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
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U.S. Postal Service
GEP.-TIFIED MAIL RECEIPT .
(DomestIc Mall Only, No Insurance Coverage cd)
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':::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
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..."
?
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
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;nA~cJ,
,2003
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Postage $
O.:rI
IIlIT ID: 0940
Certified Fee
2.30
1.75
:-
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'-
~~
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--
-
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-
" /
.
,
~
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
.
.
.
.
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APPROVED BY
BOARD OF TRUSTEES
TOWN OF SOUTH OLD
DATE 3) I '? I", 3
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FAX NO. : 579 5542
~Feb. 27 2003 12:00P~ P5
~ 27 20~3 ~0:14AM p~
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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
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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
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NATURE OF APPLICAnON: (Check all that apply.)
If IIOIIIl..ertCl "YES," ~1!Ie blllllnOlloflllllllO!Tlllnddalo and oIgnwhera 1I'Id-'
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Oeaalbe tha retmlonsIllp be!lIeen JlUursell (lhe apjllicmd) and the ,.... ofIcer or em~, ::
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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""'"
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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
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27 2083 12:00PM P4
STATE OF NEW YOHK)
CO'JNTV OF SUFFOLK) 58:
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Notary Public:
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being duly swaT1, depOMl and say.:1
>>~ ,I1JIfE,4-PEJ)/J/l- 'Ii
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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, ! ,
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DeNNIS HE/fCHY
I reaidEllIt ..u,
I' ~nI tJ II DI(Ff'
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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
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Fri< NO. : 579 5""2
r-Ax ~~o. : 1S,!;:"'S?t.-f3S,,=:
~~b. 27 2003 12:80PM P~
F~D. ~ 20~3 _~;:4AM P4
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County of Suffolk
Stale of New York
~
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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. ..
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SWORN TO BEFORE ME:
THIS a., DAY oFf:-e\)\\")').\1 t' 2oo3l
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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.
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N 84'22'20"
ROAD
METE~
84'22 20 W
,S
29¸
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LOT~
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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