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HomeMy WebLinkAboutMaino, Pamela Johnson James F.King,President q. Town Hall,53095 Main Rd. Jill M.Doherty,Vice-President' ,y�. P.O.Box 1179 Peggy A.Dickerson !` Southold,NY'11971 Dave Bergen Telephone(631)765-1892 Bob Ghosio,Jr. y' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: PAMELA MAINO JOHNSON Please be advised that your application dated March 11, 2009 has been reviewed by this Board at the regular meeting of April 22, 2009 and your application.has been approved pending the completion of the following items checked off below. XX Revised Plans for proposed `project Pre-Construction Hay-Bale Line Inspection Fee ($50.00) s 1st Day of Construction ($50.00) '/2 Constructe'd ($50.00) �� Q XX Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq.'-ft.) Mooring/Duck Blind Permit Fee ($25:00) Permit fees are now due. Please make check or money.order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within.90 days or re-application fees will be. necessary. ' You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: 'James F. King, President Board of Trustees James F. King,President �*OF SUUryo Town Hall- Jill M.Doherty,Vice-President 53095 Route 25 P.O.Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G Bob unosioy. Jr. a0 Telephone(631)765.-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Applicatigfi _Wetland Permit Application Administrative Penn it � // Amendment/Transf r/ xtension V eceived Application: 3 � O /j ✓Received Fee:$ ACompleted Application —Incomplete � MAR j 1 200 _SE RA Classification: 9 r , Type I Type II Unlisted Coordination:(date sent) so'4 ut t�,•� - 0WRP Consistency Assessment Form 4 0oard pf 7: S T011 _ AC Referral Sent: 0— __J).tff 6f Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: blic Hearing Held: c�a- -Resolution: Q I Name of Applicant aL, sa r Address CO t L r Fa Y ✓v, —L1 �. Phone Numb er:(Gs) 1 9 g ` b2..2 Cell q 13 Suffolk County Tax Map Number: 1000-'r')-5 9 O C, — Property Location: (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address:. Phone: 1 i, rd of Trustees Applicatio GENERAL DATA Land Area(in square feet): bo 00 A-+ `- 97 Area Zoning: ►' e.0 « Previous use of property: Y,e s i 4 e U,t t ef +-- v', Intended use of property: Covenants and Restrictions: +` Yes. No V o+ , c, c,,,.�R.,.,,{ tiu�r ci(� zoo 9 If"Yes",please provide copy. Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes,provide explanation: Project Description (use attachments if necessary): C�Lt rA, r-a ,-m,` e +o I +can+ c.0, Th L� U C) - - R---Ard of Trustees Applicatic+ WETLAND/TRUSTEE LANDS APPLICATION DATA. Purpose of the proposed operations: 9 r R -Y-*Vl At- C C-'-n Area of wetlands on-lot: square feet Percent coverage of lot: J �. % b� L e4 S c� y Closest distance between nearest existing structure and upland edge of wetlands: C7 feet Closest distance between nearest proposed structure and upland edge of wetlands: feet . Y L s � Does the project involve excavation or filling? V No Yes If yes,how much material will be excavated?. cubic yards ."k How much material will be filled? cubic yards Depth of which material will be removed or deposited:. feet ILI Proposed slope throughout the area of operations: Manner in whichmaterial will be removed or deposited: (?h ,, a r,, ,.+-e— v +d-� + 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): The 4 c c,.L,k+ -1--•o ....� PROJECT ID 'NUMBER 617.20 SEAR . APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL;ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) I.AP/p�LICANT/.SPIONSOR -17 r- 2.PROJEC NAME 7 CL V►'�-2-l mil. � l ✓t L �✓1 !'l� � 3.PROJECT.LOCATION: + ( f SOy) Municipality ` !'t County SL? 4.PRECISE ,LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 5.IS PROPOSED ACTION: ❑ New ❑Expansion ❑Modification?alteration 6:DESCRIBE PROJECT BRIEFLY: 5 7.AMOUNT OF LAND, AFFECTED: Initially acres Ultimately acres. Kes PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ❑ No If no,describe briefly: 9.W AT IS PRESENT LAND USE IN" VICINITY-OF PROJECT? (Choose as many as apply.) ❑v Residential ❑Industrial ❑Commercial ❑Agriculture Park/Forest/Open Space Other (describe) 10.•DO ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGE (Federal, State or Local) J Yes ❑No .If'-yes,' list agency name and permit / approval: E-C VALIDPERMIT OR APPROVAL? Yes ❑No If yes, list agency name and permit / approval:. 12. A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / on r Name ate: , t'O 011 Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment i I I PART II - IMPACT ASSESSMENT(To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE_1 THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use.the FULL EAF. Yes No _ B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by ahother involved agency. Yes No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be hanbwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly. C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly. C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly. C6. Long term,short term,cumulative;or other effects not identified in C1-05? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? If yes,ex lain bdefl : Yes No .................. E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: Yes No 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 the4eterminationefsignifisaRGe-mast-evaluate-the-petentiat+mpae#eftl3e�repesedaetiarrenti�eeriviranrnentag ar Lter;stiesaft�SCE.,. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur.Then proceed directly to the FULL EAF and/or prepare a positive declaration. - - _.._....-----=----- --...--.-... — -------- --........ ........_.._._._..__.. ...._...-..._...._._......_.._ - Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed actio WILL.NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the,reasons supporting thi determination. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer I Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) i i i Joard of Trustees Application County of Suffolk State of New York T cL"m.e,ICtM n a BEINGDULY SWORN ..DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT.ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/IHER 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. r r Signature SWORN TO BEFORE ME THIS l DAY OF RLI r C k , ,20 6.1_ Notary Pub is PENNY BEDELL NotaryiPublic State of New York No.01BE6099317 _ Qualified in Suffolk County J , i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part 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 necessary to avoid same. YOUR NAME: a t'�"—� l ct /"�G� ✓� (Last name,first name,.riddle 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 (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship.with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage;or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial,ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%.of the shares. 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 Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the' applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. . DESCRIPTION OF RELATIONSHIP - Submitted is 1 rJ day of 200 Signatur Print Name R. Form TS 1, Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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. 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 Con this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non-. supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: onlin _ effo ' website (southoldtown.northfork,.net), the Board of Trustees O ;' e`Planm_ arse local libraries and the Town Clerk's.office. t MAR l .r 2009 . B. DESCRIPTION OF SITE AND PROPOSED ACTION 1 oop--- 1 Southhoid Toi6 SCTM# S� -_ - Board of Trustees PROJECT NAME The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b). Financial assistance(e.g. grant, loan, subsidy) (c) Permit,approval,license,certification: ❑ Nature and exte t of action: Location of action: VV A `t-e Y a n Site acreage: a -s Present land use: Present zoning.classification: 1 oL I 2. If an application for the proposed action has been filed with the Town of Southold agency, the follow'mg information shall be provided: (a) Name of applicant: pc� V-VNA c (b) Mailing address: J [ " . C - o-f- (c) Telephone number: Area Code (d) Application number,if any: Will the a on be directly 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 further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves.open space, makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development.' See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No (Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological- resources of the Town of Southold. See LWRP Section III=Pol' ies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary. Policy 3. 'Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria F.I. Yes [:]. No 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-Policie7NOtApplicab' le s 8 through 16'for evaluation criteria ❑ Yes ❑ No 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 thro:,21 for,evaluation criteria ❑ Yes ❑ No of Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal, Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages.22 through 32 for evaluation criteria. ❑ 0 Yes No Not App He Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town 'of Southold. See LWRP Section III Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No�Not Applicable 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 I=I 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. ❑ YeZ1 No E Not Applicable Attach additional sheets if necessary r WORKING COAST POLICIE; - Policy 10. Protect Southold's water-dependent uses,and promote siting of new water-dependent uses in suitable locations. See WRP Section III—Policies; Pages.47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town wat s. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. 0 Yes 0 No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. 0 Yes ❑ 'No 6 Not Applicable Attach additional sheets if necessary Policy, 13. Promote appropriate use and development of energy and- mineral resources. See LW" Section III—Policies; Pages.65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED B DATE *07 NOTICE COVENANT TO THE DEED DECLARATION THIS DECLARATION,dated 9 day of M ot f'C-h 22001 , is made by Pa•M.ar I A M a h "b , (hereinafter the"Declarant"), whose address is 3 b v lre Cc,- t' ! t c AI Y ! 1-7 - $ WITNESSETH WHEREAS, the Declarant is the owner of certain real property located in the Town of Southold, County of Suffolk, State of New York, .(Districtio" Section 6q _, Block. (a Lot9_ l) which real property is more particularly described in Schedule A annexed hereto(hereinafter referred to as the"Property"); and WHEREAS, the Property is situated in or adjacent to regulated freshwater wetlands SO-5 of the Southold Quadrangle,which have been inventoried and mapped by the New York State Department of Environmental Conservation (hereinafter"Department"),pursuant to Environmental Conservation Law(hereinafter"ECL")Article 24(also known as the"Freshwater Wetlands Act")and Part 664 of Title 6 of the New York Code of Rules and Regulations(hereinafter "6 NYCRIV); and WHEREAS, various activities conducted both in and adjacent to freshwater wetlands are regulated by the Department pursuant to ECL Article 24 and Part 663 of 6 NYCRR and require written authorization from the Department prior to being conducted; NOW,THEREFORE,in recognition of the Department's jurisdiction as set forth above,it is.the responsibility of a party having any right,title,or interest in the Property,to obtain from the Department or any successor organization, a current description of all activities which are regulated pursuant to ECL Article 24 and Part 663 of 6 NYCRR,and to obtain written authorization from the Department prior to such regulated activities being conducted on the Property. Regulated activities include,but are not limited to clearing of vegetation;application of chemicals;excavation;grading and filling; and erection of any structures. By: 5 STATE OF NEW YORK ) ss. . COUNTY OF On the 8 day of in the year 200�,before me,the undersigned,a Notary Public in and for said state,personally appear ,personally known to me or proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity,and that by his signature on the instrument,the person or entity upon behalf of which the person acted,executed the instrument. OTARY PUBLIC USA MA DAL RubyP9bi(c�Stabof1kW Val- I ICI 1 V IV V•O e�O 10 w E Prepared for: R.Johnson �V as � S Proposed: Dock Private Mooring �� o5ea��.� �� Surveyed: 04-14-07 0 �o� `� 3 �' SCT# 1000-59-6-9 �i-Z w d'�;- Situate: Great Pond �� / \ Town: Southold ,�. Suffolk County, NY 1° = 30' 'PIP n 1 tes o00 ,you Volw 000 �� MAR 1 2009 11�AL Section in = 10' �OJ� Proposed Timber Dock 4'x 28' (min.35'abv. gr.) Ramp 3'x 10' Float 5' x 18' _ S E A HK -- -- = LEVEL Wetland MAPPING Boundary 4"x 4u _ ✓ _ = 631-722390 B P.O.Box#538 posts �(2) exist. Riverhead,NY All construction 9'O.C. 6 dia. bttm material from anchor f f ROBERTH.FOX approved 4/30/2007 Iist 8 genet. piles NYS 5 q:34:MS6AM AM C-ASLM1,GHN50N042101.pro t •" t �A �• f Al j • it /`� \ —`.'-+.. I- ��~ �( • � 1 _ Y 04 t • e � •• AIW ... • - r `A ttt y • r , •f Ima 'e®2007 New York GIS r NOTICE COVENANT TO THE DEED DECLARATION THIS DECLARATION,dated 9 day of as r`G ,200 , is made by Pci I A M a e h 'a ,(hereinafter the"Declarant"), whose address is 3 b v�-e Gain,.t Ea-r—...R u. 11 e M Y 1 1-7 $ WITNESSETH WHEREAS, the Declarant is the owner of certain real property located in the Town of Southold, County of Suffolk, State of New York, .(Districtio" Section Sal , Block (e Lotj Lr1 which real property is more particularly described in Schedule A annexed hereto(hereinafter referred to as the"Property");and WHEREAS, the Property is situated in or adjacent to regulated freshwater wetlands SO-5 of the Southold Quadrangle,which have been inventoried and mapped by the New York State Department of Environmental Conservation (hereinafter"Department"),pursuant to Environmental Conservation Law(hereinafter"ECL")Article 24(also known as the"Freshwater Wetlands Act")and Part 664 of Title 6 of the New York Code of Rules and Regulations(hereinafter "6 NYCRR");and WHEREAS, various activities conducted both in and adjacent to freshwater wetlands are regulated by the Department pursuant to ECL Article 24 and Part 663 of 6 NYCRR and require written authorization from the Department prior to being conducted; NOW,THEREFORE,in recognition of the Department's jurisdiction as set forth above,it is.the responsibility of a party having any right,title,ar interest in the Property,to obtain from the Department or any successor organization, a current description of all activities which are regulated pursuant to ECL Article 24 and Part 663 of 6 NYCRR,and to obtain written authorization from the Department prior to such regulated activities being conducted on the Property. Regulated activities include,but are not limited to clearing of vegetation; application of chemicals;excavation;grading and filling; and erection of any structures. By: STATE OF NEW YORK ) MAR 7 7 2009 ss. . COUNTY OF Board T n °f Taus On the day of in the year 200 ,before me,the undersigned,a No lic in and for said state,personally appeared � ,/G� �or n- ,personally known to me or prove on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity,and that by his signature on the instrument,the person or entity upon behalf of which the person acted,executed the instrument. ' r I �OTARY PUBLIC USA M..VIDAL . �aaiaryFaatrr�sia�efll�rY� ' r James F.King,President ��� so Town Hall Jill M.Doherty,Vice-President ® ', � 53095 Route 25 A r P.O.Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen t` Telephone(631) 765-1892 Bob Ghosio,Jr. `;•,,;;,: Fax(631) 765-6641 A. . b BOARD OF TOWN TRUSTEES = '� 1�•A1 TOWN OF SOUTHOLD '� ~' 200g CERTIFICATE OF COMPLIANCE authho�d eDard Of r0wn, Trustees. # 0346C Date August 8,2008 THIS CERTIFIES that the placement of mulch installation of a sprinkler system removal of select trees new shed and propane.tank At 7617 Soundview Ave., Southold Suffolk County Tax Map#59-6-14 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 9/7/07 pursuant to which Trustees Wetland Permit#6715A Dated 9/19/07 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 placement of mulch installation of a sprinkler system removal of select trees,new shed and_propane tank. The certificate is issued to PAMELA MAINO&RICHARD JOHNSON owners of the aforesaid property. c Authorized Signature .._ _-_ a._.-„ .-.r a-w .✓n+Xa-,c ar �,� m,wrio ..m "PR(IPERTI'sMM I 1 r� os.il.o� Q a,: m = •a♦ _+r 6 F'^ `°4Agb:.^`^ ^^•�.¢�^ ,�,: eOs y :y oa-o1 VO J •+eO •M1° m pLt fr r t JI' •M1 •^'@<ahP °, c k-^ }� / 1-02-06 .v4lo,{t f m &.+f=J[f J L JG ;f$' a♦`p/°/=ty aka •�� > .. 1,6A ♦+da ii1A a — — + / F � a Lei C LTAIcI r� ♦� ,.J ,JI pp-� SEE SEG w.'N GREAT POND 'W ^` i9 .n on-ol-Dols Y m^m,� ♦ � \ y la ZZZY a J'c�:—+ J' ..m.ou u.or °y.lru s^♦ 9' [+3 m fi/A fi fi ° IS.0 . . 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