HomeMy WebLinkAboutTR-8176A James F. King, President
Bob Ghosio, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
Town Hall, 53095 Main Rd.
P.O. Box 1179
Southold, NY 11971
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
Ist day of construction
% constructed
Project complete, compliance inspection
James F. King, President
Bob Ghosio, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
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
Permit No.: 8176A
Date of Receipt of Application: April 30, 2013
Applicant: John Liegey
SCTM#: 31-18-1
Project Location: 2395 Bay Avenue, East Marion
Date of Resolution/Issuance: May 15, 2013
Date of Expiration: May 15, 2015
Reviewed by: Trustee John Bredemeyer
Project Description: To construct a 3'x3' platform with stairs to dwelling; for the
existing outdoor shower; and place boulders along the side yard property line.
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 John Liegey, received on April 30, 2013, and stamped
approved on May 15, 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 $outhold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
James F. King, President
Board of Trustees
James F. King. President
Bob Ghosio, Jr., Vice-President
Dave Bergen
John Bredemeycr
Michael J. Domino
PO Box 1179
Southold, NY 11971
Telephone (631 765-1892
Fax (631) 765-6641
Date/Time:
Southold Town Board of Trustees
Field Inspection/Work Session Report
JOHN LIEGEY requests an Administrative Permit to construct a 3'x3' platform
with stairs to dwelling; for the existing outdoor shower; and place boulders along
the side yard property line. Located: 2395 Bay Avenue, East Marion. SCTM#
31-18-1
~ of area to be impacted:
Saltwater Wetland Freshwater Wetland
Sound /"Bay
Distance of proposed work to edge of wetland
,~C. of Town Code proposed work falls under:
__Chapt.275 Chapt. 111 other
TY/AAd of Application: Wetland __Coastal Erosion __Amendment
ministrative__Emergency Pre-Submission Violation
Info needed:
Modifications:
Conditions:
P~t Were: J. King B. Ghosio__
Bredemeyer. Michael Domino
D. Bergen,
D. Dzenkowski other
Form filled out, jp th,e field by
Mailed/Faxed to:
Date:
EOE~V~
APR
Southold
OFFICE LOCATION:
Town I-Iall Annex
54375 State Route 25
(cot. Main Rd. & Youngs Ave.)
Southold, NY 11971
MAILING ADDRESS:
P.O. Box 1179
Southold, NY11971
Telephone: 631 765-1938
Fax: 631 765-3136
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
To:
From:
MEMORANDUM
Jim King, President
Town of Southold Board of Trustees
Mark Terry, Principal Planner
LWRP Coordinator
ECEJVE
MAY 13 2013
So~thold Town
Board of Trustees
Date: May 10, 2013
Re:
Proposed Wetland Permit for JOHN LIEGEY
SCTM#1000-31-18-1
JOHN LIEGEY requests an Administrative Permit to construct a 3'x3' platform with stairs to dwelling;
for the existing outdoor shower; and place boulders along the side yard property line. Located: 2395
Bay Avenue, East Marion. SCTM# 31-18-1
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
depadment, as well as the records available to me, it is my recommendation that the proposed actions
are CONSISTENT with the Policy Standards and therefore CONSISTENT with the LWRP.
Pursuant to Chapter 266, 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
Bob Ghosio, Jr., Vice-President
Dave Bergen
John Bredemeyer
Michael J. Domino
Town Hail 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
Office Use Only
Coastal Erosion Permit Applic~ti~)n
Wetland Permit Application ~ Administrative Permit
_ Amendment/Transfer/Extension
.~ Received Application: ~/'~ O//:~
~[;~Received Fee:$ !
~-Completed Application ~/~O//z>
n--incomplete ! !
__SEQRA Classification:
Type 1 Type II Unlisted
Coordination:(date sent)
~!_~-LWRP Consistency Assessment Form ~///~:~/~ _-5-
CAC Referral Sent:
~_Date of Inspection: .~'~t~'f] :~
Receipt ofCAC Re-po~: !
Lead Agency Determination:
Technical Review:
~ Public Hearing Held:. 5-"//~-"//?-.
Resolution: ! ! --
APR 3 0 20;3
~ of Trustees
Name of Applicant
Mailing Address
Phone Number:({~$ 7~ ~;~ ' ~-'~t)_r~
Suffolk County Tax Map Number: 1000- 3 1 ~' I~>' _t~ ]
Urop~y Location: ~ ~ ~ g~ ~ ~
(provide LILCO Pole g, 'di~ance~o cro~s s~eets, and location) [
AGENT:
(If applicable)
Address:
Phone:
of Trustees Applicatio~
GENERAL DATA
Land Area (in square feet):
Area Zoning:
Previous use of property:
Intended use of property:
Covenants ~d Restrictions on prope~y? ~Yes ~No
If"Yes", plebe provide a copy.
Will this project require a Building Pe~it as per Town Code? ~Yes No
If"Yes", be Mvised this application will be review~ by the Building Dept. prior to a Bo~d of Trustee review
~d Elevation Plans will be required.
Yes P~No
Does this project require a variance from the Zoning Board of Appeals? .__
If "Yes", please provide copy of decision.
Will this project require~ demolition as per Town Code or as determined by the Building Dept.?
Yes i/ 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?. _
If yes, provide explanation:
No
Yes
Project Description (use attachments if necessary):: .~~__
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
Area of wetlands on lot: t~ _square feet
Percent coverage of lot: ~ %
Closest distance between nearest existing structure and upland
edge of wetlands: :]~ ~t feet
Closest distance between ngarest proposed structure and upland
edgeofwetlands: :~' %,~t feet
Does the project involve excavation or filling?
No Yes
If yes, how much material will be excavated?
How much material will be filled?
Depth of which material will be removed or deposited:
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
cubic yards
cubic yards
feet
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 ID NUMBER
)ART 1 - PROJECT INFORMATION
1. APPLICANT / SPONSOR
617.20
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
( To be completed by Applicant or Project Sponsor)
2. PROJECT NAME
SEQR
3.PROJECT LOCATION: ~ I
PRECISE LOCATION: Street Addess and Road Intersec~ons, Prominent landmarks etc -or 9rovide map
IS PROPOSED ACTION: ~ New [] Expansion [] Modification / alteration
6. DESCRIBE PROJECT BRIEFLY:
7. AMOUNT OF LAND AFFECTED:
Initially .~¢ acres
Ultimately acres
8 WILL PROPOSED ACTION COMPLY WiTH EXISTING ZONING OR OTHER RESTRICTIONS?
Yes
[]No If no, describe briefly:
99.,~WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
Residential E~]lndustrial ['--]Commercial ~Agriculture r~ Park / Forest / Open Space [~Other (describe)
10.' DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
,~NCY (Federal, State or Local)
Yes r~ No It~ yes, list agency name and permit / approval:
11. uuL~ ANY A~PECI r j;- I h~. AC I ION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
--'-]Yes [~No If yes, list agency name and permit / approval:
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
~ CERTIFY ]~,~ THE ]NFOIi~IATION~,PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Signature
q.
fthe act on s a Co~al~rea, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
PART II - IMPACT ASSESSMENT completed by Lead Agency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 6174? If yes, COordinate the review process and use the FULL EAF.
r~Yes ~]No
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.
n--J Yes [~'lNo
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible)
C1. Existing air quality, surfaceorgroundwaterqualityorquantty, noiselevels, existing traffic pattern sofidwaste productidn ordisposal,
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 bdefly:
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 Cl-C57 Explain briefly:
C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly:
WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA (CEA)?
[] Yes [] No If Yes, explain briefly:
E. 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 of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA.
] Check this box if have identified adverse which MAY occur. Then proceed directly to the FULl
you
ona
Or
more
potentially
large
or
significant
impacts
EAF and/or prepare a positive declaration.
[] Checkthisboxifyou have determined, based on the information andanalysisaboveandanysupportingdocumentation,thatthepmposed action wiLI
NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determination
Board of Trustees
Name of Lead Agency Date
President
Print or Type Name of Responsible Officer in Lead Agency
Title of Responsible Officer
Signature of Responsible Officer in Lead Agency
Signature of Preparer (If different from responsible officer)
of Trustees Application
County of Suffolk
State of New York
DEPOSES AND AFFIRMS THAT~E/~HE 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. 1N 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.
t~ignature o f~r~pe~/~wner
SWORN TO BEFORE ME THIS ?~'('Z DAYOF ..~ ,20 I')D
Notary Public
CONNIE D. BUNCH
Notary Public, Str~te of New York
NO. 01BU' 185(;';0
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE. FORM
The Town of Southold's Code of Ethics orohibits conflicts ofinterost on the vart of town Officers and emolovces. The vumose of
this form is to orovide information which can alert the town ofoosalble conflicls of interost and allow it to take whatever action is
necessary to avoid same.
YOURNAME:
(Last name, first name, gaiddle 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 Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(lf"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? "ReIationship" 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 pmtial ownembip of (or employment by) a corporation
in which the town officer or employee owns more than 5% ofth~aros.
/
YES NO ~
If you answered "YES", complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Soothold
Title or position of that person
Describe the relationship between yourself{the applicant/agent/ropresentative) 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 ofgroater 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 oftbe applicant; or
__.D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Form TS I
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 area (which includes all of Southold Town).
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-
suooorting 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# !'il fit') - ~' { [~:~ ~' 0 I
PROJECT NAME
The Application has been submitted to (check appropriate response):
Town Board Plann gBoara[] Building Oept. C1 Boara ofTr. stees IF(
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:
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: ~ O._e,t
(b, Mailing address: . - ~]'~_ '~ ~ ~ l1 '~qq
(c) Telephone number: Area Code
(d) Application number, if any:.
Will the action/directly undertaken, require funding, or approval by a state or federal agency?
Yes [] No I t/I 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 o~development. See LWRP Section III - Policies; Page 2 for evaluation
criteria. ~ /
[]Yes [] No otApplicable
Attach additional sheets if necessary
Policy 2. Protect and pres~e hlstorie and archaeological resources of the Town of Southold. See
LWRP Section III -~ Pages 3 through 6 for evaluation criteria
[] Yes [] No [~Z] Not Applicable
Attach additional sheets if necessao'
Policy 3. Enhance visual/quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III - PoliCes Pages 6 through 7 for evaluation criteria
[] Yes [] No I V l Not Applicable
Attach additional sheets if necessary
NATURAL COAST POLICIES
4. Minimize loss o~e, structures, and natural resources from flooding and erosion. See LWRP
Policy
Section III - Policies Pa~s 8 through 16 for evaluation criteria
~ Yes [] No[~t-~ Not Applicable
Attach additional sheets if necessary
Policy 5. Protect and impr/ove water quality and supply in the Town of Southold. See LWRP Section III
-Policies Pages 16 throu~ 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 Southold ecosystems including
Significant Coastal Fish a~d Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22
through 32 for evaluati?6 criteria.
/
Yes
No ~ot Appl?able
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/t~aluation criteria.
~-~ Yes [] No L_~ Not Applicable
Attach additional sheets if necessary
Policy 8. Minimize envi/ronmental degradation in To~n of Southold from solid waste and hazardous
substances and w~/See LWRP Section III - Policies, Pages 34 through 38 for evaluation criteria.
~ Yes [] No I ~ Not Applicable
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
re.sou.rces of the Town of/8outhold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation
criteria. ~//
F~ Yes~ No t/~ Not Applicable
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Sout/hold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. S~ LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria.
[] Yes ~'~ No~l'l Not Applicable
ARach additional sheets if necessary
Policy 11. Promote__sustainable use of living marine resources in Long Island Sound, the Peconic
Estuary and Town wa/t~rs. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria.
I lYes ~ I Nolg/1 Not Applicable
Attach additional sheets if necessary
12. Protect agric)d'~ural lands in
Policy
62 through 65 for eval~tion criteria.
~ Yes [] No l[~]J~' Not Applicable
the Town of Southold. See LWRP Section III - Policies; Pages
Attach additional sheets if necessary
13. Promote apprgl~riate use and development of energy and mineral resources. See LWRP
Policy
Section III - Policies; Pa~s 65 through 68 for evaluation criteria.
~ Yes [] No ~ot/Applicable
P~PA~DBY
DATE
~ ECEIVE
'-I
APR 3 0 2013 -.
Southold Town
Board of Trustees
APPROVED BY
BOARD OF TRUSTEES
TOWN OF SOUTHOLD
SURVEY OF PROPERTY
~ITUA T£'D A T
EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-31-18-01
SCALE 1"=20'
SEPTEMBER 28, 1999
APRIL i9, 2013 ADD COASTAL EROSION HAZARD LINE
AREA = 6,124.47 sq.
(TO BULKHEAD)
O. 1 41
CERTIFIED TO:
FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK
EXECUTIVE MORTGAGE BANKERS, LTD.
JOHN LIEGEY
ELIZABETH LIEOEY
ECEIVE
APR 3 0 2013
PREPARED IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY TIlE LIA[ S AND APPROVED AND ADOPTED
FOR SUCH USE BY THE NEW YORK STATE LAND
TITLE ASSOCIATION
Lic No 50467
Nathan Taft Corwin III
Land Surveyor
Successor Ti): Stanley J Is(]ksen, Jr LS Joseph A Iqgegno L.S
Title Surveys Subdivisions Site Plans Construction Layout
PHONE (631)727 2090 Fox (651)727 1727
OFFICES LOCATED AT MAILING ADDRESS
1586 Main Roac PO. Box 16
Jamesport, New 11947 Jamesport, New York 11947
,,,%
UNATHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS B VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMDOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDfND INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI
TUTION CERTIFICATIONS ARE NOT TRANSFERABLE
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED,
99 604