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HomeMy WebLinkAboutTR-6877 . . James F. King, President Jill M. Doherty. Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 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 15t day of construction % constructed -.L Project complete, compliance inspection. . . TERMS AND CONDITIONS The Permittee, John P. Kilgallen. residing at 505 Lighthouse Lane. Southold. NY. as part of the consideration for the issuance ofthe Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result ofthe work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of South old require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee ofthe completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 21, 2008 Mr. Thomas McCarthy McCarthy Management, Inc. 46520 Route 48 Southold, NY 11971 RE: JOHN P. KILGALLEN 505 LIGHTHOUSE LANE, SOUTHOLD SCTM#70-6-29.1 Dear Mr. McCarthy: The Board of Town Trustees took the following action during its regular meeting held on Wed., May 21,2008 regarding the above matter: WHEREAS, McCarthy Management, Inc. on behalf of JOHN P. KILGALLEN applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 30, 2008, 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 21, 2008, 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, 2 . . WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 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 have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JOHN P. KILGALLEN to extend the existing dock 8' seaward by installing a new 6'X 8' section and relocate the existing float and ramp 8' seaward, and as depicted on the plans prepared by David Corwin dated July 25, 2003. 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 th is notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $962.00 (pd.) Very truly yours, Jam~ 0< ~ President, Board of Trustees JFKllms . . Donald Wilder, Chainnan Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 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., May 14, 2008, the following recommendation was made: Moved by James Eckert, seconded by Don Wilder, it was RESOLVED to SUPPORT the Wetland Permit application of JOHN P. KILGALLEN to extend the existing dock 8' seaward by installing a new 6' X 8' section and relocate existing float and ramp 8' seaward. Located: 505 Lighthouse Lane, Southold. SCTM#70-6-29.1 Inspected by: James Eckert Vote of Council: Ayes: All Motion Carried . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionlWorksession Report Dateffime: JOHN P. KILGALLEN requests a Wetland Permit to extend the existing dock 8' seaward by installing a new 6' X 8' section and relocate existing float and ramp 8' seaward. Located: 505 Lighthouse Lane, Southold. SCTM#70-6-29.1 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 _other Type of Application: _ Wetland _Coastal Erosion _Amendment _Administrative_Emergency _Pre-Submission Violation Info needed: Modifications: Conditions: A, r~~ '7 (z I Ie; <-f fr;..... -)- #- ro ~~ Present Were: _J.King _J.Doherty _P.Dickerson _D. Bergen_ B.Ghosio, D. Dzenkowski _Mark Terry_other Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review- Board Of Southold . Town Trustees SOUTHOLD. NEW YORK PERMIT NO. .. s..8..9.8. ... DATE: ..:\..p"il.Z.l!.3004 . ISSUED TO ..__..~!.:.~~.~. g.r.~~.9.~.~..._._........._.. ." .....--............. .......... l\ut~nrt~aUnu Pursuant to the provisions of Chapter b 15 of the Laws of the State of New York, 1893: and Chapter 404 of the Laws of the State of New York 1951: and the SoUthoId ToWn Ordinance en- .'tmeo:"IlSULAI1RGA'ND1'\'tE'1'\7.CtH6-OF'-oBSt~ IN AND ON TOWN WATERS AND PUBUC LANDS and the RI:MOVAL OF SAND, GRAVEL OR OTHER MATERIAlS fROM LANDS UNDER TOWN WATERS;!:. and in accordance with the Resolution of The Board adopted at a meeting held on ....AE.r.H...fl- . z~~~... and in c:~nsideration of the sum of $......?:~!l.,.9.9. ... paid by James Gibbons .' _.....,...~...._._....._._.._.__ ........._......... . ... ......... . ~._. ..........._..~.. ...._...H.._.._..___...._.t.._..._.......... of .__._...~?-':l.~.Il:'!.I.~............. ............. .. N. Y. and subject to the Terms and Conditions listed on the reverse side hereof. of ScMho\d Town Trustees authorixes and parmlts the folowing:. ~etlan.d Permit to extend lhe-exispng dock 8' seaward by mstalhng a: new il'X8' section' and relocating the existing float and ramp 8' seaward. and as depicted on the plan I'repared by David .Corwin dated July ZS. Z003, all with the condition the' aD in accordanc:e with the deta~ spec:ificetions as presented in . .floe on_fino apot..,ationll01X ZO' floating dock is reduced to 6'X 'Z'O' wilen repalre'dTrep aced. IN WITNESS WHEREOF. The said Board of Trustees hare- by causes 1ts CorP.O'at~ ~.I to be aff~ed. and th- ~ to be S\Ibsc:ribed .bY . .malority of the sa~ BOard as of .flus dab!. NEW YOaATE DEPARTMENT OF ENVIRONMENTAL CARVATION ,. DEC PERMIT NUMBER 1-4738-03261/00001 FACILITY/PROGRAM NUMBER(S) . , PERMIT EFFECTIVE DATE January 29, 2004 EXPIRATION DATE(S) January 29, 2009 Under the Environmental Conservation Law TYPE OF PERMIT. New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate o Article 15, Tille 5: Protection of Waters o Article 17, Titles 7, 8: SPDES o Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management o Article 15, Title 15: Water Supply o Article 15, Title 15: Water Transport o Article 19: Air Pollution Control o Article 23, Title 27: Mined Land Reclamation o Article 34: Coastal Erosion Management o Article 15, Title 15: Long Island Wells o Article 15, Title 27: Wild, Scenic and Recreational Rivers o Article 24: Freshwater Wetlands o Article 36: Floodplain Management . Article 25: Tidal Wetlands o Articles 1, 3, 17, 19, 27,37; 6NYCRR 380: Radiation Control o 6NYCRR 608: Water Quality Certification o Article 27, Title 7; 6NYCRR 360: Solid Waste Management PERMIT ISSUED TO TELEPHONE NUMBER James E. Gibbons (516) 746-4613 ADDRESS OF PERMITTEE 997'" Street, Apt 1-C, Garden City, New York 11530 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER David Corwin, 639 Main Street, Greenport, NY 11944-1431 (631) 477-0184 NAME AND ADDRESS OF PROJECT/FACILITY James E. Gibbons, 505 Lighthouse Lane, Southold, NY 11971, SCTM 1000-70-6-29.1 COUNTY I TOWN I WATERCOURSE NYTM COORDINATES Suffolk Southold Jockey Creek DESCRIPTION OF AUTHORIZED ACTIVITY: CONSTRUCT 8' BY 6' DOCK EXTENSION, RELOCATE EXISTING RAMP AND FLOAT 8' SEAWARD. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE PLAN PREPARED BY DAVID CORWIN, DATED JULY 25, 2003. By acceptance of thiS permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 3 & 4) and any Special Conditions (see page 2) included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Mark C. Carrara Region 1 Headquarters Bldg. #40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE / /L~ DATE I hO/~o<t- Page 1 of 4 , --l ~ ,"".U' ~,. . >~ -,:-:~- ~~"' ~ ". H".oF$OLJllO.ll / / / ~" . ".'''0' -"'"' 'M '1-"..'" ~ -,~'--""'" E ","",-..,,,,,, ~;=~.... -+- lW CD ""'" ,.... .'...."'. ,,-, .., .,,~" H 'O,"'~G =-.<" """'_-----1----.-".,, '0( " .0"'" ~:;:,' " :::;;' ........<< .",..~ I,~l C; ~ COUNTY OF SUFFOLK CD Real Property lax Service Agency CO<t1'Y c.n::,,,:';:;:od,~l 11:1 ~I~:,:~..SOUTHOLD ~~~TOCl~--- SEC1IONNO L'-'''",oc ".l' ,-~ .."T"'''''.''-'''I"'.''''" ,,,,"'",,,.,,....'PO"...""E ""0,,""-"<1_1"""'0'_[0 '''HCIJ' "",,,.,,.',,,""1"' ",,,,,,,,,,,,,. ". """""'",' 070 PROPERnr.l,op -I ~ . . '. OFFICE WCATION: Town Hall Aonex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY MAIUNG ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 681 765-1988 Fax: 681 765-8186 LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD To: Jim King, President Town of Southold Board of Trustees From: Scott Hilary, L WRP Coordinator Planner Date: May 20, 2008 Re: Chapter 268: Waterfront Consistency Review Wetland Pennit for JOHN P. KILGALLEN SCTM#70-6-29.l McCarthy Management, Inc. on behalf of JOHN P. KILGALLEN requests a Wetland Pennit to extend the existing dock 8' seaward by installing a new 6' X 8' section and relocate existing float and ramp 8' seaward. Located: 505 Lighthouse Lane, Southold. SCTM#70-6-29.l The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the below Policy Standards and therefore is CONSISTENT with the L WRP; Drovided that the DroDosed action meets sub-Dolicv 6.3. as outlined below. 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 aDDlicant must demonstrate that the followinl! dock standards Dursuant to S 275-11. Construction and oDeration standards have been met. (d) Review and approval of dock applications. Before issuing a permit for a dock structure, the Trustees shall consider whether the dock will have any of the following harrnjUl effects: [1} Whether the dock will impair navigation or be located in areas of high vessel traffic or vessel congestion; [2} Whether the dock will unduly interfere with the public use of waterways for swimming, boating, fishing, shelljishing, waterskiing and other water-dependant activities; . . . [3j Whether the dock will unduly inteifere with transit by the public along the public beaches or foreshore; [4j Whether the dock will significantly impair the use or value of wateifront property adjacent to or near the dock; [5j Whether the dock will cause degradation of surface water quality and natural resources; [6j Whether the dock will cause habitat fragmentation and loss of significant coastal fish and wildlife habitats; [7j Whether the dock will result in the destruction of or prevent the growth of vegetated wetlands, seagrasses including eelgrass (Zostera marina) and widgeon grass (Ruppia maritima) or shellfish; [8j Whether the dock will unduly restrict tidal flow or water circulation; [9j Whether the dock will be safe when constructed; [JOj Whether the dock will adversely affect views, viewsheds and vistas important to the community; [11 j Whether the cumulative impacts of a residential and commercial dock will change the waterway or the environment and whether alternate design, construction, and location of the dock will minimize cumulative impacts; and [12j Whether adequate facilities are available to boat owners and/or operators for fueling, discharge of waste and rubbish, electrical service and water service. In the event that the action is approved it is recommended that the application be amended to meet the followinl! Chapter 275 rel!ulations. * 275-11 Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: (2) Erosion control. 1nstallation of an erosion control structure is necessary during any building, grading, landscaping or site work activity within Trustee jurisdiction. This structure may include, but is not limited to, installation of a silt fence, hay bales, wood chip berm and silt booms. The placement of the erosion control structure(s) shall be determined by the Trustees or their designee. All intertidal construction and excavation requires the installation of a silt boom that will retain all suspended sediments within the immediate project area. It is recommended that the silt boom be deploved durinl! the construction ofthe dock structures. [3 j In order to prevent the release ~f metals and other contaminants into the wetlands and waters of Southold, the use of lumber treated with chromated copper arsenate (also known as "CCA '~, commercial copper quat (CCQ), creosote, penta products or homemade wood preservatives is prohibited for use in sheathing and decking. Similarly, the use of tropical hardwoods is prohibited unless it is certified by the Forest Stewardship Council or similar organization. Materials usedfor structural components shall be determined at the discretion of the Trustees. Minimize the use of CCA treated wood in the marine environment. The above will further Policies 5 Protect and improve water qualitv in the Town of Southold. 6.3 Protect and restore tidal and freshwater wetlands and Policv 11. Promote sustainable use of livinl! marine resources in Lonl! Island Sound. the Peconic Estuarv and Town waters. Pursuant to Chapter 268. the Board of Trustees shall consider this recommendation in preparinl! its written determination rel!ardinl! the consistencv of the proposed action. CCAR 'BY anagement, Inc. . 46520 Route 48, Southold, New York 11971 (631) 765-5815 (631) 765-5816 FAX April 30, 2008 ~ I!: I!: I!: I 'lI E ~ APR 3 0 2008 SouUlllold Towa Board olll1lstees Town of South old Board of Trustees 53095 Route 25 P.O. Box 1179 Southold, NY 11971 RE: Trustee Permit # 5898 To Whom It May Concern: Enclosed, please find a renewal application for permit # 5898 along with a copy of the Trustees permit issued on April 21, 2004. There was a fee paid to the Board of Trustees in the amount of $962.00. This was for work that was never started. At this time we would like you to credit the $962.00 against any new fees. We currently have a valid NYS DEC permit (see attached). Thank you for your prompt attention in this matter. ..~------- Thomas J. McCarthy ~DI Construction Management. General Contracting . Custom Homes ~ .....__IATIOII Of'__LDmaI lDllRlllllldlmlllllrslnllMn,IR;, V .1~ '" . 't t. . ~:l File Edit View Toolbar Window Help 00 .EtJ 1<4 <4 . .1 Ii:) III 413889 Soulhold Ron Year: ~iiioii CUll V, Land Size: 1.20 aCfe$ 'f GibboM. Jame$ E 505 lightho In < Ready / . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen nob Ghosio, Jr. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD _Coastal Erosion Permit Application ......wetland Permit Application Administrative Permit ~eiv~~~~~:~~::;mn:Z;~0JOt''' ~eceived Fee:S ~ m ~ompl..too Applir...tion <{I ?''1or _Incomplete SEQRA Classification: Type I_Type ll_lJnlj.I~A_ _ Coordinalion:(date sent) ...e1\.C Referral Sent: :ij t~\:Jk _~..ofInspe.ction: ~ () _Receipt ofCAC Report: Lead Agency Determination: Tcchfllcal Review: ~lic Hearing Held: !:; I eJ-/lll% ~ Resolution: L-WE f --- . Town Hall 53095 Route 25 P.O. Box 1179 SouthoId, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 /fB) ~ ~ ~ 0 W ~ Jm IITlI APR 30 2003 ~, SouthhoJd Town Board cf Trustees Name of Applicant :rOJ..l1I;1 P. KILG-ALL.EN Addresc,-C) 05 L,~+ho~ La}')€' I S~I.)~-1() (d Phone Number:( ) Suffolk County Tax Map Number: 1000 - 70 - G - 251. I Property Location: ~O5' L./(YHTHOOSE. LANE) .50uTHQI.-D (provide LILCO Pole #, distance to cross streets, and location) AGENT: DAVID CCrt.WfN (If applicable) ~39 /"\1\11\1 STRE.ET) <YREENPORi -' NY Phone: 4 7 7 -{J J ~ If ~l. ~. <\I[V ~ (O-M iJ~ Address: B~rd of Trustees Application'" GENERAL DATA Land Area (in square feet): Area Zoning: i<. /Ss\ DE NT lA \..- Previous use of property: n. 1.:: 5 . Intended use of property: J? e f; . Prior permits/approvals for site improvements: Agency r.}\)6 f) E. r~ , /-2<J -0'7 Date ( <YJB~ON.s) 1-1/738 - 03 2.~} /600 \'ll 'Z.OO..?-OJ~ 7.6 -I. J. () .>A c.[ _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? v No_ Yes If yes, provide explanation: Project Description (use attachments if necessary): Extend existing dock 8' seaward by installation of new 6' wide by 8' long section; relocate existing float and ramp 8' seaward Purpose: obtain navigable water at low tide ""L. " trd of Trustees ApplicatiOft WETLANDffRUSTEE LANDS APPUCATION DATA Purpose of the proposed operations: on,. 0) N NA \J IG-RfS.LE WltrE1l. Area of wetlands on lot: square feet Percent coverage of lot: - % Ciosest distance between nearest existing structure and upland edge ofwetIands: feet Closest distance between nearest proposed structure and upland edge of wetlands: - feet 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 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, ifany, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): N EGo I-l~\ B 1-1: y ~rd of Trustees APplicati~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: b bt ~ I\) fA\}' I ~ a.b It: Lv ~ Are wetlands present within 100 feet of the proposed activity? ..j No Yes Doe:;he 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) 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) Ne~} ~~\ hl~ . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, If. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of c;C;~~-~~~~~~<;iJz_~----------------------- STATE OF NEW YORK) " I! AV 1 0 rTlMI I, AFFIDAVIT OF POSTING ~nM[6 -:s ~C01'1ehMfg at q lo~ r9.o e e 41: .::::3bo'+Y1o Jd (0 V L I q / ) being duly sworn, depose and say: ik. That on the 1\ day of MQU , 200"i; I personally posted th~ prope y known as I o \ _1 u'H7D N L I 7 by placing the Bo of Trustees officia poster whe 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 1I'h1' 7YIn II r:L( iY())t- 'a tJO...L /&: ('j) ft1l. Dated:5! J'?;/ cR:, (signature) Sworn to before me this l-?^day of y\I\(). \FOO <=;3 QIJ:R 'cf~ Notary Public Ruth Love Notery Public State of New York No. 01 L06054063 Qualified in Suffolk County oC/ Commission Expires March 5. 20 ~ . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name;:::SOhn rll~\ len Address: ~O') LLS;h+holA/.U ?f~ 5o~o'id ,[\J~ UCf'l/ , STATE OF NEW YORK COUNTY OF SUFFOLK '1--fl~ ~ " MCCm\!itlfsiding at '-t ~ ~O CJ:; l(~ , "Sc,\~() I d , Being duly sworn, deposes and says that on the 13Th. day of MCll,,-L__' 20Q'&' deponent mailed a true copy of the Notice set forth in the Bo~s 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 of1:4e. Town of outhold; that said Notices re mailed at the United States Post ce at 00'1-f1 i) L , that said Notices e ailed to each of said pers s by certi ed (registered) mail. ~ ~TI-. 0ID:~ Notary Public ' Ruth love Notary Public State of New York No. 01 L06054063 C Qualified in Suffolk County J J OmmlSSIOn Expires March 5, 20 .I...{..... May 02 08 10:29a MCCARTHY REAL ESTATE IN _am of Trustees 6317655816 APPlicatio. p.1 AUTIJORIZATIcar (where the applicant is not the owner l .' I, IhQ /? ;f: jq.r{/k/1 (print owner of p~perty) residing at 50S Llqllho()sf' LA) (mailing address) 5t?(A-I--hn/~ ~y f1cC,4~jJ,y do hereby authorize ~/?/J1':;-5 (Agent) to apply for permit(s) from the Southold Board of Tbwn Trustees on my behalf. jd-J f1 ~~ . (Owner's si el , 8 Ma~ 01 08 11:04a pat. actl. of Trustee,. 120166452. Application p.1 AUTBaRIZATIOlf (where the appl~caDt is not the owner) I, _-r:;/'n fJ (print ownel." k: Ie; "<lit,,., of puperty) residing at .50 s ( mailing Llq~1 ~O(,lS{, address) LN 5,.),. ~ -1-;, n/ ~ /OJ Y , H c(' /);8/ 1/\1 I do hel."eby autboJ:ize '~n/J'l/oJ_5 ( Agent I to apply fo~ permit(sl from the Southold Boal."d of Town Trustees On my behalf. -1-L~,/ (1 ~~ ?I (OWner's si a cl 8 Apr 29 08 03:37p MCCARTHY REAL ESTATE IN . 6317655816 . p.2 A.PPUCANT/AGENT/REPRESENT ATIVE TP~A_"'SACTIONAL DISCLOSURE FORM ;:::: Town GrS=d"::: GrEthics orombi" conflicts Dei_on the nartoftownoflice.. IIIId ""'DID.... Theo.mo.. '" . fonn is U) ide in lion which can alert the to "ble oonflicts fin t and aU it Co whatever cti n ~ necessary to avoid same. YOUR NAME: :JOHN KJI..~A Ll..eN (Lut name; first name:, middle mitial. unIeas YOIlIU'e applying in the name of somcooceJsc or otber entity, such as a company. Hso, indicate the:: other pcl'Soo"s or company.. name.) NAME OF APPLlCA nON: (Checlc 011 that apply.) Ta."C grievance Variance Change of Zone Approval of plat Exemption :from Dlat or official. maD Othcr (1{''Other'', 0"" lb. activity.) Boilding Trustee: CoISfal Eroaion Mooring Plamling "1' 00 you personally (ar through your company, :!ipou.s~ sibling, pan:nl, or mild) have a relationship 'With any offitc:r or emplDyee of the Town of Southold? ''Relationship'' include. by blood,. marriage, or business interest. "Business interest" means a busil'lCss, including · Plll'lllcnbip, in which lbc: Iown officer or employee bos cvela parlial....nendUp of (or aoploy-., by) . corporatioo in which the lown off'acc:r or employee owns more than 5% of the sIuwc&. YES NO Xl ( If you aD"wued .YES", complete the 00110.. oflhi, form and date and sign lOhac iDdicarcd. Name o(persoo employed by the Town ofSou1hold Tille or position of chat person De.cr'-be the rclatillDllhip between yo.....elf (lbc: opplicoatlaptlrcprcrcnlative) and the tOl>n officcr or employee. Either check Ihe approprillle liae A) throogh D) aocVor describe io the sJlIlCe provided. The town offiur or employee l)T hill: or Iter 5po115C, sibling. parcnr., or child is (check aU Uw apply): _A) lhe owner of greater lhan 5% of Ihe lIhlU'CH oftbe Oluparalc Illtod: of the IIpplicant (WileD the applicant is a COIp(lnuion); _B) the lc:gct.l or bcnc&ial owner of any mta"Q1 in a nDn-4;OlpOratc entity (W.belllhe applicant is not a corporation); _C) an officer, director, partner, or employee of the appliWUlt; or _D) the ....al applicam. DESCRIPTION OF RELATIONSHIP Fonn TS 1 Submitted thIS Signature Print Name THoMAS J. McCARTHY NoIluy PlIbUc, State Of New Yodc NO. 5004790 ed In Suffolk Counly . NoVo 20 Apr 29 08 03:38p MCCARTHY REAL ESTATE IN . 6317655816 . Board of Truscees App~:i.caci.on County of Suffolk State of New York ~UN ~. Kl( bill~ HEINGDULYSWORN IJEI'OSHS AND A}<'I'IRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL 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 APPUCI\.TfON ANn .1',<; !>,fA V 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 PERMlT(S). IF GRANTED. IN COMPLETING THJS APPLICATION. I HEREBY AUlHORIZE THE TRUSTEES. THEIR AGENT(Sl OR REPRESENTATlVES{Sl. TO ENTER ONTO MY PROPERTY TO INSPECT TIlE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THJS ~~Si~~- () ~ DAY OFJifR:1 .20 t!; Notary Public .. lliOMAsJ. McCAIITHv Nal.y ""bile. Slate 01 HIw.. . '. NO. 6004790 OuaIHIad SuIIoIk eo...., 23,14./1) ~ ~ p.4 ,- 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 I PROJECT ID NUMBER PART 1 - PROJECT INFORMATION I~ fy-t~vt Municipality 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent 50<; Lt h1-h()~ ~ SOV~D{ 5. IS PROPOSED ACTI D New D Expansion D Modification I alteration 6. DESCRIBE PROJECT BRIEFLY:. d 0 ~ ).. t -e-n.d ..e. X I S 1- I N ~ 0 e.ll q; I "Sl"lA. IoU t'lA Ne~ 6,\ 0~ ?'-I "(;.1 lOr0& s'<>e-+/cn'\ I ,eloQOQ -Cx'IS+ICS ~lotd- 4' raYYLp "l5 Gl t TVS+aJL,v 6 <;,z {k.1AJcu..62 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8.:!:j;L PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? M Yes D No If no, describe briefly: ~AT IS PRESENT LAND USE IN VICINITY ~ Residential D Industrial DCommerCia' OF PROJECT? (Choose as many as apply.) DAgriculture 0 Park I Forest I Open Space OOther (describe) 1~. OES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, AG CY (Federal, State or Local) Yes D No If yes, list agency name and permit I approval: NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL 11. DOES DYes AI'f!_iSPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~ No If yes, list agency name and permit I approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? []yes 0 No I CERTIFY BEST OF MY KNOWLEDGE ~ Signature n is a ostal Area, and you are a state agency, sessment Form before proceeding with this assessment Town of Southold . . LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits. including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of South old 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 Hazard 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 proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus. each answer must be explained in detail. lisOOe both supportine and non- supportine facts. If an action cannot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken. A copy of the L WRP is available in the following places: online at the Town of Southold ' s 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 SCTM# -' 000 -~- (~ - act ./ . PROJECTNAME \(,I~olJen ~rrl( fx+eY1~IOV\ .r(A-~~~~I1S The Application has been submitted to (check appropriate response): TownBoard D PlanningBoardD BuildingDept. D Board of Trustees ~ I. Category of Town of South old agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) D D (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: D . -5e c.--f I crY\. ~ ~I \ e (pI ,e 1000an Al"~ ~lod- t riIDf 9,' Nature . Location of action: 50S ~ l~hfho\J SP Site acreage: , ~;l 0 J4i(0., Present land use: ~ ':> L Il. ()(" I ~ u\H.o ld Present zoning classification: ~() 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: ~~~~ Lft5 Ie ~ L(g ~ 0 01t\eCID AJ( 765 - ~/'5 (b) Mailing address: /(97/ (c) Telephone nwnber: Area Code &I- (d) Application nwnber, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~ NoD If yes, which state or federal agency? t0~'5 ~ i -t..(73~ -Cy.:efS,I!OOOtJ / \J~flo 8003-0Ib:Jfo_L:L C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. ~, 0 No ~NO'APP.~bl' tf~dE ro 'li~ ~ ~~ Les~~ ~ ~~l16t rS~ . tu 11 ~<.~- Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section III - P7icies Pages 3 through 6 for evaluation criteria DYes 0 No ~ Not Applicable . . Attach additional sheets if necessary Policy 3. E hance visual quality and protect scenic resources throughout the Town of Southold. See L WRP S ion III - Policies Pages 6 through 7 for evaluation criteria y~ D N. r:i Not App'"b~ 00 ~ k hi; iJ l\ eO"" f ~o~ ftl~~ w:t:~(,. llflEill Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See L WRP se~ - Policies ~ges 8 through 16 for evaluation criteria y"DN'~NotApP~ # r . f ~ eJ. -e,)ovRc-eS/71 c ~l i'SS~ n ~ t\b- ~ tJ =ffk f-!loJ1r~~ ~~/2. ~ ~II'\ b, P'\ U> (10 0 ~ Lv I ill 'ff:k c! p. ffJ!Z J;o tirJ JlA - Attach additional sheets ifnecessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See L WRP Section III - Policies Pages 16 through 21 for evaluation criteria DYes D No E1NotAPPlicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of South old ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See L WRP Section III - Policies; Pages 22 through 32 for evaluation criteria. o D ~ ye/ No Not APable Mfr/cvwOv\ ell; I J 1'f5 C ~nc E . Cl1 ~ct tLO~51lilR bf' dcm Wm& 'fIk {tJ!Icu...- ~ lP5~ E/IIlv\.G- Attach additional 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. DYes 0 No 5Zf Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and waste~. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes 0 No 0'Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of South old. See L WRP Section III - Policies; Pages 38 through 46 for evaluation criteria. o YeD NO~/NotAPPlicable Attach additional sheets if necessary WORKING COAST POLICIEtt . Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in s~ta~locations. Se~ L WRP Section 111- Policies; Pages 47 through 56 for evaluation criteria. [UYes D No c1Not Applicable /A.. "I Jl ~ ' to (v'lc e~ ,r~ (s;- t~ JS:'t'Q ~> {Ya Uc ;l?~- Q01\ s I'St~ wi { Attach additional sheets if necessary Policy II. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. DYes D No IiLJ' Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section 111- Policies; Pages 62 through 65 for evaluation criteria. D Yes D No ~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Polic~ Pages 65 through 68 for evaluation criteria. DYes D No Lyj Not Applicable PREPARED BY TITLE--1JII/uff- DATE ~1O-~t -z=.... ~;\i'J;.;z,~t' .~~ . '-'# '~ 'ill'. I!l -- McCARTHY MANAGEMENT.C. 46520 County Road 48 SOUTHOLD, NEW YORK 11971 LETTE OF TRANSMITTAL TO (631) 765.5815 FAX (631) 765-5816 1 ~Jt-hDld ~ I II) ~,teds :=ti ~()I O?s'::J JGBNG ATTENTION IOWN ~~ RE: ,OOD ~ -l 0,. <.s,,. ;zq , WE ARE SENDING YOU 0 Attached 0 Under separate cover via > o Shop drawings o Copy of letter o Prints o Change order o Plans o Samples the following items: o Specifications o THESE ARE TRANSMITTED as checked below: 0 For approval 0 Approved as submitted 0 Resubmit copies for approval 0 For your use 0 Approved as noted 0 Submit copies for distribution 0 As requested 0 Returned for corrections 0 Return corrected prints > 0 For review and comment 0 0 FOR BIDS DUE 0 PRINTS RETURNED AFTER LOAN TO US REMARKS South/lOld lo\'"m hie'.. 0 rus\ef:S COPY TO SIGNED: PRODUCT 240T If enclosures Bre not as noted* kindly notify us at once. . . 1000-70-6-29.1 505 UGHlHOU5E LANE JAMES E. GIBBONS (APPUCANT) 99 7TH ST., APT l-C GAROEN CfIY, NY '1530 1000-70-6-29.2 375 UGHTHOUSE LANE ANTOINETTE POLlERT PO BOX 578 SOUTHOLD, NY 11971 1000-70-6-30 635 UGHTHOUSE LANE KATHLEEN H. DEVORE 61C OLD MILL RD CIlESTER, NJ 07930 r:::> G~'() HAGSTROM'S SUf'FOU< COUNTY ATLAS IdAP 23 GRID G42 APPROX. SCALE "-3000 '. s,.?:U . WOOS f. 'B ADJACENT PROPERlY OWNERS .If ~~WIE ~ 29.2 UGHTHOUSE LANE PINE NECK ROAD - -- - VICINITY MAP 100' 200' 300' 400' SCALE IN FEET DOCK EXTENSION JAMES E. GIBBONS JOCKEY CREEK SOUTHOLD, NY TOWN OF SOUTHOLD COUNTY OF SUFFOLK SHEET 1 OF 3 JULY 25, 2003 DRAWN BY: D. CORWIN o ~ A~q ~: :08 ~ ~ Soulhhold Town Board of Trustees . ... ! \ ~ ~~~ c<<fJ-'i- ~;~.Ei --~ <.6\1--- --- 'ti~oec'i- .-"'~"""" \&0 ~s IJU""' ______"OIl '" Q ~ DO ~ 0 =- = 0= -0 ::;iC:: :;;01 "-,, 00 ~ ~ m is''2l m /11-'" /11-'" c=> = q,.. r:g; m l~-u q,.. , tJ7:' 505 UGHTHOUSE lANE @;Q] DEPTH OF WATER IN FEET, DATUIl IlLW ,b 20 30 ok SCALE IN FEET 1-= 30' DOCK EXTENSION JAMES E. GIBBONS JOCKEY CREEK SOUTHOLD, NY TOWN OF SOUTHOLD COUNTY OF SUFFOLK SHEEr 2 Of 3 JULY 25, 2003 DRAWN BY: D. CORWIN lllVE!.ut.c PLAN VIEW 59' . ,..'~ ::::J !I) is I, r U1J) Southhold Town Board of Trustees 2B' I B' I ..- 23' 10" x lB'CCA DOCK PILE EXISTING MOORING PILE EXISTING FLOAT AND RAMP 2.6' 2'5' AHW . ALW BOTTOM EXISING BULKHEAD - f RELOCATE FLOAT AND RAMP 10" x 20' CCA MOORING PILE RELOCATE CROSSVIEW DIAGRAM 1-6'-j '0' 20' 30' SCALE IN FEET 1" IlII 20' 10" x 18' CCA PILE AHW ALW NOTE: 8" x 6" CCA STRINGERS 6" x 6" CCA PILE CAP AR DECI<1NG 5 10 15 SCALE IN FEr I" co 10' DOCK EXTENSION JAMES E, GIBBONS JOCKEY CREEK SOUTHOLD, NY TOWN OF SOUTHOLD COUNTY OF SUFFOLK SHEET .3 OF .3 JULY 25, 200.3 DRAWN BY: D. CORWIN DOCK CROSS SECTION , ' ! I w z+~ ;= ~ 0... ~g9~ ~~I~ d i ~~&~ ~ ~t ~ ,ij1ij)~~ j h I f ~ South hold T Board of Town l rustees Is.i ---! i, \ i ! ! i \ .. ~\ ti ~\ n 10/ 1\ J I~ :"\ ~ ~ P'l~ t~ ;.....1'....-.........-.. I .'" ~ ! I~ I \/:' ~ i..............~c;c;~;.................. 1 IO! [E (C; [E ~ \0l [E 3 0 enZoi:)eLOl'1d NQIooI Of' thG.HCIRlUton'"~OFI 500'00 '" Harnll!.orl 'OO.~ l \5' r'o i -.;.. j"- I 31Q.se;' .v9'lbr ... ~ % fill ItII H~UUIl ~ ~ iIIl rr, JIIIIIID! ~ ~ 111 II,' J~m!lil ~ ~ i Ji'lt'W 0>' .0 ,..:{:!.:..!IO. I It:l ~rI) i ~ (.~,.\<(~ii.~.. .._.,~~ ,@ .":"j.J~ ,~~ .',.' ,'. ;<'1.,' j . ,I ~~ 'J .~ /:.\;:" (~ 9. --= CI'.) \'.:8': ?/J ~ ~ . ~~ ~ JI '..." ;...,..... ~ .F,; -.... ~ ~~; ~~~ !uf ~r'~ Ii , I ~' ~ bIP' .$"\.\ffb)):. - IO()6 ---- 010, - ob.oD ~ 07'100\ ST s: /05 25 NY 025 Exc,"Iors Dcc" -Individual or Corporation (Single Sheet) (NYBTU 8005) \.1. . CONSlJLT YOUR LAWYER BEFORE SIGNING THIS INSTRUMEN1~. THIS lNSTRUMENT SHOULD BE USED BY LAWYEg5,ONLY '", . C\SQ~ THIS INDENTURE, made^the b~day of May BETWEEN" ~. Anne Mah, residing at 137 Cambridge Avenue, Garden City, New York 11530, Kathryn M. McGrath, residirlg at 800 Norgate Drive, Ridgewood, New Jersey 07450 and Gabe M. Wolosky, residng at 8 Diane Court, Cortlandt Manor, New York 10567 as Co execulOr s (executrix ) of James E. Gibbons, the last will and testament of" a/k/a James E. Gibbons III and Jame,sGibbons ,lateo! Nassau County, Surrogates Case NO. 346675,. ,deceased. party of the first part, and h~..J WI~ Rita M, Kilgallen and John P. Kilg~llen~both resfding at 608 Walnut Street, Washington Townsh~p, New Jersey 07676 '. , in the yea; 2008 " party of the second part, . .' I" t'^,- _ . WITNESSETH, that the pady of the first part, by virtue of the power and authority given in and by said last will and testament, and in consideration of-----------ONE MILLION FIVE HUNDRED FIFTY THOUSAND DOLLARS AND NO /100----------------------- ($1,550,000.00) --------------------------- dollars. paid 15y the party of the second part. does hereby grant and re lease unto the party of the second part, the heirs or succes.sors and assigns of the party of the second part forever, < - I' ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the. '. " CHEDULE "A',' i'l~(.la,.,',~'~,"M )J rJ4t-:':t'f,.;: '';''1:<",-.,;'1 V'~~;'M '''t'~'\'.. >\'~l:'~ " ~)(~1Z 1 ~:)S: J.. .;J;" ...\~q"'3!!~'~,:.lJfN""t:,~i ~ '., ,t " .. 1(. .,'t': , . ,./TJ ':,p- "'., <', >4 ", " , , Premises bein~ conveyed are part of the premises conveyed E+eanor Gipbons ~y ~eed recorded in Liber 6848, page 106~ " ... . . to James E. Gibbons and , .. 1;OG,ETH.ER witl) all right"title and interest, if any, of the party of the first part in and to ,any streets and roads abutting tlie above described 'premises to the center lines thereof; TOGETHERwill1 theapp~rtenances, and also all the',~state which the said.deced~nt had at the time of decedent's death in said premises, and also the estate therein, which 'the party bf ttIe fiJ'stpart has or has power to conveyor dispose of, whether individually. or by virtue of said will or otherwise; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever'. AND the party of the first part covenants that the party of the tirst part has not done or suffered anything whereby the said premises have been incumbered in any way whatever. except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement bef".Ie using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party oflhe first part has duly executed this deed the day and year first above written. {/. ~'''''-frtVy;<..L.,\ -A' {l~A. )J 1tviZ~ IN PRK~ENCE OF: Anne -Executor G Wolnskv. , 0( )~\L --- IODD ------ 010, - Db. - 029.COI Stewart Title Insurance Company Title No: 81'-8-10525 Schedule A Description AMENDED 51512008 ALL that certain plot, piece or parcel of land with the buildings and improvements thereon erected. situate, lying and being in the Town of Southold, County of Suffolk and State of New York, known as and by Lot 029.001 in District 1000, Section 070.00 Block 06.00 on the Suffolk County Land and Tax Map and being bounded and described as follows: Beginning at a point on the northerly side of Pine Neck Road and the westerly side of a Thirty (30) foot Private Road. distant 200.00 feet +/- northwesterly along land now or formerly of Ines Sarno and Nicholas Sarno to the northerly side of said Private Road, thence distant 277.00 feet +/_ easterly along said land of Sarno and land now or formerly of Rosa Hodgson to the true point of beginning; Said point of beginning is also where the division line of lots 29.1 and 29.2 (as shown on said Suffolk County land and ta" map) intersects with the northerly side of said thirty (30) foot Private Road and from said point of beginning; Running Thence Along the easterly line of lands now or formerly of Frederick Pollert, North 01 degree 00 minutes 00 seconds East. 318.64 feet to tie line along the average high water mark of Jockey Creek: Thence Along said tie line,along the average high water mark of Jockey Creek, the following two (2) courses and distances: (1) North 62 degrees 14 minutes 11 seconds East, 79.07 feet; (2) North 44 degrees 56 minutes 30 seconds East, 75.36 feet to land no,,", or formerly of Jockey Creek Trust; Thence Along said last mentioned land and a monument found, South 00 degrees 00 minutes 00 seconds. 395.39 feet to the northerly side of aforesaid mentioned Thirty (30) foot Private Road; Thence Along said northerly side of Private Road, South 84 degrees 04 minutes 20 secoJllis West. 129.45 feet to the point or place of BEGINNING. TOGETHER with all right. title and interest of the party of the first part, in and to the land lying " in the street in front of and adjoining said premises. , .' USE ACKNOWLEDGMENT FORM BEWWWrrHINNEWYORKSTATEONLY: SwteofNewYork,Countyof Auf1e/l<- Jss.: On the b~ day of Mfb1. in the year 2./:i)' bc~ me. the un~1crSignckt&irsonall)' appeared p{;MnlatJfkn~fitb J or pr~d ttMTle W~Afs~ ~f satisfactory evidence to be the individual(s) whose name(s) is (are) sdbscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies). and that by hislher/their signature(s) on the instrument. the individual(s), or the person upon behalf of which the individual{s) acted, executed the instrument. ~~o~ Notary Public, State of New York No.01CU4886786 Qualified in Suffolk County ", ';ornmission Expires Feb. 17, 20--ft-- ACKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONLY: {Nt,,,,,, Fork Subscribing Wi/llt'.u Ad:llowledgmclll Cel7!ficalej State of New York, County of J ss.: On the day of in the year before me. lhe lmdersigned, personally appeared the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who. being by me duly swom. did depose and say that helshe/they reside(s) in (({the place oj residence is in a ciry. include the street and street number, ifany. thereof); that he/she/they know(s) to be the individual described in and who executed the foregoing instrumcnl; that sttid subscribing witness was present and saw said CXCCUlC the same; and that said witness at the same time subscribed hislhcr/thcir name(s) as a wilness thereto. EXECUTOR'S DEED INUIVrt>UAl, OR CORPORATION TIT/.ENo. S-r ~ 10525 Mrt. ~l,. ~/fw1t) M, ,.u.<6Va1tJ f {;q\,( }t WQO$1 JQr Of ~()o~of'/Jo.. ~oVJiMIo:> f..6t~.J '11l' R\~ fJ... K\~"IIeN\ 1. J~ f. ICl ~..llt'#) USE ACKNOWLEDGMENT FORMBEWWWrrHIN NEW YORK STATE ONLY: State of New York, County of Jss.: ~~ ~of in~y~ before me, the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislher/their capacity(ies), and that by hislher/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted. executed the instrument. ACKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE ONLY: 10141 olSlale or Fordgn Generat Acknowledgmem Certijicat('1 ..................,...."...".....,.. . . . . . . . . . . . . }ss.: (Complete Venue with Statl!. COU1l(1)'. Provincl? or MUllicipality) On th..;l. day of ~'1 in the year ;;}.~ before me, the underSlgne\!, personally appeared personally known to me or proved to me on the ba,is of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislher/their capaeity(ies), that by hislherl their signa'ure(s) on the instrumen~ the individual(sl, or the person upon behalF of which the individual(s) acted, executed the inslrument,'and that such individual made such appearance befor.e the undersigned in the,,,. ",..v :r . ~~........'" ~ ~~ <'D~ V"~"". h (Insert the . other place . ( . or COUII/f)' or loW 010./11> BLOCK 0&.00 LOT O~ fi)J COUNTY OR TOWN . SOlA~ol~ DISTRICT SECTION RECORDED ATREQUEST OF Fidelity National Title Insurance Company RETURN BY MAlL TO Scoft PcS(rl\O,1( ~k' 'f/1fO t~ 2-5 f. QrJor- 2.3J PeC<)n~. N.Y. Jt qSlf w u ii: lL o " z i5 0: o U W 0: lL o W '" ::J 0: o lL W U "" 0.. '" '" ~ w > 0: W '" W 0: .'