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Home My WebLink AboutTR-7703 James F. King,President OF so�Ty Town Hall Annex Bob Ghosio,Jr.,Vice-President �O� �� 54 Main Road P.O.. Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer co Michael J. Domino ' iTelephone(631) 765-1892 Fax(631) 765-6641 �'YOOUNTY,�c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #0811C Date: October 9. 2012 THIS CERTIFIES that the replacement of upper section of CCA timber retaining wall with concrete retaining wall and brick cap on existing concrete footing at rear of property; increase existing 3' non-turf buffer to 6'• with the condition that the 6' non-turf buffer is to be established and subsequently maintained with indigenous plant species At 120 Atlantic Avenue Greenport New York Suffolk County Tax Map # 34-5-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated November 18, 2011 pursuant to which Trustees Wetland Permit#7703 Dated December 14, 2011,was issued and Amended on May 16. 2012 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 replacement of Over section of CCA timber retaining wall with concrete retaining wall and brick cap on existing concrete footing at rear of property; increase existing 3' non-turf buffer to 6'• with the condition that the 6' non-turf buffer is to be established and subsequently maintained with indigenous plant species. The certificate is issued to RICHARD E. WRIGHT SPECIAL NEEDS TRUST owner of the aforesaid property. Authorized Signatu •e 0 • Jill M. Doherty,President *QF SO(/ry Town Hall Annex James F. King,Vice-President ,�0� 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971.0959 Bob Ghosio,Jr. H �e John Bredemeyer �0 Telephone(631) 765-1892 co Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: (�)'• / -3 . Ya/ 2-- Ch. Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 151 day of construction % constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: 0 i James F.King,President �SOFF944, � Town Hall,53095 Main Rd. Bob Chosio,Jr.,Vice-President P.O. Box 1179 Dave Bergen y = Southold,NY 11971 JohnBredemeyer �y R� Telephone(631)765-1892 Michael J. Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: / Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 15t day of construction % constructed Project complete, compliance inspection. INSPECTED BY: 2 - � ! > COMMENTS:AM. n�AO CERTIFICATE OF COMPLIANCE: 0 0 James F. King,President ��of sooryo Town Hall Annex Bob Ghosio,Jr.,Vice-President �0 l0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q • �O Telephone(631) 765-1592 Michael J. Domino O�yCOU N Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 16, 2012 Mr. Bruce Anderson Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932-2003 RE: RICHARD E. WRIGHT 410 ATLANTIC AVE., GREENPORT SCTM#34-5-3 Dear Mr. Anderson: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., May 16, 2012: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit #7703 to remove all reference to the existing 9' buffer on the adjacent property. This is not a determination from any other agency. Sincere , o'� Jam F. King, Presid t Board of Trustees JFK:Ims James F.King, President �a So(/jy Town Hall Annex 54375 Main Road Bob Ghosio,Jr.,Vice-President ,`O "to P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer H Michael J. Domino • �O Telephone (631) 765-1892 p� � Fax(631) 765-6641 �COU ' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 16, 2012 Mr. Bruce Anderson Suffolk Environmental Consulting, Inc. PO Box 2003 Bridgehampton, NY 11932-2003 RE: RICHARD E. WRIGHT SPECIAL NEEDS TRUST 120 ATLANTIC AVENUE, GREENPORT SCTM# 34-5-3 Dear Mr. Anderson: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, May 16, 2012: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit#7703 to remove all reference to the existing 9' buffer on the adjacent property. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, James F. King President, Board of Trustees JFK:amn BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7703 DATE: DECEMBER 14, 2011 ISSUED TO: RICHARD E. WRIGHT SPECIAL NEEDS TRUST PROPERTY ADDRESS: 120 ATLANTIC AVENUE, GREENPORT SCTM# 34-5-3 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 14.2011, and in consideration of application fee in the sum of$250.00 paid by Richard E Wright Special Needs Trust and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to replace upper 2'x44' section of CCA timber retaining wall with 2'x44' concrete retaining wall and brick cap on existing 2'x44' concrete footing at rear of property; increase existing 3' non-turf buffer to 6'; existing 9' buffer on adjacent property in front of wall plus addition will yield a total of 15' buffer; with the condition that the 15' non-turf buffer is to be maintained and indigenous plant species are to be planted within buffer area; and as depicted on the site plan prepared by Suffolk Environmental Consulting, Inc., last dated November 17, 2011, and stamp approved on December 14, 2011. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. '� J n Bredeme• er — Recused TERMS AND CONDITIONS The Permittee Richard E Wright Special Needs Trust residing at 120 Atlantic Avenue, Greenport, New York as part of the consideration for the issuance of the 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 of 24 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 of the 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 Southold 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. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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 �oF sours Town Hall Annex Bob Ghosio,Jr.,Vice-President �� OCG 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer u+ ,c Michael J. Domino �O Telephone(631) 65-1892 O��OONTI,�c� Fax(631) 765--6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 14, 2011 Bruce A. Anderson Suffolk Environmental Consulting, Inc. PO Box 2003 Bridgehampton, NY 11932 RE: RICHARD E. WRIGHT SPECIAL NEEDS TRUST 120 ATLANTIC AVENUE, GREENPORT SCTM# 34-5-3 Dear Mr. Anderson: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 14, 2011 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of RICHARD E. WRIGHT SPECIAL NEEDS TRUST 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 November 18, 2011, 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 December 14, 2011, 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 RICHARD E. WRIGHT SPECIAL NEEDS TRUST to replace upper 2'x44' section of CCA timber retaining wall with 2'x44' concrete retaining wall and brick cap on existing 2'x44' concrete footing at rear of property; increase existing 3' non-turf buffer to 6'; existing 9' buffer on adjacent property in front of wall plus addition will yield a total of 15' buffer; with the condition that the 15' non-turf buffer is to be maintained and indigenous plant species are to be planted within buffer area; and as depicted on the site plan prepared by Suffolk Environmental Consulting, Inc., last dated November 17, 2011, and stamp approved on December 14, 2011. 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: $0 Very truly yours, iM. Doherty ident, Board of Trustees JMD/amn • CC# : C12-33749 ' r4 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK -- I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 08/29/2012 under Liber D00012703 and Page 591 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 08/29/2012 SUFFOLK COUNTY CLERK �ii,dcr.C. Q. JUDITH A.PASCALE SEAL AUG 3 0 2012 I Sauthho!' ?ran DECLARATION OF COVENANTS THIS DECLARATION made this `j� day of rn�R(L 2012, by RICHARD WRIGHT SPECIAL NEEDS TRUST,located at 410 Atlantic Avenue, Greenport, New York 11944,hereinafter referred to as "DECLARANT": WITNESSETH : WHEREAS, the DECLARANT is the owner of a certain real property located on 410 Atlantic Avenue, Greenport, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 34, Block 5, Lot 03, which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT therefore has made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 6 foot non-turf buffer along the landward side of the retaining wall; and NOW, THEREFORE, the DECLARANT does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained adjacent to the retaining wall a 6 foot "non-turf buffer" planted with indigenous plant species, as defined by Chapter 275 of the Town Code; and 2) These covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF„ the gwner(s) has/have duly executed this instrument this y-tom day o 2012. RICHARD WRIGHT SPECIAL NEEDS TRUST BEVERLY'A. BREDEMEYER,Trustee STATE OF NEW YORK) : ss.: COUNTY OF SUFFOLK) : On the`1 day ofAni in the year 2012, before me, the undersigned personally appeared BEVERLY A. BREDEMEYER, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual or the person upon behalf of which the individual acted, executed the instrument. ICit'1��J1 - NOTARY PUBLIC �NMWWAM NanY' Ctnifiedeiul�60ra " L 2 SCHEDULE A SCTM No. 1000-34-5-3 ALL that certain plot, piece or parcel of land, lying and being in the Town of Southold, County of Suffolk and State of New York, particularly identified as Lot Numbered 3 on a certain Map entitled"Map of the Claudio and Buckley Properties" and filed in the offices of the Suffolk County Clerk as Map No. 481. T121 Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit 3 0 or EA-5217 (County) Sub Total Spec./Ado. EA-5217(State) TOT.MTG`TAX � R.P.T.S.A. Dual Town Dual County Held for Appointment Comm.of Ed. 5. 00Qj%aAA�N Transfer Tax Affidavit Mansion Tax �" - — The property covered by this mortgage is Certified Copy s or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES -or NO Other �-- Grand Total If NO, see appropriate tax clause on � page# of this ins 4 1 Dist. 1000 �� •^- " )0 5 Community Preservation Fund 1000 03400 0500 00300 y Real Property S Consideration Amount $ Tax Service F T Agency F2 RMo J6' CPF Tax Due $ Verification g-AUG-1 Improved 6 Satisfaction-, .. „arges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD Suffolk Environmental Consulting, Inc. TD P.O. Box 2003 Bridgehampton, NY 11932 TD Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DECLARATION OF COVENANTS made by: (SPECIFY TYPE OF INSTRUMENT) RICHARD WRIGHT SPECIAL NEEDS TRUST The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO IntheTOWNof SOUTHOLD TOWN OF SOUTHOI D In the VILLAGE BOARD OF TRUSTEES orHAMLETof GREENPORT BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over MARTIN D.FINNEGAN • • SCOTT A.RUSSELL TOWN ATTORNEY �O��Of SOU OlO Supervisor fi martin. nnegan n town.southold.ny.us rjy JENNIFER ANDALORO Town Hall Annex, 54375 Route 25 ASSISTANT TOWN ATTORNEY # l� P.O. Box 1179 jennifer.andaloro@town.southold.ny.us en Southold, New York 11971-0959 LORI M.HULSEO Telephone (631) 765-1939 ASSISTANT TOWN ATTORNEY l�Coo r lori.hulse@town.southold.ny.us I�� ,L 1 OFFICE OF THE TOWN ATTORNEY AUG 3 0 TOWN OF SOUTHOLD Rn;cl rel Diane K. Wassick August 21, 2012 Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932 RE: Richard E. Wright, Wetlands Permit No. 7703 Dear Ms. Wassick, 1 have reviewed the Declaration of Covenants draft you submitted to this office with respect to the above referenced application concerning the six foot wide non turf buffer to be established and subsequently maintained with indigenous plant species as depicted on the site plan stamped approved December 14, 2011. The covenants and restrictions document must be executed and filed with the County pursuant to §275-10(K) of the Southold Town Code. Please note that a copy of this document or, in the alternative, a sworn statement attesting to the filing is to be presented to the Office of the Board of Trustees within 90 days of issuance of the permit. Regards, r Lori M. Hu'lVe Assistant Town Attorney Cc: Board of Trustees 0 0 Suffolk Environmental Consulting, Inc. Newman Village, Suite E. 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S.,President - i August 29, 2012 AUG 30 2012 Mr.James King, President Southold Board of Trustees -- P.O. Box 1179 Sruthhenl iurrn Pr,eiG of Trustees Southold, NY 11971 _ -- Re: RICHARD E. WRIGHT svEciAL NEEDSTRusT Property Situate: 410 Atlantic Avenue;Greenport; Town of Southold, NY SCTM#: 1000—034-5—3 Wetlands Permit#: 7703 Dear Mr. King, Per the enclosed correspondence from the offices of the Town Attorney dated August 21, 2012, and as listed in the conditions for approval for the Wetlands Permit listed above, I am enclosing the certified copy of the required Declaration of Covenants and Restrictions filed with the Offices of the Suffolk County Clerk in Liber 12703 page 591. Should you have any questions concerning this matter, please feel free to contact this office at any time. Thank you in advance for your attention and consideration. Sincerely,Diane K. Wassick Encl. MARTIN D. FINNEGAN • SCOTT A.RUSSELL TOWN ATTORNEY q SOpT Supervisor fi martin. nnegan@town.southold.ny.us �. JENNIFER ANDALORO Town Hall Annex,54375 Route 25 P.O.Box 1179 ASSISTANT TOWN ATTORNEY # 1�I jennifer.andaloro@town.southold.ny.us H Southold,New York 11971-0959 At LORI M. HULSE All • �� Telephone(631) 765-1939 ASSISTANT TOWN ATTORNEY COU01 Facsimile (631) 765-6639 lori.hulse@town.southold.ny.us OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD Diane K. Wassick August 21, 2012 Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932 RE: Richard E.Wright,Wetlands Permit No. 7703 Dear Ms. Wassick, I have reviewed the Declaration of Covenants draft you submitted to this office with respect to the above referenced application concerning the six foot wide non turf buffer to be established and subsequently maintained with indigenous plant species as depicted on the site plan stamped approved December 14, 2011. The covenants and restrictions document must be executed and filed with the County pursuant to§275-10(K) of the Southold Town Code. Please note that a copy of this document or, in the alternative, a sworn statement attesting to the filing is to be presented to the Office of the Board of Trustees within 90 days of issuance of the permit. Regards, Lori M. Hu e Assistant Town Attorney Cc: Board of Trustees 0 0 Suffolk Environmental Consulting, Inc. Newman Village. Suite E. 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S.. President May 11, 2012 Mrs. James King, President 1 KU12 Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: RICHARD WRIGHT Property Situate: 410 Atlantic Avenue; Greenport;Town of Southold,NY SCTM #: 1000—034- 5 - s Dear Mr. King, I hereby request an amendment to the issued permit for the property referenced above to delete all reference to the "existing 9-foot buffer on the adjacent property". We are in process of completing a covenant that establishes a 6-foot buffer on the landward side of the retaining wall at the rear property line and obviously, we cannot covenant lands adjacent to subject parcel not owned by the applicant. In addition, please correct the permit to list the property address as 410 Atlantic Avenue. Kindly forward the corrected permit to this office. Thank you in advance for your cooperation. Sincerely, Bruce A. Anderson nuo U YJ(pC � �- 1St V�` �. 4"^V , Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road 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 __ 1st day of construction '~ constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7703 DATE: DECEMBER 14, 2011 ISSUED TO: RICHARD E. WRIGHT PROPERTY ADDRESS: 120 ATLANTIC AVENUE~ GREENPORT SCTM# 34-5-3 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 14, 2011, and in consideration of application fee in the sum of $250.00 paid by Richard E. Wright and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to replace upper 2'x44' section of CCA timber retaining wall with 2'x44' concrete retaining wall and brick cap on existing 2'x44' concrete footing at rear of property; increase existing 3' non-turf buffer to 6'; existing 9' buffer on adjacent property in front of wall plus addition will yield a total of 15' buffer; with the condition that the 15' non-turf buffer is to be maintained and indigenous plant species are to be planted within the buffer area; and as depicted on the site plan prepared by Suffolk Environmental Consulting, Inc., last dated November 17, 2011, and stamped approved on December 14, 2011. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. John Bredem~J- Recused TERMS AND CONDITIONS 10. The Permittee Richard E. Wright, residing at 120 Atlantic Avenue, Greenport, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 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. That this Permit is valid for a period of 24 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. That this Permit should be retained indefinitely, or as long as the said Pennittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 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. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 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. That if future operations of the Town of Southold 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 Pennittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completion of the wOrk authorized. 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. Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 December 14, 2011 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Bruce A. Anderson Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932 RE: RICHARD E. WRIGHT 120 ATLANTIC AVENUE, GREENPORT SCTM# 34-5-3 Dear Mr. Anderson: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 14, 2011 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of RICHARD E. WRIGHT 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 November 18, 2011, 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 December 14, 2011, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the 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 RICHARD E. WRIGHT to replace upper 2'x44' section of CCA timber retaining wall with 2'x44' concrete retaining wall and brick cap on existing 2'x44' concrete footing at rear of property; increase existing 3' non-turf buffer to 6'; existing 9' buffer on adjacent property in front of wall plus addition will yield a total of 15' buffer; with the condition that the 15' non-turf buffer is to be maintained and indigenous plant species are to be planted within the buffer area; and as depicted on the site plan prepared by Suffolk Environmental Consulting, Inc., last dated November 17, 2011, and stamped approved on December 14, 2011. 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: $0 Very truly yours, President, Board of Trustees JMD/eac Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Route 25, P.O. Box I 179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: RICHARD E. WRIGHT Please be advised that your application dated November 18, 2011 has been reviewed by this Board at the regular meeting of December 14, 2011 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50,00) __ Ist Day of Construction ($50.00) __ ½ Constructed ($50,00) XX Final Inspection Fee ($50.00) __ Dock Fees ($3,00 per sq. ft,) 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: Final Inspection Fee - $50.00 TOTAL FEES DUE: $ 50.00 BY: Jill M. Doherty, President Board of Trustees Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., December 7, 2011, the following recommendation was made: Moved by Doug Hardy, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of RICHARD E. WRIGHT to replace upper 2'X 44' section of CCA timber retaining wall with 2'X 44' concrete retaining wall and brick cap on existing 2'X 44' concrete footing at rear of property. Increase existing 3' non-turf buffer to 6'. Existing 9' buffer on adjacent property in front of wall plus addition will yield a total of 15' buffer. Located: 120 Atlantic Ave., Greenport. SCTM#34-5-3 Inspected by: Doug Hardy The CAC Supports the application, however, the proposed work has been completed. Vote of Council: Ayes: All Motion Carried Jill M Dohe~nry, President Bob Ghosio, Jr'., Vice-Pres/dent James F King Dave Bergen John Bredemeyer P.O. Box I 179 Somhold. NY 11971 Telephone (631 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: RICHARD E. WRIGHT requests a Wetland Permit to replace upper 2'X 44' section of CCA timber retaining wall with 2'X 44' concrete retaining wall and brick cap on existing 2'X 44' concrete footing at rear of property. Increase existing 3' non-turf buffer to 6'. Existing 9' buffer on adjacent property in front of wall plus addition will yield a total of 15' buffer. Located: 120 Atlantic Ave., Greenport. SCTM#34-5-3 Typ?6f area to be impacted: ~,~altwater Wetland Freshwater Wetland Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Sound Bay Type of Application: __ Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: . oherty . Ghosio ~ King J. Bredemeyer.__ D. Dzenkowski __other Form filled out in the field by 0 Mailed/Faxed to: Date: -//D. Bergen, WRIGHT Property Situate: ,~10/:[~0 Atlantic Avenue; Greenport; Town of Southold, New York SCTM#: lOOO-Og4--o5-oo~ CO SUFFOLK SUFFOLK Suffolk Environmental Consulting, Inc. Newman Village. Suite E. 2322 Main Street, P.O. Box 2003. Bridgehamptom New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S.. President Janua~ 18,2012 Ms. Jill Doherty, Chairwoman Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Situate: SCTM #: WRIGHT Property 4101420 Atlantic Avenue; Greenport; Town of Southold, NY t000 - 034 - 05 - 003 Dear Ms. Dohedy, As you know, this Firm represents the owner of the property referenced above, who has received approval from the Soufhold Town of Trustees to improve thereon. To satisfy conditions of approval enclosed please find: A check mode payable to your order in the amount of $50.00, to cover requisite final inspection fee. Should you have any questions regarding this matter, please feel free to contact this office at any time. Thank you Jn advance for your attention in this matter. Sincerely, Diane K. Wassick encI. cc: Mr. Wright OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILlNG ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jill Doherty, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: December 12, 2011 Re: Proposed Wetland Permit for RICHARD E. WRIGHT SCTM# 1000-34-5-3 Suffolk Environmental Consulting, Inc. on behalf of RICHARD E. WRIGHT requests a Wetland Permit to replace upper 2'X 44' section of CCA timber retaining wall with 2'X 44' concrete retaining wall and brick cap on existing 2'X 44' concrete footing at rear of property. Increase existing 3' non-turf buffer to 6'. Existing 9' buffer on adjacent property in front of wall plus addition will yield a total of 15' buffer. Located: 120 Atlantic Ave., Greenport. SCTM#34-5-3 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 LWRP. It is recommended that the Board specify what type of indigenous plant species will be planted within the non-turf buffer. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Office Use Only X / Received Application: . ~"-Received Fee:$ %"T~ LB' -.-"'Completed Application: ~ I ! [ ~ ~ II __ Incomplete: SEQRA Classification: __.Type l_ _Type II __ Coordination(date sent). ,/'LWRP Consistency Assessment Form: ~CAC Rel~rral Sent: I I ]l~) Il ~ate of Inspection: I~l ) ] It ~ Receipt of CAC Report: ~ Lead Agency Determination Technical Review: ~ublic Hearing Held: I~] }~1 I~ Resolution: __ Coastal Erosion Permit Application __ Wetland Permit Application Amendment/Transfer/Extension Unlisted_ Administrative Permil Name of Applicant Address New York, NY 10022 RICHARD E. WRIGHT (SPECIAL NEEDS TRUS'I} 410/420 Atlantic Avenue; Greenport, New York 11944 Phone Number: Suffolk County Tax Map Number: 1000 - 034 - 05 - 003 (631) 323 - 2708 Property Location: E/S Atlantic Avenue - 88.0' north of Bridge Street Light Pole # 5 located across street (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: BRUCE A. ANDERSON (& Suffolk Environmental Consulting, Inc. P.O. Box 2003; Bridgehampton, NY 11932 Phone: (631) 537 - 5160 OBoard of Trustees Application GENERAL DATA Land Area (in square feet): 4, 400 square feet + Area Zoning:. R-40 Previous use of property: Intended use of property: Residential Residential Covenants and Restrictions: If "Yes", please provide a copy. Yes X No Does this project require a variance from the Zoning Board of Appeals Yes X No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept. __ Yes X No Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Replace upper ~2.0' x l.~.o' section of CCA timber retaining wall with ~2.0' x concrete retaining wall and brick cap on existing ~2.0' x ~t4..0' concrete footing at rear of property. Increase existing ~.0' non-turf buffer to 6.0'. Existing 9.0' buffer on adjacent property in fi'ont of wall plus this addition will yield total of 15.0' bull[br. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed activity: Repair existing retaining wall with non-toxic materials and increase natural non-turf buffer [or property adjacent to marina. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structures and upland edge of wetlands: 42 feet Closest distance between nearest proposed structures and upland edge of wetlands: 42 feet Does the project involve excavation or filling? X No Yes If Yes, how much material will be excavated? How much material will be filled? Manner in which material will be removed or deposited: (cubic yards) (cubic yards) Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): Project will benefit adjacent wetlands and waters by eliminating potential siltation and contamination from failed CCA retaining wall. Total of 15' non-turf buffer adjacent to pervious road will control yard run-off. N/A Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? How much material will be filled? Manner in which material will be re~noved or deposited: cubic yards) (cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) To: Southold Town Trustees, From: John Bredemeyer, Trustee Re: Wetlands Permit Application Suffolk l~nvironmental Consulting/ Richard E. Wright Special Needs Trust S.C.T.M. 1000-34-05-03 Date: November 15, 2011 Please be advised that since my wife, Beverly, has a fiduciary responsibility and potential property interest in assisting in the Richard E. Wright Special Needs Trust, I will not participate in any board discussion or action in the above referenced matter. Thank you for your understanding in this matter. n M. Bredemeyer III November 15, 2011 cc: Suffolk Environmental Consulting Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM 1000- 034- 05- 003 TI~ FOIA,OWING ACTIONII MAY REQiJ~I~E THE ~OBMIS~ION OF A SCOPE OF WORK - PROPOSED CONSTRUCTION a. What is the Tctat Area of the Project Parcats? (Inck~de Totsl Ama of ell Pamels located within 0.1 acres {he Scope of Work fm Pmpesed b. What is the Total Ame of Land Cieanng e~o~ C~o~d Oistumar~e for the proposed < 0,001 acre. constnA~on activity? PROVIDE BRIEF PROJECT DESCRIPTION Replace upper 2.0' x 44.0' section of £CA timber retaining wall with 2.0' x 44.0' concrete retaining wall and brick cap on existing 2.0' x 44.0' concrete footing at rear of property. Increase existing 3.0' non-turf buffer to 6.0'. Existing 9.0' buffer on adjacent property in front of wall plus this addition will yield total of 15.0' buffer. ITEM # / WORK ASSESSMENT Yes No 1 Will this Project Relaln AIl Stem-Water ~ Generated by a Two (2') Inch P,~nfall on Site? (This item will include e~ run-off created by site clea~ andJo~ co~stmcit~3 ec6vities as well as all Site Improvements end ~ IPem~'m~t c~eatio~ of impervious surfaces) 2 Does ~ sits Plan and/or Survey Show Nt Proposed DraYage Structures Indicat~g Size & Location? This Item shall ir, dude all I:~ Grade Changes and Slopes Cont.re~ing SurMca Water Fhaw 3 a, or erosion and eedimant contro~ pcac~Jces thaL will be used Lo co~th~ site en~k:m and sts~m watur disch~e$ This item must be maintained throughout the Entire Construction Pedod 4 Will this Project Require any Land Fifl~ng, Grading or Excavation where there is a change to ~e Netuml ExisUng Grade Invofv~ mere than 200 Cubic Ya~$ of Material within any Parcel? 5 Witl this A4~plicafion Require Lend D{st.~oing Act~vibes Encompassing an Area in Excess of F~ve Thousand (5,000 SF.) Squere Feel oi C~'~xJnd Sudace? 6 is there a Natural WaLer Course Running th~e~Jh Ihe Site? Is ~ Project within the Trustees jurisdiction o~ within One Hundm<l (100') feel of a We~and o~ Beach? 7 W'dt there be Site preparation on Existing Grade Slopes which Exceed Rltean (15) feet of veflJcal Rise Io One Hundred (100') of Hodzo~at Distance? 8 W'dl Odveways' Parkthg Ames or ether 'mperv~°us Surfecas be Sloped ~ Direct Sto~n.Watsr Run-Off into and/or in the dimc~3n of a Town righl-of-way? 9 this Pro t aequ e m emer of Mate aL ~ / Removal of Vege{atJea and/o~ the ~ of any I I Item Within the Tow~ Right-of. Way or Road Shoufde~ STATE OF NEW YORK, SUFFOLK COUN'IW OF ......................................... SS BRUCE A. ANDERSON @ SUFFOLK , . · ENVIRONMENTAL CONSULTING, INC AGENT And li~;d tw/shc is d~c ..................................................................................................................... Owner ~Wot leprcsemalive ol flit ()~mci or O~nea, ami is duly auffio~ed to la'fl(em or have [~fl~)mled tile ~Jd wolk aid ti~ make m~d file d~is applic~ol~; that MI statements commned in tiffs application ~ ~e to O~e I~st 4 his ~o~ted~e and belief: dial thc work will [~' {a:TfO/HlC~] iH thc fHa~lHc~ sd {}~lh i[~ d~e applicaOon filed he~ ~OR~ - 08/10 Commiss~or, Exp~ J~uary 22, zu I] 14-16-4 (9/95)-Text 12 617.20 PROJECT I.D. NUMBER Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Suffolk Environmental Consulting, Inc. WRIGHT Propert}, 3. PROJECT LOCATION: Municipality Town of Southold County Suffolk SEQR 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc. or provide map) 410/420 Atlantic Avenue: Greenport, NY SCTM#: 1000-034 05-003 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Replace upper ~2.0' x +40' section ofCCA t mber retaining wall with ~2.0' x 44.0' concrete retaining wall and brick cap on existing ~2.0' x ++0' concrete footing at rear of property. Increase existing 5.0' non-turf buffer to 6.0' Existing 9.0' buffer on ae[iacent property in front of wall plus th s add tion will yield total of 15 O' buff'er 7. AMOUNT OF LAND EFFECTED: Initially < 0.001 acres Ultimately < 0.001 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? []Residential r~lndustrial []Commercial [-IAgriculture []Park/Forest/Open space []Other Describe: Similar private single-family dwellings with related appurlenances, and Commercial Marinas. 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENT AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes []No If yes, list agency(s) and permit/approvals 1 1. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If yes, list agency(s) and permit/approvals 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes [] No I CERTIFY THAT THE ~NFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Matt D~l~ns - Snfi6~ll~ Env ronmental Consultin¢, Inc Date: Signature: November 16, 2011 If the action is in the Coastal Area, and you are a sta~e-agency, complete the Coastal I Assessment Form before proceeding with this assessment OVER PART II- ENVIRONMENTAL ASSESSMENT (To be completed by A~encyI A. DOES ACTION EXCEED ANY TYPE I THRESHOLD tN 6 NYCRR, PART 617.127 use the FULL EAF. [] Yes [] No If yes, coordinate the review process and B, WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. [] Yes [] No C. COULD ACTION RESULT iN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surlace or groundwater quality, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archeological, historical or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitat, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or change in use or intensity of use of land or natural resoumes? 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-C57 Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? I-lYes DNo D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If yes, explain briefly PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: 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 (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes, the determination and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. [] Check this box if you have identified one or 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 of Lead Agency Print or Type Name of Responsible Officer Title of Responsible Officer Signature of Responsible Officer in Lead Agency officer) Signature of Preparer (if different From responsible PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. OO~S ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR. PART 617.47 if yes, ceon:linate the revtsw ~ocess and use the FULL EAF. J--1 Yes ITINo B. WILL ACTION RECEIVE COORDINATED REVlEVVAS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative ~edaradun may be superseded by another involved agency. [--J Yes r-~'l No C. COULD ACTION RESULT IN ANY ADVERsE EFFECTS ASSOCIATED WITH 114E FOLLOWING: (Anawem may be handwdifen, if legibfa) C1. Existing air quar~ty, surface or gmandwater qualk'7 or quantity, noise inveis, existing ~raffic patfam, solid waste pfoduc~un or disposal, potential foe erosion, drainage or 11oo6~ng pmbtsms? E,~4ain beefly: C2. Au~Gm~ic, agdcu#uml, archae~loginal, histadc, or other natural or cuffuml resouma$; or mmmunlty or nelghbedmod chamcfar? F-~ln briefly: I C3. ¥,=v,~b~ ~,,i or fauna, tish, ~hellfish or wildlife species, significant habitats, or thmafaned or endangered species? Explain briefly:. C4. A ~,,,i,,idn~'s e,J~G,u plans or goals as ~,T,~a; y adopted, or a change in use o~ Intensity of use of land ~ other natural resources? ;~,.,e,;,~ briefly: C5. Growth, subsequent de~elopmenL or related activities likely to be induced by the pmposad action? F: ,~lq briery: i C8. Long term, shod tenn. cumulalive, or other effects not identif~ed in C1 -C57 Expialn bdelly: C7. ilher impacts Ilnclu~inrd c,~,,~u~ in use of either ~uanti~ or t~pe of enar~}fl Explain bde~: / D. VVILL THE PROJECT NAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL F_ IS ~ | ,~,~, OR IS THERE UKELY TO BEl CONTROVERSy RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ~es ~;ab,: PART III - uc ~ =~MINATION OF SIGNIFICANCE (To be completed by Agency) . INSTRUCTIONS: F~reachadvemee~ectldentiflddabeve~detenninewbether~t~s~ub~tan~ia~arge~mpor~N~r~$~n~ Each effect should be assessed in oonnecfion wilh its (a) selting (i.e. u~an or mini); (b) prabebllity of oocunlng; (c) duration; (d) Irrevereibility; (e) ge~ scope; and (f) magnitude. If neoessary, add attachments or refemnco aup~ materials. Ensure Ihat explanations oontaln sufficient detati to show that all relevant advorse in,pacts have been identified and ~ ~. ff qUeStion d of part il was cbecked WILL NOT re-~tt in any significant adve~e environmental Impaofs AND provide, on alfachments as ne~ssary, the masons suppodlng determination. Board of Trustees Name of Lead Agency / r Date Jill M. Doherty ~Pdnt or Type~Narne~ of Respensibl? Officer in Lead Agency S~a[~e of Res~o'~e O~er in Lead Agenc~ President Title of Responsible Officer Signature of Preparer (If different from responsib.~ offioer) Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (63 I) 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 RICHARD E. WRIGHT COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I,~¢.(E,~.~A/J.'~_~z,J , residing at/dba being duly sworn, depose and say: / That on the day of ,201, I personally posted the property known as by placing the ~oa~d of Trustee~ official poster wl~ere it carl emily 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 Wed~ December 14~ 2011 on or about 6:00 PM. Sworn to before me this Note Ptblic Not, r : ~, York Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street. P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537 5160 Fax: (631) 537-5291 Bruce Anderson. M.S., PresMent December 5, 2011 Ms. Lauren Standish Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Situate: SCTM #: Wright Property 410/420 Atlantic Avenue; Greenport; Town of Southold, NY 1000 - 34-5-3 Dear Ms. Standish, As you know this Firm represents the owner of the property referenced above who is seeking to improve thereon. As per the hearing requirements of the Southold Board of Trustees I enclose herewith: Affidavits of Mailing dated December 1,2011, with certified receipts attached to all abutting property owners. Please be advised that we will forward to you the green receipts cards as we receive them. Should you have any questions concerning this matter, please feel free to contact this office at any time. Thank you in advance for your attention and consideration. Sincerely, Diane K. Wassick enc. cc: Mr. Wright Name: Michael & Nancy Colt Keith & Barbara Radich Brewer Yacht Yard Peter Kruk PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: 406 Atlantic Avenue; Greenport, NY11944 3005 Ole Jule Lane; Mattituck, NY 11952 500 Beach Road; Greenport, NY 11944 P.O. Box 553; Greenport, NY 11944 STATE OF NEW YORK COUNTY OF NEW YORK Diane K. Wassick c/o Suffolk Environmental Consultingf Inc., residing at 2322 Main St.; New~n Village Suite E; P.O. Box 2003; Bridgeh.am~tonf NY 11932 rbeing duly sworn deposes and says that on the /~ day of~, 2011, 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 their 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 Brid~eham~ton , that said Notices were mailed to each of said persons by {certified) (registere~) mail. Sworn to before me this I-~- day of~'~4~.~, 2011 Not~ ~' , ' ~ York Postage $ Certified Fee Return Rece pt Fee (Endorsement Required) Restricted Delivery Fee (Endomement Required) Total Postage & Fees or PO BOX NO, Board of Trustees Application County of Suffolk State of New York BRUCE A. ANDERSON - Suffolk Environ. Consulting~ Inc. BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE 1S 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 AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMELESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY BIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(SO, TO ENTER~NTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION~~ EW ~L]~~ OF THIS LICA O . Signature ~ SWORN TO BEFORE ME THIS /~/"t~ DAY OF~, 207~_ Matthew D. Ivans Notary Public o! New York No 0 Ousitfied in Suf!olk County Commission Expires January 22, 20 l ~ard of Trustees Applicati AU'r~ORIZATION ~, ~ (where the, applicant is not (print owner of property) (mailing address) do hereby authorize~[~ (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ( O~er' s signature~ ~3 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE. FORM The Town of Southold's Code of Ethic~ prohibits conflicts of interest on the ~yar~ of town Officers and cmoloYe~. TI~ ouroo~ of thi~ f~rm is to provide information which can ale~ the town of oos~ibl6 conflicts of interest and allow it to ta~ whatever action void . · (Last nam% tirzt name, ~niddle initial, unless yOU are applying m me name or someone else or otber cnfity, soch as u company. If so, indi~.fi~le o~har person's or compony's name.) NAME OF APPLICATION: (Cheek all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (] f"Otheff, 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, nlarriagn, or business interest. 'Business interest" means a business, including a partnership, in which the town officer or employee bas 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 ~N~ NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name of ~erson employed by tl~Tow~ of Sou3hold'd'd'~t~x Title Or position of that person ~4[~c2~1c~_. Describe the relationship between yourself(the applicam/agent/representotive) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the spa~e provided~ The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% oftha shares of the corporate stock of the applic0nt (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, paflnei', or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitte kthis clavof :: .C -- Sign .. 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 Area. 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 ama (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. 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: 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# 034 05 003 The Application has been submitted to (check appropriate response): Town Board [] Planning Dept. [] Building Dept. [] Board of Trustees [] Zoning Board of Appeals [] l. 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 extent of action: Replace upper a.O' x ~}~.0' section of CCA timber retaining wall with ~.0' x ~}.0' concrete retaining wall and brick cap on existing e.O' x ~,{.0' concrete footing at rear of property. Increase existing 3.0' non-turf buffer to 6.0'. Existing 9.0' buffer on adjacent property in front of wall plus this addition will yield total of 15.0' buffer. Location of action: Site acreage: 410/420 Atlantic Avenue; Greenport~ NY 11944 0.1 acre +- Present land use: Improved with single family dwelling & related appurtenances Present zoning classification: 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: RICHARD E. WRIGHT {SPECIAL NEEDS TRUST) (b) Mailing address: P.O. Box 245; Orient, NY 11957 (c) Telephone number: Area Code ( 631 ) 323 - 2708 (d) Application number, if any: N/A Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No [] If yes, which state or federal agency?. 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 This application is for the minor reconstruction of an ex st n.q retainin~l wall. Due to the extremely minor nature of this proiect, no impact to any condition or quality within the Town of Southold will result from the minor nature of this activity. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section Ill - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No [] Not Applicable This application is for the minor reconstruction of an ex st n.q reta n n~l wall. Due to the extremely minor nature of this proiect, no impact to the historic and/or archaeo o.qical resources within the Town of Southold will result from the minor nature of this activity. 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 5 through 7 for evaluation criteria [] Yes [] No [] Not Applicable This application is for the minor reconstruction of an existin.q reta n n.q wall. Due to the extremely minor nature of this proiect, the visual quality and scenic resources will be maintained. 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 Pages 8 through 16 for evaluation criteria [] Yes [] No [] Not Applicable This application is for the minor reconstruction of an exist n.q retainin.q wa Due to the extremely minor nature of this proiect, life, structures and/or natural resources will not be lost as a result of this minor activiN. Attach additional sheets it' 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 [] Not Applicable This application is for the minor reconstruction of an existin.q retan n.q wall. Due to the extremely minor nature of this proiect, no impact to water quality and/or water supply is anticipated as a result of this minor activity. 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 Applicable This application is for the minor reconstruction of an existin.q retainin.q wall. Due to the extremely minor nature of this project, no impact to the local ecosystem is anticipated as a result of this minor activity. 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 This application is for the minor reconstruction of an existin,q retainin~q wall. Due to the extremely minor nature of this proiect, no impact to air quality is anticipated as a result of this minor activity. 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 This application is for the minor reconstruction of an existin.q retainin,q wall. Due to the extremely minor nature of this proiect, no solid waste and/or hazardous substances/wastes were associated with this minor activity, Attach additional sheets if necessary 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 [] Yes [] No [] Not Applicable This application is for the minor reconstruction of an ex st n,q reta n n,q wall. Due to the extremely minor nature of this proiect, no existin,q public access within the surround n,q area has been impacted by this minor proiect, Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria [] Yes [] No [] Not Applicable This application is for the minor reconstruction of an existin,q retaining1 wall, This activity is not applicable to water-dependent uses. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town Waters. Sec LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria [] Yes [] No [] Not Applicable This application is for the minor reconstruction of an existin,q retainin,q wall, Due to the extremely minor nature of this proiect, no impact to marine resources is anticipated as a result of this minor activity. 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 This application is for the minor reconstruction of an existin.q retan n,q wa Due to the extremely minor nature of this proiect, no impact to a~ricultural lands is anticipated as a result of this minor activity, Attach additional 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 [] Not Applicable This application is for the minor reconstruction of an existin.q reta n n,q wa Due to the extremely minor nature of this proiect, no use and/or development of ener,qy and mineral resources is associated with this minor activity. Attach additional sheds if necessary Created on 5/25/05 11:20 AM Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM 1000- 034- 05- 003 SCOPE OF WOR~ - PROPOSED CONb-illUCTION rll~M# / WORKA~E,.~MENT I Y~ No L ~lbtheTo~alAmaoftheProjeclP.~? 1 Willth~Projec~RelalnAISIon~-WMa*'Run~ (I~-----''je To~I A~ ol M pmme~ Io'~'~ wlll~ 0.1 acres Qem~Ymd by a Two (2') In~ I~In~l on ~lle? Ihe ~ ol Wo~ for Pm~:~ed C. oestmcSion) b. Villa( b Ihe Tolal A~a o~ Land (~ (s F /A,v~) (I~IS Item vdll Inciu(k~ MI nJn-olf crested by ~/~e ,K~#CN' Gm. nd D~b~bance k)r ~ p~oo~ < 0.001 acre, I~OVIDE BRI~ PROJF.~"T DF.~SCRIFJ!ON 4Pm*S,~wdP~*e~sNmsm Kern sh3dl Indode d I~.:-~; _-~_ _ Gr~e C~nges end ~eplace upper 2.0' x 44.0' section of CCA timber ~~~w~. retainin~ wall with 2.0' x 44.0' concrete retaJninp 3 wail and brick cap on existin~ 2.0' x 44.0' concrete ~~,,,~m~ iootin~ at rear o~ property. Increase existJn~ 3.0' non-turf buffer to 6.0'. Existing 9.0' buffer on 4 ~R~~.~ adjacent prope~y in front of wall plus this addition ~~a~~ will yield total of 15.0' buffer. ~~~y~ (5.~ S,F.) ~ ~ ~~: ~H~ (I~)~aW~ ~~~~~(~)~ ~H~(I~~? ~'A~ O~ N~ YO~ SUFFOLK BRUCE A. ANDERSON ~ SUFFOLK , ENVIRONMENTAL CONSULTING, INC --. , , AGENT ~ ~t h~shc is ~e ~er ~or ~p~n~five of ~e O~er or OM~en, ~d is duly au~o~d · at ~e ~rk ~11 ~ ~ffonned in ~e m~ncr ~t fo~ in ~e ~pli~on FORM - 06/10 Commissior, Ex[ Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003. Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S.. President Hand Delivered November 17, 2011 Ms. Jill Doherty, Chairwoman Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Situate: SCTM #: 410/420 Atlantic Avenue; Greenport; Town of Southold, NY 1000 - 0~4 - O5 - OO3 Dear Ms. Doherty, This Firm represents the owner of the above referenced property, who is seeking approval for the reconstruction of a retaining wall thereon. In that the property is situated within proximity to wetlands, a wetlands permit from your Board is required. Please find attached: (1) Town of Southold Trustees Wetlands Permit Application (original and two [2] copies); (2) Short Environmental Assessment Form (original and two [2] copies); (3) Local Waterfront RevitaliTation Program application (original and two [2] copies); (4) Town of Southold Erosion, Sedimentation & Storm-Water Run-Off Assessment Form (original and two [2] copies); (5) Location Map for reference (three [3] copies); (6) Photographs of the activity (three [3] sets); Hammarth/ (7) Project Plan, prepared by SUFFOLK ENVIRONMENTAL CONSULTING, INC., dated November 17, 2011, indicating project specifications (three [3] prints); (8) Survey of subject property, prepared by PECONIC SURVEYORS, P.C., last dated September 3, 2009, indicating the conditions thereon (three [3] prints); (9) Cheek made payable to the Town of Southold in the amount of $250.00 covering the requisite application fee. Kindly commence the review of this application and schedule before the next available Town of Southold Board of Trustees meeting. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time. Thank you in advance for your cooperation. Sincerely, Matt D. Ivans attachment cc: R. Wright WRIGHT Propertf Situate: 41o/4~o Atlantic Avenue; Greenport; Town of Southold, New York ~ SCTM #: 1000 - O~q4 - 05 - 005 CROSS-VIEW Scale: 1.o": 1.o' + ~a.0' to wetlands t .'/;N OF SOUTHOLD BRICK CAP ESTABLISHED NON- DISTURBANCE~NON- FERTILIZATION BUFFER (s.o' w) PROPOSED NON- DISTURBANCE/NON- FERTILIZATION BUFFER (s.o' w) MARINA PARKING (P~,'o,,~ ESTABLISHED NON- DISTURBANCE/NON- FERTILIZATION BUFFER (~.(w) Date: Scale: Drawn by: Comments: November 17~ zol 1 mcli SUFFOLK ENVIRONMENTAL CONSULTING, INC. P.O. Box 2003 · Brict0ehompton ° NY · 11932 {631) 537-5160 [phone) ~ [631) 537-5291 Ifacsimile) OF N AREA=4,400 SQ. FT. bO~ ~ tOY 2 SURVEY OF PROPERTY IN THE VILLAGE OF GREENPORT TO ~FN OF SOUTHOLD SUFFOLK. COUNTY, N. Y. 1000-34-05-03 SCALE: i'--20' AUGUST 19, 2009 SEPTEMBER ,3, 2009 {PROPERTY CORNERS SET) ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 72090F TH[' NEW YORK STATE EDUCATION LAI'~ EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. CERTIFIED TO: R/CHARD E. WRIGHT SPECIAL NEEDS TRUST LOT NUMBERS REFER TO "MAP OF THE CLAUDIO AND BUCKLEY PROPERTIES" FILED IN ~.._~FOLK COUNTY CLERK'S OFFICE ON JANU/~.~d~AS P.o. sox ~o~ 12~0 T~AV~LER ST~EET~ SOUTHOLD, N.X 11971