. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland~ation Major Minor Wai~r/_Amendment/C~apges Received F~e:~l~ ~D/D/D~' Completed ~(io~/~0 Incomplete SEQ~ Classification: Type I T~e II Unlisted Coordination:(date sent)~ CAC Refe~al Sent: ~ Date of Inspection-.~ R~eipt of CAC Repo~: ' _~ad ~ency Dete~ination: ~ical Review: _ ~blic Hearing Held: Resolution: /- Name of Applicant_~[ ~ Address Phone Number:( ~Y - ' 5 23 $outhold Toad ' U Suffolk County Tax Map Number: 1000 - 063 -/_~ ~ 2_ O. O 0o7 Property Location: [ 3 2.- S /t ~'¢--e~[x ~-~_ 5~J~ (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: CATHERINE MESIANO, INC. 12 MILL POND LANE E. MORICHES, NY 11940-1222 , & ~oard of Trustees Application GENERAL DATA Land .Area (in square feet): (-~ '~ ('-{ L ~ ,{~ ~ea Zo~ng: ~ -~t ~ Previous use of property: ~-</,` /~ Intended use of property: ~I~ / Prior permits/approvals for site improvements: __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? )C No Yes If yes, provide explanation: Project Description (use attachments if necessary): ,~/ .~, ¢o .~._~ / - (j ~ard of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 0_~(.4.~ '-/--o .~ ~-.-.~._ Area of wetlands on lot: [ ? , t~ o O square feet Percent coverage of lot: ~.~ Closest distance between nearest existing structure and upland edge of wetlands: ~7 ~' feet Closest distance between nearest proposed structure and upland of wetlands: !~ ~ f---- feet edge Does the project involve excavation or filling? ~( No Yes If yes, how much material will be excavated?~_ 4.._ cubic yards ECE ¥ ~llethold Town Bolrd oi Trustees How much material will be filled? /5_ &- cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: IA. ((--- Manner in which material will be removed or deposited: 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): - l: -.- - . z . CATHERINE MESIANO, INC. 12 MILL POND LANE EAST MORICHES, NEW YORK 11940 631-878-8951 April 22, 2003 Town of Southold Board of Trustees Box 1179 Southold, NY 11971 Re: Dennis Henchy 1325 Kimberly Lane, Southotd SCTM # 1000-70-13-20.8 Gentlemen/Madam: Enclosed please find an application submitted on behalf of Dennis Henchy for an amendment to the Wetlands Permit approved March 18, 3003,. An amendment is requested for construction of a 4' x 37' elevated walk (minimum 3.5' above grade) with steps to grade. Enclosed please find original and two copies of the following: 1. Application for Permit. 2. EAF Short Form - Part 1. 3. Survey 4. Owner's authorization. 5. Owner's release. 6. Transactional disclosure. 7. Notice to adjacent property owner. Sot~t~,ld [own Also enclosed is the application fee in the amount of $200.00 Kindly direct any requests for additional information to my attention. Thank you for your consideration Very truly yours, Catherine A. Mesiano Enclosures FROM :C f'ESIANO !~. FAX NO, :632-878-895~ [. ~ ~--g83 04:87PM P2 FOR PERMIT ~ ~ ~ ~ ~ DENNIS HENRY ~ P~R~ ~l~ ~ (~ N. ~ ~m~ ~THERINE M~ INC. t2 MI~ ~D ~E ~~ ~ ~ICHE~ ~~ ~OLK ~UTH~D " ~~ 1~ KI~LY ~E D ~t~= ~) ~e~ ~ in ~e ~ ~ ~ ~ ~ A~ ~ ~ ~ ~U~ Slack ~ ov~ 3.5" _~ ~. ~h ~ I~ ~li~ ~ ~r~ ~ ~: ~ ~ a 4' x 3T el~t~ ~~ ~ ~ "Y~ ~HOLD PROJECT ID NUMBER 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART I - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) 1 APPLICANT/SPONSOR 2. PROJECT NAME DENNIS HENCHY 1325 KIMBERLY LANE 3.PROJECT LOCATION' SOUTHOLD SUFFOLK Municipality Ccunty 4. PRECISE LOCATION: Street Addess and Road Intersections. Prcm~nent landmarks etc -or provide mad E/S KIMBERLY LANE, 1198' S/PINE NECK ROAD, SOUTHOLD 5 IS PROPOSED ACTION' ~ New i'----IExpans~on I-~--]ModificalJon/alteration SEQR 6. DESCRIBE PROJECT BRIEFLY REVEGETATION LANDWARD OF EXISTING BULKHEAD INSTALLATION OF 4' X 37' ELEVATED WALK FOR BEACH ACCESS 7. AMOUNT OF LAND AFFECTED' Initially .3 acres Ultimately .3 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS'~ [] Yes [] No If no. describe bnefly' 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECTq (Choose as many as app~y.) i-'~]Residential i~,ndustrisl i~lCommercial I'~Agdculture ~']Park/Forest/ObenSpace E 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal. State or Local) ]Yes r']No If yes. list agency name and pa'mit / approval: SOUTHOLD TRUSTEES nysdec 11 DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMit OR APPROVAL'~ ]Yes r~INo If yes. hst agency name and permit / approval' SOUTHOLD TRUSTEES: PERMIT FOR REVEGETATION 12. AS A RE.( OF R SULT PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? NO I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST Of MY KNOWLEDGE Apphcan[ / Sp(~s~fName/__ CATHERINE MESIANO, II',J~/ Date' April 22. 2003 If the action is a Costal Area, and you am a state agency, complete the Coastal Assessment Form before proceeding with this assessment ~ROH :C MESIAHO FA~4 NO. :631-8~8-895_~ [. 22 -c~3 03:08PM P~ County of Suffolk State of New York DENNIS HENCHY BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/ SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL 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 'I~HE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARRISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVE(S) , TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORNTOBEPORE ME · 'Notary P CATHY C. O'MALLEY Notary Public, State of New York No. 01OM5045744 Qualified in Nassau Cou~ Commission Expires June 26, FP, Ofd :C ~SIRNO INC. FAX NO, : 22 _~D03 03:88PM P3 ~PLICANT ~CTIONAL DISCLOSURE FOR~ The Town of Southc~ld's Code of Ethics orohi~ts confliotsof interest on ~e oart: of town offioem and emolovees. The ourocse of this fontt Is to oro~e Information v*~i~ can alert the town of possible ~9~lcts of inter~t and alow it to take wll~eYer actia~ Is necessary to avoid same. YOUR NAME: DENNIS HENCHY NATURE OF APPLICATION: (Check all that apply.) Tax grlevan~ Variance Chongo of zone Al~Ovsi of plat~ Exem¢ion from plat or ol~Clel map Other (If "Other," name the octivit~) WETLANDS PERMIT Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship wfth any officer or employee of the Town of ~outholcl? "Rolatiol~ip" i~lctude~ by bloo~l, manlage, or business interest. *Business {mereSt' means a Business, including a partnership, In whicl~ the town offie, er or employee has oven a partial ownership of (or employment by) a oorporation in which the town offloet o~ eml:lOyeo owns more than 5% of the shares. YES NO X , , , yo~ answe~ 'YES," eome.e the ~lance of this fo~ a~ dato a~ s~n ~em i~. Name of~ em~ ~the Town ~ Oe~ the m~on~lp ~n you~lf 0he a~l}~) a~ the t~ o~, . E~h~ ~e~ the a~d~e Line A) thigh D) ancot Oe~ in the ~a~ A) the ~ ~ greater than 5% ~e shar~ of the ~ a~i~ (~en the ap~i~nt is a ~r~r~ion); B) the ~al or ~n~dal ~ner of any i~e~ in a nonage e~ (~ the a~li~nt is n~ a ~on); C) an ~r, dlm~or, paAnet, or ~oyee M the ~NI~; or D) the a~l appli~. DESCRIPTION OF RELATIONSHIP Submitted tMis _.~day of __. 2003 Signature ./~ ~ Print name DENNIS HENCHY NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: DENNIS HENCHY SCTM # 1000-70-13-20.8 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees for: CONSTRUCTION OF A 4' X 37' ELEVATED WALK (MINIMUM 3.5' ABOVE GRADE) WITH STEPS TO GRADE. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 1325 KIMBERLY LANE, SOUTHOLD 3. That the project which is subject to Environmental Review under Chapters 32, 37,or 97 of the Town Code is open to public comment on May 21,2003. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that review same proposal. OWNER'S NAME: MAILING ADDRESS: DENNIS HENCHY 22 PEMBROKE DRIVE N. MASSAPEQUA, NY 11758 OWNER'S AGENT: CATHERINE MESIANO, INC. 12 MILL POND LANE EAST MORICHES, NY 11940 631-878-8951 Enc.: Copy of sketch or plan showing proposal for your convenience. FRC/~ :C ~'ESIAHO INC. FAX NO. ~631--8'~8-895: Ap~, ~ ~005 O~:08PM P4 STATE OF NEW YORK) COUNTY OF SUFFOLK) SS; DENNIS HENCHY , being duly sworn, deposes and says: I reside at ~ PEMBROi~E DRIVE, N. MASSAPEQI, JA In the County of NASSAU and the State of~ And I am the owner of the premises described ;n the foregoing application and that I have authorized CATHERINE MESIANO, INC. to make the foregoing application as described herein. Sworn I:)efore me th a, O~ :~day of ~ [:~:~ [:) ,200_.~ Notary Pul:)lic J CATHY C. O'MALLEY Notary Public, State of New York No. 01OM5045744 Qualified in Nassau County (~ommission Expires June 26, MAY - 1 2O03 Southoi~* Albert J. Krupski, President Jan/es King, Vice-President Henry Smith Artie Foster Ken Poliwoda BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 Office Use Only Coastal Erosion Permit Application Wetland Permit Application __ Major Waiver/Amendment/Chae,~es Received Applica[~i?n: Received Fee:$ ~)'~' · / Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date CAC Referral Sent: Date of Inspection: Receipt ofCAC Report~ I ' I - Lead Agency Determination:__ Technical Review: ~j . Public Hearing Held: Resolution: Minor Name of Applicant Address Phone Number:~'~, zv.F Suffolk County Tax Map Number: 1000 - '~ l~) - I 2>" Property Location: /3~15¥~ I It~b'~t[¥ L-IL. (provide LILCO Pole #, distance to cross streets, and location AGENT: (If applicable) CAYHERiNE MESiANO, iNC. 12 MILL POND LANE F:, MOaiCH~S, NY 11940-1222 Phone: Address: ~ Tewn Board of Trustees Application Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA Prior permits/approvals for site improvements: Agency __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ¥ No Yes If yes, provide explanation: Project Description (use attachments if necessary): 5 e. e- ~ ~nl ~ Irt Re: Dennis Henchy Kimberfy Lane, Southold SCTM # 1000-70-13-20.8 PROPOSED ACTIVITY Selective hand pruning and cutting of undergrowth and re-vegetation with indigenous species in the area approximately 30' seaward of the existing bulkhead thereby creating a "non-turf buffer' Selective cutting and pruning of vegetation landward of the buffer area Development of a Iow fertilizer dependent lawn area Existing Black Locusts over 3.5" cal. to be tdmmed to open canopies and reduce danger of injury to homeowner. All other trees and shrubs to be pruned to regain ornamental appearance. Roots are to be left undisturbed. Beach grass to be planted 12" o.c. throughout buffer area where possible. All lawn areas to be seeded with a Iow fertilizer dependent grass seed mixture. PLAN LIST FOR BUFFER AREA Aster Bayberry beach plum beach wormwood Bearberry Big bluestem Blue rug juniper Broom sedge Butterfly weed Cape American beach grass Coreopsis Dwarf eastern red cedar Eastem red cedar False indigo Hydrangea Northern sea oats Prickly pear Rosa rugosa Rudebeckia Sand cherry Shore juniper Summersweet Switch grass Trumpet vine Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: ["L.O00 square feet - ,,~.,o~.~.-~ Percent coverage of lot: ~,..~ % Closest distance between nearest existing structure and upland edge of wetlands: O~ "~ feet Closest distance between nearest proposed structure and upland edge of wetlands: Ira. ~,C,.._ feet Does the project involve excavation or filling? x?/' No Yes If yes, how much material will be excavated? ~ cubic yards How much material will be filled? ~ cubic yards Depth of which material will be removed or deposited: ~ feet Proposed slope throughout the area of operations:~~.~ Manner in which material wilt be removed or deposited: ------ 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): NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: DENNIS HENCHY SCTM # 1000-70~13-20.8 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: SELECTIVE HAND PRUNING AND cUTrlNG OF UNDERGROWTH AND RE-VEGETATION WITH INDIGENOUS SPECIES IN THE AREA APPROXIMATELY 30' SEAWARD OF THE EXISTING BULKHEAD THEREBY CREATING A 'NON-TURF BUFFER'. SELECTIVE cUTrlNG AND PRUNING OF VEGETATION LANDWARD OF THE BUFFER AREA. DEVELOPMENT OF A LOW FERTILIZER DEPENDENT LAWN AREA. EXISTING BLACK LOCUSTS OVER 3.5' GAL. TO BE TRIMMED TO OPEN CANOPIES AND REDUCE DANGER OF INJURY TO HOMEOWNER. ALL OTHER TREES AND SHRUBS TO BE PRUNED TO REGAIN ORNAMENTAL APPEARANCE. ROOTS ARE TO BE LEFT UNDISTURBED. BEACH GRASS TO BE PLANTED 12" O.C. THROUGHOUT BUFFER AREA WHERE POSSIBLE. ALL LAWN AREAS TO BE SEEDED WITH A LOVV FERTILIZER DEPENDENT GRASS SEED MIXTURE. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: KIMBERLY LANE, SOUTHOLD 3. That the project which is subject to Environmental Review under Chapters 32, 37,or 97 of the Town Code is open to public comment on March 20, 2003. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNER'S NAME: MAILING ADDRESS: DENNIS HENCHY 22 PEMBROKE DRIVE N. MASSAPEQUA, NY 11758 OWNER'S AGENT: Catherine Mesiano, Inc. 12 Mill Pond Lane East Moriches, NY 11940 631-878-8951 Enc.: Copy of sketch or plan showing proposal for your convenience. PROJECT ID NUMI3ER PART 1 - PROJECT INFORMATION 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) SEQR APPLICANT/SPONSOR 2 PROJECT NAME ]ENNIS HENCHY KIMBERLY LANE 3.PROJECT LOCATION: SOUTHOLD SUFFOLK W/SIDE KIMBERLY LANE, 1199' S/PINE NECK ROAD 5 IS PROPOSED ACTION: [] New [] Exp~l~skm [] Mod~cat~c~/alteration SELECTIVE HAND PRUNING AND CUTTING OF UNDERGROWTH AND RE-VEGETATION WITH INDIGENOUS SPECIES IN THE AREA APPROXIMATELY 30' SEAWARD OF THE EXISTING BULKHEAD THEREBY CREATING A "NON-TURF BUFFER". SELECTIVE CU'I-rlNG AND PRUNING OF VEGETATION LANDWARD OF THE BUFFER AREA. DEVELOPMENT OF A LOW FERTILIZER DEPENDENT LAWN AREA. EXISTING BLACK LOCUSTS OVER 3.5" CAL. TO BE TRIMMED TO OPEN CANOPIES AND REDUCE DANGER OF INJURY TO HOMEOWNER. ALL I OTHER TREES AND SHRUBS TO BE PRUNED TO REGAIN ORNAMENTAL APPEARANCE. ROOTS ARE TO BE LEFT UNDISTURBED. BEACH GRASS TO BE PLANTED 12" O.C. THROUGHOUT BUFFER AREA WHERE ' POSSIBLE. ALL LAWN AREAS TO BE SEEDED WITH A LOW FERTILIZER DEPENDENT GRASS SEED MIXTURE. 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ]Yes [] No Ii no, descdbe bdefly: ]Yes []No If yes, list agency name and perrmt / approval: NYSDEC SOUTHOLD TRUSTEES 11 DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? []Yes [-~'INo If y~s. list agency I3ame and permjl / approval: lr.~_tAS A ~..iSULT Of PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ~L~_.I No Applicant / Sported-CATHERINE ;M~SIANO, INC. I'/<~ Date' 27. . [ h [Fa 2 7 If the action is a Costa/Area, and you are a state age tcy, i complete the Coastal Assessment Form before proceeding wi h this Board of Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall · 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application ........... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, :~77~£'~-Mff~ residing at being duly sworn, depose and say: That on the ~ day of~, 20~. I personally posted the property known as ~b~]V ~, by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the ~blic hearing. _~te of heariqg noted thereon to be held :~~~ 70~~ · ' Dated: Sworn to before me this /, day of ~ 200.~ LYNDA M NOTARy p~,~, ,~ 2 BOHN ~£gnature ) . . Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (6311 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTH OLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application 1) e..-!\. 1\ I..J H e. V\ L--~ '-\ COUNTY OF SUFFOLK) STATE OF NEW YORK) I, GO:hen ".2 \!It? c.u.A 6-Moy,cA...., (\L-r being duly sworn, ~epose AFFIDAVIT OF POSTING , residing at \ 2. M.u.Lfo~ L_ and say: That on the I:' day of r!\O-<..j ,2003, I personally posted the property known as l ~ 2.-5 \<,W\'o-e..+'ly h~ S"..,..}"1.-..JLO by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the ~?lic hearing. Date of hearing noted thereon to be held ~dl d:ffJ. j dv. Ov~ 70 ~ /Y). , - f Dated: (signature) Sworn to before me this day of 200 Notary Public . . NOTICE TO ADJACENT PROPERlY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: DENNIS HENCHY SCTM # 1000-70-13-20.8 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees for: CONSTRUCTION OF A 4' X 37' ELEVATED WALK (MINIMUM 3.5' ABOVE GRADE) WITH STEPS TO GRADE. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 1325 KIMBERLY LANE, SOUTHOLD 3. That the project which is subject to Environmental Review under Chapters 32, 37,or 97 of the Town Code is open to public comment on May 21,2003. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of South old and does not reference any other agency that might have to review same proposal. OWNER'S NAME: MAILING ADDRESS: DENNIS HENCHY 22 PEMBROKE DRIVE N. MASSAPEQUA, NY 11758 OWNER'S AGENT: CATHERINE MESIANO, INC. 12 MILL POND LANE EAST MORICHES, NY 11940 631-878-8951 Enc.: Copy of sketch or plan showing proposal for your convenience. $1 . . Eugene & Kathryn O'Hara Box 1494 Southold, NY 11971 lOOO-7()-13-20.7 Donald & MaryAnn DeCarlo 200 Manor Rd. Douglaston, NY I 1363 1000-70-13-20.9 Antoinette Lccascio Box 1407 Southold, NY 11971 1000-70-13-20.11 Arthur & Lois Lamia 1340 Kimberly La. Southold, NY 11971 1000-70-13-20.12 Mark & Karen Miller 1230 Kimberly La. Southold, NY 11971 1000-70-13-20.13 . - I . CATHERINE MESIANO, INC. 12 MILL POND LANE EAST MORICHES, NEW YORK 11940 631-878-8951 February 27,2003 Town of Southold Board of Trustees Box 1179 Southold, NY 11971 Re: Dennis Henchy SCTM # 1000-70-13-20.8 GentlemenlMadam: Enclosed please find an application submitted on behalf of Dennis Henchy for a Wetlands Permit for landscape activity landward of the existing bulkhead at his property located at Kimberly Lane, Southold. Enclosed please find original and two copies of the following: 1. Application for Permit. 2. EAF Short Form - Part 1. 3. Survey 4. Owner's authorization. 5. Owner's release. 6. Transactional disclosure. 7. Notice to adjacent property owner. Also enclosed is the application fee in the amount of $50.00 Kindly direct any requests for additional information to my attention. Thank you for your consideration Very truly yours, ~~ Catherine A. Mesiano ~~~~a 0 \Djl F~B 2. Enclosures I L I .-1 r- U.S. Postal Service GEP.-TIFIED MAIL RECEIPT . (DomestIc Mall Only, No Insurance Coverage cd) r"- ..." r<1 =r ':::ntlTl..ln! n. ,", 0.37 Return Receipt Fee ~ (Endorsement Required) CJ CJ CJ 1. 7S PostmarK , . IMYt<". . ~z2Ji 05/ S ~~ ::lroof of Mailing of Notice :ertified Mail Receipts Adddress r<1 r"- .., ..." ? Restricted Delivery Fee (Endorsement ReqUired) Total p~...- 4.42 CJ ..." U"J Sent . nJ . uno Arthur & Lois Lamia ..." ~;'~ 1340 Kimberly La. ~ .C;ii:SSouthold, NY 11971 ....... 1000.70.13~20.12 I State of New York County of Suffolk Anne W, Hill, residing at P.O. Box 1245, Center Moriches, NY being duly sworn, deposes and says that on the 13th day of, May 2003, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the addressed of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at East Moriches, NY, that said Notices were mailed to each of said persons by certified mail. f/MA.i& /1), NtlQ . Anne W. Hill swor~ to before me this 13 day of L M tUj ffi01C:VC ~o/~ ,2003 DEBOIWI A. NICOlA Nol8ry I'ub/!C. State 01 New YaIk No.OINl6OO4066 QIll!IlIlI!! . i SUIIulk l;almIr c:.~. 11I'I!" == MIrdI16. '2fi)t..J ~.-=-=--- Name Proof of Mailing of Notice Attach Certified Mai~ Receipts Adddress State of New York County of Suffolk Anne W. Hill, residing at P.O. Box 1245, Center Moriches, NY being duly sworn, deposes and says that on the 8th day of, March 2003, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the addressed of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at East Moriches, NY, that said Notices were mailed to each of said persons by certified mail. AAU/~ tI})/~ Anne W. Hill ..D nJ "" U'1 ;nA~cJ, ,2003 ", r-- "" ,.." Postage $ O.:rI IIlIT ID: 0940 Certified Fee 2.30 1.75 :- ~ '- ~~ Return Receipt Fee ::r (Endorsement Required) CJ Restricted Delivery Fee CJ (Endorsement Required) CJ Postmark H,~ Clerk: KIJtBVY . 4.42 03/08/03 CJ Tola ,.." ,Eugene & Kathryn O'Hara Ln Sent nJ Box 1494 ,.." -;;~Southold, NY 11971 g -Cjiy:~ 1000-70-13-20.7 r-- - ;1Qj..7 - " / . , ~ Eugene & Kathryn O'Hara Box 1494 Southold, NY 11971 1000.70-13.20.7 Donald & Mary Ann DeCarlo 200 Manor Rd. Douglaston, NY 11363 1000.'70013.20.9 Antoinette Lccascio Box 1407 Southold, NY 11971 1000.'70013-20.11 Arthur & Lois Lamia 1340 Kimberly La. Southold, NY 11971 1000.'70013-20.12 Mark & Karen Miller 1230 Kimberly La. Southold, NY 11971 1000.'70013-20.13 .... , ( I:) CAlHERINE MEsIANo, INe. Licensed Real Estate Broker Real Estate Consultant ~ October 20, 2003 Town of South old Board of Trustees Box 1179 Southold, NY 11971 Re: Dennis Henchy 1325 Kimberly Lane, Southold, NY 11'1 SCTM # 1000-70-13-20.8 ~~. Genrtemeo.: . Enclosed please find a three copies of the plan for the proposed fixed walk, per your request. Thank you for your attention to this matter. Very truly yours, ~i?r D E O~T ~ 1":3 ~ ~ n Soulhold Town Board of Trustees Catherine A. Mesiano Enclosure 12 Mill Pond Lane. East Moriches, New York 11940 . 631.878.8951 - --, 3/11/03 Field Inspection . . 3/1 1/03 Field Inspection . . ...... - -~. ~ 3/11/03 Field Inspection . . 3/11/03 Field Inspection . . 3/11/03 Field Inspection . . ~ 3/11/03 Field Inspection . . . . ,I) -,1 ~ .---- / ~,~~ .-..:' :---, ~:"-' .:.... , ........... ~~~.'~~~, j' ''-J' ; APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTH OLD DATE 3) I '? I", 3 -=~--'--"--r-~ _.; """""'" f r .~~ ,c 0.c o\,,~ v~]~, . ...... ~~' f-' ~z c ....... ....... . -- '.~~.. ....... - \. Jl1:l'''- '''''-~.oDIIoI ..""...- .'_W'IPJIMIlWI -..ri~ .-.- ~. '- -= I ., /~ ~B.UHor DfD 3IllQ "---~ ;IJIll]Q.\W , " :w1O IftW1't/ <>NIJ. -~$. < I . .~ ~lW.llBJllI3JWj J' ~ G9tlI!IIO~ .....- - J' ........, , __.~~..~~A..fIIII'.._ , -.' , . )-;; I' t': v .rJ1.~' .- f~ ~.- .~~, ....- t' _-~~ ~~:. L. I 1 -, +--- - ~-- -f ,1 __ VSOSlIlI I i I :iAMf" _ '..... , .)' IWV1 (~. .,- l:- 1,1', ~. ~ ;:. UMWU ", .J J. 1m:101~ dE '" J A' ~ - ';..- ".')( ,-j/II dt-:i~~ , "', , -',- ~ .? '"c; . ! l ,. ). -- ~. OU-V,lXl\llll , , .....;-.- ^ ~"'~: .;.,. . '. " ~; -~. ..-~ .i- ~..,'.' -' i ';-, , ~. " ~ FFCt+-1 : t-'~ :c t1:SIAI'-lJ !~~" . FAX NO. : 579 5542 ~Feb. 27 2003 12:00P~ P5 ~ 27 20~3 ~0:14AM p~ I: I: 'I: rHX Ntl. :1~3~.-'8(B.'O?5l 'I I, II the TlIWn of -holds elide of Eltlios ornhibl. conlias of irlerellI on the Dirt at town afticenl I; ::,;~~;::;;:.:=or;~~J.,P~;::;'~==~-=-=,llf APPUCANT TRANSACTIONAL DIlICI.08l1RE FORM YOUI'l NAAoIl!: DENNIS HENCHY " " I Ii " II ,I " T IX glievInce I va~ II Cha"ll" of lOIle i ! Approval of .,.. !I EHmpliCln ftlllll pill or _I map ,'I Othr 0' "OdIer,' nlllll the ecllv1tyj WETLANDS PFRUIT 00 you pe_11Y (Or through YOOll)(Jfllpany, spouse, s1Il1lng, PIl"lnt. or child) haw . rellaonshlp! I with any otlicer or flll'1IlIoJ.. llflhtt Town of Southold? "RelatiorlSltlp'llIdudM by blOOd, marriaGe.' , or ~ in..... "8UlhWfC mwrtct' m....... . b""IIlll", lneluding a partnGlW\I~. ,n ....tell ihfJl : town oMceI' or employee h.... Iv'" 8 pa4I8l own...hip of (or tJf'llPl~nl by) a OOlll<>ratJon I"i: :; lhelgWn Clmo.r or I!IYlPIOy: OlNtIS ';'" 1h8l1 5% 01 the shares. '/ i !] NATURE OF APPLICAnON: (Check all that apply.) If IIOIIIl..ertCl "YES," ~1!Ie blllllnOlloflllllllO!Tlllnddalo and oIgnwhera 1I'Id-' . ii i: Ii , 1'1 Oeaalbe tha retmlonsIllp be!lIeen JlUursell (lhe apjllicmd) and the ,.... ofIcer or em~, :: Efth.r llMek 1M ~19 line Ajll1roogh 0) end/or dei1cn1le in lIMIltlICe pIOVidod. I L 'I Th. town otllcer or ""''''7'''' or hia or her spouse. sibling. par"'" or chid ill (_ aU llIar apply): ' I --N II\tl_rof9_","-"i'IoOftlleCII_Oftlt""O"pCll'IUI~ clllle ,j .......... (MleB the appIicem is . colJlO'lllicn); , r -8) the legal or beneldal owner 01 .ny Int..-.sl in a noncGl'IlOr.I.. , enIIy (IIIIlQrl tIIo tlflpliC4lrW i. Illlla COrpollltionJ: i i _C) ., ofIIcor, <in!dot, pertne', or ""'~""'" of tho ;lppGcant; or Ii _0) Ihe aetualllPlllcanl. : I DeSCllltl"rION Of' FlELATIONSHIF> N<lme at person emQlOl*!Dy IIltl Town 0' South.1<! Tffle or IlaSllillIl dll'ull PI""'" , i , , , , , 3ubmfttecj this A '7 dQy 01 kil . 2003 Signatunl ;j~ I~ Print nama ___ DENNIS f.lEftfCHY ."j FF~Jty~ : ~F:':Jt~ :c MES!;'!,:] '~K'. . F;;X i-lJ. 579 5542 Fh",: "I.~' ,:rT:, .i~?l':,;. .e~: , ,- .... ;-~. 27 2083 12:00PM P4 STATE OF NEW YOHK) CO'JNTV OF SUFFOLK) 58: ::2tB2 ...0: ~:::,-1r'1 ~~ " )! !: .1 i' " ,Ii " ,. I' I! j; n~le~' Notary Public: I' being duly swaT1, depOMl and say.:1 >>~ ,I1JIfE,4-PEJ)/J/l- 'Ii I' 'I In the County of >>~S$Av . andlheSlat8or~1 I?>I<K . Ii And! am the 0WI19I' of the PI'emins desoribed in the foregoing awliclltiCft ancl t~ I have authorized CATHERINE MESIANO INC. to make the foregoing alltllie8l:I~~a desenbed llereln, ! , 1~ [, ;:)~ ~ /~ - ii Ii II II I' i , I) ii Ii !,; I: ( , !: DeNNIS HE/fCHY I reaidEllIt ..u, I' ~nI tJ II DI(Ff' JJRII/,F' Swom before me this..-J1_ day Of1s!z/lA \ 11 20.,U3 CATHY 0, O'MALLEY Notary Public, State 01 New York No, Oi OM5045744 Qu~l~ied in Naessu Couoty ~()' <- CommiSSion Expires Juo. 26, v....J Ii II Ii I II II " 'i I I, i ,:! : I; ..' " ;, ----- .-- ... r:;f,:~1 : "RCi'l :e "ESI~O iN::. . Fri< NO. : 579 5""2 r-Ax ~~o. : 1S,!;:"'S?t.-f3S,,=: ~~b. 27 2003 12:80PM P~ F~D. ~ 20~3 _~;:4AM P4 J ~ ' I I : I: i.' County of Suffolk Stale of New York ~ ,/ , ! ! DENNI8 HENCH'r 8EING. DULY SWORN DEPOSES AND AFFIRMS THAT HE! SHE IS THE APPLICANT:: FOR THE AeOVE DESCRIBED PERMIT AND THAT AU STATEMENTS': CONTAINED HEREIN ARE TRUE TO THE BEST OF HISlHER KNOWLEDGe',: AND BELIEF. AND THAT ALL 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 Toi: HOLD THE TOWN OF SOU'THOLD AND THE TOWN TRU6TEI:9 HARMLESS. I AND FREE FROM ANY AND ALL OAMAGE;S AND ClAIMS ARRlSING UNDER! OR BY V1~TUE OF SAID PERMlT(S), IF GAANTED IN COMPLETING THlsl APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES. THEIR AGENT(S)i: OR REPRESENTATIVE(S). TO eNTER ONTO MY PAOPERTY TO INSPECT;! THe PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. .. I !i " i II " ii Ii II " ,J~ L: /~ SWORN TO BEFORE ME: THIS a., DAY oFf:-e\)\\")').\1 t' 2oo3l i H i, I .. ii I .' n~~ C~~~ IWliIry Publkl ) CATHY C. O'MA~LEY , Notary Public, SI.te of New Yorl< . No. O,OM5045744 Ql.lalitied in N....u CoI.IMy <0;1 (10.:) Commi$'IOn E)l.plrel June :?P. ; I ,I , i " k N 84'22'20" ROAD METE~ 84'22 20 W ,S 29¸ Ii LOT~ ~oT® LOT(9~ 361.97' ah, ,fin A' -- ~ 282.4 aha, CERTIFIED TO' DENNIS HENCHY COMMONWEALTH LAND TITLE INSURANCE NOTES N Y $ Lic No SURVEYLoT 8OF MAP File No. 6463 FILED NOVEMBER SITUA TED A T SOUTHOLD TOWN SUFFOLK S.C, TAX OF SOUTHOLD COUNTY, NEW YORK No. 1000-70-15-20.8 SCALE 1"=30' JUNE 10, 1999 AUGUST 30, 1999 SET LATH FOR NYB.DE.C INSPECTION OCTOBER 25, 1999 ADDED PROPOSED HOUSE MAY l, 2909 ADDED ROCK & BROKEN CONC WALL OCTOBER 15, 2000 UNDER CONSTRUCTION SURVDY APRIL lB, 2001 UPDATE SURVEY JULY lB, 2002 FINAL SURVEY $.C.D.H,B. REFERENCE No, RIO 99-0176 AREA = 47,426.24 sq. ff. (TO TIE LINE) 1,089 Dc. THIS PROPERTY IS IN ENTIRELY IN FLOOD ZONE AE (EL 8) AS SHOWN ON FLOOD INSURANCE RATE MAP No 36103C01§6 O ZONE AE BASE FLOOD EL~VATION~ D~RMINED COMPANY OF NEW YORK THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. 49658 Joseph A. Ingegno Land Surveyor PHONE (631)727-2090 Fox (651)727 1727 99 3811