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Home My WebLink AboutTR-8121A John M_Bredemeyer III,President ��OF So(/�'�� Town Hall Annex Michael J.Domino,Vice-President ~ � 54375 Route 25 P.O.Box 1179 Glenn Goldsmith � '` Southold,New York 11971 A. Nicholas Krupski � � �� Telephone(631) 765-1892 Charles J.Sanders �l��,oU�� Fax(631) 765-6641 , BOAR,D OF TOWN TR,USTEES . TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1231 C Date: June 17, 2016 '�HIS C�R�I�I�� that the as-built natural stone wall; replacement of existing steps to existing dock; and the small chicken wire fence 24"hi�h; At 950 Lupton Point Road, Mattituck Suffolk County Tax 1VIap#1000-115-11-15 � Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 27, 2013 pursuant to which Trustees Administrative Permit#8121A Dated March 20, 2013,was assued anci conforms to aIl of the requirements and conditions of the applicable provisions of law. The project � for which this certificate is being issued is for the as-built natural stone wall; replacement of existin�ps to existin�dock; and the small chicken wire fence 24"hi�h. The certi�cate is issued to PAUL PAWLOWSKI owner of the aiorresaid pYope�-�y. � �� Authorn�eei Sflgna�nre j,,. , `__�.` , f� . � ,- .�oS�yfFO(�=C, John M. Bredemeyer III, President a''�d�, o�;:� Town Hall Annex Michael J. Domino, Vice-President �� y�'':�, 54375 Route 25 Glenn Goldsmith ;� � �� P.O. Box 1179 A. Nicholas Krupski �y � � ��;� Southold, NY 11971 Charies J. Sanders ��ol � �.�,��,�Y Telephone (631) 765-1892 �2'��.�=-'�' Fax (631) 765-6641 BOARD OF TOWN TRUSTEES _ TOWN OF SOUTHOLD DA i� O� IiJSPECTION: �� Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction ; '/2 constructed � Project complete, compliance inspection. INSPECTED BY: �. Go�r�s��;�� COMMENTS: � �� — �os��C��,� .�v;�� QP�sr e� - CERTIFICATE OF COMPLIANCE: � � James F. King,President aQF �0(/jy Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O� 0� 54375 Main Road � � P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q Michael J. Domino "� � �O Telephone(631) 765-1892 �y��UNTI � F�csai> �ss-ssai BOAR.D OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8121A Date of Receipt of Application: February 27, 2013 Applicant: Paul Pawlowski SCTM#: 715-11-15 Project Location: 950 Lutpon's Point Road, Mattituck Date of Resolution/Issuance: March 20, 2013 Date of Expiration: March 20, 2015 Reviewed by: Board of Trustees Project Description: For the as-built natural stone wall; replacement of existing steps to existing dock; and the small chicken wire fence 24" high. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Paul Pawlowski, received on February 27, 2013, and stamped approved on March 20, 2013. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. � �� James F. King, President Board of Trustees � � ,6��Foc�- James E King,President Frp� Cp P.O. Box I179 Bob Ghosio,Jr,Vice-President yJ GZ Sauthold,NY 11971 Dave Bergen � ? Telephone(631 765-1892 lohn Bredemeyer ,�, � � Fas(631)76i-6641 Michael 1.Domino � � y,�01 � �a� �;�� Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: 3�/3�� 3 �f ' SD PAUL PAWLOWSKI requests an Administrative Permit for the as-built natural stone wall; replacement of existing steps to existing dock; and the small chicken wire fence 24" high. Located: 950 Lupton's Point Road, Mattituck. SCTM# 115- 11-15 Type of area to be impacted: �� p y-*�LF _Saltwater Wetland _Freshwater Wetland _Sound _Bay �� _ Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 _other Type of Application: �/ Wetland Coastal Erosion _Amendment _Administrative_Emergency _Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: �/ J. King ✓B. Ghosio D Bergen, �Bredemeyer lifViichael Domino D. Dzenkowski other Form filled out in the field by � ,f � �t /F� (r Mailed/Faxed to: Date: `�� '�F' �� '�5 � �� S�} I 1� ?1(. � •O.. � �r�'� � ", ��, _ � �; '�5�� 4 �i , . � fi�. �y < � i�NR W _ j.2,: F I �1 ` � ^� � �� a ,� , F �f �1.�.y 1, '` P �, . � { ..._ .` . �` .:.� _ . '.. . J� � � � � i\ �-'�L ) . - . � -' i� �� . ti�' k �� q � � � � .. «w x+ -^' � '� .. .,� i� ." q,�Jy �a� n ��4 `F4 rs. ^J v�n' r : �`Mi�.��a 3 ?�J 1,�� ..Y_ � 4 �ryTy't1a-Fv��yF�y � • ;} � Y. , v. - � �y� p ) � ( .. 1� � ..,� � � .iS � r,�{r . d,< i - - t; }(,�t.( ,y+ �� __'�'. 4 a��t ��`.�v . . '��°� :�,a� �'' r � •� � � . �1 �L -� �4+ �� . . , � { � . . n�,V 1�{ � 1 � � �y� +�1� }(� (g�� { � ��... 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' 1 ✓ rv ��' ' �"`""" " ,",w ..� • � , ,.. .a=� �1 '`w"� ^;�� . . � s.b.a., EE.�o � w'r', �n<��. N q . .,. �,M1, re amm. � a E� ��o R � � �o ,. ..�,.,� .w«,.�..o ,� � . z..v ___ .�Eu o� . ,z:mm. ' _ . ___�___ __—__'�_____ � w..o rFaK.o.,n WE w..c.— __ ___-____,�.E �a �' ' �,.� �'�� ",iio ...�pn^ a . um -� — � a�� ' O �� __'__ � __ __ � s xm¢e fAl1NttOF3UFFOLK`Q o niw �....� --'—_ _—..__ RealPmpMYTu9nriw � » �� _ —_— ' __—_ ,..___'__ e-r�........�r � �, v 9FN5� s .�v_ � __ .�.. o.,..�v...s,sa,s ._... ^ �._ ,. .. . ,_ �.., ^_ .a .v.s.m.,.o.......o..,.o h �. ,� " ... m., �.... .,.a,,.a.......a�.. ' � � 'H o�� ...� �a�r�u:.. �.� —__— ..�� __'__ �..o . . . � � e _ .... ...._ �... ____— ��--..-- ��.. . -. - _— r�ui�.um..c�.s�. � v�. ,n e �� ..i.�........ � � OFFICE LOCATION: ��OF SO(/�'yO ]�[,[NG ADDRESS: Town Hall Annex �� O P.O. Box 1179 54375 State Route 25 # � Southold, NY 11971 (cor. Main Rd. &Youngs AveJ y ,�,� Southold, NY 11971 G @ Telephone: 631 765-1938 � � i� Faz: 631765-3136 ��'Y�OUNT'I,Nc� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM � � � � � � � To: Jim King, President D '—��I Town of Southold Board of Trustees i jj_ �' �IAA 1 5 2013 ;'- � From: Mark Terry, Principal Planner i � LWRP Coordinator I sauthnld Town Date: March 15, 2013 oardo�.r<<�!�ss._ _ � Re: Proposed Wetland Permit for PAUL PAWLOWSKI SCTM#1000-115-11-15 PAUL PAWLOWSKI requests an Administrative Permit for the as-built natural stone wall; replacement of existing steps to existing dock; and the small chicken wire fence 24" high. Located: 950 Lupton's Point Road, Mattituck. SCTM# 115-11-15 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 LW RP. 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 SOUIy Town Hall Annex Bob Ghosio,Jr.,Vice-President �O� �� 54375 Main Road P.O. Box 1179 Dave Bergen J� #[ Southold, New York 11971-0959 John Bredemeyer Michael J. Domino � � �� Telephone(631) 765-1892 O��,COU�,Na1 Fax(631) 765-6641 ��. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application WeUand Permit Application Administrative Permit Amendment/Transfer/Ex nsion �ReceivedApplication: 2 p E � � pp � ;,[_,Received Fee:$ � �� n /Completed Application �� Incomplete FEB 2 � 2�13 �� SEQRA Classification: � ' Type 1 Type li_Unlisted I �oordina[ion:(da[e sent) � WRP Consistency Assessment Form old own CAC Refertal Senc �Date of Inspection: Receipt of CAC Report: Lead Agency Determination: _ 7'echnical Review: �Public Hearing Held: � '/� I Resolu[ion: Name of Applicant �/"�� -- Mailing Address l� Gll/�T�vS � � Phone Number:( ) �� r �`�S �� y� � Suffolk County Tax Map Number: 1000 - �� > �� " ' '-' � 1 Property Location: �� -�° �'x-5 P'� �� t�sr�r u �l� N j� /!,�^, S z (provide LILCO Pole #, distance to cross streets, and oca itl on) AGENT: (If applicable) Address: i Phone: So� of Trusteas Application • GENERAL DATA Land Area (in syuare feet): % ��S ��O �' � Area Zoning: �-S'��,--� �� Previoususeofproperty: '�5 ��-� "- Intended use of property: �"�yyn .G Covenants and Restrictions on propert}/? Yes �o If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes �No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Boazd of Appeals? Yes _�No If"Yes", please provide copy of decision. Will this project require ny 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/approva] ever been revoked or suspended by a govemmental agency? � No Yes If yes, provide explanation: Project Description (use attachxnents if necessary): /J�r� -,.� s��--L /' �a-4�G C� �s zS 2 g � � �S �5 � �'.�/Gl+2� �d�- �rn.vG�� 01,v�` w, .,c.� `�t� �?f� �� • � �1� �t . G L'f �n� ��,��s� z�/3 �''! � fl'�:��s5 . ' f'� G,,�,�,�.s .�- ,�� I �•¢rr-,TK�� ,y. ,�s S�Z- � I�.` i2 v�� s � ,�5 J+y B.t i�'yfirs p�pc.� I, � �/ i /�9�55 /'�L.� � lLy� wi 5� G( o S iv-r- d/.�ri� . / / � �1 f/ '� �-X L✓op e'C 2 CiE)L 7�0 �y'� Gl�iG,( �l Lf/i�� I �� Cf . I _ .5�79-�.GS A--��P 3u�<T wir.s /�i- S�" .�y,�,y-Se-r•�c �i'S J'f S 7/Y� �'LcQ�A-GC �N9Tz"Bi�L � S7aG�c�Yys.G! /S �/iK B /i , G'C'`F . . Tk.e '�'l.DTff- i S �p�i T�4 s,s-,-,� � �s �y" � T,� . is�� . s � �" — t.e.�� is ay" �ti.�.�� w,�� w,s� .,,<�.4/ �sr �od ' /m-zS - STaiv�,5 �P�'�e �y(os-5 /1oG� �CT o-fv i✓�'Tu.Q.sL �it o�-.�O �G.e�rz� - S/2�S /9�e 8°'=�y.� ' /DQ '/m-rS - �,�T ,� e �y., � ��s /oo %�- �iJ�.oG/C�'�v�,� �.fiac /��wcea-"q�, � ' SG %A'/ � : /000 - //S -// - /. ,s Boar� Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: /«�u� ��( �5 �� Area of wetlands on lot: � square feet Percent coverage of lot: �/`�' s % Closest distance betw nearest existing stntcture and upland edge of wetlands:�_feet Closest distance between ne�rest proposed structure and upland edge of wetlands: 6}c� feet Does the project involve excavation or filling? �No Yes If yes, how much material will be excavated? � cubic yards How much material will be filled?___�_cubic yazds Depth of which material will be removed or deposited: � feet Proposed slope throughout the area of operations: C) Manner in which material will be removed or deposited: a 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): y�,¢- �' ; PROJECT ID NUMBER • 617'20 • SEQR APPENDIX C STATE ENVIRONMENTAL QUALIN REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Appiicant or Project Sponsor) i.APPLICANT/SPONSOR 2. PROJECT NAME �.A�- /�.4�,vcv�-y� 3.PROJECT LOCATION: SSo C-c`'f--� /� Y- '�/J �., /�_ Municipaliry /I'/.¢7Ty7yL�/G County �'Z 4.PREGSE LOCATION: Street Addess and Road Intersectlons. Prominenl land arks etc -or Drovide map 5. IS PROPOSED ACTION: f� New �Expansion �Modification/alteration �� 6.DESCRIBE PROJECT BRIEFLY: ff'1J� cS'��Q lN�L /k�lu�t.�- 2i�15 �S�es $-fz._��S � -� '�� 7.AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? �es ❑ No If no,describe brieFly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential �Industrial �Commercial ❑AgricWture �Park/Fores[/Open Space �Other (describe) 10.�DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federel, tate or Local) �Yes o If yes, lisl agency name and permit / approval: � ""�--- -�"1 . ALTION��HAVE -A R E�ID PERMIT OR APPROVAL? �Yes ';�}CIO_ If yes, list agency name and permit ! approval: �LJ ' ... . __ . _ ... _ ._.._ . . _ . _ . . .. . . .. . . _.__ . _ . . _ . .. _ . _. .__ . .. . ... 12. AS A LT OF PROPOSED ACTION WILL EXISTING PERMIT! APPROVAL REQUIRE MODIFICATION? es 1 CERTIFY�THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date� Signature �`� �,j If the action is a Costal Area, and you are a sWte agency, complete the Coastal Assessment Form before proceeding with this assessment � • �a�G �-� / G$Gl� 7�ia-.ti7 7 Z7 � /� � �c . /� 3 �� J�"�:��s5 - ' f"� G.,�i:o-�-s .4�- ,�� /�/�P'PT%TKG�G �y. ,.Fsz - � � /2 Y�s-��/�- �J S T� ��S � Bit'/S'f/N� �/p� i / � /�'l�SS /�c.G 7�U ��/� wi�� lj( e S i�J-r/ o/w..r,,,,Tj� / �_ � p2 y ii !i'�'J`.L./�f�m-C �tG.E� �a �/'� Gs�'iG..l isL✓ii�. �'r � . _ ST7972..5 f�"z+e 3L�.a'GT !✓irrf //;y ,�� 9 i�'s 7os e �"`f �i'.S �'�c F .cQ .t-eC �/�S'7z"' � �( v�� 6 �� Y�- .S7aG�cc7�-s.G� iS G'G�4 , , T�f-e -"�.d T�- i S ��i T�4 s�---�� s ��'. T{� � �s�� S � s.� — i.2NLC �.S �f'" G�i.�lc�� w,i� w.s� .,�6�z/ /l�ST /OIl � �B.-cS - �T�xie S �e �2(as5 /�oG� �T B-�v �/.�Tr+.P-!r_ �,to�..�a ��.��,-� - siaas �9-�2 ��=�s-,. ioa '/m zs - ��..T ,�,2 e ay,. � ��9-�,S roo /�. //��G/L//�/J� • NifLlG �i�fY✓GOy�+ � SG /�17 � . �000 - //S `// ' /. > � � PART If- IMPaCT ASSESSMENT o be co (eted b Lead A enc Il OOES A(.°TION QCCEED ANY TYPE f TWRESFiOID IN 6 NYCRR,PART @iT.t7 H yes,maM�ffie d�e review process a�d�ue the FUII EAF. - . �Yes Q No B. WILL AC770N RECEIVE COORDINATED REVIEW AS PROVIOED FOR UNLISTEO ACTIONS IN 6 NYCRR,PART 677.67 If No,a�egative dedawdon mey ba wperseded by another inwlveA agw�cy. � Yes �No C. COUTA ACTION RESUIT IN ANY ADVERSE EFFECTS ASSOCIATEO W1TH THE FOLLOWING(Mswers may be hptWWtkte�,i(IegNde) C1. 6dsdng ak QuaQq�,surfaee or grou�Owater quaAty a quantify,noise levels,e�dsting traffic pattem�,solM waste producNoa ar disposal, . po(eMid tov etos�on.dtapwge of flooding proMems? E�Iain blefly: C2. ACSU78fI0.BQIICUIW@I.8fCI1980I(IeMAi.f1I5lqIC,O(OMIM 118Wf8I Of WIdXBI f0S7M1fCC6:OF OOfIN11U Of IIE�IIfIOf�q04 C�lAfBGtE(/�Ql�2�F1 bIIBAY: . C3. VegetaGon or fauoa,fish,shellfish-w wildlifespedes,sigaficanl habitats,or threatened or endangered species7 Explain briefly: C4. A community's etlsUfg pians or goals as offidapy adopted,or a-chaoge�in use a ialensity of use of land or other nalural resource57 Fxplain briefly: . . . ._ . .. _ . . .. . . . ._.. .... .... . . .. .. C5. Grow(h,Subseqaent devebpmen(,or relaled activilies likety b be ioAuced by fhe proposed adion?6ylain bdelly: � � C6. Long term,shoN lerm,cumulalive,or olher effecls nol idenlified i�C7-05? Ezplain briefly: � �� .. ... .. ._ . _ . _. . ._ ._ . � .. ... . . _..... _ . . _ ...:_. - � C7:Othet impads �ndudi chan es in use of eifher uantit or( e af ener ? Ex ain bripfl �:--- - � � - --� O. WILL THE PROJEC7 HAVE AN IMPACT pN THE ENVIROMMENTAL CHARAC7ERISTICS THAT CAUSEO THE ESTABUSHMENT OP A CRITICAL - ENVIRONMENTAL AREA CEA 1 If es,ex �ain briefi : � � � � � � Yes Q No : . . E IS IHERE.OR IS THERE UKELY TQ RQAIFD TO POTENTYLL E ENVNtONMENTq�MAP If apr. �Q Yes Q No . . . PART QI-OE7ERMINA'110N OF SHiN1FICANCE(fo be aonpleted bY�Y) . IN87R11C170NS: faeachadversaefPedMfentifietlabove�de0emiinawhetheritiseubstaada4�9e,��V��uothervvisesigniHcaM. Eactr eQed ahoultl be assa3aed M oonnectlon wilh ps(a)seWng(i.e.wban a�ura9:@I P��b'��umn9:I�)d�tion��d)ime�sb�Y:(e) .. 9eo9�k��(Q�q�Me. K neoessary.add attachments u referenoa suppordag ma0erials. Enewe ihat e�lenaHons coatah�- s�Afloie�t de�l b show ihat aq relevant adveise hapacls have beeo idenHfred and adequalely addte�ed. If questlop d of partA was d�edced " yes,Ure de6ert�Ma�on of slgnificenoa must evalu�Iha potenNal Mipad of the Proposed acUon on lhe environmemel al�arade�istks of Ihe(�A, G�edc Yib bazHyou haye�one wrtwre pateMiaUy Wige orsignificaMadverse Mpads whidi MAYooart.Then EAF a�W/or piepare a posl8we dedara6on. P��Yto tl�e Chedc tl�is boz ifyw�haue Aelertnk�ed,based on qie Infom�atfon and analysis above and any suppaG�g documerdatlon,(hat die proposed a YNLL NOT result i� any significxnt adverse emrironmenWl impads ANO provide, on�attachma�ts as neoessary, the reaso�s supportirg 6ii � detert�inalion. Boa�d of Trustees A Name of Lead Agency Date President � Pnnt or Type Name of Respons161e Officer in Lead Agency iifle o�Responsible OKcer Sigaa�ure o(Responsibk Ofiicer in Lead Agency Signa(ure of Preparer(Ii differenl6om responsible officer) ! � b��k� Town of Southold J �y � Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM � �g PROPERrr LocnTloN: S.C.7.M.M: TXE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A �4[ �Y�y" STORM-WATER,GRADING,DRAINAGE AND EROSION WNTROL PLAN �fsSf� x n -81Ti � CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK SCOPE OF WORK - PROPOSED CONSTRUCI'ION I'PEM# / WORKASSFSSMENP Yes No a. What is the Total Area of tha Project Parcels? '�, (Indude Tofal Nea of all Parcels bcated within '� Will this Project Retain All StorrtFWater Run-Off . the Scope of Work for Proposed Construction) /�/ �� Generated by a Two(2')Inch RaiMall on Site? ❑ ' (S.F.I Aves) (This item will inciude all nmoB created by site �� b. Whal is the Total Area of Land Clearing Gearing andlor cansWclion activitles as well as all L ��, and/or Ground Distmbance kr the pmposed ff Site Improvements and the pertnanent creafion of �� consiruGion activiry? V impervious surtacesJ �� (S.F./Naas) PROVIDE BRIEF PRO,IECf DFSCRIP170N cv�aa.naauawr.o�..,n.m.a� 2 DoestheSitePlanand/orSurveyShowPJlPraposed ❑ , Drainage Shuctures IrMicating Size&Location?This � � Item shall indude all Proposed Grade Charges and — I ,/,�p�/p�j ,�c��2G w�� Slopes Controlling.Surface Water Flow. �� 3 Does the Site Plan andlor Survey describe fhe erosbn — � � ��GGGG�? ,5 7�//�t.�/.sC and sediment control practices ihat will be used to / control sRe erosion and storm water discharges. This S�y/�,� ��liw �� item must be maintained throughout Me En6re Construction Period. 4, Will this Project Require any Land Filling,Grading or ❑� Excavation where there is a change to ihe Naturel Existing Grede Involving more ihan 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities ❑ / Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground SuAace? s Is there a Natural Water Course Running through ihe ❑ / Site? Is this Projec[within ihe Trustees jurisdiction cenerot oeC swppp Reaulremenh: or within One Hundred(100')feet of a Wetland or Subm'ssion of a SNPPP's requiretl for all ConstruGion aclivities involving soil B82Ch? disNrbances of one(i)or moie aues; intluding disturbances of less ihan one acre that 7 Will there be Site preparation on ExisGng Grade Slopes ❑ are pert o(e larger common plan that vnll ultimately disN�b one or more acres of lantl; which Exceed Fifteen(15)feet of VeNcai Rise lo induding Conshuclbn aclHilias imdving sod dislurbences of less Nen one(1)acre where One Hundred(100')of Horizontal DistanceT the DEC has tlelemuned thal a SPDES pertnit is 2quired for slortn xater tlischarges. (SWPPP's Shall meet the Minimum Requiremenls o(ihe SPDES Generol Permit $ WIII Dfiveweys,Pafking AIeaS of othef Impervi0u5 ❑ / (or SWrm Wahr Diseharges kom Conahuetion acUvity•PermH No.GP-0-t0-001.� Surtaces be Sloped to Direct Stortn-Water Run-Off 1.The SWPPP shaY ba praperetl prio�W the submittal of Ure NOI.The NOI shaA be into andlor in the direcFlon of a Town right-of-way? submilted to Ihe DepaNnent pnor to the cromrnencement of construction activity. 2.The SWPPP shall descnCe Ihe emsion end sediment contrd praclices anA wheie 9 Will this ProjeCt Requife the Pl2cemen[oi Material, ❑ — requireQ po5lconslniGion srortn vrdtar menegement p2dices that will be used an0/or Removal of Vegeta6on and/or the ConsWctlon of any wnswcted ro reduce Ihe pollutanls in stortn weler tlischarges ana to aswra Item Within We Town Rightof-Way or Road Shoulder campllance wiM[he tertns end contlilions of this permit In adtldion.ihe SWPPP shall AfQ2�(Tlib Item xitl NOT IrcNUe tM Irsbb�Yen e(DeW�rny/yiyu,l itlentify potentlel soumes of polWtion which may reesonaby be eapected to aflect the qualiy o(storm water disc�arges. NOTE: If My Answer to quesUons Ona t�rough Nina b Mswar�d wiN a Chsck Merk 3.All SWPPPs Mat requrce lhe postconsbudion slorm waler manag¢ment prectice ��a Box and the eo�ntructlon aiM distwbaMa b beMem 5,000 S.F.6 7 Aen in xea, component shell be preparetl by a qualfieE Design Professional Licensetl in New Vork a Sbrm-Water,Grading,Drainaga 8 Erocion CoMml Plan fa RpuYetl by IM Town of that is knowledgeaDie in tlfe pnnciples anE pradices of Storm Water Management SouNold an0 Mwt be SubmiLLed tar RaNaw Priw b kauanp of My BuildMy Pormil (NOTE: PChefkMeA(.�)a�M/aMswerioreatl�0ueetbn§RequreCforaCmpb�eAppRotbn) S7'A1'E OF NEW YORK, Notery Public, State of New York COUN1'Y OF...........................................SS No.Ot BU6185050 n Quaiified in Suffolk Coun �� l�,*�,.9 �� Commission Expires April 14,2g� 1'hat I,.......�....��.mle.or�Yei.................�...................being duly sworn,deposes and says that he/she is the applicant for Pemut, elgn�ig oowmem) A � Mdthat ha/she is the ....................�(�...,Gi.�...�l...�.......................................................................................................... ..(Ovmer.cantxwr.Agenl.Cqrporete ol�r.ete.j ... Owner and/or representative oE the Owner or Owners,and is duly authorized to pedorm or have performed the said work and to make and file tltis application;that all statements contained in this application are we to tlie best of his knowledge and beGef;and that the work will be pedormed in the manner set forth in the application fded herewith. Sworn to befor_e'mpe this; r .............._�.1..�.T'\...............dayqf.r.... ... ... .. `10.� C��x .. ... . ............... . Notary Public: .... ... . !�.� � �.� , .................. . ...................... ....... ................................................. .......................... (Signalure of AppluaM) FORM - 06/10 � � �o�c �-f- �c�t,��Sa,.., Z�7 ,3 L��/ ` ��c . / /�"�.��Srj • �Jo L..�i'i�,O�-S �- .P� r�.��--K�� .�I'� i�ssz � i2 v��_ v� s � .�s � B.r isrr`i.+s �/o� � G /�'l�SS �c.� � �� wi�.0 G( o S i frr- �.�-s..-�i r3� pt f� '� l��-x �✓�� / � 2� �o ozS"' ��c.G �c_...�c , / � �e . STTP-�iLS A'X�2 3T�.�-<T L✓.r� /�� ., �s 7.Yr �9�`�A�B-"`� /rS �'u.2�.rec .N�7�B.-sz �� g �� ST'.GK L7�-s iC� /S G'G�f , . �k@ ^`�/,QTjf- / S ��i T�4 s,s-.'�,. , �s �y" T� � . is�� . s � s" j'eNLG /.S �f�" G.�i.Glci� w.�� w�3Gt- .o76�z� /�57 /oll � �m.-.S / — �STdrve S sP�'z e �y(as.5 /1oG� SCT �-�v i✓�Tu.Q.lL s�il D ci.ud ��.Prrc1� - .S/Z e.S �e �'=�y.i /�� /m�s - �G ifr/T A',2 Q ay.. �� e.9Q9-r�s 000 %� �,oGic.�T,• .�.tu� /J.�..-�� . SG ��'/ -ff : /000 - //S `// - /. ,s � � Board of Trustees Application County of Suffolk State of New York �� `-�/�•szi�- �� BEII�IGDULY'SWORAi . DEPOSES AND-AFFIItMS TkiAT HB(SFiE IS T'f�ApPI.ICANT F�THE A$O�lE - DE�CI�:EI)PE1tMFT(�).AND TH1�'T ALL STA3'EMENTS.CONTAINED L�&RLIN.ARE TRI7E T�TI3E BEST'OF�-IIS/HER KNUWLEDGE AND BELIEF, AND'CHA1' ALL WOttK WII;L B��b1V�IN Tf�MANNER SET FORTH IN TEIIS�1PP�;IGATION t�ND AS MAY ' BE APPI�LOV�A B7C 1'f� SOUTFIOLA TOWN BO[1AD O�TRUSTEES. TF�APPLICt1NT � AGREES TO HOI.D TT�TOWN UF SfJUTI�OLD AND TFI�TOWN"TRIISTEES AAR1t!ILESS AND EREE FROIvi ANY t1ND t�LL DA�IAGES tkNb CI:AIMS tYRISII�IG ` �IJNDER OR BY�TRTUE OF SAID PEitMIT(S), IF.GRANITD. IN CO1kIFLET'INCr THIS :APPLICATION, I HEREBY AiPTH�RT7.�THE'TR[JST�ES, Tf�IR AG�NT(S)OR REFRESENTATIVES($);TO ENTER�NTO MY PROPERTY'1'O INSPECT'k:HE �1'R'�MISES IN'CONNNCTION Wi1`H REVIEW OF THIS [XPPLICATION. G��-� . Signature SWORN TQ BEFOR�ME THIS ��1`J� . DAY OF F-c.� >20 I� �—Ol-y�n-P. � �C;�l _ Notat3�putific -� ' � CONNIE D. BUNCH . � - � - : �Notbry Public,State of New York : - . .. � . . �� - � �. � . �- No:01BU6185050 �ualified dn Suffolk County ' � . � - Commission�F_xpires-A�ar{> 1d,2Q�� . � - � . � � � � . . ... � Boar�f Trusteea Application • AUTHORIZATION (where the applicant is not the owner) I residing at (print owner of property) (mailing address) do hereby authoriz , (Agent) to appl r permit(s) from the Southold Board of Town Trustees on y behalf. (Owner's signature) � . � . APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold'<Code of Ethic orohibits conflicts of interest on the part of town orticers and emolovees The ouroose of inis iorm is to�rovide information which can alert the town ot�ssible conflicts of mterc�t and allow rt to take whatever achon is necessarv to avoid same. //�� p � � � YOUR NAME: ' "�L �' - " L" �� (Last name,first name,apidd�e initial,unless you are applying in the name of someone else or offier entity,such as a company.If so,indicate ihe other � person's or company's name.) /I '�'� NAME OF APPLICATION: (Check all that apply.) . � Tarz grievance Building - � Variance Trustee Change of Zone Coastal Erosion � Approval of plat Mooring Exemption from plat or official map Pianning Other � (If"Other',name the acliviry.) . Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any ofticer or employee of the Town of Southold? "Relationship"includes by blood,rtlarriage,or business iqterest`Business in[eresP'means a business, including a partnership,in which the town officer or employee has even a pnrtial ownership of(or employment by)a corporation in which the�own officer ur employec owns more than 5%olthe shares. YBS ------ N� --� . . If you ans�rered"YES",complete the balance o[Ihis form ond date and sign where indicated. . Name of person employcd by the Town of Southold TiUe or position of Ihat person Describe the rela[ionship between yourself(the applicanUagent/representative)and the lown offieec or empl .Either check the appropriale 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 tha ply): _A)the owner o(greater than 5%of the shares of the corporate stock of plicanl . (when the applicant is a corpora[ion); B)Ihe legal or beneficial owner of any interest in a non-corpor entity(when the applicant is not a corporation); C)an officer,director,parfier,or empioyee of Ihe a cant;or _D)the actual applicant. DESCRII'TION OF RELATIONSHIP � Submitted this day of 200_ Signature Print Name Form TS 1 � Town of Southold • • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for pernuts* including Town of Southold agencies, shall complete this CCAF for proposed actions that aze 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 prepazer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Water&ont Revitalization Program. A nroposed action will be evaluated as to its si 'fpu icant beneficial and adverse effects upon the coastal area(which includes all of Southold Town� 3. If any question in Sec6on C on this form is answered "yes" or "no", then the proposed ac6on 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 supportine and non- supportinQ facts. If an action cannot be certified as consistent with the LWRP policy standazds and conditions,it shall not be undertaken. A wpy 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 S�`h-CG �lT�!/LCTa��--- The ApplicaHon has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustee 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertalcen directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation, land transaction) ❑ (b) Financial assistance(e.g. grant, loan, subsidy) (c) Pernut,approval, license,certifica6on: �� Nature and extent of action: �� S �S'x2 t� /L.c � � Q S�'�c - -��,�.v�� i��`'�Q • • � �o�� `'� �1G�+c t�l.�7S a-.n� ��3 �'�`/ /� i �'�L � l l��:��sS • ' �'� �.4o,�.s .Qi- ,P-� � /�rP'7T%TKG�G �y. � ,,fsz � � /� i2 v�v��_ `� s s,�,is y?� d.t i .r�.fi.+s q�o� / �/ / i+9�S5 /'�c.E �o lu-� wi S�� Gt o S i�-�-- ��.�,..si� / � ot y " !�-x wo�� it.�.E� �a �Y" c�� s r.✓�L. �� e . _ STIf`92S f�'�� Gt.�L T L✓iTisf /�Y 5°" .y!qiySy�-6�r�-•� /TS !fS Tf/C �`Lc��il-cC i!?tjT�?"�irL � ,STJLKGy'y�� S ��'K g �� G'G.�4 . . T/r-e ^��AT�r�- i S �'�.i T�4 s,s., �,� , �s ��" T.� . �s�� . s 7 s,� — f-'eNLC �S ay" �ti,��, w„� w,s� ..,,��/ �sr /oo ' /m.-,.S - STdrve,S ��e �y(as-5 /loG.e S�T B--.v �/�!-Tr+.P.l� �,�0�..�a ,��.��,-� - s/2�s �e S'=�y.. /oo '/m�s - ��T � � �y„ � ��S �-oo '/�. �.�G�ci1�c.T,• �.sz.c /l.h^'ce�.,,Y� � SG %�'/ -� . /000 - i�s `// - /. ,s Location of action: ��E/� l�u � �Ci � i!� ��-fS -Tv� Site acreage: l�j �� a�' 1��""�" Present land use: ��a 6 G.,t�� -•� Present zoning classification: ��/ �� 2. If an application for the proposed acUon has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant:��/ �/� /�Iy(JS�._ (b) Mailing address: ��/I�rt.�, �/� � /njp.�-��ct� A/f/ //� �Z (c) Telephone number: Area Code( ) lL.�� i'! � 7�7 � (d) Application number, if any: Will the action be direc undertaken,require funding, or approval by a state or federal agency? Yes ❑ No If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will fuMher 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 patter� of development in the Town of Southold that enhances community character, preserves open space, makes efTicient 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. es � No � Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Towu of Southold. See LWRP Section III—Policies Pa es 3 through 6 for evaluation criteria ❑ Yes ❑ N Not Applicable � � � Attach additional sheets if necessary Policy 3. Enhance visual qualily and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes ❑ 1�`0 ❑ 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 t ugh 16 for evaluation criteria � Yes � N Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies P es 16 through 21 for evaluation criteria � Yes � No �Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of 5outhold ecosystems including SigniScant Coastal Fis6 and Wildlife Habitats and wetlands. See LWRP Secrion III—Policies; Pages 22 . through 32 for evaluation criteria. ❑ ❑ xJ � Yes No Not Applic� * 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 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 ot Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III —Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye� No Not Applicable 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 LW ection III — Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary a 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 evaluatio eria. ❑ Yes ❑ No Not Applicable Attach additional shee[s if necessary Policy 13. Promote appropriate use and development of energ,y and mineral resources. See LWRP Section III—Policies; Pages 65 tl 8 for evaluation criteria. ❑ Yes ❑ No Not Appiicable PREPARED BY � �� TITLE �./9/�(� llATE Z � � ��/oirG�S � Z� 7�.� — �.P�EIi�/ /�2�i'S /rlL� -��.('/��-tA.' . !i� �c,ac�c i>eirs ,�t,Ck' Nco-✓ ,�G� /��p' �Tl1� -�Dao -�/ S // -�. S �` Y 1 � � � ��P� i¢-/Pl�crl�'��.ft�t /�i��a5�<- �a a � o�y 9G� � '�I a c�'� a/•Q°�,.._-- _ -- . e � _ _ -'' � Y �y-�,�,��D �' :_ �,�' x,. �� '`.��- � ' _ ,00- ,�,�,- C �K . . , -�BiUG� GG.r/T6� - �� y - , . . � • ' —S� Gu�i�'�f = �y • . .- � � c .' ,�i n � i ' . M . . , ! ' � � - . C1_ . ., . ! , � �• � � � � �� `-1 � �. , F �C : ., <<i � t� . ' �— �� ` I y' � �_1 . , '. . . � I oa� 'N ,:;f��re �� . • - . : � , . � APP�tOVED BY � BOARD OF TRUSTEES TOWN OF « ,� SOUTHOLD , ;; ,;,�,; :�.�; :`: DATE `' � ' �] � C� C a � � n � Z.� �3 ��------ll� � • L � FEB 2 1 2013 — Soulhold?c�:a r fTr t�� /�i� / � �`f ,i� �' '� 9 � a� IG� `�� w � � � , $ �°� n�ac'S 5�'�L �� GoN� 5 �,p �v~ �p�M" �Yr ,� �� /�,rD� ��C b �r �s R �'b � / ,yv rc.'s�cs .sa.ce Bu,�,— ,�„r� ��'�•f�c) �.�, ToP �F �,.p_�.� a��6C �7-.•�I # /eLo -�i � /� - � S ��c/Citx/% , ' /R�- �✓A't✓L�S.lc_� . 2�7/3 ��D �t`/o�✓j /O� C�BSS �et�� / .S�-iig -��ne.C/ S�e.eew</i ��a.. fi��S ` ( �• � �� \\ now or /ormerly Edmund R. Luplon B O�hers �--- �"_ s�,3a� \� ----o��- WOY n �s�`t- \ �-- '_ �—'� . a s�3 2p .�- R h1 ioo.00' �r �p GREE/�� 1B' � `N.19^15�10'£. 4 . � ��8� ��—200.00 �J� ` ��• �� \�n _1 ` O 1Q �u e � � �l o �a ��. - ^ F' � � � e �1 1 ' � � � § � � . 1� 1 FR.GMRPtl� � Q . � i � m'- .R. ,.. .�.-...a- a,' 3 � o � ' �,"n. . 5b Q C, ; m ` 4 � '1 n i.s /'y� w� � p m C .•+n .. o �. ' o m0 (-- � . ic.s' � p � `� '� e�o.evF<.xou*c �,� Z Sy t ' � < m a O �, / a � ��a� ",r��,,,,� �-rrric-- f� , M��0<o^'S"' �s ooecK •— _� \ IOO.I` �._� `Tt aC TD �B / J �� CREEK J DEP NpLE . Nore� . : .wo�vu.ve.vr � SURVEY FOR . W/LL/AM M. MARKEL AT MATT/TUCK oATE � . ✓UNE 7, /979 TOWN OF SOUTHOLO SCA�E� /" = 30 � SUFFOLN COUNTY, NEW YORK NO. . 79-3/7 VNIVTMOI�IZEO AIfFR�T10N OR�OOITION TO TN18 SURVCY S a VIOLATIOM Of BEC�ION fYOY Of TME � - NF�rOMa ETAtE[CUCMIOtl l<M. jE OF ryF •GO%E9 O�iN18 tURVLI MOT OF�I��N4 TM[L<NO 4�P w/'O BVRVEY00�6 MxEO tC�L OF EYlOtBf�SE�L YM11Ll 0.D {y q� NOT!E COMBIOfMfD TO![1 V�L1O T11Y[COVY �P }p Y' YOVN11NiEE9 NOILITEO NCREOM 9M�tl pVN ONLYTO r� G iMC PfRBpN IM WXON tMC BUFVE�18 IN(Y1R[p, �' a GNO ql NI!lEX�Lf TO TNE TITLC COYPANV�OOVLRN- � C ' NEMTIL AOFNC��XO L[ND1N0�XfT�TVT�Ob LISTE� � � [PFOn.�NU IO TnE�feIONEEB Oi 1ME �ENDINO �NfTrtUTIOX.OVIN�M�ffB �II(MOT TI11N8FEMLL[ ' 10 �OOITION�I MEi11UT10XB OR DY�/EOUEMT h1�MEA3. O19T1NCE9 9MOMN N[RCON IROM VROPCqTY LIryEB TO[kIBTIMO STRVCfVPE!11�E fOR A f1Etll�t -^� ♦ �Y11�0![ �NU�I�F NOT)O�(V6[O TO C6f�/LI�X I� $URVl�O >NOIEIITY N[!011 fON ME[R[CTION Of fENC[!. YOUNG a YOUNG RI�VERMEADNNEW YO KUE _ � AIDEN W.YOUNO.PROFESSIONALENOINEER AND LANO SURVEYOR N.Y.3.LICENSE N0.12803 NOWARO W.YpUNO,LAND3URVEYOR _. _. ... . __ . . .. __ Cerfiflconons Indicated hereon signify thal Ihis plat of Ihe properly depicted hereon was made in accordance with the�isfing Code of Praclice for Innd Suneyo�s adopted �by the New York Sfate Acwciallon of professiwwl land Surveyors. This ceAificatlon is onhy For the lands depicred hereon and is rrot cemfimtion oF tide,zonirg a freedom of encumbrances. Said cenificafions shall run only lo the persons and/or entities listed hereon and are not hans(emble ro addifional persons,entities or subsequenf owners. (PRIVATE ROAD) LUPTONS POINT ROAD � 97g a�, N 79'45'10" E 100.00' � \�I —_ DR=�N— _ — ' �^ FE MONUMENTI I O . O.J'S FWND I C�_3 � MONUMENT �/ O.SE � GftAVEL PARKWG AREA 5•�� ELECTRIC� �ND � ■■ t WALL � BOX � O.J�N W \� 0.5'E � Z _____________________� J Q DRPIN HEDGE �GA� � a Y -p. � : J � � O ^ W ; � o p J O O = O W FUEL W = a 3• ti CAP O 3 d' a � � � < � �I � ' W ^ � vQr WALL t ■'�' � 0.5'W � jp � � 1B.p' y QUNC❑ 13.9' � � C Z FE O1 9.1 1.5E a N 1Z3' � ¢ 'v �F O ry yj e- � W Q 1� M Q W' WO p 32.6' V .". ' N O J �` w � STORY � ].2' m A FE J X ve 6 " DWELLIN6 � +�.a• o.�•� x F o.re cnr� NO. 950 a s.r F.Q- 0 20d' 46.J' cWi Y W U li O ti 3 tn MASONR7 W � a � W Q FE _ � �--� F N E � GqT L�E O � FE �� —____ _='� ___�� II� 0.6"E a LOOSE � �. O � �—��_—LOOSE SiONE WALL � WALE jZ' r ' w Wp00 p� � Z � ' ^ 1 v� � WA��NE 3 t N�j Q \ BULKHEAO �,pp�R� � U — \ 1.4'W �� S 76�.9��Op W �OOEDS \ � � D E Er E � � D � D � aaR - � �0�3 � Fx QO J� � 4 DEEP HOLE CREEK � � � VeN: SURVEY DEED REFERNCE: L1BER 11259 PAGE 207 lha off3eis w dimenslans ahotivn from yryucryires to Ilie prope�y Ihres are for o speclNc purpase and use,and�erefore,are not intended ro guide{n Ihe ereclion of{encm,reloining walls, pods,palias,planNng areos,odditions b buildings and arty other wnshuciion. Subwrface and emironmenpl conditions were rrof�mined a considered os a pah af Ihis su�y. Easertimis,RighlsaFWoy of record,if am/,aie nol shoWn.Propeity tortier monumenh were not placed os a part of Ihis auney. cQ 2013 BBV PC B B� �rrett Tax Map: DISTRIGT 1000 sEcrwN i i s s�oac i i wr i s gOflaCCI $c Map oE PROPERTY Umudw�md ahemnm a oddmon b Van Weele Pc '��'"°''"°"°'°"°^°��"°" � 7209d NewYohSa�e Edomeon Civil Engineen 175A Commerce Driva 11AOP�� — �p Blxk -- �s �h�aao�,rrv i t�ae Filed: -- No.: — Ca,ny: SUFFOLK Su r 631.435.11 1 1 P�anners v 631.435.1022 www.bbvp�.ca� Situate: MATiRUCK,TOWN OF SOUiHOID c«nrwd b: rnb rs.: — wri.�, sr a�, , of Ihis w�y mop nd beor Ing Ihe land wrvaya's embossad PAUL PAWLOWSIO se��a�d �snrn�re aho��a 6a mr� �idered to 6e a hue ard wlid copy s� . �.e. o.�.d . av.�. c�.d�.a . M.n.�. Sods: 1"= 30' ook: FEBRUARIf 15 2013 �OaN°.: A130087