HomeMy WebLinkAboutMaino, Pamela Johnson James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall, 53095 Main Rtl.
P.O. Box I 179
Southold, NY 11971
Telephone (631 ) 765-1892
Fax (631 ) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO: PAMELA MAINO JOHNSON
Please be advised that your application dated March 11, 2009 has been reviewed by
this Board at the regular meeting of April 22, 2009 and your application has
been approved pending the completion of the following items checked off below.
XX Revised Plans for proposed project
XX
__ Pm-Construction Hay Bale Line Inspection Fee ($50.00)
__ 1st Day of Construction ($50.00)
__ ½ Constructed ($50.00)
__ Final Inspection Fee ($50.00)
__ Dock Fees ($3.00 per sq. ft.)
Mooring/Duck Blind Permit Fee ($25.00)
Permit fees are now due. Please make check or money order payable to Town of
Southold. The fee is computed below according to the schedule of rates as set forth in
Chapter 275 of the Southold Town Code.
The following fee must be paid within 90 days or re-application fees will be necessary.
You will receive your permit upon completion of the above.
COMPUTATION OF PERMIT FEES:
TOTAL FEES DUE: $ 50.00
BY: James F. King, President
Board of Trustees
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob ~nosio, 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
Office UseOnly
Coastal Erosion Permit Applic.atijyh
ZWetland Permit Application ~r Administrative Permit
Amendmenffrrans f~rfl~xtension
V'~J?.ece~vvcd Applicafioy _~/cx~/~-
7Received Fee:$ ~)
/"12ompleted Application Incomplete
SEQRA Classification:
Type I Type II__Unlisted
Coordination:(date sent)
-'L'~WRP Consistency Assessment Form
-qL~AC Referral Sent:
,l~t~ of Inspection: I'3~[
Receipt ofCAC Report~
Lead Agency Determination:
Technical Review:
_/Fublic Hearing Held:
Resolution:
_ ~PhoneNumber:((~)~ (oc/~ cfGT~> Co
Suffolk County Tax Map Number: 1000-tXS~ - oCo - q ~
Property Location: ~]/~1 '3 ~'oo ~"~', * ,~o~k.J,e ~ 4-b.~o~
(provide LILC0 Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
of Trustees Applicatio0
GENERAL DATA
Land Area (in square feet):
Area Zoning: r ¢~., ~o.~ ~
Previous use ofprope~y: V~,
~tended use of property: ·
Covenants and Restrictions: ,/ Yes No
If "Yes", please provide copy.
Prior permits/approvals for site improvements:
Agency Date
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
v/ No Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
ard of Trustees Applicatio~
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: ~)~ ~ c~ c%~ ,'f~ ¢ c, ,'x/'-~
Area of wetlands on lot:
square feet
Percent coverage oflot: ]'2. ~ % oB ~t~ q' +; 7
Closest distance between nearest existing structure and upland
edge of wetlands: b o feet
Closest distance between nearest proposed structure and upland
edge of wetlands: feet
Does the project involve excavation or filling?
~/x No Yes
If yes, how much material will be excavated?
cubic yards
How much material will be filled?
cubic yards
Depth of which material will be removed or deposited: feet
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
~/atement of the effect, if any, on the wetlands and tidal waters of the town that may result by
reason of su~fi'p~opo~¢d-3-p~rations'~hse ~it~eii~s if hppi:6p~iate~i
IPROJECT ID NUMBER
PART 1 - PROJECT INFORMATION
617.20
APPENDIX C
STATE ENVIRONMENTAL QUALtTY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
( To be completed by Applicant or Project Sponsor)
SEQR
3.PROJECT LOCATION:
4, PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide maa
§, IS PROPOSED ACTION: [] New [] Expansion []Modification/alteration
6. DESCRIBE PROJECT BRIEFLY:
7. AMOUNT OF LAND AFFECTED:
Initially acres Ultimately acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
~Yes [] No If no. describe briefly:
RAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose asmanyasapl~ly.)
esidentia, [~lndustdal []Commercial r-~Agriculture [~Park/Forest/OpenSpace []Other (describe)
10. DO~IO.'DO ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGE[~ (Federal, State or Local)
~[ V[Yes r-'-]No If yes, list agency name and perrnfl/ approval;
..vu ^.. ^~..o. oF i.~ AU,,o..AVE A OU.RENTLY VALID PERMIT OR A.PROV^L?
~es []No If yes, list agency name and permit/ approval: ~_~ (~_
12.1~e,A RE~.LTE].o OF PROPOBED ACT,ON W,.L ~,ST,NO PERM,T~ APPROVAL REO~,RE MOD,F,CA~,ON?
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant
$ignatura ~
~completel[hteh~aoCati~; '~saseCs°sStma2rAt r~oa; amnbd~ fYo°rUe a;~:eSet~l:;g'~hctYl~is assessment
PART II - IMPACT ASSESSMENT (To be completed by Lead A~lency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL FAF.
E~Yes r']No
WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative
declaration may be superseded by another involved agency.
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be han~lwri6en, ~f legible)
C1. Existing air quality, surface or groundwater quality or quantity, noise ~evels, existing traffic pat[em, solid waste production or disposal,
potential for erosion, drainage or flo~ding problems? Explain briefly:
C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resource;i'~r comm~hi~"or
C3. Vegetation or fauna, fish. shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
C4. A commun ty s ex s lng plans or goals as officially adopted or a change ~n use or intensity of use of land or other natural resources? Explain br~et]y
C5. Growth. subsequent development, or related activities likely to be induced by the proposed action? Explain briefly:
CS. Long term. short term. cumulative, or other effects not identified in C1-C57 Explain brietiy:
!
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? lf)'es explain:
E~Yes [~]No
PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia~~~arge~imp~rtant~r~therwisesigni~cant~ Each
effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e)
geographic scope; and (r~ magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain
sufficient detail to shew that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked
yes, the d _~!~rm!~__.~o.-. cfe!gr.!fic_~r, cc muc! ~':3!uctc Lh c ~..?. t ~.:;, 'Jcl !mpact cf thc ~rc.~.;.;;d ~ct[c,n c,n thc c~,v:,~nm~nt~l charact~r',a~cs ,,f ~h~ CEA.
Check lhis box if you have identified one or more potestially I~rge or significant adverse impacts which MAY occur. Then proceed directly to the FULl
EAF and/or prepare a positive declaration.
Checl~ ~h~{ box if y~ ~-v~'~e-rm~n~J'i b~e~on th~f(~mation am:l ~alysis ~b0ve ~n(J a~; ~Upporiir~ docu~e~t~tionl ~
WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi.,
determination.
Name of Lead Agency
Date
Title of Responsible Officer
Print or Type Name of Responsible Officer in Lead Agency
Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer)
of Trustees Applicatz~on
County of Suffolk
State of New York
Fa. rne{ q AAa ~ n a BEINGDULYSWORN
DEPOSES AND ~F~S THAT ~/S~ IS T~ ~PLIC~T FOR ~ ~O~
DESC~ED PE~T(S) ~ T~T ~L STATE~S CONT~D ~ ~
~ TO T~ BEST OF ~S~R ~OWLEDGE ~ BEL~F, ~ ~T ~L WO~
~L BE DO~ ~ T~ M~R SET FOR~ ~ ~S ~PLICATION ~ AS MAY
BE ~PRO~D BY T~ SOUTHOLD TO~ BO~ OF TRUSSES. ~ ~PLIC~T
AG~ES TO HOLD T~ TO~ OF SOUTHOLD ~ T~ TO~ ~USTEES
~ESS ~ F~E ~OM ~Y ~ ~L D~AGES ~ CL~S ~S~G
~ER OR BY VIRT~ OF S~ PE~T(S), ~ G~TED. ~ CO~LET~G T~S
~PLICATION, I ~BY AUTHO~E T~ ~US~ES, T~ AGENT(S) OR
~P~SENTATI~S(S), TO EN~R ONTO ~ PROPERTY TO ~SPECT T~
P~SES ~ CON~CTION ~TH ~W OF T~S ~PLICATION.
~ign~ture
SWORN TO BEFORE ME THIS ~ I DAY OF /~/~ r C~ ,20 b ~
Notary J>ubl'ic ~
I~NNY BEDELL,
Nola~ Public, State of New York
No. 01BE6099317
Qualified m Suffolk County
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code &Ethics nrohibits conflicts of interest on the oast of town officers and emolovees. The ouroose of
this form is to orovide information which can ale~ the town of oussible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
(Last name, first name, ~niddle initial, unless you are applying in the name of
someone else or other entity, such as a company. If so, indica~ the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trusteo
Change of Zone .Coa.qal Erosion
Approval of plat Mooring
Exereptioo from plat or official map Planning
Other
(If"Other", name the activity.)
Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee
&the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business,
including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation
in which the town officer or employee owns more than 5~ of the shares.
YES NO
If you answered "YES", complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicent/ngenffrepresantative) and the town officer or employee. Either check
the appropriate line A) through D) and/or describe in the space provided.
The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply):
___A) tbe owner of greater than 5% of thc shares of the corporate stock of the applicant
(when the applicant is a corporation);
B) the legal or beneficial owner of any interest in a non-corporate entity (when the
applicant is not a corporation);
__.C) an officer, director, partner, or employee of the applicant; or
__.D) the actual applicant.
DESCRIPTION OF P-ELATIONSHIP
Form TS !
Submitted{~lO dayof /A'-'~ r t~200_~
Signatur~'T"'N ~ ~
. PfintNamb'-~F~'' ,~-~ (~ ?.fi( ,~.~ ~
Town of Southold
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
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 Hazard ~Irea.
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
Water~ont Revitalization Program. A proposed action will be evaluated as to its si..tmifieant
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 LWRP policy standards and conditions contained in the consistency
review law. Thus~ each answer must be explained in detafl~ listing both supporting and non-
suooortino facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions, it shall not be undertaken.
A copy of the LWRP is available in the following places: onlin~
website (southoldtown.northfork.net), the Board of Trustees Of~~=~ar~e~
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION I
The Application has been submitted to (check appropriate response):
TowuBoa [--] Planning Board [--] uildi gOept. [] BoardofT uste /
Category of Town of Southold agency action (check appropriate response):
(a) Action undertaken directly by Town agency (e.g. capital
construction, planning activity, agency regulation, land transaction)
(b) Financial assistance (e.g. grant, loan, subsidy)
(c) Permit, approval, license, certification:
Nature and extelat of action:
Location of action:
Site acreage:. ~ q
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:
(b) Mailing address:
(c) *elephone number: Area Code ( ) (c-)"~)( (~(~ C[ (~'9~
(d) Application number, if any:
Will [~on be directly undertaken, require funding, o[~approval by a state or federal agency?
Ye5 [X_I No['-] Ifyes, which state or federalagency?
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 LWRP Section III - Policies; Page 2 for evaluation
criteria.
Yes [] No [--~/Not Applicable
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Section III - Politics Pages 3 through 6 for evaluation criteria
[] Yes ~ No ~/Not Applicable
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southoid. See
LWRP Section III - Policies Pages 6 through 7 for evaluation criteria
~ Yes N No ~Not Applicable
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section III - Policies Pa. gts 8 through 16 for evaluation criteria
~ Yes ~ No[57f~ ' Not Applicable
A~ach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. Sec LWRP Section Ill
- PoliCies Pages 16 throug/~21 for evaluation criteria
~'~ Yes N No[73//cl,.a'NotApplicable
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.
Yes No Not App~ole
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.
~ Yes [--] No ~Not Applicable
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LWRP Section III - Policies; Pages. 34 through 38 for evaluation criteria.
~ Yes [] No ~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 Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation
criteria. ~//N
~ Yesr~ No ot Applicable
Attach additional sheets if necessary
WORKING COAST POLICIE~
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See/L~VRP Section III- Policies; Pages 47 through 56 for evaluation criteria.
[] Yes ~ No~-~l_~ Not Apphcable-
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long lsland Sound, the Peconic
Estuary and Town wat/e~s.[~/See.LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria.
~ Yes ~-] No I ~ I Not Apphcable '
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~ion c,n.'teria.
[-'] Yes ['~ No ~ '~q Not Apphcable
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III- Polic~;~f~'s 65 i. hrough 68 for evaluation criteria.
[] Yes [] No I ~ Not Apphcable
PREPARED B~ ~L~
NOTICE COVENANT TO THE DEED
DECLARATION
THIS DECLARATION, dated ~ day of /V~ ~ t-~ I-t
· 200 ~___,
· (hereinafter the "Declarant"),
whose address is 3 b~-~ t-o~..-I- F~lr.,,~...3u. II.t kl"t' I I~_
WITNESSETH
WHEREAS. the Declarant is the owner of certain real property located in the Town of Southold. County of
Suffolk. State of New York, (DistrictlO°e' Section ~q . Block I.. . Lot~ ~-t't ) which real property is more
particularly described in Schedule A annexed hereto (hereinafter referred to as the "Property"); and
WHEREAS. the Property is situated in or adjacent to regulated freshwater wetlands 80-5 of the Southold
Quadrangle. which have been inventoried and mapped by the New York State Department of Environmental Conservation
(hereinafter "Department"). pursuant to Environmental Conservation Law (hereinafter "ECL") Article 24 (also known
as the "Freshwater Wetlands Act") and Part 664 of Title 6 of the New York Code of Rules and Regulations (hereinafter
"6 NYCRR"); and
WHEREAS. various activities conducted both in and adjacent to freshwater wetlands are regulated by the
Department pursuant to ECL Article 24 and P art 663 o f 6 NYCRR and require written authorization from the Department
prior to being conducted;
NOW. THEREFORE. in recognition of the Department's jurisdiction as set forth above, it is the responsibility
of a party having any right, title, or interest in the Property, to obtain from the Department or any successor organization,
a current description of all activities which are regulated pursuant to ECL Article 24 and Part 663 of 6 NYCRR, and to
obtain written authorization from the Department prior to such regulated activities being conducted on the Property.
Regulated activities include, but are not limited to clearing of vegetation; application of chemicals; excavation; grading
and filling; and erection of any structures.
STATE OF NEW YORK )
SS.
COUNTY OF
c~. the ~ 4.~1 day of FT]~'gJa~in the year 200 ~, before me, the undersigned, a Notary Public in and
for said ~'t~te, pe;sonally'app~~/t~- ,'~,'~ -~ ~" ~ , persoually known to me or proved to me
on the basis of satisfactory evidence to be the person ~hose name is subscribed to the within instrument and
acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the person
or entity upon behalf of which the person acted, executed the instrument.
NOTARY PUBLIC
~c°gml~es
Proposed: Dock
Private Mooring
Surveyed: 04-14-07
SCT# 1000-59-6-9
Situate: Great Pond
Town: Southold
Suffolk County, NY
1' = 30' I
Section
1" = 10'
I/,l~lon~
Boundcm]
All cor~f.r'~¢tlon
mc~f,~r'Ic~l ~rom
opproved list
Proposed Timber Dock
4' x 28' (min. 3.5' abv. gr.) Ramp
4' x 4'
posts
9' o.c.
'8' penet.
6" dia.
anchor
piles
Float
5' x18'
exist:.
k:~tm.
SEA
LEVEL
MAPPING
631-722-3390
P.O. Box # 538
Rbefhead, NY
ROBERT H. FOX
NYS PLS~ 50197
NOTICE COVENANT TO THE DEED
DECLAIt;ATION
THIS DECLARATION, dated ~ day of
ismadeby P~,~_.! ~ ~a , ~ ~
,200 ~.~_,
, (hereimffi~r the "D~larant"),
whose address is
WITNESSETH
WHFJl.EAS, the Declarant is the owner of certain mai property located in the Town of Southold, County of
Suffolk, State of New York, (DistricttOo~, Section ~ , Block [, , Lot~ ~' t¥ ) which mai property is more
particularly der, cribed in Schedule A ~nnexed hereto (hereinafter referred to as thc "property"); and
WHEREAS, the Property is situated in or adjacent to regulated freshwater wefland~ 80-5 of the Southold
Quadrangle, whic~h have been inventoried and mapped bythe New York State Department ofF. nvironmental Conservation
(hereinafter "Department"), pur~mnt to Enviromental Conscrvarion Law (heroinaft~"ECL") Article 24 (also known
as the "Freshwater Wetlands Act'') and Part 664 of Title 6 of the New York Code of Kulas and Regulations (hereinafter
"6 NYCRR"); and
WHEREAS, various a~tivities conducted both in and adjacent to freshwate~ wetlands am regulated by the
Department pursuant to ECL Article 24 and Part 663 of 6 NYCRR and require written authorization from the Department
prior to being conducted;
NOW, THEREFORE, in recognition of the Department's jurisdiction as set forth above, it is the responsibility
of a party having any right, rifle, or interest in the Property, to obtain from tho De~%m~nt or any succorer or~ni~ation,
a current description of all affdvitie~ which are regulated pursuant to ECL Article 24 and Part 663 of 6 NYCRIL and to
obtdn written authorization from the Department prior to such regulated avtivitiez bein§ conducted on the Properly.
Regulated activitiez include, but are not limited to clearing of vegetation; appliczlion of chemiC; excavation; ~-ading
STATE OF NEW YORK ).. /~'"':'?ll,,,,/i///
on the basi~ of ~afisf~etory evidenc~ to be the pe~on ~th~e name is ~ubz~ribed to the within inslnmm~ and
acknowledged to me that ho c, xcovt~l tho same in his capacity, and that by his signature on the instrument, the person
or entity upon behalf of which the pm'son acted, executed thc immm~cnt.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
# 0346C
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 TI~USTEES /// f~'~'~ t ~
Tow oFso .oLD
CERTIFICATE OF COMPLIANCE ~~
~ Date Au_A._~g~ 2008
THIS CERTIFIES that the placement of mulch, installation of a sprinkler system, removal of
select trees, new shed, and propane tank
At 7617 Soundview Ave., Southold
Suffolk County Tax Map #59-6-14
Conforms to the application for a Trustees Permit heretofore Fded in this office
Dated 9/7/07 pursuant to which Trustees Wetland Permit//.6715A Dated 9/19/07 was
issued, 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 placement of mulch, installation ora sprinkler system, removal of select trees, new
shed an__~5~_ane tank.
The certificate is issued to PAMELA MAINO & RICHARD JOHNSON owners of the
Authorized Signature
,I
O59
F,,A T .POND
(LEErONS LAKE)
~/o/~
TOWN OF $OUTHO£D
(UNDER~ROUN~ LAND)
'%.
4,
SURVEY OF PROPERTY
SITUATED AT
SOUTHOLD
TOWN OF' $OUTHOLD
SUFFOLK C:OUNTY~ NEW YORK
S.C:. TAX No. 1000-59-06-09
1000-59-06-14
SCALE 1'=20'
APRIL 5, 2007
AREA DATA
1000-59-06-09 52,204,35 sq. fl.
(TO TIE LiNE ON 04/05/2007) 0.739 ac.
1000-59-06-14 10,945.14 sq. ft
(TO TIE UNE ON 04/03/2007) 0.251 ac.
TOTAL 45,149.49 scl. ft
(TO T~E UNE ON 04/03/2007) 0.990 ac.
CERTIFIED TO:
RICHARD JOHNSON
PAMELA JOHNSON
PECONIC ABSTRACT, AS AGENT FOR
ABN AMRO MORTGAGE GROUP INC.
FIDELITY NATIONAL TITLE INSURANCE COMPANY
NOTES:
I, ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS:~
EXISTING CONTOUR LINES ARE SHOWN THUS:
F FL - FIRST FLOOR
2. THESE PROPERTIES ARE IN FLOOD ZONE AE (EL 11)
FLOOD INSURANCE RATE MAP No. $6105C0154 G
ZONE AE' BASE FLOOD ELEVATIONS DETERMINED
AS SHOWN ON
/
THE EXISTENCE OF RIGHT DF WAYS
AND/OR EASEMENTS Or RECORD, IF
A~Y, NOT SHOWN ARE NOT GUARANTEED.
PREPARED IN ACCORDANCE WITH THE MINIMUM
IS FOR 'qTLE SURVEYS A~ ESTA~LLSHED
By IALS ~ND APPROVED AND ~OPTED
N.Y.S Lic, No 49668
A. Ingegno
Land Surveyor
PHONE (651)727-2090
Fax (631)727 1727
GRNA T POND
(LE£TONS LAKE)
×9.
/
SURVEY OF PROPERTY
SITUA TED A T
SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLN COUNTY, NEW YORK
S.C. TAX No. 1000-59-06-09
1000-59-06-14
SCALE 1"=20'
APRIL 3, 2007
AREA DATA
1000-59-06-09 52,204.55 sq. fl.
0 TIE LINE ON 04/03/2007) 0359
1000-59-06-14 10,945.14 sq, fi.
0 TIE LINE ON 04/03/2007) 0.251 ac.
TOTAL 45,149.49 sq. fi.
TO TE LINE ON 04/03/2007) 0,990 ac.
C~'RTIFIED TO:
RIONARD JOHNSON
PAMELA JOHNSON
PECONIC ABSTRACT, AS AGENT FOR
ABN AMRO MORTGAGE GROUP INC.
FIDELITY NATIONAL TITLE INSURANCE COMPANY
TO N.G.V.D. 1929 DATUM
1. ELEVATIONS ARE REFERENCED
EXISTING ELEVATIONS ARE SHOWN THUS:
EXISTING CONTOUR LINES ARE SHOWN THUS:
2. THESE FROPERTIES ARE IN FLOOD ZONE AE (EL 11) AS SHOWN ON
FLOOD INSURANCE RATE MAP No, 56105C0154 G
ZONE AE: BASE FLOOD ELEVATIONS DETERMINED
/ / +
A. Ingegno
Land Surveyor
Fox (631)727-1727
PHONE (6bl)727-2090