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Home My WebLink AboutTR-7873 James F. King, President *Of SOTown Hall Annex O~ 54375 Main Road Bob Ghosio, Jr., Vice-President ~Q P.O. Box 1179 Dave Bergen * * Southold, New York 11971-0959 John Bredemeyer C Q Michael J. Domino Telephone (631) 765-1892 COUM`I Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0925C Date: November 1, 2013 THIS CERTIFIES that the construction of an 18'x36' in-ground pool: pool fence; pavers around pool consisting of a 4' walk-around area with a 10'x 12' patio- and slate walk from deck stairs to pool. At 570 Maple Lane Mattituck, New York Suffolk County Tax Map # 107-3-3.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated July 24, 2012 pursuant to which Trustees Wetland Permit #7873 Dated August 22, 2012 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 construction of an 18'x36' in-ground pool, pool fence; pavers around pool consisting of a 4' walk-around area with a 10'x12' patio: and slate walk from deck stairs to pool. The certificate is issued to THOMAS CAHILL owner of the aforesaid property. MMy~ Authorized Signature • James F. King, President O~vAfF944, Town Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President O P.O. Box 1179 0 3 Dave Bergen Southold, NY 11971 John Bredemeyer Telephone (631) 765-1892 Michael J. Domino] Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 'l)r T / 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: J COMMENTS: L C)Az~ CERTIFICATE OF COMPLIANCE: Thames C~,s, ~ ll po LaX 7u' 510 Maple 4(w e, y- 1 l~s~ Ma~fi 4-oo At 911013 SOUAold 70-WI) 131L6r~Lof Trusl~eS p o- 803( f l i of a~ cur o~fi"ces -l~.e ahvdc dw~e, ~ Per iru~v -ovts re(,eidej on fly eons frcro~ c vm le~& pled be (jdcliSeX A&f i n ardir ~ P ~f ~ a 6&4 Wt-krl in N~C~roann~ 5Wjmtmf15 pool , ec-- 57o 114 pe IJe UliCl neecL 4v broij in Wraxi,n6k' 416 ~arjs of 41-11 Jo so~4en At slops Ike ark 4A6 Poo 161/14 aamu n - 4A-e- perim44,-r p.~ -H.e, Pool pa-ko, -rhcs -ill apJ. A& ~ ~Gf ~ t' a, ~~-hrl~uG~ sloe sari p of sod- cum loe~ 5ruds u1r 11 &416. ean-Irvl erasion. (a s per aw onyrnwl ~Ppk6(,h0n, iG uJc o F sD yams His been approva-) s sc~~~ aroma 0 0 will he,dont a+ or G-have lie elerrwhen o ff- bl A& nal P' -Illme' 44 ey15f3 jkere, nou TI,,Kyov Ar yoLLr ,promla4" hvn -lam 4Ts ftv- - V°u9 11`4 -'w-~ ~ECEIVE D AUG 1 5 2013 O,L ~Ib i3 Southold own bard of Trustees RN ?UTxt$ & NDSRgEA ~VR Dm M 0c.~S\\\`\ S dr ear ~ \ \ \ \ ~ \ You. H\~ \ \ \ \ \ \ \ t t59~ \ y r1 ;'vt~ 326 Yo ~a 3~ 4 ~S \ \ i\ t55 ~ i\ yo/8j ~ ~ 6 S hy. ,t Iz~ \I 11 1 \ \ \ _ 1 1 1 1 1 \ i Oas f~~w \ \ \ \ \ lo S. ' Y wPtF~ VIE" ~ /mom 1 = / 1 \ \ \ \ \ \1 M\nE ~66.d . s~ : : 1 S~ ~7 17 ~ I \ ~ I I I I II 1\ 1. \ - 28 1 1 I 1 \ z ~ ~~9 w # 3 ~z ti { ~.Sn x 4 a 3 i M Q1, o<, E x x~.. yt ar . : t a ~ r~ i as ~ r. 41 48 3 n i n , o i em : 07, F.. e Y ice' ~ ~ 59-i• ~ ~ ~ a 4ft s Wo" a i y ,.y ° • low gUFFO(,~ James F. King, President y4~ c0 Town Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President P.O. Box 1179 Dave Bergen Southold, NY 11971 John Bredemeyer~ • Telephone (631) 765-1892 Michael J. Domino 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 1 st day of construction _ % constructed Project complete, compliance inspection - BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK i PERMIT NO. 7873 DATE: AUGUST 22, 2012 ISSUED TO: THOMAS CAHILL i PROPERTY ADDRESS: 570 MAPLE LANE, MATTITUCK SCTM# 107-3-3.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 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 August 22. 2012, and in consideration of application fee in the sum of $250.00 paid by Thomas Cahill and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct an 18' x 36' in-ground pool; pool fence; pavers around pool (4' walk-around with 10' x 12' patio on narrow end of pool); slate walk from deck stairs to pool; and as depicted on the project plan prepared by Thomas Cahill, received on July 24, 2012 and stamped approved on August 22, 2012. i IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. ~~0~$OEFO(,~cG gob Ghosio, Jr. - n nt Irk G ~ ~o C I i TERMS AND CONDITIONS The Permittee Thomas Cahill, residing at 570 Maple Lane, Mattituck, 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. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President ~~oF souryo Town Hall Annex Bob Ghosio, Jr., Vice-President l0 54375 Main Road P.O. Box 1179 Dave Bergen T Southold, New York 11971-0959 John Bredemeyer co Q J. Domino ~O Telephone (631) 765-1892 Michael Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 22, 2012 Mr. Thomas Cahill P.O. Box 775 Mattituck, NY 11952 RE: 570 MAPLE LANE, MATTITUCK SCTM# 107-3-3.1 Dear Mr. Cahill The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 22, 2012 regarding the above matter: WHEREAS, THOMAS CAHILL 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 July 24, 2012, 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 August 22, 2012, 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, 2 • • 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 THOMAS CAHILL to construct an 18'x 36' in-ground pool; pool fence; pavers around pool (4' walk-around with 10' x 12' patio on narrow end of pool); slate walk from deck stairs to pool; and as depicted on the project plan prepared by Thomas Cahill, received on July 24, 2012 and stamped approved on August 22, 2012. 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: $50.00 Very truly yours, )Zjl~ C57-.4 1 James F. King President, Board of Trustees JFK/amn ~~o~gUFFO1r~cPG James F. King, President rA Town Hall Annex Bob Ghosio, Jr., Vice-President u- 54375 Route 25, P.O. Box 1179 Dave Bergen Cy Southold, NY 11971 John Bredemeyer Telephone (631) 765-1892 Michael J. Domino Fax (631) 765.6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ::Bt rna s &a 1'11 Please be advised that your application dated has been reviewed by this Board at the regular meeting of and your application has been approved pending the cor letion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction ($50.00) % Constructed ($50.00) 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 sper--h'0,YN - $5b. Db TOTAL FEES DUE: $~Q Db BY: James F. King, President Board of Trustees pgUFFO(,f • ~o~ cod Peter Young, Chairman Town Hall, 53095 Main Rd. Lauren Standish, Secretary T P.O. Box 1179 'F Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., August 15, 2012 the following recommendation was made: Moved by Audrey Horton, seconded by Doug Hardy, it was RESOLVED to SUPPORT the Wetland Permit application of THOMAS CAHILL to construct an 18'X 36' in-ground swimming pool, fence, pavers patio around pool, 4' walkaround with 10'X 12' patio on narrow end of pool, and slate walk from deck stairs to pool. Located: 570 Maple Lane, Mattituck. SCTM#107-3-3.1 Inspected by: Audrey Horton The CAC Supports the application and recommends the remainder of largest tree closest to the wetland boundary is cut down to the stump, with the stump to remain. Vote of Council: Ayes: All Motion Carried ,,y`' SUFFO(,Y James 1:. Mina, President P.O. Boa 1 179 Bob Ghosio. Jr. Vice-President ~~Z Z Southold. NY 11971 Dave Bergen y Telephone (631 765-1892 John Bredemeyer Fax (631) 765-6641 Michael .1. Domino y~0f '1aa,~ Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: X61 ad ZaIz /3`00 THOMAS CAHILL requests a Wetland Permit to construct an 18'x36' in- ground pool; pool fence; pavers around pool (4' walk-around with 10'x12' patio on narrow end of pool); slate walk from deck stairs to pool. Located: 570 Maple Lane, Mattituck. SCTM# 107-3-3.1 Type of area to be impacted: -Saltwater Wetland -Freshwater Wetland -Sound -Bay i Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: 1_/thapt.275 Chapt. 111 -other Type of Application: j, Wetland -Coastal Erosion -Amendment _Administrative_Emergency Pre-Submission Violation Info needed: y~NF Modifications: Nc - D/~ s>'~ 11f i) Conditions: Present Were: J. King _B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: ,'1 pr ? wH~ct..f `1 . A V ' 7iEaf 1 • Hui is . 'iF,IFvt . ° „ fr• - ii:~ r r. a a ~ r ; 'yam ° w~ 1: t aF]PA~ ~ 7 - pt, ? -1 ' i'~ ,yy1~ F,` 6~.k" y `?.y4~ 7• t ,r~ tax, ~Aw y`,h -~{.i~ : r 1. ~~j. ~ ,,,r i~ ,:~?~a rrM}1, ?ids :~v I,..~•r,~ 'x i- ~~~5•+ ~ -~a•°-~~ y r b• t 1 9 74 •.v 3iL ' ~ s ~ ! ~ ~ ~ ~ x' . ;fit _ r ~ - ~ ',~f { Iffy: S`~y1~}t'~ .V , r~ `F~ • JUL 2 4 2012 N r g.~ rm ,w~P Zliill (Y •Mi Y / rrw m w . y I e u~ 1 f T¢ e "rte. g `r1 ~ E ` "an ~ ~ n o•.,w iie io. I + o " lio ~ $ P • ~ P d p" b + r\~~ ,Stli~ ~ " 1 ~ tf 'V raver Iv A• a "rys n O /~~0 'w 4 ,r p. c4~ I 1 T N +y yy~~ aim ~ gym. •i' ~~i £ ~ ~ 9~. i~~~ e' ~ ~ J•r•.', li r 3 Lr m P r, gam, r P ~ P'P i once COUNWOFSUFFOLK N,.Irrop"Tw , ~nnyeaw ° 107 • OFFICE LOCATION: OF S0(/ryo MAILING ADDRESS: Town Hall Annex h0 l~ P.O. Box 1179 54375 State Route 25 y .1L Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) H ~e Southold, NY 11971 Telephone: 631 765-1935 G • ~O Fax: 631 765-3136 ok~ ~~y00UNTV LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD r MEMORANDUM it 1 0 20'2 ~l Scunn~ic :c..i To: Jim King, President p,ro, 0! hest"s Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: August 9, 2012 Re: Proposed Wetland Permit for THOMAS CAHILL SCTM#1000-107-3-3.1 Note that the Board established a 50 non-disturbance buffer on the parcel in 2007. The action does not encroach into the non-disturbance buffer area. THOMAS CAHILL requests a Wetland Permit to construct an 18'x36' in-ground pool; pool fence; pavers around pool (4' walk-around with 10'x12' patio on narrow end of pool); slate walk from deck stairs to pool. Located: 570 Maple Lane, Mattituck. SCTM# 107-3-3.1 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 Policy Standards and therefore is CONSISTENT with the LWRP. 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 James F. King, President pF saUryo Town Hall Annex Bob Ghosio, Jr., Vice-President h0 54375 Main Road P.O. Box 1179 Dave Bergen 4 4 Southold, New York 11971-0959 John Bredemeyer n Q Michael J. Domino Telephone (631) 765-1892 Fax (631) 765-6641 ~y00UNi'1 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only S l~ LS Coastal Erosion Permit Application ) t Wetland Permit Application Administrative Permit U JUL 2 4 2012 ID Amendment/Trans er/E tension ReceivedApplication: olq 1-, Received Fee:$ S"uthh!J Town Completed Application P "d of Trnstees -Incomplete _SEQRA Classification: Type IType 11 Unlisted _Coordination:(date sent) LWRP Consistency Assessment Form CAC Referral Sent: B Date of Inspection: 61 1_~71JA -Receipt of CAC Rep Art: Lead Agency Determination: -Technical Review: -Public Hearing Held: Resolution: Name of Applicant l CIYI i L11 Address Sib /ti9, _O lc k(ol c PL A c'X 1IJ 119 Sj kt,4 I f 1y Phone Number:( 31) '144143"1 Suffolk County Tax Map Number: 1000- U 13 g 1(e/ /o 7. Property Location: E U m qk 4,16 , ~ti~ta ft 4w K y 5 Z ~I':' -~fsao of( AVM, 14.5+ h6asr_ un qjh+ 5;J6 (provide LILCO Pole distance to cross streets, and location) AGENT: - (If applicable) Address: Phone: d of Trustees Applicatio GENERAL DATA Land Area (in square feet): 1 6 • w S s J j~ Area Zoning: Previous use of property: r6l senhul Intended use of property: res,J nh id Covenants and Restrictions: Yes ___V_No If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes v 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 No Does the structure (s) on property have a valid Certificate of Occupancy ? Yes No 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? No Yes If yes, provide explanation: 5`nti l l ~aSodrt Project Description (use attachments if necessary): 10 4 QU hcL ph ~y X36 ftrxce pagt-s pi ho aat~ , ik pw LA)t Kw ~i u~nci uak I~ u I L paf is Oln r)OLffbO 64- of 0601 Sf ir,& (,G (K 4wm c1e&/K 5YtLv~ fz eo B(W of Trustees Application* WETLAND/TRUSTEE LANDS APPLICATION DATA i)Src"Jlk /ry36 Purpose of the proposed operations: 1r) f~ l i~ n UG. aC DUB , I~X12~ L/~ o"&r-s p~J;fl (wwlKw uruw~ ~~~I v Area of wetlands on lot: square feet Percent coverage of lot: (1 {y v~~ % Closest distance between nearest existing structure and upland edge of wetlands: III feet Closest distance betwe%nearest proposed structure and upland edge of wetlands: VG, 7 feet Does the project involve excavation or filling? No i Yes L11P, If yes, how much material will be excavated? ~~~L How much material will be filled? --U cubic yards Depth of which material will be removed or deposited: 3 ~z (o feet Proposed slope throughout the area of operations: " / 0% L Manner in which material will be removed or deposited: 'l a KCnI 1RF ~w`4 yjvr)t kme -totk 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): nuns BqW of Trustees Application. County of Suffolk State of New York "n VI Y its C - CA I+ I lk BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS ~o DAY OF 20 /a2 Notary Public PATRICIA RICHERT Notary Public State of New York No.3b-4741154 QualifiedinNassau/Suffo Co 'e Commission Expires I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of uthold s Code of Ethics prohibits conflicts of interest on the Dart of town officers and emolovens. The ptrroose of ! this form is to provide information which can alert the town of Ssible conflicts of in[ereat and allow it to take whatever action is necessary to avoid same. - f Ca{,. YOUR NAME: (Last name, first name, t)iiddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Trusting X! Variance Change of Zone Coastal Erosion Approval of plat Mooring Exemption 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 of 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 5N%of the shares. YES NO ~f 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 applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): _A) the owner of greater than 5% of the 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 RELATIONSHIP Submitted th' day of 200 L Signature Print Name -~Vu~F~+ Cv H t L l Form TS I PROJECT ID NUMBER • 61720 ! SEQR 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 3.PROJECT LOCATION: Municipality /•l(~.'((1?\ County 4. PRECISE LOCATION: at Addess and Road I ersectio ,Is. Prominent Ianppmarks etc -or provide map .S7v Ally1G tren& Glut) 01~ ra-fid JWe, 1 U& hou5c- oil ~,JyI I ~rJt I 5. IS PROPOSED ACTION : El New F] Expansion ? Modification /alteration 5. DESCRIBE PROJECT BRIEFLY: 1 I nu 11 / L/~LS -L$k461/ Jill I'r'cun rid ~icUCl S iozu"11 I- try jy&q, yRr_k jutrb tjw_ bik VJAy16&J t-Tk( p~~S T AMOUNT OF LAND AFFECTED: Initially 5w l1 Ultimately acres & WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? I W yes ? No If no, describe briefly: 9 .WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential ? Industrial ? Commercial ?Agriculture ? Park / Forest / Open Space ? Other (describe) i 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NbW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) 1z Yes No If yes, list agency name and permit / approval: i4iN ecmit, 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ?Yes ICI No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATIOLN? es No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / S nsor Name Dale: r~ Signature - / /il by If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT To be completed b Lead Agency) A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. Yes 21 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. E] Yes 0 No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: 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-C5? Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy? Explain briefl : E D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CFA? It es explain briefl : ElYes No E. IS THERE, OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es explain: Yes 91 No F7- - I PART 111- 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 of significance mustevaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box dyou have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FU 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 adio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Board of Trustees p VCs fQ Zo/Z Name of Lead Agency ~ Date j )I km 1 S /Ck Kl IJ jy President p Print or Type Name of Responsible Officer in L d Agency Title of Responsible Officer Sign re of Responsible Officer in Lead A e Signature of Preparer (If different from responsible officer) e~k Town of Southold I Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. a: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ~N4 *all STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN TI- Teel orn- -grmrr -C t CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located Within Generated by a Two (2") Inch Rainfall on Site? the Scope of Work for Proposed Construction) (S.F. / Acres) (This item will include all runoff created by site v/ ? b. What is the Total Area of Land Clearing n clearing and/or construction activities as well as all - and/or Ground Disturbance for the proposed 3W ® Site Improvements and the permanent creation of construction activity? impervious surfaces.) (s.P.lAgea) ? 2 PROVIDE BRIEF PROJECT' DESCRIPTION (Provide Addebnd Pries u Ne dab Does the St Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This V/ 560 Item shall Include all Proposed Grade Changes and - DV.c~eo V I/I ,?'IAo VIM/L Slopes Controlling Surface Water Flow. [ 3 Does the Site Plan and/or Survey describe the erosion ? _ i m MMldq O0 L / l I V 'X U, and sediment Control practices that will be used to control site erosion and storm water discharges. This Y(L~ ' S rr~Gl / Simi. l)1LiL;l r"'rYL item must be maintained throughout the Entire ConsWction Period. S IJl yl ' bl K Vl11 y 1 Ce4(kkry1Z{z1 4 Will this Project Require any Land Filling, Grading or ~bS td F / r/'y f_ I r X h Excavation where there is a change to the Natural ? v/ Existing Grade Involving more than 200 Cubic Yards of material within any Parcel? U ?LrQ, `I~~' 5 Will this Application Require Land Disturbing Activities ? Encompassing an Area in Excess of Five Thousand ? (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the ? Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred (100') feet of a Weiland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one (1) or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes ? - am part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen (15) feet of Vertical Rise to V/ including Construction activities involving soh disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distanc0 the DEC has determined that a SPDES permit is required for stone water discharges. ( SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious ? for Storm Water Discharges from Construction activity -Permit No. GP-0-10-001.1 Surfaces be Sloped to Direct Storm-Water Run-Off 1. The SWPPP shall be prepared prior to the submittal of the NOT. The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2. The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ? required, post-construction storm water management practices that will be used andfm Removal of Vegetation andlor the Construction of any constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit. In addition, the SWPPP shall Area? identify potential sources of pollution which may reasonably be expected to affect the nkb ream will NOT k,clum the tmnnauen m Driveway Aprons.) quality of Storm water discharges. NOTE: If Any Answerto Questions One through Nina is Answered with a Check Mark 3. All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance Is between 5,000 S.F. 81 Am In ares, component shah be prepared by a qualified Design Professional Licensed in New York a Storm-Water, Grading, Drainage A, Erosion Control Plan Is Required by the Town of that is knowledgeable in the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit (NOTE: A Check Mark (.T) andlar Ansvar /or eaN Ooesdon is Required rqr a CompleIs AppYwibn) STATE OF NEW YORK, COUNTY OF SS "That I, _ ~ of~ via;el gyn'iny) fiut~~ being duly sworn, deposes and says that he/she is the applicant for Permit, tivame And that he/she is the (owner, Contractor, Agent, Corporate o ficer. etc) Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application fried herewith. Sworn to before me this; r day of Notary Pub)ic:.../....../L~ (Signafura of Appliant) FORM - 06/10 Notary Public State of New York No. 3b-4741154 Qualified in Nassau / Suff It Co t s Commission Expires PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Apjr-C~" ~utirKolh p(.1 k&. v (04s- 41'wao 7i4h'1I Ljw<rtL "Jhlth Pv "1361! flN f r /uAfh ~Ki l)~153~ eyti AAA. Flory PO 8j X ittT1 tilakhf lc, Ny 11e15kI6hinrr4 ~Su0i4n/,k ISr- Vu 6UX 14> ku~JflfuaO /-'y i6y), ' a Old C~rc/, Ur~C Y STATE OF NEW YORK COUNTY OF SUFFOLK -r6y)4 S (wh ~l l residing at Jllwpie. Mule, /Otk h ucJC _V , being duly sworn, deposes and says that on the day of 20___, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ( I ? Ala N \ that said Notices were mailed to each of said persons by CERTIFIED MAIL/RE RECEIPT. ~vn/I1 Sworn y 1 to before me this o2 AI;A Day of of Zia 20 / n D Notary Public , C 2 2 2012 PATRICIA RICHERT Notary Public State of New York _ No.3b-4741154 - c Qualified in Nassau/ Suff ol Co ti 0s Commission Expires d 3r / 1 Southwest Airlines - Print Boarding Passes and Security Documents Page 5 of 5 • • http://www.southwest.com/flight/viewCheckinDocument.html?disc=0%3A23%3A 13251... 12/29/2011 James F. King, President Town Hall, 53095 Main Rd. Bob Ghosio, Jr. , Vice-President P.O. Box 1179 Dave Bergen Southold, NY 11971 John Bredemcyer Telephone (631) 765-1892 Michael J. Domino Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of THOMAS CAHILL COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, T~ U YY1 ~1~ 1 residing at /dba 0 iC~e kwn G being duly sworn, depose and say: That on the 1`}' day of Av C v `>rt 2011; I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed., August 22, 2012. Dated: (signature) Sworn to before me this 1 t-1 day of i*Y~- 20 y's lJ, IYij~ 1 D Notary Public D h EUWE V. 4iitWti JT AUG 2 2 2012 fifty Pubk aW of Ilea Youk QW" No.IIOAt2 in 911ffOk CW* Southhold Lawn Board of Trustees i'A"r1 *n EVkw Od.19, f 3 Town of Southold 0 . LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its sigmficant 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 detail, listing both supporting and non- supporting 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: 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# PROJECT NAME I~QQJ/d0 S (hrh i Pal i The Application has been submitted to (check appropriate respo(nse): Town Board ? Planning Board ? Building Dept. LJ Board of Trustees 1. 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: cX2 /YX36 In jr&Lia-~( pool 4n«~fkkuer ~Iro44-kll'~ s 1kh a0K &rn deck S te w s l-u.av l Location of action: 57• &k tAfo- PA+4 all • Site acreage: ~~r }1F Present land use: Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: c~ (a) Name of applicant: I I~QMAS (24ff, . (b) Mailing address: 0 ~X ~7S 119x2- 0775 j (c) Telephone number: Area Code (lib) tf3q (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ? No W If yes, which state or federal agency? 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 - Policies Pages 3 through 6 for evaluation criteria ? Yes ? No 4 Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ? Yes ? No 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 Pages 8 through 16 for evaluation criteria ? Yes ? No MI Not Applicable i Attach additional sheets if necessary i 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 I ? Yes ? No IONot Applicable 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. ? ? 1-X Yes No Not Applele 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. j ? Yes E] No Ix 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 V1 Not Applicable j, 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. ? YeD No 1~ Not Applicable i !I Attach additional sheets if necessary WORKING COAST POLICIES* Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ? Yes El No [4 Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island. Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ? Yes ? No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ? Yes ? No M Not Applicable I. 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 E] No Not Applicable PREPARED BY T /1 y()i [i.J 6(, A, ~ I TITLE _i 0g(/' 21 DATE1li MELANIA/ SUCNANFK F0040 M0". NICIF ORE 2, CYNTH A FI ° MGN. 65 N o 'T4 \ }4 4 ~ \ / x X64 FOUND MON, „ E \ ~ - 1\\\NP coNC N ~ 5" 4A' ° OpVEMEN `°GR V` - An f \ `m'2 O n~1 NVE 4668 E° rt ,r-\r` \`z \ `r\ u\ ,r 5 N oec ~°wIRSj IPE 9\ m m\~ ~m£' ~s Po -~ER 54oo E ,e N \m cI N DDND ON n LL E ROAD) ^~Z cork '&Mr. ~PgIVAT Ea W sTRE~FI,. N~ 4 - 4+~,. a` m\\. \ '11 t'S E ~PUBUC 549 39 Z n~ v~ ~~m 42pm \ BRICK wNiK µao° \ 5" z5ti t-J C7 ur N ry5.440 / m sTEVS a %56. LO om ~i cN n ia~l~ C~ ui U ~ m c O ^Jc w:i µo°° P0R s R m ry Y~ x N 4q 0OE O NZ ' 4 I E . ROOF 5 JIO3~ it ml'A Zq / o S m b F n / A S7 Imo/. N '15 O, i ,1 m e W. %R oSEpPMBNT z~ 1`I 0o onm II nPaoN• 52Y STOaV ftAOEE ~oGPtL! PLEI,>u Arm b a (n o\ 1~ i 2'tD35E k GP 'm. £ /ry6 ~ r- µ 5 ~a.10 B o\\ K o. L4~LEVCP W 26 ~J 1 N 11 41 \ I I ~G 0 25~ \II P'Rl II mouN* o W~ / //ry,~p b \ 6~ a' , Nf `5^D PaoFc O PAno/ ' //~%~bry Poaeo OaR,cK L DEED DRyK EP H Fv' PRO ?001 FORP?00~ 6~ 9 9 \ \ cLEN+mG LIMBS ~ , _ r /y / / / / /,B 0 /19 ,z o\ j4 ~A 4 yS o 3 -13 m i 'JA ~ ,tt ~ i65 20--- 4 3 ~~4 3 SURVEY OF PROPERTY SITUATED AT MATTITUCK / ~O TOWN OF SOUTHOLD CD 1- SUFFOLK COUNTY, NEW YORK 5 S.C. TAX No. 1000-107-03-3.1 SCALE 1"=30' +2' OCTOBER 15, 1998 MAY 30, 2000 SHOW NEW PROPERTY LINE AUGUST 21, 2000 ADDED PLOT PLAN / FEBRUARY 14, 2003 REVISED PROPOSED HOUSE 10 bb b^ 31 JUNE 1, 2005 ADDED PUBLIC WATER 61 JANUARY 26, 2005 REVISED PROPOSED HOUSE OCTOBER 20, 2006 FINAL SURVEY SEPTEMBER 1, 2009 REVISE TIE DISTANCE o% AUGUST 16, 2012 ADDED PROPOSED POOL o / I\ Sp AREA = LINE) 1.85 9vc63 sq ft. 4 (TO TIE o 1 ' yb1~1 i a^O~~~I I 3: _.5 CERTIFIED TO ¢¢~o ^ THOMAS C. CAHILL wl3 `~-`j mo MARY LOU CAHILL \ J wp V,.: COMMONWEALTH LAND TITLE INSURANCE COMPANY SUFFOLK FEDERAL CREDIT UNION -~Q N e 28 NOTES..,.. LLL x I EXISTING ELEVATIONS ARE SHOWN THUS o' un um J N EXISTING CONTOUR LINES ARE SHOWN THUS:-----5---- A SON rv b/ ~ 3 (P~ J~ N W cp~ NQ OF. W PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE LIALS AND APPROVED AND ADOPTED FOR SUCH USE B 4P STATE V.Np TITLE ASSOCIAT PT y,(E Nr, F 1 TAPr A. 0 GF' ~O O P Ile \0E O~~ $ll OL N Y S UG. No. 50467 ALP V R N~ NQ, UNAUTHDR¢ED ALTERATION DR ADDITION Nathan Taft Corwin III TO AUTHORIZED IS A VIOLATION OF 'JO IS ! I' SECTION SU OF THE NEW W YORK STATE \ Land Surveyor COPIESI°" TAW 5 ~o~ COPIES OF THIS LSO MAP NOT BEARING THE LAND SURVEYO'S INKED DEAL EMBOS5E0 SEAL SHALL NOT BE WN51 SIOEREO \3 TO BE A VALID TRUE COPY SULCe550F To Stoaley J, Snkem Jr LS CERTIFICATIONS INDICATED HEREON SHALL RUN Joseph A Ingegno L 5 ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Ctle Surveys - Subdivisions - Site PIOUS - COOSWCtion Layout TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND PHONE (631)727-2090 Fox (631)727-1727 TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE OFFICES LOCATED AT MAILING ADDRESS 1566 Mmn Raad P.O. pox 16 THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS of RECORD, IF Jamesport, New York 11947 Jamespart, New York 11947 ANY, NOT SHOWN ARE NOT GUARANTEED. F~N~ MON' N i4~K"~,oJ• 7 + KP o \ •s ~ \ ~g1gw.3+ N F MON 4 O" E \ P~ _ 1v13 y~°s N 15 m f _~(j~s s11 ~f~Yy 1 Ito cc. M°e' MY' PIETVA 10 w"i< 5. ' k ~k E~; \ 1 n1 ~Y m ! E 1 4 . • A 1~ ~ »A ~T2t.1 vi< .AKA • TM-f w Q :q 0" 'AOU z 1 alu~" Dryu7e~i 5~lc ra~L P? 1 N b r~ ^a:~~, °~'io Il fit: 1 lam" \ a, O x z, SURVEY OF PROPERTY C,--L~ SITUATED AT MATTITUCK, a TOWN OF SOUTHOLD a SUFFOLK COUNTY, NEW YORK $ `;may?9 S.C. TAX No. 1000-107-03-3.1 oci / S h• SCALE 1 "=3B' - "'~a OCTOBER 15. -1998 / ryb WY OW SHOW NER PROrERIY UNE / AU°I1ST 21. 2000 KWFD .PLOY PION . z / 111 JUNE 2 D5 ADDED FUIIUC JYAIER '1 - i~ • 26, , 220 RE PIWOSEO FINAL SUW& HOUSE / OCTOBER 20. 2M 0°6 SURVEY i AREa = 6n,176.nj aq: n {tLr~ / ySfo L° (lO TIE IJNE) 1J6 au. lip O$ 13 p CERTIFIRII T0: ffi n' THOMAS C. CHILL r uo MARY LOU CHILL COMMONWEALTH LAND TIRE INSURANCE COMPANY 'mac SUFFOLK FEDERAL CREDIT UNION LE'~ H MOTES: . FLOOD ZONE INFORMATION TAKEN FROM: -FLOOD INSURANCE RATE MAP N6 36103CO143 0 ZONE AE: RISE FLOOD ELEVATIONS DETERMINED /3 - V ZONE X': AREAS OF 500-YEAR FLOOD. AREAS OF 100-YEAR FLOOD WTM wBWCE / 0 MILLS AND ARM PROTECTED 4. IEYM FFOM 1OD-YEAR FLOOD. ZONE X: ARRAS DETERMINED 70 X°WfSW SOD-YM FIDODP AIK / % F. h O APPROVED BY AFT°. D BOARD OF TRUSTEES TOWN OF SOUTHOLD JUL 2 4 2012 DATE l DI N iW SOZhadd Town Bard ,may Bard of T of Trustees No a+. i M PN.W•~^N. wED IN ACCOr?dMCE WIIN THE MNIYIY STMIMMS FOR AS E6TAIAAA® WTHE AND FOR IUL~;, I! IEiYI STATE ILANO O~ TIIIE AYJOe CpL- a ~ 1bti 0;010 e N.Y.S. tic. Na. 49668 Lit kQ _ OR ~N 0 6 G Joseph A. Ingegno ~ uw. .y0 Land Surveyor THP16 E TMS 5~ KE°'°` EuE^ yo THE IANO SURVEYORS MIEN SEAL OR B TO E A SMYD AL SI` HER E C1R15MElED 10 E A TRIE ELPw W. CEWnFICA O INOOED HB SHAD AIM ONLY TO THE P FOR WHOM THE SUNEY TiIN Surveys - Subdrwabrum - Ste Pans - Canlljan LoyoW IS PEPARED. AN~D AW HIS M•9~MLF TO THE TIRE COMPANY. f~IYENNI MENCY AND LENDW INTnTURON USTED NETEON. AND IJE 1 PHONE (631)727-2090 Pam (631)727-1727 TUnONE E,naQ MTHE E NOT IERMffEiuele. OFRCES LOCATED AT "M ADDRESS 322 ROANOKE AVENUE f.0. S. 1931 THE UM~E~N{.CE OF RIGHTS OF WAY RIVERHEAD, New York 11901 16Verheoe, New York 11901-0955 AND/011 WEMEN6 OF RECORD. IF ANY, NOT SHOWN ARE NOT GUARANTEED. 26-026B