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TR-6391
John M. Bredemeyer III, President ��OF SO(/JyO Town Hall Annex Michael J. Domino,Vice-President O lQ 54375 Main Road P.O. Box 1179 James F. King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee G '�► � �� Telephone(631) 765-1892 Charles J. Sanders,TrusteeCOUFax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1022C Date: August 1, 2014 THIS CERTIFIES that the construction of a covered porch with a hot tub At 625 Calves Neck Road, Southold,New York Suffolk County Tax Map#63-7-30.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 5, 2006 pursuant to which Trustees Wetland Permit#6391 Dated June 21, 2006,was issued and Amended on December 12, 2007 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a covered porch with a hot tub. The certificate is issued to FRANK& ANTOINETTE NOTARO owners of the aforesaid property. d14— ,v� 61910� Authorized Signature John M. Bredemeyer III, President �Og1SFF0J f-c Town Hall,53095 Main Rd. Michael J. Domino,Vice-President ��� �Gy P.O.Box 1179 James F. King y Southold,NY 11971 Dave Bergen wo !� Telephone(63 l)765-1892 Charles J.Sanders j J* � Fax(63 I)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: a Zo Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 Sl day of construction -7 Y2 constructed AS PA ' pe- AA A4arn, Project complete, compliance inspection. pool a-h'b i Ce . P .P n b� c on -YPL� INSPECTED BY: COMMENTS: 1 , G CERTIFICATE OF COMPLIANCE: 0 0 James F. King,President ��OF SOUTyo Town Hall Jill M. Doherty,Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G Q Bob Ghosio,Jr. '� i� Telephone(631)765-1892 �yCOUNTi Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 12, 2007 Mr. & Mrs. Frank Notaro P.O. Box 93 Mattituck, NY 11952 RE: 625 CALVES NECK RD., SOUTHOLD SCTM#63-7-30.1 Dear Mr. & Mrs. Notaro: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., December 12, 2007: WHEREAS, FRANK & ANTOINETTE NOTARO applied to the Southold Town Trustees for an Amendment to Wetland Permit#6391 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated October 16, 2007, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6 of the Local Waterfront Revitalization Program to the greatest extent practical through the imposition of the following Best Management Practice requirements: the proposed pool will be located further landward from the wetland boundary, a drywell will be installed to contain the pool backwash, and a line of staked hay bales will be in place during all construction activities, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, 0 2 0 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 for the mitigating factors and based upon the Best Management Practice requirements imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, BE IT FURTHER, RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit#6391 to increase the size of the proposed pool from 16'X 31' to 18'X 36' and to locate the proposed pool behind the original approved setback line, and as depicted on the survey prepared by John Metzger stamped approved on December 12, 2007. This is not a determination from any other agency. Sincerely, Jam F. King, Presid President, Board of Trustees JFK:Ims i A► Donald Wilder,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary G T P.O.Box 1179 • `7� Southold,NY 11971 y'flpl �.DO� Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., November 7, 2007, the following recommendation was made: Moved by Don Wilder, seconded by Chris Kempner, it was RESOLVED to NOT SUPPORT the Amendment application of FRANK &ANTOINETTE NOTARO to Amend Permit#6391 to increase the size of the proposed pool from 16'X 31' with a 56' setback from the top of the bluff to a 20'X 40' in-ground swimming pool with a 52' setback from the top of the bluff. Located: 625 Calves Neck Rd., Southold. SCTM#63-7-30.1 Inspected by: Don Wilder, Doug Hardy, James Eckert The CAC does Not Support the application because there should be no further encroachment to the bluff, no removal of trees larger than 8" DBH, and a 10' non-turf buffer should be installed landward of the bluff. Vote of Council: Ayes: Don Wilder, Chris Kempner, Peter Young Recused: Doug Hardy James F. King, President OF soUryo Town Hall Jill A Doherty,Vice-President �O �� 53095 Route 25 Peggy A. DickersonP.O. Box 1179 jig Southold,New York 11971-0959 Dave Bergen G Bob Ghosio,Jr. ,O Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Work session Report Date/Time: FRANK &ANTOINETTE NOTARO request an Amendment to Permit#6391 to increase the size of the proposed pool from 16'X 31' with a 56' setback from the top of the bluff to a 20'X 40' in-ground swimming pool with a 52' setback from the top of the bluff. Located: 625 Calves Neck Rd., Southold. SCTM#63-7-30.1 Type of area to be impacted: /Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of above: Part f Town Code proposed work falls under: hapt.275 _Chapt. 111 _other / Type of Application: _Wetland_Coastal Erosion "Amendment Administrative Emergency Pre-Submission Violation_Planning Info needed: D �N � fCom '--j IbA Modifications: Conditions: Present Were: _J.King _J.Doherty_P.Dickerson D. Bergen_ B. Ghosio, Jr H. Cusack_D. Dzenkowski_Mark Terry_other Foran filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review - (In,-l,y,tc t h'1 a rbn'hnC* �p+luroy�J) lht ��,AkA — se-tbkc,6_ is I00 ' d 0 ITECNOLOGIES AAC®,ECUM FIAMMM COMMUMMSMVICM 13405 N®9 ftL 6 1.29.New Yad 11932 E C E L 631298.1129 fu:631298.1128 � NOV 2 6 2007 November 26, 2007 L Sactcald Fr"rd o: Trstrsr-s i Board of Town Trustees -- - — -- P.O. Box 1179 Southold, N.Y. 11971 Re: Frank Notaro 625 Calves Neck Rd Southold, N.Y. 11971 T.M.# 1000-63-7-30.1 Original Permit# 6391 To Whom It May Concern: Attached please find copies of a revised site plan reflecting proposed modifications to originally filed amendment for permit #6391. Please note the following revisions: 1. Proposed pool size 18' x 36' 2. Proposed pool is located behind the original approved setback line. If you have any additional questions please feel free to call our office at 631-298-1129. EDA q '�� �Y NOp Ctii erely Y �� OF NE`N 6 James F. King, President ��V so�ryo Town Hall Jill M. Doherty,Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold, New York 11971-0959 Dave Bergen GO John Holzapfel 0 i� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDME7Bnard IT /� 1 IJ,' DATE (/�zWC, /5' ?, �7 OWNER�Fkjj�pl(zjoFrj -G QDTAR0 PHONE 99- ADDRESS ?.D. ?)C)K `i ?� NAzr-% I-rnoo L ►meg \.vqs,--q AGENT CP_Ic A11et t. 10 PHONE("&3Q 7 q 8 -tt z 1 ADDRESS t?.o. PXWX J"-'> /1q rnTi. y nJ7' ([y�Z PROPERTY LOCATION 6.2-5 C RLU t S TAX MAP NO. I 0 0o - 65- 07- ,504 I/Wefit�pt�t AuT011A1x rE r}}f0equest an Amendment to Permit# to icce—BASE .31T—r-- OF -TflE PROPOSE1r-�' PDOL P-RnN 1 n�CSep��1P jp(„_ l�1Ti-1 A, 57� bF-T'>(+C1(- TU' TO P see A-TTAo4S-t> S�t rE Ru>✓y� Signed By: VIC) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK Ole"6+J ,residing at 13yo5� A4&tJ QA N —t being duly sworn, deposes and says that on the 2�5% day of mrbdL 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 Southold; that said Notices were mailed at the United States Post Office at AtT i h of said persons by (certified) (registered)mail. Sworn to before me this Day of5v0)/ b2/L , 20 o— LBI�IG( � BABETTE CORNINE Nota Public Notary Public, State Of New York D No, 01 C05792800 Qualified In ffolk Countv Ex Commission Expires 30 -�2d/U • ! James F. Mug, President ��OF SO(/Tyo Town Hall Jill M.Doherty,Vice-President 53095 Route 25 ,,��//,, P.O. Box 1179 Peggy A. Dickerson T Southold,New York 11971-0959 Dave Bergen G Q • �O Telephone(631)765-1592 Bob Ghosio,Jr. 11 OU M N Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- h1 the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, e(24e, &3j&Z bdW residing at `-AgOr A&M^j eA.ATf1 Y'K-r— being duly sworn, depose and say: r That on the ) S day of 1 LA4. , 200 11 personally posted the property known as (,Zs c.&.vaa Nweir- 2b Z0&-t-00" Ny 1197, 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 hearing. Date of hearing noted thereon to be held 2 OR (91 ctbuo &X0 Pn Dated: A)9u,o r1b� l3acb� (signature) Sworn to before me this �3l da ofAW 200'7 o ary Public BABETTE CORVINE Notary Public, State Of New York No. 01 CO5792800 Qualified In Suffolk ares l; _ , - 7 �d�lv Commission Expires ( /�L�( 1000-6'6-7- c20 M�.�cs u)a t� totz��4 O.w1pk op3 �bo0 � w -� .IVz ?) • TODD-63=7- 3 . 1 ��. Seovl M Y6 IOC G '5- -7- c 9. 1 Mc, -}Qe n � o i 4e vt� C, t Ma`sVLOA C kbioc)�, O y. IlS6�n 1000- 6 3- 7- 19. q, d/-"). c:)Qabo, �, a Mo o M A few A- � c 130AecA, 0j, 0(09 . 1000- 6 3- 7-c,21 �c _ cam oI -a'w . 315 E, 7c "'/Ad - A � l9� A)ew I'al Board of Trustees App*ation AUTHORIZATION (where the applicant is not the owner) I, -T-RE \L Q)�i h-VA ) residing at P D .,CIDQ"< n^ (print owner of property) (mailing address) ly(� -T :5, _do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner' s signature) 8 James F. King, President ��OF soyo Town Hall Jill M. Doherty,Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold, New York 11971-0959 Dave Bergen G John Holzapfel Telephone(631) 765-1892 coum Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOM ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 OURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN AP OINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SH LL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PE MIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction % constructed Project complete, compliance inspection. i I i �+ ��• ��: 's�1 �.r_• ,i• . �. _ it .r'=r,..�-,- :.r +1� -_ �` �y`��i�j5,liQ/1/j�`j SII\ '� •i� � jj� a 4 ( 1 1 1 • / �� �� . f � � 1 •1 • • •1 1 �' � f V I Ij � �� Ir• I +�� r • r , i�rT + //,y •��r �'�..w lrl,e.-..rrr'� w�. r ��/'�.+.. :+ V A' �-.- '`�.,.�`%` .yea:.. � nom.}, a I will TERMS and CONDITIONS Frank and Antoinette Notaro MCA BOB Southold N. Y, as u of the mmldastioe for the issuutux of rite Permit does updatgmd and pcesctffie to the fol- 1. That the said board of Trustees and the Town of Southold are Messed from any and all damages or daiass for damages, of sults arldogdirectly or ladirediy as a tcv* of nay "Pe"' pedoaued roman t te,:thts.patmit, .! t y! r ae bis «het own ewe. def any and all such saits'kdtiated by third [fatties, and the said l�ttee assert m full Usbiliq widt respect thereto, to-dwoorpplete eaadusioa of nix Baaof of T umber of the Iowa of soudw1d. 2. That this Pest is valid for a period of 24 sam wbkh is &Wdeaed to be the rime required to complete the work involved, but'should drdtmstsotes wmant, request for an extension may be mule to the Board at a huer dste: 3. That this Permit should be realaed Indefinitely, or as long as the said Pettnktee wishes to' the structure or project involved, to provide evldonce to anyone concerned that auth- was originally obtdned. 4. Tint the wodc involved wiU.be subject to the Wgmctim aid apptovsl of the Bosrd at Its agents, and noncompliance with the provisions of the oclghiatiag application. may be nose for xxxxistion of this Permit by resolution of the said Board. 5. That there wall be no unreaaonahie interference with navtgadon as a result of the week 6 That these shill be no intedeaence with the right of the public to pass and tepsss a" the back between%i& and low water marks. 7. That if future operations of the Town of Southold require she.removal stwa dtetatiom in the joadon of the work bert9n wehodud, or if, in the opinion of dse.Board of Tmmee4 the. work dell case unreasonable obstracum to free navkPdoa, the said Permittee wM be regahed. gp 3n due coda, to remove or alter this work or project herein stated vldaopt*gemes to the Town' of foµthold B. That the aid Board wilt be notified by the Permittee et the oompledan._Cf the wuuk An& of ime& 9. That the 'Permittee will. 4bWa all otter permits and eomeots 69 my be required stip pi mental to this peranit which maybe abject to revoke upon frdkm to obtain same. I James F. King, President ��OF SOUTy� Town Hall Jill A Doherty,Vice-President `O 53095 Route 25 Peggy A. Dickerson P.O. Box 1179 Southold,New York 11971-0959 Dave Bergen G Q John Holzapfel ' i� Telephone(631) 765-1592 NV Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 21, 2006 Mr. &IMrs. Frank Notaro 625 alves Neck Rd. Sout old, NY 11971 RE: FRANK & ANTOINETTE NOTARO 625 CALVES NECK RD., SOUTHOLD SCTM#63-7-30.1 Dear Mr. & Mrs. Notaro: The Board of Town Trustees took the following action during its regular meeting held on Wed., June 21, 2006 regarding the above matter: WHEREAS, FRANK & ANTOINETTE NOTARO applied to the Southold Town Trustees fora permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated May 5, 2006, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 21, 2006, 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, WHE EAS, the Board has considered all the testimony and documentation submitted conce ning this application, and, I z • • WHEREAS, the structure complies with the standards set forth in Chapter 97 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 approve the application of FRANK & ANTOINETTE NOTARO to construct a covered porch with a hot tub and install an in- groun swimming pool with a chain-link fence around the pool and rear of the house, with the condition a drywell is installed to contain the pool backwash, hay bales are placed down during construction, and all as depicted on the plan drawn by Arch it cnologies last dated July 18, 2006. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $100.00 Very t my yours, Jame F. King Presic ent, Board of Trustees JFK/h c James F. King, President ��Of soyo Town Hall Jill M. Doherty,Vice-President h0 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold, New York 11971-0959 Dave Bergen G Q John Holzapfel '.� �0 Telephone(631)765-1892 COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO:� do F q Q(n t0 L ivr tta 71( +oA a Please be advised that your application dated ` 1,`10,6 has been reviewed by this Board at the regular meeting of (g to 1104 and the following action was taken: Application Approved (see below) Application Denied (see below) �) Application Tabled (see below) If you 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 accor ing to the schedule of rates as set forth in Chapter 97 of the Southold Town Code The f (lowing fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: j j all Oc) ucird Iota ct 'tMori j dJtucu-fl -V ho-q bale (t VU TOT IL FEES DUE: $ j nn M BY: James F. King, President Board of Trustees I I I I James F. King,President so Town Hall Jill M. Doherty,Vice-President 53095 Route 25 Peggy A. Dickerson # * P.O. Box 1179 Southold,New York 11971-0959 Dave Bergen A Q ,Sohn Holzapfel '�j � � Telephone(631)765-1892 I.fCOU Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Worksession Report D�te/Time: 0�o i N Une of Applicant: ty&n K A 0'b 1 n c+k t�okq-a N ime of Agent: Property Location: SCTM# & Street (n 5 C�' lu 21� S A Mol} G3 - I - 33 BiiefDescription of proposed action: `fora, � g��� �< ( T3 pt of area to be impacted: Saltwater Wetland _Freshwater Wetland _Sound Front _Bay Front ;haptance of proposed work to edge of above: Pof Town Code proposed work falls under: .97 Chapt. 37_other Type of Application: _Wetland_Coastal Erosion_Amendment_Administrative _Emergency Into needed: Modifications: Co ditions: Pre sent Were: _J.King �J.Doherty_P.Dickerson— . Bergen_J.Holzapfel —Other: Ma�led/Faxed to: Date: %tFFQj.q'Yy Telephone ~ "� (63 1)765-1892 Town Hall 53095 Route 25 P.O.Box 1179 Southold,New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., June 14, 006, the following recommendation was made: Moved by Jack McGreevy, seconded by James Eckert, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of FRANK & ANTOINETTE NOTARO to construct a covered porch with a hot tub and install an in-ground swimming pool with a chain-link fence around pool and rear of the house. Located: 625 Calves Neck Rd., Sou hold. SCTM#63-7-30.1 The CAC recommends Approval of the application with the Condition of a pervious patio, a drywell is installed to contain the pool backwash, and no large, mature trees are rem ved. Vot of Council: Ayes: All Moti n Carried i c ` t _ . a i � G y W� ,y tir jq c If Q.'f- ., rw it s _ 1 1 •I i 1 e z � o M I R a � � z� a t ;� eyJE a R 9� BnL�� III Y �b93s„ Bd55EW £ p � Rd 9d w 3��Y I.I - g7b€E� � P N 3 ki N• � 4r a y� §s9 €a S. ,'4b��„•�" VIII I VII I t I nnx p}} c7 9.g ay A.� ME Sp fA N 5p 4 a 4 a y x sge - P I xrn � e 3 {f5 i PLANNING BOARD ME•S • MAILING ADDRESS: P.O. Box 1179 JERILYN B.WOODHOUSE �O-``� 'F SO(/jyolo Southold, NY 11971 Chair `� OFFICE LOCATION: KENNETH L. EDWARDS Town Hall Annex MARTIN H. SIDOR GEORGE D. SOLOMON 54375 State Route 25 G C JOSEPH L. TOWNSEND 0 �� (cor.Main Rd. &Youngs Ave.) �yCOU rm Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: III James King, President Members of the Board of Trustees N 2 0 2006 From Mark Terry, Senior Environmental Planner LWRP Coordinator Dated _ I June 16,2006 Re: I Proposed Wetland Permit for FRANK&ANTOINETTE NOTARO SCTM#1000-63-7-30.1 FRAI qK& ANTOINETTE NOTARO request a Wetland Permit to construct a covered porch with a hot tub at id install an in-ground swimming pool with a chain-link fence around pool and rear of the house. Locat d: 625 Calves Neck Rd., Southold. SCTM#63-7-30.1 The proposed action has been reviewed to Chapter 95,Waterfront Consistency Review of the Town of South ld Town Code and the Local Waterfront Revitalization Program(LWRP)Policy Standards. Based upon he information provided on the LWRP Consistency Assessment Form submitted to this department, as we 1 as the records available to me, it is my recommendation that the proposed action is INC NSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with i he LWRP. Polic 6 Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The ii ro osed residence from a freshwater wetland sited at 67.7 feet; a minimum separation distance of 100' is reuired Pursuant to Chanter 97. Please require that the applicant amend the inpikation to meet the above policy to the greatest extent possible. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Albert J.Krupski,President Town Hall James 10ng,Vice-President h�� CO 53095 Route 25 Henry Smith P.O.Bog 1179 Artie Foster ap : Southold,New York 11971-0959 KKenn Poliwoda Telephone(631)765-1892 Fax(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application ✓Wetland Permit Application ✓Major —Minor Waiver/Amendment/Changes _,-B eceived Application:�S[06 �Received Fee:$ate^ mpleted Application 4a r _ complete _S QRA Classification: Type I Type II Unlisted C rdination:(date sent) C Referral Sent- r R xeipt of CAC Report: —Dad Agency Determination: —Technical Review: _.,,,Ptblic Hearing Held: f.1 dZ�b R solution: P 6 � Name fApplicant rRRNK, QOTRR-0 Address 95 CRWES '1JEC'A<-. ZQ14-D bCX:%AAOl_n, t� (• 0471 Phone Number:( !R8- 11 9q . Suffolk County Tax Map Number: 1000--()(Ob - O? - 30. 1 Property Location: Qeck. �( T�� 'L'n(3T+A0LV_-) (provide LILCO Pole#, distance to cross streets, and location) AG C (If appli able) Address Phone: Board of Trustees Application GENERAL DATA Land'Area(in square feet): Q �j Area(Coning: 2-11j) Previus use of property: hj l,�Lr- E±"1 " Intenc led use of property= e5D1 kDGL - 61A AA i V Prior its/approvals for site improvements: Agency Date C' /11171 eg D 17£ I k3Pr- �o prior permits/approvals for site improvements. Has an} permittapproval ever been revoked or suspended by a governmental agency? X No Yes If yes, lirovide explanation-use L I Project Description J p ( attachments if necessary): VQ.npp p}j .R�A lg YAV- i T!' � a�' •Board of Trustees Applica£'ion WETLAND/TRUSTEE LANDS APPLICATION DATA Ptupose of the proposed operations: '?WFoeep . r ,. YWZT-> aki i� 440T 5-12� �VOPO"ED 11-D•[X -0Dl-M 020)1 A2Ur44 d rhua11-) i ii yu �ra'LMa Ue-J�AM r-NF Pf 61 � '(�G t•PW!be. S")1ZlJ O17 S1T'r'- S0R-05y. Aria of wetlands on lot: square feet PeiIlcent coverage of lot: — % Closest distance between nearest existing structure and upland edge of wetlands: 6 ,I- 1� '—*/- feet rr>. N.",%o.M - Cl Best distance between nearest proposed structure and upland edge of wetlands: feet r-0. N•+i- tJ.N 4q'101 V0 'E: TEPATAO. Do n the project involve excavation or filling? No ✓ Yes If yes, how much material will be excavated?_ I Q!j cubic yards Ho much material will be filled? 1 cubic yards Depth of which material will be removed or deposited: W- 6� feet Prc posed slope throughout the area of operations: Wil, . nner in which material will be removed or deposited:Wt}P_{-t i L.�)F-w i u -rtAr-- Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by rea gon of such proposed operations(use attachments if appropriate): T ' t4,4. 0 -R . POkD- OPF / Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes ofproposed activity: IF-A-V, 4d:kj1 Co RSI^, �)nicwWmA o, }A(-yk tt P2OW0enp-T,�> ?OOL . vJ! A CN(�lA LI K, henDc-z -; ReAop- Uq -� A c5ose. Ab Sk1OW P-J Are wetlands presentwithin 100 feet of the proposed activity? CIO g � ; cSuRJJ�y No v/Yes Does the project involve excavation or filling? _No ✓ Yes If Ye� how much material will be excavated? 106 (cubic yards) How much material will be filled? l OS (cubic yards) Manner in which material will be removed or deposited:-UA HI K)E out� j4 WaT-) 71a Rai- -rHE pe4nPUSp-j�?�L21 Pee-3kTi– Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) I _ i I -0/21 rn ,� I 14464("s).-Text 12 PROJECT 10.NUMBER 617.20 S EO R Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (ro be completed by Applicant or Project sponsor) 1. APPLIC NT/SPONSOR 2. PROJECT NAME RROJE T LOCATION: Mun cipality County A. PRECIS LOCATION(Street address and road Intersections,prominent landmarks, etc.,or provide map) 5. IS PRO IOSED ACTION: tx ❑ e% 11 Expansion .I�lModillcatloNalteratlon 6. DESCR BE PROJECT BRIEFLY: J` eprR, C. OeQF_Tj -5�'oJRC�-F (,O140TTo'�j, 7. AMOU OF LAND AFFECTED: InItiallf acres Ultimately acres S. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ❑yes 191,110 If No,describe briefly RMkcOIJ OF THE COUERE'l> 't2o2CAA S t_OL' �A-TED t,�z-;tT�-\ 11`i T++E -75 WE-71-Ms O S — e. WHAT S PRESENT LAND USE IN VICINITY OF PROJECT? MIRtsidential ❑Industrial ❑Commercial ❑Agriculture ❑ParldForestlOpen space ❑Other C)cZ 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STA OR LOCAL4? Yes ❑No It yes,list agency(s)and pennlVapprovals c�. UT LD TOw(.� �\L CK= Pa✓ 9—" (T . 11. DO SANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? C1 s ®No If ya%list agency name and.pevnlVapprcval 12. ASA ESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? 0 s ®No 1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applica itfsponsof name: �� Dale: ` . slgnatu a: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II-ENVIRONMENTAL ASS ENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I T HOLO IN 6 NYCRR, PART 617.4? If yes. coordina a review process and use the FULL EAF. ❑Yes ❑No 8. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 It No. a negative declaration may he superseded by another involved agency. El Nes 11 No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten, it legible) Cl. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2 Aesthetic, agricultural, archaeological,historic,or other natural or cultural resources, or community or neighborhood character?Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats,or threatened or endangered species, Explain briefly. Ca.IIA 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. C5. Growth, subsequent development,or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term,short term,cumulative,or other effects not Identified in C1-G5? Explain briefly. C7. Other Impacts(Including changes In use of either quantity or type of energy)? Explain briefly. O. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? ❑ res ❑No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ tea ❑No If Yes,explain briefly l PART 111 DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INST UCTIONS: For each adverse effect Identified above,determine whether it is substantial,large,Important or otherwise significant. Each effect should be assessed in connection with its (a) setting (Le. urban or rural); (b) probability of occurring; (c) duration; (d) Irre reibiifty;(e)geographic scope;and(f)magnitude.If necessary,add attachments or reference supporting materials. Ensure that texplif nations contain sufficient detail to show that all relevant adverse Impacts have been Identified and adequately addressed. If ques Ion D of Part II was Checked yes,the determination and significance must evaluate the potential Impact of the proposed action on 0 e environmental characteristics of the CEA. ❑ Check this box If you have Identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or 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 action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name o7 Lead•Agency 'tint or Type Name of-it"porisible Officer in Lead Agency Title o Responsible Office, Signature of Itimponsible icer m ea Agency Sicnature of Fmpraw I i Gentrom responsi e o iced Date 2 Board of Trustees Application County of Suffolk State 6f New York -Fg QK, �rRO 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 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 AGRI ES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HAW SS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDI R OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS ADPL CATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S)OR REP SENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREIV ISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature \,� SWO*TO BEFORE ME THIS�DAY OF 1 1� 20 0�O 00, 4f /Notary Public BARBARAK TANDY Pubo State Of Now Yak Na 011TAWNW1 Cu~M Suffolk Canny Expires 01/18/20 0 T PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: V �uA.le- .�iott� ejCRUA o� \ m)OTAAK� glaO � �oasstPot�x, N,�. II?6� fI CCio. 6 2b-`1- 1`moi . V �R. � �5. ws+e� `�b �R_ e.0. box �/ IOC)p- 6-6--7- 020 boy SSI I goo L:YTFni1>,13qIlgw v1IR• AADCy RU6E��R-O / I *S+IR-bL {yuE, 1-YO 0,Y " . wlwP44 too*,, tom' 63- STATE OF NEW YORK "7 �9•/. 15 -79"' �T• Ua2 COUNFY OF SUFFOLK 0 00- A" �� �6�3.�7 residing at 1`)11m ,�1C>;tm C�4�, Y•-1��tLY I� `�, being duly sworn, depo es and says }hat(on the ` a'— day of S�„� 20%., deponent mailed a true copy of the Notice set forth in the Board of Trustees Appli ation, directed to each of the above named persoi is at the addresses set opposite there respective names; that the addresses set oppo ite the names of said persons are the address of said persons as shown on the current assesment r l of the Town of Southold; that said Notices were mailed at the United States Post Offic at '_1 that said Notices were mailed to each of said persons by (certi ied) egistered)mail Sworitobeforemethis. Day c f� 20r9 Notary Public McbPll qnM64 *k Quelif Nassau�4 1� commission Expints James F. King, President ��OF so Town Hall Jill M. Doherty, Vice-President �0 y� 53095 Route 25 Peggy A. Dickerson P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen o ,c John Holzapfel �0 Telephone(631) 765-1892 ej Ulm Fax(631) 765-6641 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 1, siding at being my sworn, depose and say: / That o in the p day of _, 200 I personally posted the property known as }� Tk A-i�ZDi� � T .Q rO�C�ir�S I�a=c7� t2b 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 hearin . Date of hearing noted thereon to be held W)d-.,44i ✓u (21, on A'7 �6q,e1(or�3p Pte. Dated:) (sig*ature) Swornto before me this I day of�'iW2000(, Notary Public NomYR AM IC Yak QW" jl 154 i64d;irtsstu/ W mansion Expim APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Sou hold's Code o Ethlca the Pohibite conflicts of ntereat on art of town off cera and em to ees. The ur Ose Of this form !s to Ovide nformatlon wh ch can alert the torn of one tie confl ate of ntereat and allow it to take whatever action as necesa r to avoid same. YOUR NANEt TR FkQy" Q0_ Tl3R (Last name, Eirat name, m dd-le na You are applying in the name of someone unlelsess other entity, such as a company. IE Too indicate the other peror son's or company's name. ) NATURE OI! APPLICATION: (Check all that a Tal[ grievance Variance ' Change of sone ARP ps•al of plat Exel§ption from plat or official map r► Other (IE "Other," nama the activity.) Do you personally (or through roar company, spouse, sibling, Parent, or child) have a relationship with any orri employee or the Town or Southold? "Relationship" inccle' it udes by blood, marriage, or business interest_ "Bueineme interest" means a bueinesa, including a partnership, in which Che town officer or employee has even a partial ownership or (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares_ IRS If You answered 'YES,", complete the balance of lhie�form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationehlp between youreelE (the applicant) and the town officer sr employee. Either check the appropriate line A) through D) and/or describe In the apace provided. The town officer oremployee or his or her spouse# sibling, parent, or child to (check all that apply), A) the owner of greater than 5% of the shares or the corporate stock of the applicant (when the applicant Is a corporation), B) the legal or beneficial owner of any interest in a noncorporate entity (when the applicant is not a - corporation), C) an officer, director, partner, or employee of the applicant, or D) the aptual applicant. ' DESCRIPTION OF RELATIONSIIIP - rf. _ ! submitted this . „day of ill• -� signature.- 'Print ignature_'Print name ' „nraaawcVW1111n„sze0 � ;.: 06/'.4/20I06 09:32 76561 BOARD OF TRUSS PAGE 01 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *:Except minor exempt actions including Building,Permits and other ministerial permits not located within the Coastal Erosion Hasard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A D=osed action wi11 be evaluated as to its sia Mcant beneficial and adverse effects upon the coast area(which includes all of Southold Town) 3. If any question in Section C on this fordo is answered "yes" or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus each answer must be e_xphuned in detaiL listing both supporting and non supporting facb. If an actin cannot be certified as consistent with the LWRP policy standards and conditions,it sW not be mdcrtaken. A copy of the LWRP is available in the following places: online at the Town of Southold 1s website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office, B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTMaIWQ _ _- JUN 1 5 2006 PROJECT NAME The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees F 1• Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ con-Amcdom planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature andexPt of action: f�u'K��t� IAS-C R�n� �i1� 'Sx`tll In1T11 � C'L11���J LJA'1K � ►1e� rYiZhl,l.�•D "T�t� `ft�OL '4Ft.'_7� +�f6�2 h4r 'r#1 -4Q6LY�>c 06/14/206 09:32 7651 BOARD OF TRLPW PAGE 02 Location of action: C'RIk7cS Site acreage: o gb 4.0 Present land use: present zoning classification:C-li,C 2. If an application for the proposed action has been fled with the Town of Southold agency, the frllowing irOrmation shall be provided: (a)!Name of applicant: T¢ (b)IMailing address: T. Q. fnX9Z2 , qMTrIl)P.K k14, 1\q,S-,2 (c) Telephone number: Area Code (d) Application number,if any: Wi the action be directly undertaken,require funding, or approval by a state or federal agency. yc� ❑ No 0 If yes, which state or federal agency? C. Evalui Lte the project to the following policies by analyzing how the project will farther support or not suppo I the policies. Provide all proposed Best Management Practices that will further each policy. Incomplet answers will require that the form be returned for completion. EVE A COAST POLICY Policy I. Foster a pattern of development in the Town of Southold that enhances community character, preserves I 1pen space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III–Policies; Page 2 for evaluation criteria. )9yes 0 No 0 Not Applicable _ — `� r L c)— Attach additic nAl sheets if necessary Polity 2. rotect and preserve historic and archaeological resources of the Town of Southold. See LWRP S on III–Policies Pages 3 through 6 for evaluation criteria Yes ❑ No L16[ Not Applicable - I 06/14/2006 09:32 7656 BOARD OF TRUST PAGE 03 Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes [:] No I XIT�Not Applicable E R F T IR Attach additi al sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section II —Policies Pages 8 through 16 for evaluation criteria ❑ Yes [1N�Not Applicable —1 i i t Attach additi nal sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No�ot Applicable n AA _ 6 Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ 06/14/2006 09:32 7656 BOARD OF TRUST PAGE 04 Yea No 5<Not Applicable Attach additi nal sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No9 Not Applicable pexxnzox ?OT c. Attach additi nal sheets if necessary Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous substancei andwastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes No RNot Applicable PUBLIC COAST POLICIES Policy 9. rovide for public access to, and recreational use of, coastal waters, public lands, and public resources f the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YJ71 Na>iot Applicable — ; — i Attach additi nal sleets if necessary 06/14/2006 09:32 76566 BOARD OF TRUST PAGE 05 WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additi nal sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary a d Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes No 1RNot Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes No® Not Applicable Attach additj al sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes No I} .Not Applicable I PREPARE b B 1 TITLE_4cv Neth DATE�O� APPROVED BY BOARDtW-ct, TOWN DATE 7— M SITE SUR E O " V W � r^ z _ S o PIC � PIC 1 'g3 ``4 - –230_ SURVEY OF PROPERTY AT: -- - F-1 S 0 U T H 0 L ® - — 72-__ --__--- --__- _~P/C. yes \ #q _ , Z m TOWN OF SOUTHOL ® rq- - --- PI -- ". - M./y WMqLpUN� ,, W ^� IMRInrG cgYgq�Es SUFFOLK COUNTY , N . Y . � GRo��Go9RR�Cr/ _ ; - 0-1 - S. C. TAX No. 1000- 063- 07- 30. 1 �,' RegN�F -© o - ooh Ig .z g�p�SND _ O O 0 SCALE. 1 " — 20 ' °E a p ' ,. _ M. I s Dj O T R K BAUs/RM�eR 9 OCTOBER 16, 1987 R P°Sep Cp��RRPp O + X � _ HOT Ep APRIL 3, 1988 268E z + N - _ P Ppo 20 /\\- ROP ` I 5(q AREA = 40, 153 SQ. FT. �, Jo °sE° TF � � ro __,_ L1.J � W — 2 --- LLI INFORMATION TAKEN FROM SURVEY \ ^ V� � , Gq�POS,E0 \ \ - -- / COQ -\� ____ PREPARED BY JOHN METZGER, L.L.S. I' E -- _ _7q _ U Z "PECONIC SURVEYORS & ENGINEERS, P.C. ORO 7/I@ � " p' ? N 3 \ ...76 SOUTHOLD, NEW YORK 21 as LAND SURVEYOR DATED APRIL 3, 1988Q klSTI Lu ' - e 18- 0 NORgPRS P �� G 2'_r„ rr 7' Fks NG Q o z �� qsa 2r 0 [)p/v/ WAY 17'-3„ 6 21.4Z LL 0 O o' 0 O w F.`' G FO � fJgsTUyG I , . YOUNGS AVE Q-O 23.0 ---- --- 0 w w Z MEOST N\G QO 60. 3pRpp ERD - nr n 00, o a C7 im i w i N 7qo y� VQUa �, �� �m I-M ow o_ 00 00 �� ON w¢ w¢ °ww Y vm �¢ D¢ D¢ D¢ LOCATION AREA MAP jjjjj � op �w �wNw P X31 D VE 30 OP�SE \� �: ;. TT?7 g , 4jA m o 0 o 0 gERD m CERTIFIED TO : \J` NC� K " E SOUTHOLD SAVINGS BANK /� OFFICE SET DWG Nuae TICOR TITLE GUARANTEE JUL 1 C 2UU� ,Q 23'2 r7 4.28.06 SITE PLAN FRANK NOTARO '4D 20000' ANTOINETTE NOTARO, M . D . TM Eoaw��s� „SME oFSEE DWG NO nAirvs sops vsoPenry or nm,wcH�cr No isiar+s,cwwaEs.a+wos MooiFlrvnoNs _ B .LLOEo ^aAos os��no A.SITE �u I • Tp �V �l VV M. ' V -- s �a� S ' �G3•S SURVEY OF PROPERTY AT: . SOUTHOLD TOWN OF SOUTHOLDVyMACpNG . SUFFOLK COUNTY, N . Y . S. C. TAX No. 1000- 063- 07- 30. > IV 2TH. SCALE:. . l " = 20 °EEK Ho+� wM. AOP OCTOBER 16, 1987 _,-F la P APRIL 3, 1988 ti� GgrOPO EO �2\ JUL Y 71 2006 (additions) AUG 30, 2007_ !REVISIONS) v �� _ no . Ao`�sEO sLy OCT, 4 2007 ( PROP. POO L9 Oct. 12, i007(P00L ORYWELL) PR° � �� O�• Od POgC�ED � \ 21.CL1TE�sEO YMQL SRO\' \ \_ T y\ s 4 Un C07 ,?�• Of l$7l 1I\I � � V J 22 � ASP p DqI�CT lY 21.4 / CO ro i APPROVED €r( 0m GOARD •OFTRUSTHO m _ TOWN OF SOUTHOLD DATE 7 60.00, N '4o27 0" W C V NO2 fi 200 ��-I, / V - 0 22 �...__ CERTIFIED TO: �S ^ ,j SOUTHOLD SAVINGS BANK ' V C K b � TICOR TITLE GUARANTEE FRANK NOTARO O''1Q 200.001OF NEW ANTOINETTE NOTARO, M . D . S�Ps ET2�o�� ANY ALTERATION OR ADDITION TO THIS SURVEY 0 A VIOLATION � - ELEVATIONS AND CONTOUR LINES ARE REFERENCED OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. TO NGVD, EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICATIONS .496 /C. NO. 496/8 AREA = 40,153 sq. 11. lO lie I/n8 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF gi - - - - 9 - - - FLOOD ZONES FROM FIRM 36I03C0f66 G - 5/04/98 -- - WHOSE SGNATURE APPEARRS MAP AND sEAC OF THE suRveYOR - - (631 7655 5020 FAX !63/1 765 - 1797 P. O. BOX 909 ' - 1230 TRAVELER STREET SOUTHOLD, N.Y. 1/971 87-801