HomeMy WebLinkAboutTR-5940A
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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
Permit No.: 5940A
Date of Receipt of Application: June 2, 2004
Applicant: John McFeely
SCTM#: 128-2-9.1
Project Location: 5900 Peconic Bay Blvd., Laur~1
Date of Resolutionllssuance: June 24, 2004
Date of Expiration: June 24, 2006
Reviewed by: Trustee Jim King
Project Description: To replace the existing 20'X 20' deck with a 24'X 23' deck.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 97 of the Southold Town Code. The
issuance of the Administrative Permit allows for the operations as indicated on
the attached survey prepared by Howard W. Young last dated March 11, 1983.
Special Conditions: None
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 97 of the South old Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
m..1 tJ. ~ _L. /7.
Albert J. Krups{i:Jr~,~ yn.
Board of Trustees
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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) 765-1692
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTH OLD
Office Use Only
Coastal Erosion Pennit Application
~etland Pennit Application _ Major Minor QIt IIIJ,;' .
Waiver/Amendn]l'nt!c.~g:J
_~e.ceived Applicat~Q;.. flJl~/lIlJ
~ceived Fee:$ ..~ G'"
...-completed Application ., I. 1'\11 0 Ie C Ie I \VI IE
_Incomplete
_ SEQRA Classification:
Type I_Type II_Vnlisted_ JUN - 2 2004
_ Coordination:( date sent)
CAC Referral Sent:
~te ofInspection:~ Ilh/lj Southold Town
_Receipt of CAC Report: Board of Trust..s
_Lead Agency Deterrnination:_
Technical Review:
~lic Hearing Held: ~ '-'ll!lt
Resolution:
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Name of Applicant
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PEco /'J Ie
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I3?Y
Address G / () 0
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Phone Number: ( )6 J/ J. 9t.? 5lf'l-D
'-17 SJ'rF9 /;2 cf? -;) -1, I
PE~O).) Ie- f3;J Y
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Suffolk County Tax Map Number: 1000-
Property Location: ?; 9 (J{)
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
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Board
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of Trustees Application
Land Area (in square feet):
GENERAL DATA
3d' ~oo
Area Zoning:
Previous use of property:
PR!v~rf-
I/<J n7~
Intended use of property:
il
/1
Prior permits/approvals for site improvements:
Agency
7- tJ f}
Date
I ~v /,
_ 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):
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Board
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of Trustees Application
WETLANDfrRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: I(fP'- 14 C I Iv c
j)~cj.c
fl-77 &ell!?/)
rb
do 1.1.s~
Area of wetlands on lot:
o
square feet
Percent coverage of lot:
%
Closest distance between nearest existing structure and upland
edge of wetlands: feet
Closest distance between nearest proposed structure and upland
edge of wetlands: feet
Does the project involve excavation or filling?
~ 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 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):
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Board of Trustees
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Application
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: f' is- P t- il c E
,FYI> 1/jV? j)EC/
1J-7 1 &c /; b j)
T,1
;-jtJ '-1.1 r
Are wetlands present within 100 feet of the proposed activity?
No Yes
Does the project involve excavation or filling?
V'. No Yes
If Yes, how much material will be excavated?
(cubic yards)
How much material will be filled?
( cubic yards)
Manner in which material will be removed or deposited:
Describe the nature and extent of the environmental impacts reasonably anticipated resulting
from implementation of the project as proposed. (Use attachments if necessary)
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I 'PROJECT ID NUMBER
1. APPLICANT I SPONSOR
617,20
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
(To be completed by Applicant Of Project Sponsor)
2, PROJECT NAME
SEQR
PART 1 - PROJECT INFORMATION
(/ }f IV r-.
WI V (7] ~
I?l'-f IDE
i<f if .?,k:'-
landmarks ete - or provide map
5. IS PROPOSED ACTION:
}II)
D New
o Expansion
~ification I alteration
6. DESCRIBE PROJECT BRIEFLY:
,
Rer>/...y:}c.(f\JC
/
r) 7- , Y
/
;70
/
'"/ ql
j)~ C~
h-1711
/
J) 6C ft-
7. AMOUNT OF LAND AFFECTED:
Initially acres Ultimately acres
6. WIll PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
G3Yes D No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY
0R'eSidential D Industrial D Commercial
OF PROJECT? (Choose as many as apply.)
DAgricu,ture D Park I Forest I Open Space
D Other (describe)
10, DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, Stale or local)
DYes D No If yes, list agency name and panni! I approval:
11, DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes DNa If yes, list agency name and pennit I approval:
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
[]ves D No
If the action is a Costal ea, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
I CERTIFY THAT
ABOVE IS TRUE TO THE BEST OF
P I?F.t. Y
MY KNOWLEDGE
Date o/J Jj' (J If
Applicant
Signature
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PART II - IMPACT ASSESSMENT (To be completed by Lead Agency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes. coordinate the review process and use the FULL EAF.
DYes DNO
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative
declaration may be superseded by another involved agency.
DYes DNo
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible)
C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal,
potential for erosion, drainage or ftooding problems? Explain briefly:
I I
C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly:
I I
C3. Vegetation or fauna. fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
I I
C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly:
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C5. Growth, subsequent development, Of related activities likely to be induced by the proposed action? Explain briefly:
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C6. Long term, short term, cumulative, Of other effects not identified in C1-GS? Explain brieny:
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C7. Other imoacts (includinQ changes in use of either uantity or type of energy? Explain briefly:
I I
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA (CEA)7 (If yes, explain briefly: I
DYes 0 No I
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain:
DYes DNo I
I
PART III- DETERMINATION OF SIGNIACANCE (To be completed by Agency)
INSTRUCTIONS: For each advllfSeeffect identified above, determine whether it is substantial, large, important or otherwise significant. Each
effect should be assessed in oonnection with its Ca) setting (Le. urban or rural); Cb) probability of occurring; (c) duration; Cd) irreversibility; Ce)
geographic scope; and (f) magnitude, If necessary, add attachments or reference supporting materials. Ensure that explanations contain
sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked
yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA.
Check this box if you have identified one or mOfe potentially large or significant adverse impacts which MAYoccur. Then proceed direcUy to the FUL
EAF andlor prepare a positive declaration.
Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actio
WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi
determination.
Name of Lead Agency
Date
Pnnt or Type Name of ResponSible OftK:8r In Lead Agency
Title of Responsible Officer
Signature of Responsible Officer in Lead Agency
Signature of Pre parer (If different from responsible officer)
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NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
JO/1/V F y1JC f~~l. V
SCTM#
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YOU ARE HEREBY GNEN NOTICE:
1. That it is the intention ofthe undersigned to request a Permit from the Board of Trustees
to: If f ? l Y1 c ~ () C/ ;I- J 0 / j} €- C ,k-
vv (7/-/ )3/""f. d Y- / Y~C,k
2. That the property which is the subject of Environmental Review is located adjacent to
your property and is described as follows:
tlOrflf.:. 01- TO}lf'-l F
~ () c 14- T f.--.V 47 C3 'j 06
vP c t:et- t y
r'f-c Q/'oJ Ie, B 4Y
/11 roO .
3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or
97 of the Town Code is open to public comment on: . You
may contact the Trustees Office at 765-1892 or in writing.
The above-referenced proposal is under review ofthe Board of Trustees of the Town of South old
and does not reference any other agency that might have to review same proposal.
OWNERS NAME: ::To /-IllI
MAILING ADDRESS: t;'C}OO
t-- )4 '-1 r? (3; J- IV Y
PHONE #: 6 ~ / ,.) y,p
F. yne F~EI-Y
P~CO/VIc... A!?Y
II 7\1 P
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f31r'!/:)
Ene: Copy of sketch or plan showing proposal for your convenience.
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PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
STATE OF NEW YORK
COUNTY OF SUFFOLK
, residing at
, being duly sworn, deposes and says that on the
day of , 20_, 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 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 South old; that said Notices were mailed at the United States Post
Office at , that said Notices were mailed to each of said persons by
(certified) (registered) mail.
Sworn to before me this
Day of ,20_
Notary Public
. .
Board of Trustees Application
County of Suffolk
State of New York
BEING DULY SWORN
DEPOSES AND AFFIRMS TIIAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND TIIAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND TIIAT 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 THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES
HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING
UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS
APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
?
SWORN TO BEFORE ME THIS :::l.
DAY OF
ublic
JOYCE M. WILKINS
Notary Public, State of New YOlk
No. 4952246, Suffolk County
Term Expires June 12, ..1.0 0 '7
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APPLICANT/AGENTIREPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of SouthoJd's Code of Ethics orohibits conflicts of interest on the Dart arroW" officers and emolovees. 1be oumose of
this fonn is to orovide information which can alert the town of DOssibJe conflicts of interest and allow it to take whatever action is
necessary to avoid same. .
YOUR NAME:
(Last name, first name, J11iddle initial, unless you are applying in the name of
someone else or other entity, such as a company. If so, indicate the other
person's or company's name.) .
NAME OF APPLICATION: (Check all that apply.)
Tax grievance
Variance
Change of Zone
Approval of plat
Exemption from plat or official map
Other
(If "Other", name the activity,)
Building
Trustee
Coastal Erosion
Mooring
Planning
Do you personally (or through your company, spouse, sibling, paren~ or child) have a relationship with any officer or employee
of the Town of Southold? "Relationship" includes by blood, marriage, or bus'iness interest "Business interest" means a business,
including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation
in which the town officer or employee owns more than 5% of the shares.
/'
YES
NO
If you answered "YES", complete the balance of this form and date and sign where indicated.
Name of person employed by the Town ofSouthold
Title or position of that person
Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee, Either check
the appropriate line A) through D) and/or describe in the space provided.
The town officer or employee or his or her spouse, sibling, paren~ or child is (check all that apply):
_A) the owner of greater than 5% of the shares of the corporate stock of the appliC\ll1t
(when the applicant is a corporation);
B) the legal or beneficial owner of any interest in a non-corporate entity (when the
- applicant is not a corporation);
_ C) an officer, director, partner, or employee of the applican~ or
_D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted thi
Signature
PrintNam
P.
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Form TS I
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HEALTH DEPARTMENT -DATA FOR APPROIAlL TO CONSTRUC T
* NE'REST WAI'Ift .AIN_M'. ~ .. SOURCE OJF WATtft I flftl..n LItUIILIC _
.. ......, co. TAX ..AIt DIll I.WUl IE: C TlON ..nL ILDCK .J2.L LOT .2AL
It THEN: AM f<<) DWE.LLI'" WITHI-' 100 FEET 0' n.. '''OPE"n
OTHE" THAN THOIr: SHOWN HllltEON.
If THE WATlft IU",,"V AM) SE__ OISIIOIAl SVITbI fOft THIS ftOIDENCE
WILL CONFO.... TO THI nANDUtOI 0' THE SutrtrQLK COUNTY DE'...TNINT
OF HUL TM SERVICES.
NPLICAHT.
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AREA TO TIE LINE II 37,310 S. f.
* 1ME: LOCATION (II' WlLL(W). SEPTIC TANKeST). CESIPOOLS(CP) IttOWN ""ION
ME P1tOII fiELD ~RW.TIClNS AND 0" DATA o.r....D'ffOM OTHE'"
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BRA.NOIS & SONS, INC. 1618
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SURVEY FOR
JOHN F. Mc FEELY
AT LAUREL
TOWN OF SOUTHOLD
SUFFOLK COUNTY. NEW YORK
tflJNA,UTHORIZED ALn"ATIOH Oft ADDITION TO THIS
SU"V(V . A VIOLATION OIF I(CTIOH 7201 OF THE
NEW YO"K 'TAT( (OUCATIOH LAW
M cO~ln OF THIS ""'''EY HOT .A..... THE. LAND
SUftV(l'OlII'S INKED SEAL 0" [IItIOSSEO SEAL SHALL
NOT IE CONSIDEIItlD TO IE: A "ALl D T"U E COpy
MGUARANTEEI INDICAT(D HEREON SHALL RUN ONLY 10
THf ~RSOH FOR WHOM THE SU~EY IS P"EPAIUD
AND (J\I HIS I(HALF TO THE TITLE CONNNY, GOY(ltN-
MENTAL AGENCY AND LtNDIN& INSTITUTION LISTED
HDtEOH, "'NO TO THE ASSI8NUS OF THE LENDING
INSTITUTION. GUAfIlANT[[S AftE HOT TMNSFER....LE
TO "'COITIONAL INSTITUTIONS OR SUIIS[QUfNT
OWNERS
.. DISTANCES SHOWN HE"EON FROM ~IIIOPERTY LINES
TO EXISTIN' ST"UCruftES AftE FOR ... S~[CI'IC
~Ufll~OSE AND ARE HOT TO If USED TO EST....LISH
~ftOPEPtTY LINES OR FOR THE E"[CTIOH r:1f '[HCES
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DATE'
SCALE'
NO.
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APR..2.a, 198 5 ~
MARrlJ, 1983
I" = 50.
83-119
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YOUNG 8 YOUNG
400 OSTRANDER AVEMJE
RIVERHEAD. NEW YORK
ALDEN W. YOUNG, PROFESSIONAL ENGINE ER
AND LAND SURVEYOR N.Y..S. UCENSE NO. 12845
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE NO.45893
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SURVEY FOR
JOHN F. Me FEELY
s.
AT LAUREL
TOWN OF SOUTHOLD
SUFFOLI< COUNTY I NEW lOfIlI(
DATE
SC ALE
NO.
APR. 29, 19E1 5
MAR. II, 1983
I" = 50'
83-119
IfIJNAUTHORIZst> "1....n. 0" AGOITION TO THIS
SUltVU a A .,.,...... ,. tECTION 7Z0. <<W TMI
HEW yo". 1'Ill'JIit: ~a'l~ 1......
M COt'IU .. .US ~... NOT ...lNt ntl LAND
SUAVEYO'''S ~ 0 -.. OJt[MIOSSf:O SEAL SHALL.
NOT It: CONI..,.,,1O BE. " YAllO TJtUE COPy
NGUAltA-NUES eKll~TEO H[It(ON SMALL AUN ONLY T'O
THE Pf]lI$OH FO" ..lItO.. THE SUIINE't' 15 PREPAIHD
AND ON HIS ISEHAL'TO THE TITLE CONJlWrr,jy, GOVE,AN-
MENTAL AGENCY AND LEHOIHG INSTITUTION LISTED
HE..EOfoI, "'NO TO TliE "'SSIGNEEs O~ THE LENDING
INSTITUTIQfil GU........NTEES "'RE NOT TRANSFER"'BLE
TO "'DO/TlOH"'L INSTITuTIONS OR SUBSEQUENT
OWNERS
W OIST"'NCES SHOWN HEREON FROM ~ROPERTV LHiffS
TOfl(ISTlNG STRUCTIJ"U ...,n,OIIt ... S~[CI'IC
PURPOSE "'NO ..."'E filOT TO IE USED TO ESTAILiSH
P~PfllltT" LINES OR FO" THE ERECTION OIF ,rENCES
HEALTH DEPARTMENT -DATA FOR APPROVAL TO CONSTRUC T
N NfAREST WAT'E" ...."\1_..1 ~ N SOURCE OF WAnR ,.,......TE LpU8l.IC_
N Sl.F, CO. TAX iliA,. Dill !..Q.QQ.. SEC TION.B!L 8I..OCf( ....Q.L LOT 09.1
.. THEN: "'M NO DWELL".. WITHIN 100 FEET OF T....' 'ROPfRTV
OTHER THAN THOSE SHOWN HItREON
.. THE W"'HIIl suP....." AICl Sf""'aE OlSPOl"'L SYSTEM ~ THIS R" I DE He!:
Wlt..~> CON'OIlUII TO THE STAHOrAItOI OF THt: SUI"'OI.,J( COVHTl" DfPARHIENT
OF H[AL TH IflNlCES
""'LICAHT.
AOOlltE IS
Tn
.= MONUMENT FOUND 0= STAKE
AREATO TIE LINE;: 37,310 S.F,
. TMf LOCATIQfil OIF WR.L(W),SEPTlC rANK{ST). CfSSl'OOLS(CJI') SHOWH HEIIlOH
ME .....ON FIELO oe5ERW,TlQNI AM) Oil OArA O.T.....O I"llrOIII OTHER S
'iRAN[)I., ,<., "'.;'N'" Ir,i' : ',j I'
YOUNG a YOUNG
400 OSTRANDER AVENUE
RIVER HEAD, NEW YORI<
ALDEN W. YOUNG, PROFESSIONAL ENGINE ER
ANOLAND SURVEYOR NY.SUCEHSE NO.IZ84~
HOWARD W, YOUNG, LAND SURVEYOR
N.Y. S. LICENSE NO. 4~893