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HomeMy WebLinkAboutDURSO, ROBERT F01 HENRY P. SMITH, President C JOHN M. BREDEMEYER' Vice-Pres. TELEPHONE fh ,. � (516) 765-1892 PHILLIP J. GOUBEAUD +� " JR ELLEN M. LARSEN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 January 27, 1987 Mr. Dennis W. Cole Senior Environmental Analyst New York State D.E.C. Regulatory Affairs Unit Rm. 219, .SUNY, Bldg. 40 Stony Brook, New York 11794 Re: Robert-N. Durso - Application No. 435 Dear Mr. Cole: In response to your letter of January 20, 1987 regarding the above captioned matter, please be advised that the Trustees have not declared their determination of significance on the proposal for Robert N. Durso. The Board has requested further information regarding the location of the septic system and well on the subject property. This information has not been furnished as of this date. As soon as the Board makes their determination, we will forward a copy of same to you for your review. Should you have any further questions or concerns, please do not hesitate to contact this office at the telephone number listed above. Very truly yours, Henry P. Smith, President Board of Town Trustees HPS: ip cc: Mr. Robert N. Durso C.A.C. Trustees file HENRY P. SMITH, President 4�' —4 TELEPHONE JOHN M. BREDEMEYER, Vice-Pres. : PHILLIP J. GOUBEAUD .' . . (516) 765-1892 ALBERT KRUPSKI, JR. ELLEN M. LARSEN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road. P.O. Box 728 Southold, New York 11971 December 2, 1986 Mr. Robert N. Durso 11 Bedford Ave. Rockville Center, New York 11570 Dear Mr. Durso: Please be advised that your application was tabled at the Trustee meeting held on November 253, 1986 until the information is submitted regarding the septic system and well. The Board will inspect the property after this information has been received. Very truly yours, Henry P. Smith, President Board of Town Trustees HPS:ip cc: file Vfill � tip TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 October 31, 1986 Mr. Robert N. Durso 11 Bedford Ave. Rockville Center, New York 11570 Re: Wetland Application No. 435 Dear Mr. Durso: Please be advised that the Board of Trustees will be conducting their field inspections on November 20, 1986. Please be sure to have the property properly staked'_. , . so that the Trustees can make an inspection of the subject property. Also, it was not indicated on the survey submitted, the exact location for the septic system. Would you please furnish this information as soon as possible. Thank you for your cooperation in this matter. Very truly yours, Henry P. Smith, President Board of Town Trustees HPS:ip -- - HENRY P. SMITH, President r�F�a� a�%�ys t TELEPHONE JOHN M. BREDEMEYER, Vice-Pres. nfrr w (516) 765-1892 PHILLIP J. GOUBEAUD ALBERT KRUPSKI, JR. ELLEN M. LARSEN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 September 30, 1986 Mr. Robert N. Durso 11 Bedford Avenue Rockville Center, New York 11570 Re: Wetland Application No. 435 Dear Mr. Durso: Please be advised that the Board of Trustees Tabled your application above referenced during their regular meeting held on September 25, 1986. The Trustees would like to meet with you on the site on October 23, 1986 at 2:00 P.M. and you are to have the property properly staked as to the placement of the proposed structure. Kindly call this office at 765-1892 to confirm this appointment. Thank you for your attention to this matter. We await your response. Very truly yours, Henry7 Smith, President Board of Town Trustees HPS:ip ® v g TELEPHONE (516) 765-1892 BOARD OF TOWN- TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 August 29, 1986 Mr. Robert N. Durso 11 Bedford Ave. Rockville Center, New York 11570 Re: Wetlan-d Application No. 05 Dear Mr. Durso: The following action was taken by the Board of Trustees during their regular meeting held on August 28, 1986 regarding the Wetland Application referenced above. RESOLVED that the Southold Town Trustees declare itself lead agency in regard to the State Environmental Quality Review Act in the matter of the application of Robert N. Durso for a Wetland Permit on certain property located at Cedar Beach, Southold, New York. Very truly yours, Henry P. Smith, President Board of Town Trustees HPS:ip cc: File RESOLUTION: August 28, 1986 Robert N. Durso RESOLVED that the Southold Town Trustees declare itself lead agency in regard to the State Environmental Quality Review Act in the matter of the application of Robert N. Durso for a Wetland Permit on certain property located at Cedar Beach, Southold, N.Y. 5 BOARD OF TOWN TRUSTEES: -- TOWN. ..OF. SOUTHOLD SHORT ENVIRONMENTAL ASSESSMENT FORM Project Informatlon (To be completed by Applicant or Project sponsor) 1. Applicantisponsor 2. Project Name 3. Project location: Municipality r 9 , ��r� County 4. Is roo sed action: r New ❑ Expansion ❑ Modification/alteration 5. D scribe project briefly: i 6. Precise locatiora,(road intersections,prominent landmarks,etc,or provide map) 7. Amount of land affected: Initial) Y _ acres Ultimately acres 8. Will proposed action comply with existing zoning or other existing land use restrictions? Yes ❑-No If No,describe briefly 9. What is present land use in vicinity of project? X,Residential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Parkland/open space ❑ Other Describe: 10. Does.action involve a permitlapproval,or funding,now or ultimately,from any other governmental agency(Federal,state or local)? Yes ❑ No If yes, list agency(s)and permit/approvals T�Yr 11. Does any aspect�cxf the action have a currently valid permit or approval? ❑ Yes No If yes,list agency name and permit/approval type 12. As result of proposed actin ill existing permitlapproval require modification? ❑ Yes ❑ No A CERTIFY THAT THE INFORMATIGr: PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicenUsponsor ame: _ Date: Al Signature: '70 ZDZA�=� PART II Environmental Assessment (To be completed by Agency)' . A. Does action exceed any Type I threshold in 6 NYCRR, Part 617.12? If yes,coordinate the review process and use the FULLILONG FORM EAF. ❑ Yes ❑ No B. Will action receive coordinated review as provided for Unlisted Actions in 6 NYCRR, Part 617.7? If No,a negative declaration may be superceded by another involved action. ❑ Yes ❑ No C. Could action result in ANY adverse effects on,to,or arising from the following:(Answers may be handwritten, if legible) C1. Existing air quality,surface or groundwater quality or Quantity,noise levels,existing traffic patterns,solid waste production or disposal,potential for erosion, drainage or flooding problems?Explain briefly: r.1 p� C2.,Historic,archeological,visual or aesthetic,or other natural or cultural resources;agricultural districts;or community or neighborhood character?Explain_brief Vegetation or fauna,movement of fish or wildlife species,significant habitats,or threatened or endangered species? Explain briefly: S4. 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. C55. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly. C6, Secondary, cumulative,or other effects not identified in C1-C6?Explain briefly. 1A�\I CC7A change in use of either quantity or type of energy? Explain briefly. b 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) settirig(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. ❑ 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/LONG FORM 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 action WILL NOT result in any significant adverse environmental impacts AND provide here, and on attachments as necessary, the reasons supportng this determination: Agency Name Agency Preparer's Name Preparer's Signature:Title /✓/ J�C R/ (/ll � �71�i/V882���� Date �i 1 � o� y HENRY P. SMITH, President _ z TELEPHONE JOHN M. BREDEMEYER, Vice-Pres. C= r-n (516)765-1892 PHILLIP J. GOUBEAUD �. .�► ELL JR EN M. LARSEN 4 BOARD OF TOWN TRUSTEES TOWN OF SOUTH-OLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 August 22, 1986 To Whom It May Concern: Attached hereto is a Short Environmental Assessment Form submitted by Robert •N. Durso in connection with his application for a Wetland Permint to construct a single family dwelling septic system and well at Cedar Beach, Southold, N.Y. enry. P. Smith, Presi ent a Bbard of Town Trustees HPS:ao Posted: 8/22/86 t � New York State Department of Environmental Conservation Y�2 <<' Regulatory Affairs Unit Rm. 219 , SUNY, Bldg. 40 Stony Brook , NY 11794 (516) 7 51-7 9 0 0 Henry G.Williams Commissioner January 20 , 1987 Ms . Ilene Pfifferling Board of Trustees Town Hall , Southold Town 53095 Main Rd. P . O. Box 728 Southold , NY 11971 Re : Robert N . Durso App . No . 435 NYSDEC App . .No . 10-86-1091 Dear Ms . Pfifferling : . This application has been pending since July of 1986 . The application is substantially incomplete to, a point where a field review cannot be conducted. We are not processing awaiting the Town' s determination of significance. Please update us as to whether a positive declaration or a determination of significance has been made . Thank you. Sincerely , Dennis W. Cole Senior Environmental Analyst DWC :jf w , Jxs�i. Town Hall, 53095 Main Road P.O. Box 1179 TELEPHONE ° ®1 ® Southold, New York 11971 (516)765-1801 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL October 22, 1986 To: Ilene Pfifferling From: Linda Cooper, Secretary CAC The following recommendations were made by the Southold Town Conservation Advisory Council at the regular meeting held Thursday, October 16, 1986: Wetland Application NO. 435 - Robert N. Durso - Table - no cesspool system shown on plans. Wetland Application No. 436 - Irene and Daniel McKasty - Approve with stipulations Wetland Application No. 437 - Stanley Chase Wetland Application No. 438 - Stanley Chase Wetland Application No. 439 - Stanley Chase The Council approves only one application (may be the applicants choice) but cannot approve all three. Need is not shown for all three. Wetland Application No. 440 - J. Lane Curry - Approve Wetland Application No. 441 - J. Lane Curry - Approve Wetland Application No. 442 - Grace K. Bourgin - Approve Wetland Application No. 443 - Grace A. Finora - Table - Cesspool system is not shown. . Wetland Application No. 444 - Helen Reiter - Approve with stipulations. Wetland Application No. 445 - David Merz - Approve with stipulations. Wetland Application No. 447 - Brewer Yacht Yard - Approve with stipulations Wetland Application No. 448 - Carloe and Albert Roke - Approve with Stipulations. Wetland Application No. 449 - Louise Tashjian - Approve with stipulations. 4A� 1.7 7-1 . L New York State Department of Environmental Conservation (�co,r� 5 3 vgs /h�rh epctic� P0.�o -� � �4' Sou f-kc)Id Pe Ponse- Re: LEAD AGENCY COORDINATION ' lZo 6e r )- D u rs o Dear The purpose of this•req_uest is to determine under Article 8 (State Environmental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. your jurisdiction in the action described below; 2. your interest in assuming the responsibilities of lead agency; and 3. issues of concern which you believe should be evaluated. I have enclosed a copy of the permit application and a completed Environ- mental Assessment Form to assist you in responding. DEC Project #: DEC Permits: 'j i (4(L/ SEQR Classification: [ ] Type I [ ] Unlisted DEC Contact JPerson: lr) tr� _C �L 2 -,4C� �� -2- DEC Position: [�(] DEC has no objection to your agency assuming lead agency status for this action. [ ] DEC wishes to assume lead agency status for this action. [ ] Other. (See comments below) Comments (optional) : n 1�cc��i U r� i S i h c e .�r.��e�2 ��'^ t 2 .PC) l l o tv�'n q r v via l Co�t e5 D S 1-Q S vv: 1Rd) en I ed s c-v�ve y q o�al i'�r S Ct v� e G ►'%/ S I S,i-2 l o c c� �c'(J i)'f Pl I /'ec"Sg 0.A-4 k"Sa- Me- C.X% Ci P o eAr e v,vr►,"hafio pi o OL*xC V The lead agency will determine the need for an environmental impact statement (EIS) on this project. If you have an interest in being lead agency, then please contact this office within days of the date of this letter. If no response is received, it will be assumed that your agency has no interest in being lead agency. Please feel free to contact this office for further information or discussion. Sincerely, Enclosures cc: (attach distribution list) COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS: \\Oi rz BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS., AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, THAT. THE WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD 'AHD THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT, IF GRANTED. In completing this application I hereby authorize the Trustees agent or representative to enter onto my property to inspect tie premises in conjunction with review this appl ' tion. SI NATURE OF APPLICANT T.� SWORN TO BEFORE ME THIS DAY OF Nut , 19 otQyy Public EN 4U8 � 41_6107025tvte of N., yOr NOTARY PUBLIC rrW.7 March 30C0Unty 19n EXAMINED APPROVED 'WETLANDS" PERMIT (CHAPTER 97) . APPROVED "BOAT, DOCKS, WHARVES" PERMIT (CHAPTER 32) DISAPPROVED "WETLANDS PERMIT" (CHAPTER 97.) DISAPPROVED "BOATS, DOCKS, WHARVES" PERMIT (CHAPTER 32) CONDITIONS, IF ANY EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 FOLIr - HENRY P. SMITH, President TELEPHONE-- JOHN M. BREDEMEYER, Vice-Pres. (516) 765-1892 PHILLIP J. GOUBEAUD ALBERT'KRUPSKI, JR. ELLEN M. LARSEN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 August 22, 1986 Mr. -Charles T. Hamilton Alternate Regional Permit Administrator - N.Y.S. D.E.C. Building 40, SUNY - Room 219 Stony Brook, New York 11794 Dear Mr. Hamilton: Transmitted herewith is wetland application no. 435 submitted by Robert N. Durso. We would like to coordinate with you in our role-as lead agency regarding this application. May we have your comments on same by September 17, 1986. Thank you for your input. Ve truly, ypurs, enry P. Smith,Px"6sident Board of Town Trustees eZligI Secretary to Board Attachments cc: Commissioner Williams Southold Town Building Dept. f ile HENRY P. SMITH, President r , - JOHN M. BREDEMEYER, Vice-Pres. o TELEPHONE ,�, "�,�� � PHILLIP J. GOUBEAUD s " "~ §4 �t (516) 765-1892 ALBERT KRUPSKI, JR. e o� ELLEN M. LARSEN ®�yg" BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 August 22, 1986 To Whom It May Concern: Attached hereto is a Short Environmental Assessment Form submitted by Robert N. Durso in connection with his application for a Wetland Permint to construct a single family dwelling septic system and well at Cedar Beach, Southold, N.Y. Z�nry7P. Smith, Present Board of Town Trustees HPS: ao Posted: 8/22/86 _ r « TELEPHONE BOARD OF -TOWN TRUSTEES (516) 765-1892 TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 August 22, 1986 Mr. Martin Garrell, Chairman Southold Town Conservation Advisory Council Southold Town Hall Southold, New York 11971 Dear Mr. Garrell: Transmitted herewith is application no. 435 for a wetland permit submitted by Robert N. Durso Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Henry P. Smith, President Board of Town Trustees ef /; c Ilene Pf ��/ rlin9 Secretary to Board Attachment if Y: BOARD OF TOWN TRUSTEES p TOWN OF SOUTHOLD 53095 Main Road Phone 765-1892 Southold, N. Y. 11971 /� p Date �� 19 0 RECEIVED OF /6`Ai- - ,,� Dollars S For p BOARD OF TOWN TRUSTEES 0 Cash 4fl-' Check ❑ By, O Zeg -/ SUFFOLK CO 61-e Iraq} I .r_____�� ST A 1 771' THE WATER SU SYSTEMS FOF .� CONFORM TO i SUFFOLK CO. I ! � p . l SUFFOLK CO( SER;V ICES - \` CONSTRUCTIOt l �! DATE: V irs� � v 1 r•, t �� a. �°�, . , -� ..�io' � m H. S. REF. NO. _ ' APPROVED: SUFFOLK CO r DIST. SI OWNERS ADDR[ °- may y,;...=; r /V _• V. - � ` P DEED: L.309e, TEST HOLE l� �f A® 1 / so 13, � (o or1•n ;J SUFFOLK CO. HEALTH DEPT. APPROVAL H. S. NO. t 4r STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE: Zo ti �4 SUFFOLK CO. DEPT. OF HEALTH SERVICES. APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH' -- \ SIrR:V10ES — FOR APPROVAL OF " O }, • CONSTRUCTION ONLY '3^. b DATE: '� " -- 1 (�1 H. 4 _..L S. REF. NO.-: APPROVED: `� 1g`�Y -` I �}a• �. ; ✓ SUFFOLK CO. TAX MAP DESIGNATION: �' 1"~ 2� . . .. !• -- � DIST. SECT. BLOCK PCL. t`t �..� ` ' U . OWNERS ADD,.RESS: r <:a ,-fJ �Va DEED: L. /r� , - ``-a _ b_ TEST HOLE STAMP iA lrtcuthCci7nd altmR!t on C...sa�.ek 3 r,. ! 43 to this surareY 1S a VioWSOn Of:' // / c� lion 77 a tho me ri Y=:L o : F--� C!!`�ti: �..._. L-S rducntion VIM. � • i 1a; � ,L„''}.''j� t �';✓ w)�3:= r Saj'Jac1� tcs he t:valid true cw. / e Gum m-o",inaw^;w ha=o Chou aee.t \ f loam I t 1 (tmv to thD person ft7 skfan tho sur,107 3s woparse.€end an his shall to NUrs y,t?ommmantmiz;omcvOrd 3on jigged horom and to tPoo wscgna»n cf the handing ins8- \ ` / / 1 qs�.. $ution.rmu<.;ras um cro not transferable t - ` �YO ;> G G7T 4I G!f?9 �"r, h4)) lf'? t�e`-7"_. _f' ;''f:) .`�c� F' �.: s r`< 'c;3 _/ti I fy '1,1�3, f•?^'. " ;.A4_1.-_15 i)86 SanG� to� ti:ie�tsf tre +&uti 'er mu ueev¢ dwssorz- / ab 01' i�7edCil'' Z-5e-aC 1 , ` r4 lF�.r �: /Y� - �+` , grarv�t SEAL :.ems<!f rl r-i t✓�%'f"� rS � �'/ as lr/Ctic:, Ale%e tfrrf b r K �. C.lgcG717' 't�s� `o !a,' OF NE►V o. t'CJt?'I �LfY.'���I �T..�? fir". �! ,`_ r,' '". . ,_ r r , wa{ 4' P� �cKv4 r0 r� J T. r-' ?eft^ c.-� Coro. y �P + 9� S4�rvtr -5 G RODERLC . VAN.T.UYL,-P-.C.. LICENSED.LAND-SURVEYORS pLANOgJ� GREENPO.RT NEW YORK TELEDYNE,POST N12062 ® x . TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS , ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF THE TOWN OF SOUTHOLD , AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODES OF THE TOWN OF SOUTHOLD. APPLICATION NO._1a,� DATE OF APPLICATION ,�/6-S'3� -37os' IDENTITY OF APPLICANT.—--- �l �L/� — U �O -PHONE NO ADDRESS OF APPL I CANT TAX MAP NO. --------------------------------- 49 AGENT PHONE NO . ___ PERMIT REQUESTED TO--lO - Js/ /7ti 12l—� $r�L'�`---�-- ��----------------------------- LOCATION OF PROPERTY FOR WHICH PERMIT WANTED Oe(Aac �.C/V-1__--___-_ ------------------------------------------------------------------------ HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION ------------------------------------------------------------------------ CREEK, AAY BAY OR HARBOR FRONTING PROPERTY 1> C��� S�Y]-ricrj[ P � � SIZE OF PROPOSED WORK- colo---- �" ----------------------- LENGTH WI D T H---_?5 - ---------------------—------------------ �---------------- HEIGHT ABOVE -HIGH WATER ---------------------------- r DEPTH BELOW LOW WATER __LIVA- -------------------------------- --------- YARDS TO BE EXCAVATED- YARDS TO BE FILLED-----/0- --- ------------------------- --------- WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY � ----------- DEPTH AT LOW: TIDE }} - ------------------------ ------- AVERAGE RISE IN !TIDE DISTANCE TO THE NEAREST CHANNEL-� � --FT. DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA FT. IS THIS FOR PRIVATE OR BUSINESS --------------------- AREA ZONING MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED E Z>- ----------------- ------------------------------------ �NT'EMDED, USE OF PROPERTY�e -El)-e's I d e-n C�--- ---------------- DES RIBE ANY KNOWN PRIOR OPERATIONS -.CONDUCTED ON THE PREMISE -------------------- AND WHETHER ANY PRIOR LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER ANY PERM TS OR LICENSES WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENTAL AGENCY --------------------------------- --------------------- ---------------- DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITI NAL SURVEY OF THE PROJECT SITE IF NECESSARY ®Yl u y-z:S- Y�cL--- J Y�OLY»� A1C - --------------------------------------------- ------------------------------------------------------------------------- WRITTEN CONSE T OF THE OWNER OF THE PROPERTY, 1F NOT THE SAME AS THE APPLICANT. - e-- ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? m