HomeMy WebLinkAboutTR-5130Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Polixvoda
Peggy A. Dicker~on
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall
53095 Route 25
P.O. Box 1179
Sonthe!d, New York 11971-0959
Telephone 163l) 765-1892
Fax (63/) 765-1366
June 28, 2002
Mr. Warren Croon
2500 Ole Jule Lane
Mattituck, NY 11952
RE: 2500 OLE JULE LANE, MATTITUCK
SCTM#! 22-4-12
Dear Mr. Croon:
The following action was taken by the Southold Town Board of Trustees at lbeir Regular
Meeting held on Wednesday, June 26, 2002:
RESOLVED, that the Southold Town Board of Trustees APPROVE thc Amendment to Pemfit
#5130 to install a 16'X 21' patio offthe rear entrance to the hr, use, with the condition thai if it
creates additional hazardous mn-off, that management of that will have to bc addressed.
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 o f Trustees
AJK:lms
Telephone
(631) 765-1892
Town Hall. 511(195 Main Road
P.O. Box 1179
Southold, New Ywk 11271
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Monday, June
24, 2002, the following recommendation was made:
Moved by Bob Ghosio, seconded by Drew Dillingham, it was
RESOLVE[:) to recommend to the Southold Town Board of Trustees APPROVAL of the
Amendment Request of WARREN CROON JR. to Amend Permit #5130 to install a 16'X
21' patio off the rear entrance to the house.
Located: 2500 Ole Jule Lane, Mattituck. SCTM#122-4-12
~/ote of Council: Ayes: All
Motion Carried
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. ~"-/ 30 DATE: .M.~rch 22, ~.000
ISSUED TO ... WARREN cF~Do.H ...
Pursuant fo the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952; and the Southold Town Ordinance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and fha
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
· LANDS UNDER TOWN WATERS;" and in accordance wlfh the
Resolution of The Board adopted at a meeting held on Mar.. 22. 2000
1¢/-290.0 and in consideration of the sum of $ 150,.00. paid by
Warre!L ··Croon
of Mattitxtck.. . ~ . N. Y. and subject fo the
Terms and Conditions listed on the reverse side hereof,
of Soufhold Town Trustees authorizes and permits the following:
Wetland Permit to construct a retaining wall 16 1/2" in height
from property line on east side along approx. 64 1.f. leaving an
opening to access the water, & plant beach grass on site as indi-
cated on ne~v plans d~ted_and r%d'¢t. Magch. 22, 2000. , .
all in accordance w~th the detal~easpec~r~caTions as presented in
fhe originating application.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes ifs Corporate Seal fo be affixed, and these presents fo
be subscribed by a majority of the said Board as of this date.
Albert J. Krupsld, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18~2
Fax(516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OFSOUTHOLD
March 22, 2000
Warren Croon
2500 Ole Jule Lane
Mattituck NY 11952
Re: SCTM #122-4-12
Dear Mr. Croon,
The following action was taken by the Board of Town Trustees
during a Regular Meeting, held on March 22, 2000, regarding the
above matter:
WHEREAS, WARREN CROON, applied to the Southold Town Trustees
for a permit under the provisions of the Wetland Ordinance of
the Town of Southold, application dated January 27, 2000 and,
WHEREAS, said application was
Conservation Advisory Council
recommendations, and
referred to the Southold Town
for their findings and
WHEREAS, a Public Hearing was held by the Town Trustees with
respect to said application on March 22, 2000, 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 approves
WARREN CROON to construct a retaining wall 16
the application of
i/2" in height
from property line on east side along approx. 64 1.f. leaving an
opening to access the water, and plant beach grass on site as
indicated on new plans dated and received March 22, 2000.
Located: 2500 Ole Jule Lane, Mattituck.
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.
Permit to construct and complete project will expire two years
from the date it is signed. Fees must be paid, if applicable,
and permit issued within six months of the date of this
notification.
Two inspections are required and the Trustees are to be notified
upon completion of said project.
FEES: None
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/djh
cc. DEC
Dept. of State
ACE
Warren Croon, Ir.
2500 ole Jule Lane
Mattituck, New York 11952
March 21, 2000
Board of Trustees
Southold Town Hall
Southold, New York 119
We propose to keep the existing retaining wall at 2500 Ole .lule Lane in its
present state except for a few modifications. The retaining wall as described in
our application to the Town of $outhold differs from this design in that it will not
extend to the neighbor's bulkhead on the West end. it will extend from the
property line on the East side approxinriately 64 linear feet leaving an opening to
access the water.
We intend to stabilize the grour~t~djacent to the wall by careful placement of
· ~ or equal substitute as needed. In addition, we will create a trough
also known~a French Drain. It will begin 6' upland from the wall as shown on
drawing.
We hope this is satisfactory,
Warren Croon,
ac
Telephone
(516) 765-1/~2.
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation AdvisoD: Council held Tuesday, February
15, 2000. the t'ollowing recommendation was made.
Moved by 8~!1 McDermott, seconded by Bret Hedges, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROV.M. of the
Wetland Permit Application of WARREN CROON JR. 122-4~12 to install 6' X 6' pressure
timber retaining wall l 1" in height approx. 78' long going from existing neighbors' bulkhead on
west side to existing neighbors' bulkhead on east side of property Wall is located at top of bank
outside of tidal wetlands and above mean high water line.
2500 Ole Jule Lane, Mattituck
Vote of Council: atyes: All
Motion Carried
NOTICE
Police Dept. Bay Constable
Town of Southold
Peconic, New York 11958
NOTICE OF VIOLATION
Date: .... 19;:
Warren Croon
[owner or au=norlzeo agen= or owner;
2590 Old Jule Lane, ~attituck, N.V. 11952
Address:---~-~,~-~-~5[5~i~-~-~-~ ............
Please take notice there exists a violation of the C~e of the
II
Town of Southold, Chapter .97 Article ............ Section ..............
.. vou are conductin¢'
at premises hereinafter described in that--' .............. ~ ............
operations ~ithin 75 feet of a wetland without first obtsinino
a permit from the Southold ~own Trustees.
You are therefore directed and ordered to co~ply with the
Cease ail further work on retaining w~]]. ~Dpl- for
following: .............................................................
a Trustee hermit for work ~lr.eadV done.
on or before ........... day of __O_~[%~% ....... · 19~ .....
The premises to which this Notice of Violation refers are situated at:
Suffolk County, N:¥. (Suff. County Tax Map Designation: Dist. ~000
· . 4 12
Sectlon.---~=--~---Block: ........ Lot: ....... L
Failure to comply with the applicable provisions of the law may
constitute aa offense punishable by fine or imprisonment or both.
NO~ICE: You have the.right to apply for a hearing b~fore the.Board
of Trustees of the Town of Southold, provided that you file a written
request with the Clerk of the Trustees within 10 days after service'of
the Notice of Violation. Such request shall have annexed thereto a
copy of the Notice of Violation upon which a Hearing is requested and
shall set forth the reasons why such notice of violation should be
modified or rescinded~
Bay ~onstable, ~own of S~thold, NY
Albert J. Krupski, President
James tGng, Vice-President
Henry Smith
Attic Fester
Ken Poliwoda
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
January 6, 2000
Mr. Warren Croon
2500 Ole Jule Lane
Mattituck, NY 11952
Dear Mr. Croon:
Please notify this office as soon as possible with the status of the
enclosed violation.
An application must be made with this office.
Thank you.
Sincerely,
Lauren M. Standish, Clerk
Board of Trustees
enc.
SUFFOI~K COU~/TY HFJ~TI~ DEF~J~.~!
~ho sewage dtapasal and v,ater 2upply
fact]ltles far this la,:a~.lon have boon
H]spocted by t~ls d,~pa~tnont mud found
to be satlsfaeto.~~ a'
Chief of General Engin'eertnB
'~ / ho. ', '
/
/ ~ .~ .' /
· . . ~' .,' rig' ~ k ' ~zs.z ?~ ~.P.'.
-~ / ' ./ /z~ ~c~5~c I v - .... .~.:. ..~,~:..~.. /~0' ,...."L~'.
.... / / · . .' ~ r -'-~' ~- ~t--._ ~ '_~
v..~o / ./ .' ~ ~; ,.; ~_~ ;'--. / . ~ · -
~"/ ':~/ ' ~r ~ ~. : ~ ~ I,'~, . ' . ~- ' '~
.~/ ~I ~ · ' ~ ~ ' I ?~,- ' ~- ~.~ ', ~. ; ....
... ,,: //"--./,,y '.'"' :
z.... e,,,. . ~ S.~~' .~.- /~- ,?.. .... /
~'., MY z ~ · ., / ..' /~Z ~ : . - /
' ~1~ · - -~ ~. ~ _ ~ / ,~ =~,-'A~' .~."'
'' " ,' "- ~I ~.,?=~(~ '
-- ~. · .~..:,.. / --,. ·
"-'. a ~.~, ,', ] :N .
[ ~TAMP
. . ~7~_ ~/~1~ i.,
APPROVED:
r~
CO. H~LTH D~I~T. APPROVAL H.
SUFFO:i~ COUNT~ ~LLTH
sewage disposal ~nd water supply
l'acllltias for th!s lacaL1Qn have boen
tnsp~ctecl by this dapart~ont ~d fouQd
Chief of General
I
'7~H/'N O~ ~,~OU?.~O!L-D,,~/.'¥~.
H.S. REF. NO.: ~ STANDARDS OF SU~OLK CO. DEPt.
OF II~LTH, ~ERVI~S.
APPROVED: "~
Albert J. Krupsld, President
James King, Vice-President
Henry Smith
Artle Foster
Ken Poliwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18q2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
LE tIER OF REQUEST FOR AN AMENDI~<NT
DATE
ADDRESS
PROPERTYLOCATION )500 01~ ,~-)C ~ ' flO~d~r ~'t~6~
Signed By:
request an Amendmem to Permit
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEESr TOWN'0F.SOUTHOLD
In the matter of applicant:
SCTM~iO00-
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
2. That the property which is the subject of Environmental .~
~eview is located adjacent to your property~nd is described as
3. That the project which is subject to Environmental Review
ander Chapters 32, 37, or 97 of the Town Code is open to public
comment on: ~-L~-~ ~ You may contact the Trustees Office at
765-1892 or in ~iting.
The above -oF ..-~ ' .
=,~e~_nce~ proposal is under review of the Board of
T~lste~s of the Town of Southotd and does not reference any
other agent? that might have to review same proposal.
Eno.: Copy of sketch or plan showing proposal for your
convenience.
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED I$~AIL RECEIPTS
N 33Tle:
STATE OF NEW YORK
Address:
COUNTY OF SUFFOLK
Office at /lfl~; (.zc~
(certified) (registered) mail.
OJtcCt¢.~. O. too,-- .~.¥ . residing at ~ fao
M tr~; ~c~ k... __, being duly sworn, deposes and says that on the
~ day of_ ~ ,20aZ-, deponent mailed a tree 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 there respective names; that the addresses set
opposite the names of said persons are the address 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
, that said Notices were mailed to each of said persons by
Sworn to before me this -~ 0%
Day of "0'c-..9--~ ~) ,20 ?._', ~
Not_~ Bublic
r~-
Total Postage & Fees
Street, Apt. No.;
o! PO BOX NO.
City. State, ZIP+ 4
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Peliwoda
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
of
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
· residing at ~;.3D'
being duly sworn, depose and say:
That on the day of ~ -30 , 200Z, I personally posted the
property known as ~ o{~ _~/e ~
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 .
public ~aring. Dat~ of hearing noted thereon to be
Dated
Sworn to before me this
5 C?'-k day of ~f~c~ 200~
Notary Publi~
SALTY ELADOS
( signature )
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 1197l
Telephone (516) 765-18~/2
Fax (516) 765-1823
BOARD OF TOVgN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application
%~Wetland Permit Application
Grandfather Permit Application
Waiver/Amendment/Changes
~ ~ecei'ved Applica~//~9/~
7Received Fee:$ f;~D -3~AI/~/DO
Completed Application
Incomplete
SEQRA Classification:
Type I .Type II Unlisted
Coordination:(date se]
_~z~AC Referral Sent:~
w~Date of Inspection:
Receipt of CAC Report~
Lead Agency Determination:
Technical Review:
~Public Hearing Held:~V_~__
Resolution:
Name of Applicant ~}~F~z/ZO0~
Address ~00 0/~-~ ~,'
Phone Number:(5/&)
Suffolk County Tax Map Number: 1000 -
Property Location: ~5o0 ~)/~ ~[~
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
FAX%:
1
Trustees ApplicationO
GENERAL DATA
Land Area (in square feet): /2 ~
Area Zoning:
Previous use of property:
Intended use of property:
Prior permits/approvals for site improvements:
Agency Date
&" 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):
f I .
2
B~d of Trustees App±lcatlon
WETLAND/TRUSTEE LANDS ~PLICATION DATA
Purpose of the proposed operations:
Area of wetlands on lot:A~AOK
Percent coverage of lot:~gf~c~( ~ %
Closest distance between nearest existing structure
edge of wetlands: ~{oe~ feet
Closest distance between nearest proposed structure
edge of wetlands:~e~ ~ feet
Does the project involve excavation or filling?
square feet
and upland
and upland
No g Yes
If yes, how much material will be excavated? f cubic yards
How much material will be filled? ~= cubic yards
Depth of which material will be removed or deposited: ~; ~a6~l
feet
Proposed slope throughout the area of operations: ?r~ -
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):
PROJECT .O. NUMBEq
Appenc~ix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I--PROJECT INFORMATION (To De comple,'e(~ by Ael~licant or Prolec= sDonsorl
'SEC
3. '/;ILL FROPOSED ACTION COMPLY 'A/ITH '=XISTINO ZONING OR OTHE~ EXISTING '~ND USE ~ESTRICTICNS?
[-~e$,den ual ~',!nausmal ~' C,~mmermal
11. 0OE$ ANY ASPECT OF THE ACTIO~ HAVE A CURRENT[.¥ VALID PERMIT OR AP°ROVAL? [] Yes' [~No ff yes. list aqenc¥ name and perm~Ut~Dproval
Aoplicanus~onsor name:
/0-..3
If the action is in the Coastal Area, and you are a state agency, complete ti'~e
Coastsl Assessment Form before proceeding with this as._s, essment
OVER
I
Albert J. Krupski, President
James King, Vice-President
Henry Smith
.-L~c i e Foster
Ken Poliwoda
Town Hall
53095 Main P~oad
P.O. Box 1179
Southold, New York ! 1971
Telephone (516) 765o18~2
Fax (516) 765-I823
BOARD OF TOWN TRUSTEES
TOWN OFSOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
In the Matter of the Application
of
COUN~Z OF SUFFOLK)
STATE OF NEW YORK)
being duly sworn,
AFFIDAVIT OF POSTING
· residing at ~;~~0
d~pose and say:
That on the day of 2-~ , ~ , I personally posted the
p£operty known as ~oo ~/~/¢ ~
by p~acing the Board of Trustees official poste~ where it can
easily be s~en, and,that I have checked to be sure the posner
ha~ remained in plaqe for seven days prior to tDe date of 5he
~uDl_~c hearing~ (4a~e of hearing ncted therecn to be held
Sworn to before me this
day of 199
Notary Public
~'~^~ ANN RUDDER
!.. ~.. ~ m r,,c $!3,e of Hew York
'.. '~' .' .- .,uf~ Coun~ )
..c:.,~,~,.;, cx~,~. April ~¢
( signature )
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES~ TOWN OF SOUTHOLD
In the matter of applicant:
~3~rf~,~ ~foo~ KC SCTM#1000- /~
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
2. That the property which is the s~ject of Enviro=ental
Review is located adjacent to your property and is described as
follows: ~SOO ole i& %e
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. 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 ~f Southold and does not reference any
other agency that might have to review same proposal.
OWNERS NAME:
MAILING ADDRESS:
Enc.: Copy of sketch or plan showing proposal for your
convenience.
PROOF OF MKILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name: Address:
STATE OF NEW YORK
COUNTY OF SUFFOLK
~~ i , being duly sworn, deposes and says
that 6n the $~ day, of ~0~e~ ,19 99 , deponent mailed
a true copy of the No~ice set forth in the Board of Trustees
Application, directed ito each of the above named persons at the
addresses set opposite there respective names; that the
addresses set opposite the names of said persons are the address
of said persons as shown on the current assessment roll of the
Town of Southold; thaq said Notices were mailed at the United
States Post Office at. , that said Notices
were mailed to each of said
persons
by
(certified)
(registered)
Sworn t~ befOre me ?~s 3~%~
day of ~ ~
Notary Public
BARBARA ANN RUIDDER
Notary Public State of New York
C Ouahfie5 in Sulfolk County
omm[ssion Expi~ea April 14. ~0~
· Complete items 1,2, and 3. Also complete
item 4 if Restricted Delivery is desired.
· Print your name and address on the reverse
so that, we can return the card to you.
· Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Articl~Addressed to:
A. Received by (P~ase Pdnt Clearly) B. Date of Delivery
[] Agent
[] Addressee
D. Is delive~ [] Yes
If YES, enter delivery address below: I~ No
3. Service Type
[] Certified Mail I~ Express Mail
[] Registered [] Return Receipt for Merchandise
[] Insured Mail [] C.O.D.
4. Restricted Delivery? (Extra Fee) [] Yes
PS Form 381 1, July 1999
Domestic Return Receipt
102595-99-M-1789
· Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
· pri~t your name and address on the reverse
so that we can return the card to you.
· Attach this card to the back of the mailpiece,
or Dn the front if space permits.
1. Article Addressed to:
2. Article Number (Copy from service label)
B. Date of Delivery
[] Agent
YES, enter delivery address below: ~' No
3. Service Type
~. Certified Mail ~ Express Mail
[] Registered '[] Return Receipt for Merchandise
[] Insured Mail [] C.O.D.
4. Restricted Delivery? (Extra Fee) [] Yes
PS Form 3811, July 1999 Domestic Return Receipt 102S95-99-M-1789
UNITED STATES POSTAL SERVICE
Postage & Fees Paid
USPS
Permit No. G-10
· Sender: Please print your name, address, and ZIP+4 in this box ·
~ IqFot-- PI~ ~
UNITED STATES POSTAL SERVICE
Fimt-Class Mail
Pos~ge & Fees Paid
USPS
Perm No.G~10.
· Sender: Please print your name, address, and ZIP+4 in this box"
Ltd of Trustees Applicati~
County of Suffolk
State of New York
BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF ~IS/HER KNOWLEDGE AND BELIEF, AND THAT ALL
WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROV]
THE APPLICANT AGREES
TRUSTEES HARMLESS A~
ARISING UNDER OR BY
COMPLETING THIS APPLi
THEIR AGENT(S) OR RE]
TO INSPECT THE PREMI:
APPLICATION.
iD BY THE SOUTHOLD TOWN BOARD OF TRUSTEES.
TO HOLD THE TOWN OF SOUR=HOLD AND THE TOWN
) FREE FROM ANY AND ALL DAMAGES AND CLAIMS
~IRTUE OF SAID PERMIT(S), IF GR3kNTED. IN
iCATION, I HEREBY AUTHORIZE THE TRUSTEES,
'RESENTATIVES(S), TO ENTER ONTO MY PROPERTY
;ES IN CONJUNCTION WITH REVIEW OF THIS
Signature
SWORN TO BEFORE ME T~IS
Notary Publi~
Notary Public, Sta~e of i,le~ York
Commission ixp~rel April ~4, ~ U
r I