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HomeMy WebLinkAboutTR-8374A John M.Bredemeyer III,President r3f so�Tlyo Town Hall Annex �O l0 Michael J.Domino,Vice-President 54375 Main RoadP.O. Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q Telephone(631)765-1892 Charles J.Sanders,TrusteeO1�C0UFax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1032C Date: August 14, 2014 THIS CERTIFIES that the replacement of inkind existing 6'x16' and 6'x18' wrap- around covered porch; removal of chimney; installation of new pervious driveway; installation of pautters to leaders to drywells; and a 20' wide non-turf buffer along landward edge of wetlands At 1200 Westphalia Road, Mattituck,New York Suffolk County Tax Map# 114-7-14.2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 28, 2014 pursuant to which Trustees Administrative Permit#8374A Dated March 19, 2014,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 replacement of in-kind existing 6'x16' and 6'x18' wrap-around covered porch; removal of chimney installation of new pervious driveway; installation of gutters to leaders to dUwells,• and a 20' wide non-turf buffer along landward edge of wetlands. The certificate is issued to NORTH FORK INVESTORS LLC owner of the aforesaid property. Authorized Signature John M. Bredemeyer 111, President %UfFO(�-CO Town Hall,53095 Main Rd. Michael J. Domino,Vice-President �� Gy P.O.Box 1179 James F. King y Southold,NY 11971 Dave Bergen a Telephone(631)7654892 Charles J.Sanders y�01 � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE F INSPECTION: J U L �+ I Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 15t day of construction constructed Project complete, compliance inspection. t INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: CC#: C14-16340 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK 1, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 04/1712014 under Liber D00012771 and Page 001 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 04/17/2014 SUFFOLK COUNT/Y� CLERK JUDITH A.PASCALE SEA1, APR 1 8 2014 �.1 2 RE Number of pages 17 12D '_' 14 Apr 17 1e^^:SS:4.'.. PP1 JUDITH R. PASCALE CLERK, OF This document will be public SUFFOLr CUt14TY record.Please remove all L D00012771 Social Security Numbers P 001 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. .....___ 1.Basic Tax ---.............._..._— Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation SpecdAssit. or EA-5217(County) _ 5ub Total J � Spec./Add. EA-5217(State) TOT,MTG.TAX ��LSI Dual Town Dual County --.... R.P.T.S.A. Held for Appointment_ �_— Comm.of Ed. 5, 00 Transfer Tax Affidavit + , Mansion Tax -""i f" The property covered by this mortgage is �� `� -`—" or will be improved by a one or two NYS Surcharge 15. 005ub Total �:�� � family dwelling only. YES or NO Other c Grand Total i',, ` If NO,see appropriate tax clause on page#_-...-ofMMent. 2710870 1000 11400 0700 01400211 1 4 gist. l0i 5 Community Preservation Fund Real Property k SMI A Consideration Amount$ Tax Service 16 APR-14 Agency CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD PATRICIA C.MOORS 51020 MAIN ROAD �— SOI.JTHOI,D NY 11971 TD Mail to Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkeountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DECLARATION OF COVENANTS made by: {SPECIFY TYPE OF INSTRUMENT) NOR1I3 FORK INVESTORS -f,C The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTH3);D jOWNQPWIMN 12 _. in the VILLAGE or HAMLET of MATTI CK NY 11252 BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (1!1111 IIII IIIII IIII!II1i1 IIIII Illi!11111(IIII IIII IIII 1111111 IIIII IIIlI illi IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 04/17/2014 Number of Pages: 6 At: 12 :15:46 PM Receipt Number : 14-0049684 LIBER: D00012771 PAGE: 001 District: Section: Block: Lot: 1000 114.00 07 .00 014.002 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30. 00 NO Handling $20.00 NO COE $5 .00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $5.20 NO RPT $60.00 NO Fees Paid $135.20 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County DECLARATION OF,COVENANTS THIS DECLARATION made this day of April, 2014 by North Fork Investors, LLC, a New York Limited Liability Company with offices located at 18 Andover Road, Rockville Center, New York 11570 hereinafter referred to as"DECLARANT(Sy' WITNESSETH : WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located at 1200 Westphalia Road, Mattituck, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 114, Block 7, Lot 14.2 which is more particularly bounded and described as set forth in Schedule 'W' annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees require a 20' wide non-turf buffer along the landward edge of the wetlands; NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained 20' wide non-turf buffer along the landward edge of the wetlands as defined by Chapter 275 of the Town Code; and as depicted on survey/site plan by Peconic Surveyors last dated January 22, 2013 and stamped approved on March 19, 2014; and 2) These covenants shall run with the land and shall be binding on the DECLARANT(S),his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument this I` day of April, 2014 North Fork Investors, LLC By: Craig Hasday, Managing Member State of New York) ss; County of A1XW4 On this (6+day of April,2014, before,the undersigned, personally appeared CRAIG HASDAY, personally known to me or proved to me on the basis of satisfactory evidence to the be individual(s) whose name(s) is (are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s)on the instrument, the individual(s), or the person upon behalf of which the individual(s)acted,executed the instrument. Notary Public MELANIE JO SEAMAN Notary Public, State of New York No.01SE6038684 Qualified in Nassau County Commission Expires March 20,20!$ Title No.ADA-2580-5 SCHEDULE A-DESCRIP'l ON ALL that certain plot,piece or parcel of land with the buildings and improvements thereon erected, situate, lying and being at Mattituck, Town of Southold, County of Suffolk, State of New York, known and designated as Lot 2 on a certain map entitled,"Map of Minor Subdivision made for Sidny W.Olmsted Jr.and Robert W.Olmsted-,filed in the office of the Clerk of the County of Suffolk on August 30, 1990,as Map No.8994,more particularly bounded and described as follows: BEGINNING at a point on the northerly side of Westphalia Road distant 235.11 feet from the southeasterly comer of land'nowor formerly of Guijer;said point of beginning also being the dividing line between lots l &2 on said map; THENCE along said dividing line the following three courses and distances: 1. North 6 degrees 29 minutes 00 seconds West 257.68 feet; 2. North 27 degrees 02 minutes 50 seconds East 50.0 feet; 3. South 84 degrees 57 minutes 10 seconds East 180.0 feet(deed), 184.32 feet(actual),to the high ' water mark of Mattituck Creek; THENCE along the high water mark of Mattituck Creek the following two courses and distances (deed): 1. South 10 degrees 57 minutes 10 seconds West 242.87 feet; 2. South 39 degrees 23 minutes East 96.04 feet to land now or formerly of Suffolk County; Said courses and distances along the high water mark of Mattituck Creek also being the following four courses and distances(actual): 1. South 16 degrees 13 minutes 48 seconds West 195.57 feet; 2. South 3 degrees 40 minutes 45 seconds East 65.57 feet; 3. South 36 degrees 19 minutes 59 seconds East 62.92 feet; 4. North 86 degrees 52 minutes 45 seconds East 27.61 feet to land now or formerly of sialic County; continued.......... Title No.ADA-2580-5 Schedule A Page-2- . THENCE along said land South 23 degrees 8 minutes 10 seconds West 38.0 feet(deed),47.74 feet (actual),to the northerly side of Westphalia Road; THINCE along the northerly side of Westphalia Road North 70 degrees 00 minutes 00 seconds'West 183.89 feet to the point of BEGINNING. FUR AMCM ONLY:Together with all right,title and Interest of,in and to any streets and roads abutting the above described premises,to the center tine thereof. MARTIN D.FINNEGAN SCOTT A.RUSSELL TOWN ATTORNEY Supervisor martin.finnegan@town.southold.ny.us ��pF SOUryO JENNIFER ANDALORO ;`O l0 Town Hall Annex,54375 Route 25 ASSISTANT TOWN ATTORNEY P.O.Box 1179 jennifer.andaloro@town.southold.ny.us Southold,New York 11971-0959 LORI M.HULSEO • O Telephone(631) 765-1939 ASSISTANT TOWN ATTORNEY �yCOUNTy Facsimile(631) 765-6639 lori.hulse@town.southold.ny.us ' OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD Patricia C. Moore April 9, 2014 51020 Main Road Southold,NY 11971 RE: Northfork Investors, LLC,Wetlands Permit No. 8374A Dear Ms. Moore, I have reviewed the Declaration of Covenants draft you submitted to this office with respect to the above referenced application concerning the twenty foot wide non turf buffer to be established and subsequently maintained along the landward edge of the wetlands. The covenants and restrictions document must be executed and filed with the County pursuant to §275-10(K) of the Southold Town Code. Please note that a copy of this document or, in the alternative, a sworn statement attesting to the filing is to be presented to the Office of the Board of Trustees within 90 days of issuance of the permit. Regards, .eo* Lori M. Hulse Assistant Town Attorney Cc: Board of Trustees John M. Bredemeyer III, President O 1`91.p Town Hall, 53095 Main Rd. Michael J. Domino, Vice-President P.O. Box 1179 James F. King w ; Southold, NY 11971 Charles J. Sanders y Telephone (631) 765-1892 Dave Bergen Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1St day of construction _ % constructed Project complete, compliance inspection John M. Bredemeyer III, President Of SD• Town Hall Annex Michael J. Domino, Vice-President Ile 54375 Main Road P.O. Box 1179 James F. King, Trustee 4 4 Southold, New York 11971-0959 co Dave Bergen, Trustee C Telephone (631) 765-1892 Charles J. Sanders, Trustee Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8374A Date of Receipt of Application: February 28, 2014 Applicant: North Fork Investors, LLC SCTM#: 114-7-14.2 Project Location: 1200 Westphalia Road, Mattituck Date of Resolution/Issuance: March 19, 2014 Date of Expiration: March 19, 2016 Reviewed by: Trustee Jim King Project Description: To replace in-kind existing 6'x16' and 6'x18' wrap-around covered porch; remove chimney, not to be replaced; install new pervious driveway; with the condition to establish and subsequently maintain a 20' wide non-turf buffer along the landward edge of the wetlands; and installation of gutters to leaders to drywells for roof runoff and in accordance with Chapter 236 of the Town Code-Stormwater Management. 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 submitted by Patricia C. Moore, Esq., received on February 28, 2014, and stamped approved on March 19, 2014. Special Conditions: The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 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. John M. Bredemeyer III, President Board of Trustees John Bredemeyer, President .UFFO(,r Town Hall Annex Michael J. Domino, Vice-President ham 54375 Route 25 James F. Kin P.O. Box 1179 Charles J. Sanders ~y Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time:~p R t 3" J Patricia C. Moore, Esq. on behalf of NORTH FORK INVESTORS, LLC requests an Administrative Permit to replace in-kind existing 6'x16' and 6'x18' wrap-around covered porch; remove chimney, not to be replaced; install new pervious driveway; and install and maintain a 5' wide non-turf buffer along the landward edge of the wetlands. Located: 1200 Westphalia Road, Mattituck. SCTM# 114-7-14.2 Type of area to be impacted: -Saltwater Wetland -Freshwater Wetland -Sound Bay GH Distance of proposed work to edge of wetland 9® Part of Town Code proposed work falls under: t Chapt.275 _Chapt. 111 -other Type of Application: Wetland -Coastal Erosion -Amendment Administrative -Emergency -Pre-Submission Violation Notice of Hearing card posted on property: Yes No " Not Applicable Info needed: Modifications- co P" we.*7 C7 6-vr7 6K s d L?-'aG6 it / r~ ,AQywi=G ~S ~~t2 1€~ai= rz~N a A F Conditions: Present Were: J. Bredemeyer M. Domino 6. King C. Sanders Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: • Scott A. Russell James A. Richter, R.A. SUPERVISOR Michael M. Collins, P.E. SOUTHOLD TOWN HALL - P. O. Box 1179 Q 0 53095 M 11971 Telephone H: (631) - 765 -15600 ( - -M1JO MICHAEL.COLLINSHT'OWN.SOUTHOLD.NY.US JAMI R®TOWN.SOUTHOL . Office of the Engineer FEB 2 8 2014 Town of Southold STORMWATER MANAGEMENT CONTROL PLAN RE (TO BE COMPLETED BY THE APPLICANT) PLEASE NOTE: All Contact & Project Information Requested by this FORM is Nessary for a Complete Application. APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) PROPERTY OWNER (If Different from Applicant NAME: ~Qif-~ 1!,lH ~ys{zg{S L~ NAME: _s4r - ADDRESS: Clc %F'!~ MOO -e ADDRESS: r0 so fri Sbbt Rio/ ! i J It l 7/ Telephone Number: 6 3- 24k 5-- V33 O Telephone Number: Completed Applications can be picked up at the Engineering Department after being notified by the Department, or; it I can be Mailed to the Applicant with the submission of a Self Addressed 8.5" x 11" Envelope & Appropriate Postage. DATE: Property Address / Location of Co truction Work: 12-a&2 dno S C T M 1000 //L/ L Cd rY7zX- District Section Block Lot Required Documents for Stormwater Review: Copy of Complete Building Permit Application. Stormwater Management Control Plan. (2 Sets) Note:_ SMCP's are required whenever Grading or Excavations exceed 5,000 S.F, when New Impervious Surfaces are created, and/or when existing Roof Systems, Driveways, Patios or other Impervious Surfaces are Re-Surfaced. De Minimis Projects will NOT be Subject to the Submission of a SMCP During the Stormwater Review 1 Note: These Projects would be Limited to Interior Renovations, Replacement of exterior Doors & Windows, Deck Construction with Loose Fit Decking, Installation and/or Modification of Mechanical Systems or other similar Work. A Complete Description of the Scope of Work Proposed under the Building Permit Application. A Completed Stormw er Review C cklist. If No or NA are Indicated, Justification is Required. ,****)FOR EN 1 N EPARTMENT USE ONLY Reviewed By: Date: L-31- 1 ~ Appi Ved ? Ad Y al Information Required: osuk CHAPTER 236 gd STORMWATER MANAGEMENT CONTROL PLAN CHECK LIST ? DATE: /-3l- APPLICANT: (Property Owner, Design Professional, Age/nt. Contractor. Other) ~y NAME: tior-fGtL'~fl(:°S ~l I~l S C T M 1000 //4/ 7 Telephone Number: District Section Block Lot S M C P - Plan Requirements: The applicant must provide a Complete Explanation and/or validation of all Information Required by this Checklist if it has not been provided! 1. A Site Plan drawn to scale Not Less that 60' to the inch MUST YE If You answered No or NA to any Item, Please Provide Justification Herel show all of the following items: NO NA If you need additional room for explanations, Please Provide additional Paper. a. Location & Description of Property Boundaries b. Total Site Acreage. c. Existing - Natural & Man Made Features within 500 L.F. of the Site Boundary as required by § 23e-mcxti. d. Test Hole Data Indicating Soil Characteristics & Depth to Ground Water. + e. Limits of Clearing & Area of Proposed Land Disturbance. 144 0 f. Existing & Proposed Contours of the Site (Minimum Z Intervals) g. Location of all existing & proposed structures, roads, driveways, sidewalks, drainage improvements & utilities. h. Spot Grades & Finish Floor Elevations for all existing & proposed structures. 1. Location of proposed Swimming Pool and discharge ring. j. Location of proposed Soil Stockpile Area(s). k. Location of proposed Construction Entrance/Staging Area(s). 1. Location of ro osed concrete washout area(s). M. Location of all proposed erosion & sediment control measures. • 2. Stormwater Management Control Plan must include Calculations showing that the stormwater improvements are sized to capture, store, and infiltrate on-site the run-off from all impervious surfaces generated by a two (7) inch rainfall / storm event 3. Details & Sectional Drawings for stormwater practices are required for approval. Items requiring details shall include but not be limited to a. Erosion & Sediment Controls. b. Construction Entrance & Site Access. c. Inlet Drainage Structures (e.g, catch basins, trench drains, etc.) d. Leaching Structures (e.g. infiltration basins, swales, etc.) O M - S CP Check List - 0 AN 2014 y r h, yk mti•'} rv g~%!SV u 5 h S °.}p.ti n vYf h Sri t~ 6'-O" 6'-0" 24'-I" SCALE: 1/4" = I'-O° I O HOUSE 5-dR- ID peo 12Y 1 2w NEW NEW 6'0 WASHER I SIN t2' 2 e FAI 4" TO EXISTING 4 H. TRAP SANITARY SYSTEM \GR AM 'PROPOSED INTERIOR AND EXTERIOR ALTERATIONS FOR `yZERED 1200 YVESTPHALIA ROAD PHILLIP WELLS G 4 MA771=K, NY OF.Rt J.. (igGm 0~, SCALE: AS NOTED APPROVED BY: DRAM BY: J.TURNER I j DATE 0I-14-14 REVISED BY Robert J Gruber - - Architect 476 Expressway Drive So. Medford, N.Y. 11763 (631 654-4949 Q OF ; :2 NUM FOUNDATION PLAN / FLOOR PLAN / L)KAWN I PLUMBING R15 ER NOTES JOB: # - { 8' z0r t 1 t r r~ ft t Jr t rl =rm r a 1 1 S ' F1i ,a ~ti 1 ~if Y rte. _ , . ~ Y Y ! t 9 J ~ ~ - r' ~Y~r•. 1 . y I j r to A ~ t ' • = rur : R 8 w ~ ~ 9 w°E w r, wow ea. ,wwr a~ ya IZE a 94 I 1 •d O 4r a dj e ff 4 I 5$l-'ls uVN I n ~ I O ~ u - ,'tea ~dw}} I nr uwx , . I ..,ywo a;3. I $ its 112 ~ ~.ir+n e~o.~n j uur xmKE OOUNT OF SUFFOLK © a, mm s.aroxxo _-_O__ r vYY RBII PraFery TYl[$efYY.B I.gBrrL•1 w earaswrww/. x.,,wr 994 pf SO(/Tyo OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) G Q Southold, NY 11971 Telephone: 631 765-1938 IiYC~UIY l , Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM ~LMAR ''T. 1. 4.. 2014 ~ D To: John Bredemeyer, President Town of Southold Board of Trustees Swuta~' uhf f Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: March 14, 2014 Re: Proposed Wetland Permit for NORTH FORK INVESTORS, LLC SCTM#1000-114-7-14.2 Aerial photos indicate that the structure existed in its current location in 1962. Patricia C. Moore, Esq. on behalf of NORTH FORK INVESTORS, LLC requests an Administrative Permit to replace in-kind existing 6'x16' and 6'x18' wrap-around covered porch; remove chimney, not to be replaced; install new pervious driveway; and install and maintain a 5' wide non-turf buffer along the landward edge of the wetlands. Located: 1200 Westphalia Road, Mattituck. SCTM# 114-7-14.2 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 actions (replace in-kind existing 6'x16' and 6'x18' wrap-around covered porch and remove chimney) are EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "B" which states: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site (inplace), including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit and shoreline erosion control structures (including, but not limited to, groins, jetties, bulkheads, filled piers) located within Great Peconic Bay, Cutchogue Harbor, Little Peconic Bay, Hog Neck Bay, Noyack Bay, Southold Bay, Shelter Island Sound, Pipes Cove, Orient Harbor, Gardiners Bay, Long Island Sound, Fishers Island Sound and Block Island Sound (excluding all creeks); The proposed installation of a new pervious driveway and a 5' wide non-turf buffer along the landward edge of the wetlands are CONSISTENT with the LWRP provided: 1. That the Board increase the buffer to 30' in width to preserve existing vegetation and achieve greater function and value of the buffer (Figure 1). In addition, the buffer should be either a non-turf, vegetated buffer or a non-disturbance buffer. M tk' Fh -j l 0. /Fr f v ~w fir, A ~i6 I i..T D. e l 1' 0 : 1 1 ~ Figure 1. Subject parcel showing approximate 30' wide buffer from marine wetland (lines). 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 I I James F. King, President & tf soUry Town Hall Annex Bob Ghosio, Jr., Vice-President 54376 Main Road P.O. Box 1179 ~ Dave Bergen Southold, Now York 11971-0959 John Bredemeyer ~O Telephone (631) 765-1892 Michael J. Domino lyC Fax (631) 765-6641 i BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I Office Use Only -Coastal Erosion Permit Application -Wetland Permit Application Administrative Permit I _Ameadmen Transfe x sign / eceived Application: I t{ Received Fee:$ ompletedApplication =Incomplete SEQRA Classification: Type IType Il Unlisted- FEE 4 oordination:(date sent) I ~WRP Consistency Assessment Form L ~ AC Referral Sent ate. of Inspection: 2 ["I , ~ -Receipt of CAC Report: - _Lead Agency Determination: T,echnical Review: Public Hearing Held -Resolution: - L I Name of Applicant ~O r Fi k -fit c v~ o f Sn L t C Mailing Address I S AncA oire r oc ccJ n` o~L y r ( ~e C nvi4er , kN 1( 7 O Phone Number:( ) 4 t j S'7 c- - S~3 i 8 Suffolk County Tax Map Number: 1000 - I l y - o 7 - 14,(9- I' , Property Location: (Z ~ O ~Oet;o Ck \t C,1R) C) Ca M at~~' ~ iw H 9 5 7 (provide LILCO Pole distance to cross streets, and location) AGENT: T Gc ~Y c c c a C ?y~ Dorf- tg~( (If applicable) Address: 5-1 02) RCxl n RC Coo r ~A0 0 Phone: 71 P S-- L• 3.3 0 i trd of Trustees Application i gGENERAL DATA Land Area (in square feet): S ) i r ~O S Area Zoning: R - Previous use of property: Cl( l~ '1Q 44oV ;e I. Intended use of property: no y w~ ton j ~~(i SCj you 3C Covenants and Restrictions on property? ____Yes No If "Yes", please provide a copy. I Will this project require a Building Permit as per Town Code? X 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 Board of Appeals? Yes ~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 I Prior permits/approvals for site improvements: Agency Date TNs~~~e # loq~ '7/(a~-:7; r ~/aoi 3 F-c~o (07 s a~ /ca 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: Project Description (use attachments if necessary): I Project description: North Fork Investors LLC sctm: 1000-114-07-14.2 replace in kind in place existing 6 X 16 and 6 X 18 wrap-around covered porch; new pervious driveway, 5' non disturbance buffer and 5' non turf buffer; remove chimney (not replacing) Bild of Truateea Application. WETLAND/TRUSTEE LANDS APPLICATION DATA i Purpose of the proposed operations: Fe-ncyvatt r ei Si r/V(Ct f.rCJIe LQ "kr nA C5Y bun \gr&~n'4nov\ N4:U1 U'--t Gur-Q k Area of wetlands on lot: square feet Percent coverage of lot: 1 Closest distance between nearest existing structure and upland edge of wetlands: co 75" feet Closest distance between nearest proposed structure and upland edge of wetlands: o S feet Does the project involve excavation or filling? No Yes ~~Plctee frx'dry5q, as ne_¢cle~) j If yes, how much material will be excavated? O cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 3 feet Proposed slope throughout the area of operations: Qc~t Manner in which material will be removed or deposited: 5 vhc~.t,l ~G v r r~un~i- cr ~ u kovn c~. 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): 617.20 Appendix B Short Environmental Assessment Form i I Instructions for Completing f. 'r. Part 1 - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. j Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully I. respond to any item, please answer as thoroughly as possible based on current information. ~F Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. i Part I - Project and Sponsor Information LLC Name of Action or Project: A\0 US2 Project Location (describe, and attach a location map): Brief Description of Proposed Action: In~ycOf d L~'~.1(c0(~ Q-~0.~'CO-VIS~'(~e1~1C5ll0.~[C9'Y1 Name of Applicant or Sponsor: Telephone: '717-6a -5-5 i s Ne>Y-k h 4Ctry k 7TAVPStz~ rs LLC B-Mail: Address: City/PO: State: Zip Code: Rork vrlle I l 5-10 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that r V-1 may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 1A F-1 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: ? 3.a. Total acreage of the site of the proposed action? t acres b. Total acreage to be physically disturbed? D acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on, adjoining and near the proposed action. Urban ?Rural(non-agriculture) []Industrial []Commercial Residential (suburban) []Forest []Agriculture - []Aquatic ?Other(specify): - []Parkland - Page 1 of 4 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ? ® ? b. Consistent with the adopted comprehensive plan? ? ? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ? 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? NO YES If Yes, identify: tc G -}{(-)U5e_ Y 4raeS .4 fGlrT'-V0_lor% © ? I' 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES b. Are public transportation service(s) available at or near the site of the proposed action? ? i c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ? 9. Does the proposed action moot or exceed the state energy code requirements? NO YES - If the proposed action will exceed requirements, describe design features and technologies: ? © , 10. Will the proposed action connect to an existing public/private water supply? NO YES If No, describe method for providing potable water: ? 11. Will the proposed action connect to existing wastewater utilities? NO YES If No, describe method for providing wastewater treatment: ? i 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ® ? - b. Is the proposed action located in an archeological sensitive area? 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain NO YES wetlands or other waterbodies regulated by a federal, state or local agency? X b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? a ? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: Shoreline ?Forest ?Agricultural/grasslands ?Earlymid-successional M Wetland ?Urban - ?Suburban - - - 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed NO YES ! by the State or Federal government as threatened or endangered? - ® ? 16. Is the project site located in the 100 year flood plain? - NO YES 17. Will the proposed action create storm water discharge, either from point or non-point sources? NO YES If Yes, ? ? a. Will storm water discharges flow to adjacent properties? [N NO ?YES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: ONO AYES ~.to G~1ct,,nAe. Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: F ? 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes, describe: ? 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or NO YES completed) for hazardous waste? If Yes, describe: © ? I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY j KNOWLEDGE Applicant/spo ame: _ ,r.16tua tlo OOKL X774, Date: -.-7- Signature: i I Part 2 - Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the, following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or I otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" No, or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ? regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ? 3. Will the proposed action impair the character or quality of the existing community? ? 4. Will the proposed action have an impact on the environmental characteristics that caused the ? establishment of a Critical Environmental Area (CFA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ? affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action-cause an increase in the use of energy and it fails to incorporate ? reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ? a. public / private water supplies? b. public / private wastewater treatment utilities? ? 8. Will the proposed action impair the character or quality of important historic, archaeological, ? architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, ? waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 No, or Moderate j small to large impact impact I i may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage ? problems? 11. Will the proposed action create a hazard to environmental resources or human health? i I' Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, j duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. I i i Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold - Board of Trustees r / V l 4/` Name of Le d Agency Date U e E L President Print or Ty a ame of Res ible qffiwer m Lead Agency Title of Responsible Officer reof Res ns' a Officer in Leid Agency Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 ~ard of Trustees Applicati~ AUTHORIZATION (where the applicant is not the owner) PHILIP WELLS, as member of North Fork Investors, owners of premises 1200 Westphalia Road, Mattituck, (sctm: 1000-114-07-14.2) residing at do hereby authorize my attorney, Patricia C. Moore, to apply for permit(s) and appear before the Southold Board of Town Trustees on our behalf. (Owner's signature) (Owner's signature) Ord of Trustees Application • County of Suffolk State of New York PHILIP WELLS, 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. Sworn ,t,q°~ before me this day o&QP' ( , 2014 tart' Pul k B <ES'y p. PERKINS 14 public, State 0' NewYak No.01PE6130636 Q~ Qualified in Sues lk n118 lc Commussion EXP July APPLICANT/AGENT/REPRESENTATM I TRANSACTIONAL DISCLOSURE FORM f' I Thc:TownofSouthQ1d's Codo Milks prohibits conflicts of interest on the =of town officers and employees The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necomm to avoid same. 1 Y~Y YOUR NAME: W c)Yt A -qm Y, `--yW e6ln f~Ll_C I Lt.L. (Last name, first name, 4uddle initial, unless you am4pplying 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 (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, i including a partnership, in which the town officer or employee has even a partial. ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO _ X 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 Tide or position of that person Describe the relationship between yourself (the applicantlagent/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 t 's ay of 200 Signature. Pdn h Form TS I f 4,f,,-<~ C Moore- Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I 1. 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. i 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 significant 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 L. 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. D I tom B. DESCRIPTION OF SITE AND PROPOSED ACTION DD SCTM#41- 107 - FEB 2 8 .2014 PROJECT NAME / K V ' - The Application has been submitted to (check appropriate response): Town Board ? Planning Board ? Building Dept. ? Board of Trusties r~tMirl~sfru.fk%-e 1~~~ 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: ins ~v _eavyiiricn CY-w~l/.rr4 - /~,cv wirdouis, ~i~'inr~ CLi~rGt 2~er.~v/Iq on -Gys~r/I1~ ~oy~'cd ~L7gv~~r - ~~(v /?r`- lro,.t L Wye P ) Location of action: 1000 w S~W/7Q R ~DGt ' I wL/ G~L Ay Site acreage: 5Sg- 000 t Present land use: / YJ,Or(1ke- SIiJZ~ k12Lj454 'L ~ f Present zoning classification: Q- q0 i 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: q (a) Name of applicant: AIlOvM Tfra/~beS/s. LLe - (b) Mailing address: X18 c~ot"e/ IeOQ4 QC W'llr r&.in-Ar" ^y r16-70 ) 7/ 7 " Jr7a~ - J (c) Telephone number: Area Code( I (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? ll Yes ? No X 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 of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. P Yes ? No ? Not Applicable mil L h / ' yCf &7Gll 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 V1 Not Applicable 1 I 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 i. I. ? Yes ? No X Not Applicable fare ~iGY/~/~.u Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ? Yes ? No ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ? Yes El No ~NotApplicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section HI - Policies; Pages. 22 through 32 for evaluation criteria. ? ? Yes No Not Applicable I i i 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 0 Not Applicable j I I Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous I substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ? Yes ? No ® Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ? 41 No ISK] Not Applicable Attach additional sheets if necessary i • • I WORKING COAST POLICIES j 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. i ? Yes ? No ® Not Applicable I Attach additional sheets if necessary I Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Pecome Estuary and Town jwaters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ? Yes ? No 1/~ Not Applicable ll~ 4. i Attach additional sheets if necessary i 4 Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. I 1 ? Yes ? No Not Applicable C 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. 0 Yes ? No ? Not Applicable sf1~_` b je~ 174ct/ KL~1.,r~oexvs v ihsG Ocl'.>LI PREPARED BY ?~z u a [ TITLE _ DATE a? / CHECK LIST FOR TRUSTEES APPLICATIONS: (AN ORIGINAL & 3) 1. Application ( C & R'S, if any) typed detailed project description with dimensions (note.. must be signed by owner, with notary) 2. Transactional Disclosure (signed by owners & agent) 3. Short EAF 4. Authorization n EAnnr~ ~D 5. LWRPun~S FEB 2 8 20;4 6. Survey f 7. Plans Boar! 8. Photographs 9. Stormwater form (last dated 6/10) Y N SURVEY OF PROPERT ?OPERTY AT MATTITUCK PUCK TTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.' TTY, N. Y. 100~y0r-114-07-14.2 -14.2 S CALK 1'=30' so, DF EMBER 19, 2012 2012 1-0 I5, 2013 (certifications) erfVlcallons! gg JAN. 22, 2013 (cerfpfjfffg'''jj6n) a LOT 1 R II E p• o~ a ovw 184.32' Y ~ f1~ EFES72 8 2014 u n y Ae. c~~ ~ :y! Ary ~ ,4'' ~ 7 / : 1 0.Z s• N~ 4, APPROV APPROVED BY BOARD OF' BOARD OF TRUSTEES a'" a,• n x I TOWN OF Si OWN OF SOUTHOLD 3l t z L I LOT 1i LOT 2 I y ~ ~f I aarx i ,*Vy ' :Y / CERTIFIED TO, Y y ADVOCATES ABSTRACT, INC. ~ STORS, LLC TRACT, INC. STEWART TITLE INSURANCE CJ , INSURANCE COMPANY a P I~ ~ X g , • \s N~0 m \ 27.81' rr Mm wpm Uo00 \ ~ ' .y u y u 4P~ Y Y • . ai xcnu+os 14 EOF NEW lowa UpU~ q, y N ~?TI. EOF NEVd 5~~\aTIMC) `'~o~~T MC)2 ~'P~r ~O ¦ =MONUMENT < F, LOT NUMBERS REFER TO "MAP OF MINOR SUBDIVISION C! Rb.s 49618 3 ~ MADE FOR SIDNY W. OLMSTED, JR. AND ROBERT W. OLMSTED 496l FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON EOLANO$O AUGUST 30, 1990 AS FILE NO. 8994. N.Y.S. L1C. NO. 49618 M ANY AL7ERA77ON OR AM77ON TO MS SURVEY IS A VIOLATION ECONIC Yi )N1C SUMVEYORS, P.C. AREA-51,9W SO. F7. OF SEC77ON 7219OF 7HE NEW YORK STA7E EDUCA770N LAW. (631) 765-5020 ) 765-5020 FAX (631) 765-1797 TOM LINES EXCEPT AS PER SEC770V 7209-SUBDIVISION 2. ALL CER77RCA77ONS P. p. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 7RAVELER WHOSE SIGNA7URE APPEARS HEREON. SOWHOLD, N.Y. 1HOLD, N. TRAVELER STREET 11971 F12-299