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HomeMy WebLinkAboutTR-9483 �ti�gUfFO( �� Michael J. Domino, President c�o� 0 c Town Hall Annex John M. Bredemeyer, III, Vice-President "� y1` 54375 Route 25 Glenn Goldsmith N = P.O. Box 1179 A Nicholas Krupski y l� Y Southold, NY 11971 Greg Williams V 10.! Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction % constructed When project complete, call for compliance inspection; 'yR5l�'tfl'i '.. ., .•,,1 0✓e°si=r .•P�j'1 til°1'•:.�- i°! 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SOUTHOLD, NEW YORK j PERMIT NO. 9483 DATE: JUNE 19 2019 1e'R ISSUED TO: MICHAEL GERACI l a: PROPERTY ADDRESS: 525 OLD SALT ROAD,MATTITUCK SCTM# 1000-144-5-17 AUTHORIZATION j "s Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in l�f= 1 accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 19, 2019, and in �p £ consideration of application fee in the sum of$250.00 paid by Michael Geraci and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: !!a~ t' Wetland Permit to remove existing sanitary system and install a new IAOWTS sanitary system with approximately 900 sq.ft. of land disturbance during installation; all disturbed areas will be 4 .i filled and seeded; and as depicted on the site plan prepared by AMP Architecture PLLC,dated ._ °- April 29,2019,and stamped approved on June 19,2019. r' i rX r p t 1+��• IN WITNESS WHEREOF the said Board of Trustees hereby causes its Corporate Seal to be affixed 1 n L \ zt and these presents to be subscribed by a majority of the said Board as of the I9`h day of June,2019. CIO kid f A �/ e ,.,� ,aa,,,., �,i.c•.•, w,,,.,s,.,u,,,.,.,v:.,;•.,,•,.,x,,,,.w„.,,,Y,«..,„w„•,;M,t•„_,..,,aaxc,.,,.,,:, ..r,l,;.., , „nu.•,..,, ems' "3+n1„m..y7n,Q^Sti`"~f ��'C^=p?';*t•^,e` S"drvm,.,,.,,n,m„F7�`ce'/ '.n",�."mn,,,Y...n+.^”"�"� ^''L"nm.,.•m., ';..-� '`•°"'m,,.n„ .(mt^��� �'�� .,/0 �� 15;. 1a..+``_.._.=.,:".'•-,.�/i ';�' �J"�i :�nn..,.i1,r •.Yl`<�'_'..✓ /f ,,M• .,lie= 1 la.7�• .;,� �'e;�a ' /((ri _=,�y1" '��3=: ..eat v� 11 •_.:;<: .'r7.":�•.• S�.a�?�, e��: TERMS AND CONDITIONS The Permittee Michael Geraci,residing at 525 Old Salt Road, Mattituck,New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or'its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if,in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. i 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J.Domino,PresidentO��Qf SQ(�ryOl Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 O P.O.Box 1179 Glenn Goldsmith 1�[ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 00UNf`l,N BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 19, 2019 Brooke Epperson AMP Architecture PLLC 15400 Main Road Mattituck, NY 11952 RE: MICHAEL GERACI 525 OLD SALT ROAD, MATTITUCK SCTM# 1000-144-5-17 Dear Ms. Epperson: The Board of Town Trustees took the following action during its Regular meeting held on Wednesday, June 19, 2019 regarding the above matter: WHEREAS, Brooke Epperson, on behalf of,MICHAEL GERACI applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated May 3, 2019, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for,their findings and recommendations, and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 19, 2019, at which time all interested persons were given an opportunity to be heard, and, 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of MICHAEL GERACI to remove existing sanitary system and install a new IAOWTS sanitary system with approximately 900 sq.ft. of land disturbance during installation; all disturbed areas will be filled and seeded; and as depicted on the site plan prepared by AMP Architecture PLLC, dated April 29, 2019, and stamped approved on June 19, 2019. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 e Very 1rU IV yours,,, Michael J. Domino, President, Board of Trustees MJD/dd �fr�suFFoc� Michael J. Domino, President F?���� . " _ ��y�� Town Hall Annex John M Bredemeyer, III, Vice-President y , -; "": 54375 Route 25 Glenn Goldsmith o g P O. Box 1179 A Nicholas Krupski 4,j o�;{� Southold, NY 11971 Greg Williamsr�Y Telephone (631) 765-1892 rcr_x Fax (631) 765-664Q1 WB d" BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: MICHAEL GERACI c/o AMP ARCHITECTURE Please be advised that your application dated May 3, 2019 has been reviewed by this Board at the regular meeting of June 19, 2019 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) — (Silt boom) 1St Day of Construction ($50.00) 'h Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30- Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the 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. 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: 'fw" I.2•Iq TOTAL FEES DUE $ 50.00 BY. Michael J. Domino, President Board of Trustees GENERAL REQUIREMENTS: SITE PLAN INFORMATION PLACE SITUATED AT MATTITUGK ROCHELL 51TE PLAN NOTES: I. The Installer must hold a current Liquid Waste License pursuant to I/A OWT5 INSTALLATION STANDARDS: TOWN OF SOUTHOLD Suffolk County Code Chapter 563,Article VII (5eptic Industry 1. THI5 15 AN ARCHITECTS SITE PLAN $ 15 Businesses) through the Suffolk County Department of Labor, Licensing I. Install I/A OWTS tanks according to manufacturer's recommendations COUNTY OF SUFFOLK SUBJECT TO VERIFICATION BY A LICENSED and Consumer Affairs, pursuant to Suffolk County Code §563-70IThe while conforming with these standard. All applicable recommendations STATE OF NEW YORK $ SURVEYOR. THE INFORMATION Department of Labor,Licensing, and Consumer Affairs maintains a list of provided by the manufacturer shall be Implemented. LOT LLING REPRESENTED ON THI5 SITE PLAN 15 THE licensed I/A OWTS Maintenance Providers. DWE TER ARCHITECT'S BEST OF KNOWLEDGE AND 2. The I OWTS tank shall Installed level In all directions (with a SUFFOLK COUNTY TAX LOT # 1000-144-05-17 �BLIC WA WA5 OBTAINED FROM A SURVEY DATED 2. All I/A OWTS must be t registered with the Department In accordance maximum tolerance in any direction one of +/one quarter Inch) on a minimum P MARCH 25, 201a PREPARED BY: with Article Iq of the Suffolk County Sanitary Code prior to the 3-inch thick bed of properly leveled and compacted sand (free from LOT NUM8ER5 REFER TO "MAP OF SALT LAKE VILLAGE" Department granting certification of completed construction on as built rocks) or pea gravel. PEGONIC SURVEYORS plans. PLATE NO. I OF 2. FILED IN THE SUFFOLK COUNTY CLERK'S 1250 TRAVELER STREET 5. I/A OWT5 Tanks shall be provided with a single outlet, A distribution OFFICE ON MAY 10 IC140 AS FILE NO. 1310. SOUTHOLD, N.Y. IIP71 3. An executed Operation and Maintenance Contract between the box/manhole or distribution leaching structure may be.requlred for all k Maintenance Provider and Property owner must be submitted to the systems with multiple leaching structures unless on alternative design is NARDS TEL. (631) "165-5020 Department prior to approval of the I/A OWT5 registration by the approved by the Department. D N. RIC !� Department In accordance with Article Iq of the Suffolk County AREA= 20,414 Sq,. Ft. or 0.46 ACRES DWELLINGEDWAR Sanitary Code. 4. The top of the I/A OWTS tank shall not be located greater than 2.5 P� LIC Wp,�R Nlo/F VACANT c� YACHT feet or less than one foot below final grade. � BA 4. All installed I/A OWTS are required to have an Initial 3-year warranty ELEVATIONS REFERENCE NAVD Ioi88 Z_ and operation/maintenance service contract. After the Initial 5-year 5. At a minimum, all sampling manholes shall have 20-Inch covered CMF 00 a,� O ALONG operation and maintenance service contract has expired, property access openings to grade located over the inlet and outlet. Covers n `�z N • M.H.W. �I owners are expected to maintain on operation and maintenance shall be either 20-inch diameter watertight and Insect-proof locking EL 6.3' '� O 13 g4.39� contract in accordance with Article Iq of the Suffolk County Sanitary cast Iron covers or thermoplastic covers at final grade. All covers ���,3�0 �' 0 9� IM 0 Code. shall be designed In accordance with section 5-III of this standard. LOT,GOVERAGET- o,O' 05, a� Z o o P_O 5. When on I/A OWT5 requires a vent, the unit shall be vented to the TAX MAP# 1000-144-05-IT ? 6' N79 00 �`% % �� `L '�$„N 1 6. When sampling manholes area roved to be Installed In a drlvewa roof of the residence being served. Vent pipes shall extend a minimum or parking arca the manhole sha llpbe designed to be traffic bearing to 9 �'q0 GARB \� O 0 �` + N7�5 07 DISTRICT RESIDENCE R-40 �! � y v of 6 Inches above the roof line and the top of the vent shall have a meet the requirements of AASHTO H-20 or HS-20 loading. '9,0 '9� Bg' 0 �'0 a z 27' E J J EL 7.5' �.0 i E UN minimum horizontal separation of 12 Inches to the sloped portion of the % LOT G �� 0 P p y 7. The outlet Invert elevation shall be a minimum of 0.I foot below the DESCRIPTION AREA TOP BLKD. EL 5.4' roof. In cases where It is not practical to vent the system to the COVERAGE residence roof, a vent pipe may be piped to the exterior of the Inlet Invert elevation. ALL TOTAL LOT AREA 20,414.0 S.F. HEAT '7 -7- residence. and terminate a minimum of 18 Inches above grade and at t GENERATOR PUMP 0 � least I foot from property lines. These vent pipes shall be, located a 8. Sampling manholes shall have on inslde diameter of 2 feet or on EXISTING HOUSE 2,815.0 S.F. 13.8% EL 7.6 �a PAD pG• �✓ Z0 OP BLKD. EL 5.6' W minimum of 3 feet from any window or doorway and must terminate with a Inside area of 2 foot by 2 foot. _ GO y carbon filter device. All vent pipes must have a minimum diameter of 2 EXISTING PATIO 5114.0 S.F. 2.11% EL 7.6' / ` p ° �3� V) Inches. q. There shall be a maximum retention depth below the outlet invert Z l pw°f' o 'DDE O H elevation of six Inches. EX15TINO GAZEBO 44.0 5.F. 0.2% O _ N79.05 0, en V 6. Installation and use of the I/A OWT5 must conform to the >• Deportment's ap roved I/A OWTS guidance document prepared In 10. All sewer pipe penetrations In the sampling manhole shall be TOTAL AREA of ALL STRUCTURES 3453.0 S.F. Ib.q% W 01 23• V: W P hp g P P PP I' P 9 U1 •0 STONE LINED O (- accordance wit the standards for "Approval and Management of watertight. O W N� FISH POND EL s.5' O V Innovative and Alternative Onsite Wastewater Treatment Systems." D C"' CA • 2 = J ELECTRICAL REQUIREMENTS: r V 'J MINIMUM DESIGN REQUIREMENTS: � SPN P� � TEST HOLE DATA r- b P� -� Control Panels AMP ARCHITECTURE .Z Ln P RI�EVJ I. I/A OWT5 tanks shall be constructed of precast concrete, fiberglass, I. The control panel box must be placed outside on a suitable pedestal 15400 MAIN ROAD O GAS of eth lens of ro lens,thermoplastics,or other materials In near the structure that It serves. Alternative) the panel box may be MATTITUGK, N.Y. IIci52 C to SERVICE _ '? 1OTO� p y y yp py P y- P y o z REM01/®As PGR accordance with Department standards and IONYGRR, Appendix 75-A. mounted on an outside wall of the structure (preferable a utility room, 516.214.0160 a n v L!1 9 METER G�- c3 scDHs sTANVARDs The use of steel tanks Is prohibited, and not a living space). Other locations for mounting the panel box will 02.22.201a Z C A ����' be considered by the Department on a case-by-case basis and with I/A M �� o y N CANT. 2. When on I/A OWT5 requires a septic tank for pretreatment the septic OWT5 manufacturer approval. D m ut y o 6�Z�Z o ° i� / 1 tank shall be Suffolk County Department of Health 5ervlces 12/211/1-1 17 1 .o p -� - / T 6 Page 15-1 designed In accordance with sections 5-10'7 and 5-Idq of this 2. The name of the I/A OWT5 04M Provider must be clearly Identified EL=q.I' m 94 5� � y _ P/0 LO standard. on the outside of the panel and include a phone number to contact In O Z O s'u, case of alarm. BROWN W O 3. Unless otherwise specified, the leaching structure/system that follows r O on I/A OWT5 shall be designed In accordance with section 5-10T and 3. Exterior panel placement enables the system to be serviced at any OL LOAM D � _ \ 5-110 of this standard. time, eliminating the need to access the Inside of the building. -{ -Z t�j l 5� ��q / EP l I 4. The panel box must be within view of the system location to help 2.5' - (T1 0 CONC.-PAVED /a,M� �� / 6 4. At a minimum, all I/A OWTS treatment tanks shall have 20-Inch facilitate operation and maintenance. STooP R/o �, K p a MIN LP 0 LD NG 1 covered access openings BROWN FINE TO N TMT STOOP �_ 15�' � 2pfi s P/ L to rade located over the Inlet and outlet. Covers shall be either SW COARSE SAND WITH (OLE cr• t P _ LP CP DWELLING g 5. The control panel shall be placed at a comfortable height for y , A < a, WA 20-inch diameter watertight and Insect- roof locking cast Iron covers 10% GRAVEL EL. I-I O �, LP g p g access in accordance with Federal Emergency Management Agency n _ AC UNIT \ �' �k / ` °' P�gLIC or thermoplastic covers at final grade. All covers and chimneys/risers (FEMA) flood zone requirements. 5.0' - M % HEAT WOOD X LP EP i shall be designed in accordance with section 5-111 of this GH CLAY 00 PUMP STOOP ; Mi to LP standard. 6. The panel shall meet National Electrical Manufacturers Associatlon 6.O' - 0 5. When a I/A OWT5 Is approved to be Installed In a driveway or (NEMA) 4X specifications. O. / pp y BROWN FINE To IDwPROP. T 7 parking area, the unit shall be designed and/or Installed to withstand 1• All below grade wiring must be run In electrical conduit.The conduit 5W COARSE SAND WITH R ` _ / LO H5-20 or H-20 loading as designated by must have appropriate seals to prevent gases and moisture from 10% GRAVEL AASHTO. reaching the control panel or junction boxes. 8.4' - �� �- 6. Garbage grinders shall not be permitted when an I/A OWTS is utilized 8. Each system shall be equipped with a functioning warning system which �� \ as means of sewage will activate audible and visual alarms that can be readily seen and �St9 OVERHEAD yyIRES disposal. heard by the occupants of the building served. The Department OVER= recommends a telemetry device be Installed to provide immediate , .Y. MF D Water softeners shall not discharge into an I/A OWTS and the remote alarm notification to the OSM provider covered by the 04M WATER Uo E CMF 79.50 Department recommends water softener backwash be connected to an agreement. VAULT onsite drywell acceptable to Town or Village building Departments. WATER IN BROWN CMF q. Systems which are not designed to flow by gravity are recommended SW FINE TO COARSE 5'00"W ROAD , durable T5 tans that are b not might to constructed of sound and to be equipped with a control panel with means of connecting a SAND HITTHHL10% � EL 7.1 t EDGE OF PAVEMENTS79'0 SALT 75 portable generator to operate the system during a power outage. OLD DWELLING decay. 56 WE q. All tanks must be watertight. Two methods of ensuring tanks are PUMPS. BLOWERS, LEVEL SENSORS. AND CONTROLS: DWELLING R PUBLIC WATER watertl ht shall be. either vacuum testing or water pressure testing 9 9 P 9 I. The electrical junction box serving the pump motor and floats must be PUgLIC W 100 methods as follows: watertight and located outside the I/A OATS tank chamber. DWELLING R 10. Vacuum testing: Seal the empty tank and apply a vacuum to four (4) 2, Any blowers located outside of the I/A OWTS unit must be. placed on COMMENTS: WATER ENCOUNTERED 7$' TE Inches(IOomm) of mercury. The tank Is approved if 110% of vaouum Is a pad Suffolk county Department of Health Services 12/24/1?Page 145 8.4' BELOW SURFACE P�gLIC WA held for two minutes. (concrete, plastic or fiberglass) and have a soundproof enclosure cover. 11. Water testing: Seal tank;fill tank with water to outlet Invert elevation, let stand for 24 hours. Refill the tank to the outlet Invert 3. All pumps and float trees must be accessible and serviceable from after the 24-hour period is complete. Let the tank stand for on access openings. DWELLINGTER additional 10-hour period. The tank Is approved if water level is held WA for the 10-hour period. Water pressure testing Is recommended to be 4. The floats shall be attached to a Schedule 40 PVC, float tree that P�gLIC d a m so 40 W done onsite after Installation, can be easily removed for service or adjustment. The floats shall not S I T �� � be attached to the force maln. °""""`^� '•'•I I/A OWTS TANK CONSTRUCTION MATERIAL REQUIREMENTS: S. The Department shall observe the pump system operate through a SCALE: 1'-0" = 20'-O" O Non-Concrete Tanks normal operating cycle. 0 fA.orce All walls, floors, and roof and access covers shall resist an applied FROFOSED SEFT G S STEM DETAIL force of 300 pounds per square foot (psf). b.inspectlon for leakage of the force main fittings will be made during sPEGIFIGATIONs the pump test procedure. MAG WR EXI5TIN6 YSTEM CONTROL/ALARM LU AIR FLOW 2.a OFM F.F.EL= 10.6 B. Unless otherwise stated In this standard, non-concrete prefabricated NORMAL PrzZZ s` 22 MI (NEMA 4X RATED) NOT TO SCALE Q tanks shall conform to the International Association of Plumbing and ALARM PANEL SHALL BE: - -- Mechanical Officials (IAPMAO) American National Standard for 0VnZPOWER 120v/4 IWH Hz AG 8oR LOWER Prefabricated Septic Tanks ANSI ZI000-200'7 material requirements MI&HTcoNNEGTION s11 L55 _ APPROVED BY P cl -IN A WELL VENTILATED AREA A5 DRY AND PROTECTED FROM V�16HT n Las z C.O. I HEAVY DUTY LOCKING CAST Q IRON COVER TO GRADE w and any updates thereto. ELEMENTS AS POSSIBLE POWER GOIUt1PTION ss W IY ie"MANHOLE(TYP GIRGULATIO BOARD OF 1 f?USTEES POKER GABLE b F�'T Q DE EL-8.5 ASSEMBLY 5% MAXIMUM SLOPE GRADE EL="1.8 G. Non-concrete tanks shall not be Installed In areas where the -IN AS CLOSE OF PROXIMITY TO MACBLOWER AS POSSIBLE Q 4„ L groundwater level can rise to the level of the bottom of the tank(s) installation i operation&Maintenance Notes: _ - - --------- - --- __ unless: -WIRED BY QUALIFIED ELEGTRIGIAN - Install blower on concrete base. Ensure adequate ventilation SDR 35 PVG:OR DOWN OF SOUTHOLD I. The tank Is manufactured to accommodate an anchoring system. and protect against sunlight. INV. EL. 7.0' MIN. 4" DIA. _ -- 2. The design rofessional submits buoyancy GAIGVIatlOns. Maintenance requires a trained technician. to DATE �w g p y y -IN A LOCATION THAT ALLOWS UNENCUMBERED ACCESS FOR - For maximum efficiency,inspect and clean internal air filter XIST. CRAWL EPAG SDR 35 PVG OR t _ i EQUI VAUNT " . INV. EL. 6.4 `� tt APC :2. ' 3. Calculations shall be done with highest expected/recorded) ground INSPECTION AND MAINTENANCE onceevery3months EQUIVALENT Q ' - �: !: : JVNG lII go water. - Replace diaphragm/valve assembly once every 12months =� ® _� MIN. PITCH ..;i LEACHING POOL LEACHING POOL �� y q p y AIR BLOWER SHALL $E: (Note: A damaged diaphragm will trigger the Automatic-Sto MIN. P I TGH :I ,� '•... 4. A safety factor of 1.5 is required. To provide a safety factor of 1.5 p Oj © INV. EL. 6.5 0 anchoring or additional ballast can be used. Soil cover on top of the s function). © m ! •,'.:. ' (rte <� tank INV. EL. b.7' --.._ i' ��a3 0 shall not be considered when determining the amount of anchoring or -IN AS CLOSE PROXIMITY TO CONTROL PANEL AS POSSIBLE I ballast weight required. 8I 5. Particular care must be taken during Installation, bedding, and -ON A 50LID (E.6. CONCRETE) PAD TO MINIMIZE VIBRATIONS -� V4 = FUJI MODEL CE5 backfilling of these units so as to prevent damage to tank walls. The -IN A LOCATION ABOVE WATER LEVEL = 7��5 �� manufacturer's &ROUND WATER EL=O.'7' ': :. O �N Installation Instructions shall be followed. -AWAY FROM &REA5E EXHAUST FANS \ ° _ CHAMBER Volume ( al) BACKFILL MATERIAL SHALL BE F �� 6. All tanks should be sold by the manufacturer completely assembled. Q Sedimentation Chamber lab COARSE SAND AND GRAVEL If, because of size, the tank is delivered to the site in sections, all -AWAY FROM BEDROOM WINDOWS AND OTHER LOCATIONS WHERE Joints shall be sealed with watertight gaskets. OPERATIONAL SOUNDS MAY BE A NU15ANCE - Q Anaerobic Filtration Chamber Iq8 LEACHING FOOLS (5) 7. All tanks shall be tested for water tightness after Installation using a �y n I it ( Aertobic Contact Filtration Chamber Q5 method specified by the manufacturer and approved by the Department. -IN A LOCATION THAT ALLOWS UNENCUMBERED ACOF55 FOR 1 -74 /LJ. ® Storage Chamber 44 I. MINIMUM LEACHING SYSTEM FORA 4 BEDROOM HOUSE POOL HOUSE IS 27 sq ft 51DEWALL AREA. ;d 1 i `PROJECT: INSPECTION AND MAINTENANCE l I 1. D. In addition to the separation distances stated In Table I, © Disinfection Chamber 4 5 POOLS;3' DEEP, 8' dla. MAY non-concrete tanks shall not be Installed within three (3) feet of a -WITH PROPER ELECTRICAL &ROUNDING Total Volume 540 2. LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) Lal G ERACI driveway or parking area unless a permanent fence or other permanent LEACHING STRUCTURES, SOLID DOMES AND/OR SLABS. I traffic barrier Is Installed (such as curbs). -WITH WIRING AND ELECTRICAL CONNECTIONS MADE BY A LICENSED SPECIFICATIONS '� ^�-A- RESIDENCE ELECTRICIAN = Anaerobic Media PP / PE Fillin Rate 31% 5. ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). ' ,..-,,n. - WITH NO OBJECTS ON TOP OF ELECTRICAL CORD _ - Board Type Aerobic Media PVG / PP / PE Fillin Rate 16% 4. A l0' min. DISTANCE BETWEEN LEAGHIN& POOLS AND WATER LINE SHALL BE MAINTAINED. Aerobic Media PP / PE Fillin Rate 55% 5. AN 5' min. DISTANCE BETWEEN SEPTIC TANK SHALL BE MAINTAINED. _ -IN A WELL-VENTILATED SPACE OUT OF DIRECT SUNLIGHT AND Blower 2.8 cfm PROTECTED FROM ELEMENTS SUCH AS DIRECT RAIN OR 5NOWFALL Tank FRP Piping PVC, / PP / PE IKEY MAP] � 525 OLD SALT ROAD -� Access Covers Plastic / Gast Iron MATTITUCK, N.Y. 11952 Disinfectant (Optlonal) Chlorine Tablets n SUFFOL< COUNTY HEALTH DEPARTMENT AFFROVAL I 4 I �py���,��0 y DRAWING TITLE: MAG 80R BLOWER SCUM B2It FL�ENTIL?�TION PIPE �/ �0 25 �YL SITE PLAN B " PROPOSED SEPTIC SCALE: 1-1/2" = 1'-0" 21-55 " _71-21- 2,-O" EGIRGULATION �� '' A I R LIFT PUMP � ISINFEGTION 4" INLET PIP 3 CYLINDER (OPTIONAL) PAGE: 5 4" OUTLET PIPE SP-100 INLET BAFFLE @� 20 EFFLUENT � ?�i R LIFT PUMP DATE: 04/29/19 10 F 1 REGIRGUL TION PIPE FLOW BAFFLE /2" SIR INTP�iGE y�Q. Bio k- IT7 FLOW OPE'NINO (TYP. (GLEANINO OPENINO) AA SITE FUJI GE--5 FLAN X I EN O 300 600 1100 (J¢�O��O SCALE: 1/2" = 1'-0" 6RAPHIG SCALE F LOT 8 SURVEY OF PROPERTY I; AT MATTITUCK i TO WN OF SO UTHOLD SUFFOLK COUNTY, NY RICHARDS 1000-144-05-17 WARD N. SCALE.- 1 "=20' NIOIF ED ry YACHT NOVEMBER 25, 2009 �� BASIN z "W EAONG 'f'\ 84.39' `� o cin A° 3 .Z,5-s9�o- ,00„E o o �� s o �qc URe Nig°05 N o °54,18 N 7 �'�l'9A�'9�J 8.8• G o 2 80 ���,� y N 27 ONE GP c �E v Z � LL 073 2 G. G G� °'- 15 5 ° D �� N o ✓ O,rC fL; (�� t 7 z N o �Q N7g°0570, O ;1 } CD =� J 1� CSO 34.7 . 325 23 00 cn w o N MAY 3 2019 c G O A 9.2 m t t 3• Soutl;�id Tmrrn dpSPNA� o�Z I _._tr_ BoadofTiusteas G� 11 �• NANO m 1 I CER TIFIED TO: p P O LOT 6 MICHAEL GERA Cl �5? 0 Zk e ALPHA ABSTRACT LLC p/0 LOT 6 rn 1 ■ =MONUMENT - AREA=20,414 SO. ET. TO TIE LIME LOT � 1 LOT NUMBERS REFER TO "MAP OF SALT N ' LAKE VILLAGE” PLA TE NO. 1 OF 2. FILED ` 1 _ IN THE SUFFOLK COUNTY CLERK'S OFFICE 9� I VA—RES ON MAY 10, 1940 AS FILE NO. 1310. 2s, OVERHEAD— ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION �� pOLE — '79.50 N.Y.S. LIC. NO. 49618 OF SECTION 72090E THE NEW YORK STATE EDUCATION LAW. _ PECON/C SURVEYORS, P.C. EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS _ _ �� ,00"W RO.AD (631) OX 90920 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF MENT °05 LT P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR EDGE �F pA� S7g SA 1230 TRA VELER STREET 09-210 WHOSE SIGNATURE APPEARS HEREON. I OLD SOUTHOLD, N.Y. 11971 Michael J. Domino, Presid ; O��SVFFQ�p�`'OG cr Town Hall Annex John M. Bredemeyer III,Vice-President may` ��„ 54375 Route 25 Glenn Goldsmith y z P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 1,A2 -g 2 : ys Completed in field by: AMP Architecture on behalf of MICHAEL GERACI requests Wetland Permit to remove existing sanitary system and install a new IAOWTS sanitary system with approximately 900 sq.ft. of land disturbance during installation; all disturbed areas will be filled and seeded. Located: 525 Old Salt Road, Mattituck. SCTM# 1000-144-5-17 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of-C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet _ Public Notice/of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 1 `ce I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: Bredemeyer ✓ M. Domino, ZG. Goldsmith V N. Krupski G. Williams Other 111• �,�� -. �� ���� �f r c ,ORAIII t Epp A 6 / 12 /2019 14 ' 52 ^ ' / P Lit V 7 Existing Septic of e• of Proposed Septic—Facing Wetlands Proposed Septic—Facing House NEW YORK !9TiATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Dlvtnlon of Erivlydnmoiital Pormttr;R©gion 1 SUNY 4 Stony Brook,50 Cirdct Road.Stony Brook,NY 11790 P;(631)44403651 F;(631)444-0360 wmv.doc.ny gov LETTER OF NON-JURISDICTION-TIDAL WETLANDS ACT February 23rd 2018 Michael Geraci PO Boz 557 Mattituck, NY-11952 Re: DEC#1-4738-02991/00004 Geraci-Property—525-Old Salt Road, Mattituck_„NY'11952 SCTM#1000-144-5-17• Dear Mr. Gerach Based on the information you have submitted;the New York State Department of Environmental Conservation has determined that: The existing bulkhead is functional, more than 100 feet in length and existed prior to August 20th 1977,as evidenced on NYSDEC's Tidal Wetland Aerial Photomap#706-538 and as shown on the plans prepared by AMP Architecture on February 16th 2018. Therefore,the property landward of the bulkhead is beyond the jurisdiction of-Article 25(Tidal Wetlands)and no permit is-required for work landward of this structure. Your check, numbered 1187, for$200 will be returned to AMP Architecture. Please be advised, however,that no construction, sedimentation, or,disturbance of any kind may take place seaward of the tidal wetlands,jurisdictional boundary, as indicated above, without a permit. It is your responsibility-to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance,to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project Such precautions may include maintaining adequate work area between the tidal wetlarid-jurisdictional boundary and your project(i.e_a 15'to 20'wide construction area)or, erecting-a temporary fence, barrier, or hay bale berm. This letter shall remain valid unless site conditions_chahge. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely R r Evans P it Administrator das cc: AMP Architecture BMHP file ST=ordxrc De of shoo. = 6r fkcnmerda! - - Conservation OFFICE LOCATION: ��®F S®Ur�'O MAILING ADDRESS: Town Hall Annex +`® l® P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 G Q Telephone: 631765-1938 ®lycoum LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: June 14, 2019 Re: LWRP Coastal Consistency Review for MICHAEL GERACI SCTM# 1000-144-5-17 AMP Architecture on behalf of MICHAEL GERACI requests Wetland Permit to remove existing sanitary system and install a new IAOWTS sanitary system with approximately 900 sq.ft. of land disturbance during installation; all disturbed areas will be filled and seeded. Located: 525 Old Salt Road, Mattituck. SCTM# 1000-144-5-17 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 on the new submittal and my assessment, the proposed action is recommended as CONSISTENT with the LWRP. 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: Damon Hagan, Assistant Town Attorney Peter Young,Chairmany Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 ft f ' Southold,NY 11971 li y��l ! Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., June 12, 2019 the following recommendation was made: Moved by John Stein, seconded by James Abbott, it was RESOLVED to SUPPORT the application of MICHAEL GERACI to remove existing sanitary system and replace with new sanitary system for four-bedroom house. Approx. 900 sf. of land disturbance during installation; all disturbed areas will be filled and seeded. Located: 525 Old Salt Rd., Mattituck. SCTM#144-5-17 Inspected by: John Stein, James Abbott Vote of Council: Ayes: All Motion Carried Michael J.Domino,President e�� �° Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 illiams Gre W �� Fax(631) 765-6641 GregWilliams 9 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Uie Qn_ly - �- Coastal Erosion Permit Application ;; Wetland Permit Application '; t�';} _ i ✓f`� Administrative Permit MAY 2019 Amendment/Transfer/Extensio� 4 Received Application: Received Fee: $ =Completed Application:-- Incomplete: pplication:.Incomplete: SEQRA Classification: Type I Type H Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): . b•7��� LWRP Consistency Ass essmen Form Sent: CAC Referral Sent: SAN —Date of Inspection: IZ•! Receipt of CAC Report: Technical Review:_ Public Hearing Held: - C Resolution: Owner(s)Legal Name of Property (as shown on Deed): A_` LN )Clo Mailing Address: Phone Number: - - Suffolk County Tax Map Number: 1000 - Property Location: '.J2 5 ©k(A Sc&+ f'0C>\_J (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Mailing Address: - 1 '540o Phone Number: �D �� Board of Trustees Applic' Lon GENERAL DATA Land Area(in square feet): 1 - Area Zoning: _ 14 q _ Previous use of property: - �ync�� a`�n`� ��_ n�� '� Intended use of property: Covenants and Restrictions on property? Yes =No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes e 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 I Does the structure (s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: A ency Date t AAncA8 Pr-'0/1 D3 -11 -7,co 1 l E) 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):= S4 L4AOn SOLA-%�A-cs�r ZM!8/ �2m-� 'e,n 5 J 43y—__4 c 6 _hcN► �n�® ,o o54 a,00" '`- ,\aur c o Lu1 t be, C), s�VrbQJ Board of Trustees Applic Lon . WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: \C�QJYY�p�(P eJ1Ct4 SQA4l �•�.u� dna An '��c �-t . -�2�rn !job 5,V-b ak- u rZ n� Area of wetlands on lot: e►_ square feet 0 - Percent coverage of lot: . - ( (o • �I % — ��` 5 �► � `' ` Ya- Closest distance between nearest existing structure and upland edge of wetlands: . .e'i _feet Closest distance between nearest proposed structure and upland edge of wetlands: 45& feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? D cubic yards How much material will be filled?_ cubic yards Depth of which material will be removed or deposited: 5 = feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: _ 4 M otS�2JIr:o� JM 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): !�Dr o(Y-0 e e app,W)VI 4P_r- X rYrn(2 oXc +Q �-,� 61 Z20 Appendix B Short Environmental Assessment Form ,instructions for Comuletint?, Part I -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. Complete Part l based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. 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. Part 1 =Project and Sponsor Information Name of Action or Project: , 1, Project Location(describe,and attach a location map): Brief Description of Proposed Action: - Name of Applicant or Sponsor: Telephone: Co::�i E-Mail: � Qm� tics-vl� dm Address: I City/PO: State: Zip Code: 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 may be affected in the municipality and proceed to Part 2. if no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO VES ' If Yes,list agency(s)name and permit or approval: El''s') "-01\L (( Coun4m X14) Q 3.a.Total acreage of the site of the proposed action? d t{'1 acres b.Total acreage to be physically disturbed? --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 NIA a.A permitted use under the zoning regulations? ❑ j}� 1:1b.Consistent with the adopted comprehensive plan? El ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? =12 1 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: � ❑ 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? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES_ If the proposed action will exceed requirements,describe design features and technologies: - - ❑ LZS 10. Will the proposed-action connecfto 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: ��OAC c�r%i<:6-�- ❑ 12. a.Does the site contain a structure that is listed on either the State,or National Register of Historic _N_O 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? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? KA ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: IL4�� 14. identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: 12rShoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional WWetland ❑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? ❑NO YES R ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ONO OYES 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: ] 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: ❑ AFFIRM THAT THE INFORMATION-PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MV KNOWLEDGE Applicant/sponsor name: T �lc� e Date: Signature: 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 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? F] 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 Critical Environ►nental Area(CEA)? 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? a, 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? a' b.public/private wastewater treatment utilities? t - a 8. Will the proposed action impair the character or quality of important historic,archaeological, (� architectural or aesthetic resources? E 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 small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? LO 11. Will the proposed action create a hazard to environmental resources or human health? 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, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-tern,long-term and cumulative impacts. 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 impa ts. Town of Southold-Board of Trustees ('p l Name of Lead Agency Date M I c h a e LJ J. Domino - __ President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Si�e of Respo► tble Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Applici on AFFIDAVIT Michael Geraci 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 BOARD OF 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, INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. r Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS _-39 _DAY OF 4Y) , 20 Notary P blic MELANIE V BROWN Notary Public,State of New York No.01 BR4908712 Qualified in Suffolk County Commission Expires October 19, Board of Trustees Applic_ ,on AUTHORIZATION (Where the applicant is not the owner) I/We, Michael Geraci owners of the property identified as SCTM# 1000- 144-05-17 _in the town of Mattituck New York, hereby authorizes AMP Architecture to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. i P I/4t, Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS_ 3 DAY OF /�-PLZ 1 L_ ,20�_ Notary Pub is MARK I GAGEN NOTARY PUBLIC,State of New York No,4695650 Qualified in Suffolk County Commission Expires May 31, 401 q APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the 12art 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 necesmM to avoid same. YOURNAME: Michael Geraci (Last name,first name,Middle 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 X 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,tnarriage,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 than5%o e 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 th' day 20 did Signature Print Name Form TS 1 APPLICANUAGENUREPRESENTATI VE TRANSACTIONAL DISCLOSURE FORM The Town'of Southold'g Code of Ethics prohibits conflicts of interest on the Bart of iown•offacers and emtiloyees.The_pumose of this form.is to rovide information which can aleitthe town of-ossible confliets'of interest and Allo-Wit to.take whatever action,is inecessga to avoid same. 1 YOUR NAME: Jf't90C 2 (Last name,first name,�ddle initial,unless you are applying to 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 >o Change of Zone _ - Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning - Other (If"Other',name the activity.) Do yo ,persgrially(or through your company,:spouse,sibling,parent,or child)have a relationship•with atly'offlecr or employee of the flown of Southold? "Relationship''Includes by blood,'tnbMr ge,or business interest•"Business interest"means-a business; including a partnership,in which the town officer oremployee has even_a partial ownership of(or employment-by)a corporation' in which the town otr1w or employee o ins_'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/tic space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)'tlie•owner of greater than 5%of the slur es of the corporate stock of the applicant (when the applicaint is acoiporation); _ B)the legal or'beneficial ownerof any'interesfin a non-corporate entity(when the applicant is nbt a corporation); _ C)an,offcer,director,pautiia:j,9r — oyee of the applicant;or -_P)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted day of r% 20n Signature Print Name Form TS l r • e 'PN"�EL s • • 7 ■ Complete items 1,2,and 3. A. Signature O� Agent � � I ■ Print your name and address on the reverse Addressee I so that we can return the card to you. B. Received by(Printed Name) C. to of elivery I ■ Attach this card to the back of the mailpiece, to --- or on the front if space permits. G « _ 1. Article Addressed to: D. Is delivery address different from item 1? 13 Yes m p o_co m If YES,enter delivery address below: �No a w E E N cc co(La�l:J rn v m Z x m m am c c p ( /� T ONNN NdO °IN E �Aa3'4a6 �,tY� 11"V 1E0 El 0 1113 0 0�in 13¢ — � z lI 3. Service Type ❑Priority Mail F�cpre (_D Z II I IIIIII IIII III I II IIII I I I IIIIIII II I II II III III ❑Adult Signature ❑Registered MaiITM 1 E L S�S� > 2 o Z ❑Adult Signature Restricted Delivery ❑Registered Mail Re �+ o® 60 0 y 9590 9402 4483 8248 9786 43 rtifiad MaiIO Delivery a o o ❑Certified Mall Restricted Delivery ❑Return Receiptfor� , �6'l� m Merchandise ❑Collect on Delivery ❑Collect on Delivery Restricted Delivery ❑Signature Confirms a m 9 2. Article Number_(Transfer from service label) __ __ — ❑Insured Mail ❑Signature Confirmq ¢ d m N Restricted Delivery, bl_1\ u m-9�—'—0 oc 17 019 0 2 7 91 2363 ❑Insured Mail Restricted Delivery �j' �//J >15-9=z d __ (over$500) B m o o�,•�r j• a 0 0°cmmo PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Rei a� Jj v CM°'O'0 v° v 0 'C•C-- N 3 7 N N> y-o-ommoocco -- - a X + Ci ¢QUUUU— C0 1 . • • e . • e s �_ C) y U CID ■ Complete items 1,2,and 3. A Signature Q ® � o r ❑Agen� m s oD rn N j ■ Print your name and address on the reverse r ElAddre ® q, o a) _ ~ ° rU 6 f so that we can return the card to you. �' G ® � �' � B. Received by(Printed Name) C. Date of Del o o � ® oo �' rl I.� ■ Attach this card to the back of the mailplece, I m o N N n Z I or on the front if space permits, a ��•'>1 - ® co �`' 0) II I 1. Article Addressed to: D. Is delivery address different from;tem 1? ❑Yes of re a — � f1JLCOL 1 It If YE$,enter delivery address=bye w: ❑No m ® 00 cli O o cq E co E3 V 7 ' U N co 02 U1 / ` ` ® � -DI IMI T Er Ir Q j. c"' N 6J ® [A r-3 3. Service Type dPriority Mail Expres - 0 r- cd o r ti II IIIIII IIII IIIIII IIII I I I IIIIIII II I I IIIIII III 0 Adultt\dignature ❑Registered MaiiTM O o � t ¢ ❑Adult Signature Restricted Delivery �❑Registered Mail Res U N ¢ o ¢ ra A ■ ■ ® N C3 Certified Mai i Delivery 9590 9402 4483 8248 9786 67 - - ❑Certified Mail Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm Z. Article Number(Transfer from service label) ❑Insured Mail ❑Signature Confirmation � ❑Insured Mail Restricted Delivery Restricted Delivery 1�17 0190 �DO� 2791 2349 (over$500) Domestic Return Receipt PS Form 3811,July 2015 PSN 7530-02-000-9053 l,Xyr_;rx� Michael J. Domino,President O� v fFOj�- Town Hall Annex John M Bredemeyer III, Vice-President h� 0��, 54375 Route 25 Glenn Goldsmith ; P.O.Box 1179 A.Nicholas Krupski ��o : ,� Southold,NY 11971 Greg Williams p�('� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of MICHAEL GERACI COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, &C&A L4(2 g r5ovi , residing at/dba 5300 0e4,/-2 being duly sworn, depose and say: That on the ie day of ,� , 20161, 1 personally posted the property known as 1525 ®r � &Lluk V�_00_8 e "04 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, June 19, 2019. Dated: 0^( -�)'(q v (signature) Sworn to before me this ^-dayVii 20(� � SHARON MALER NOTARY PUBLIC STATE OF NEW YORK Notary Public SUFFOLK COUNTY LIC 11 T62522M COMM.EXP. ,h.- ' _ ","� ,v' r`ii 9` 'V', •yds'. -Y-,. 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"�yL� ,. ^� �t1ATrTI;TIJK►((IlY? �:1.95 �;.` ;I •_' 1 n "1 •JVO < eOLQ4WtdE5 � Y t r r;.',3 Iw..s p-• Certified Mail Fee $3.10 0971 prq Certified Mad Fee 5U [Iq?i rrt l $ ° 7? _ '77 Extra Services&Fees(check box,add tee �1 p-ria,te) A�7 1 m $ F]Return Receipt(hardcopy) $ 6 Extra Services&Fees(check box,add fee a ap�`Irate) I� ❑Return Receipt(electronic) $ 1 ` epos rk i Q ❑Return Receipt(hardcopy) $ 1, '1'll��1 postmark El Certified Mall Restricted Delivery $ _ � Here r ❑Return Receipt(electronic) $ r'`�a•�-`� 1� ❑Certified Marl Restricted Delivery $ tkf , ere []Adult Signature Required $Ott ti CO t� $ _ '�,;� ❑Adult Signature Restricted Delivery$ �n Q []Adult Signature Required ., Q Postage ce �? � 2-- []Adult Signature Restncted Delivery$ — 1 Er $1-1.5 ---� p Postage cc �'�CI/('? 1 rl $ I_16�>I6 li $fl..1 �n 9 i1h��i 16I� 19 Total Postage and Fees ne $ $ $6.x.1 �0 r9 Total Postage and Fees C� $6.85 f`- Sent To ©�� � r- Sent To F _ I O StfeetandApfNo,orPOl3ox r1- .�/ Street and Apt.No,orPOB xIV(. 1 ,� ^ ---,-,,--- � - i to IP+4 --------- --------- `-^ - ' - C� S to Z Ctty,State,ZIP+4©`� � �� , I � it .`�,, e ,e `•o•f'" r--- :1 1 l t 1 ;1 a �',r tw�ry• _,�a -- `� .� i �-,�,;� t��i%as'„a'g`:.,',�^”�i.1'�r •r ,..� �sD® ® w ,�i�x-'v1+,'� ";a,?,�ro;,•„+�(*„�sas ka�u•`„•4-:.'�'Ma-,.,.�, - ; u1 m rU o (,i r•"3 E' Certified Mad Fee $3.50 77 ru Extra Services&Fees(checkbox,add fee aBAprgAggfe) ~�^��` ❑Return Receipt(hardcopy) $ 1 i ltLr �a 0 ❑Return Receipt(electronic) $ f 1 6l©6> Postm k 1:1 E]Certified Mad Restricted Delivery $ J_L.1 If ,7� Here O []Adult Signature Required $ - � []Adult Signature Restricted Delivery$ C3 Postage $10.55 Q $ Ili 9 Em Total Postage and F $ VC I $ r\ Sent To \ C. _________________________ _ Street and Apt.No.,c, PO Box No _ �LJ �---- City State,ZIP+4 / p 1 a�c� CI, 11,•ter 5 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS MV Name: STATE OF NEW YORK COUNTY OF SUFFOLK residing at , being duly sworn, deposes and says that on the day of , 20___, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public PROOF OF MAILING OF NOTICE ATTACH[ CERTIFIED MAIL RECEIPTS SENDER: • • •MPLETE'THIS SECTION ON DELIVERY. ■ Complete items 1,2,and 3. A. Signat e Name: i n Print your name and address on the reverse X Agent a; so that we can return the card to you. B. eiv 'by in d Name) C Date live❑Addressee , f ■ Attach this card to the back of the mailpiece, " or on the front if space permits. 1. Article Addressed,to: Is deliv ress different from item 1? ❑Yes If YES,enter delivery address below: ❑No I 00 0,nn4jL 33DWj i II I IIIIII III III I II IIII I I VIII I II I I I I II I III 3. Service Type ❑Priority Mad Express® i ❑Adult Signature ❑Registered MaIT^' ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 1 9590 9402 4483 8248 9786 74 16Certified Mad® Delivery i ❑Certified Mail Restricted Delivery ❑ReturnRecelpt for [3 Collect on Delivery Merchandise rticLe Number(fransfe�from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmatlonT^I - 13 1646d Mal :: !y11 Signature Confirmation 1017 0150 0 0 0 01- 27 9.1 2 3 3 2 ❑-Insured Mail Restricted Delivery Restricted Delivery STATE O1 -- (over$500) COUNTY' Ps Form 3811.IJ t k -, PSN't753, '. I0 -9053• ; ,-- — — — Domestic Return Receipt l residing at Mo O Vc� cSiDu11r-A Ar\k being duly sworn, deposes and says that on the day of t , 20_N I deponent mailed a true copy of the Notice set rorth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFEM MAWRETURN RECEIPT. Y Sworn to before me this Day o 20C� .. Notary Public ARCHITECTURE Operating Business Address:15400 Main Road.Mattituck,NY 11952 Brooklyn Office:254 361'Street,Building C 256-257.Brooklyn,NY 11232 uc Mattituck Office:15400 Main Road.Mattituck,NY 11952 Business Phone:(516)214-0160 Anthony Portillo:(716)572-4741 144-5-11&144-5-18 Techet 6 Channel Cay Rd. Key Largo, FL 33037 144-5-12 Joseph Cali 3 Stone Arch Road Old Westbury, NY 11568 j 144-5-13 Stephen &Amy Licata 95 Hillside Road Albertson, NY 11507 144-5-16 Faye Reynolds PO Box 1074 Mattituck, NY 11952 144-5-20 McDermott PO Box 343 Mattituck, N.Y. 11952 NOTICLr.m OF HLmOARINC NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: MICHAEL GERACI SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove existing sanitary system and install a new IAOWTS sanitary system with approximately 900 sq.ft. of land disturbance during installation ; all disturbed areas will be filled and seeded. Located : 525 Old Salt Road, Mattituck. SCTM# 1000-144-5-17 TIME & DATE OF PUBLIC HEARING : Wednesday, June 19, 2019 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold .L'W1tP"C)NSISTENCY-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 `proposecl ;action_.will- be:evaluated. as_ioAts siRMIAcant beneficial and'adverse-effects upon-the.-coasfal_area(v Wdlincludes all'•of'Souihold'Tovi�a): 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 answor-must be explained=in deta&_listing'both-.supnortina_and'non- supporting facts. if an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall-not lie undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# PROJECT NAME- The Application has been submitted to(check appropriate response): Town Board ❑ PIanning Board❑ Building Dept. ❑ Board of Trustees,2 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: = o - _ ` f n- r 1_ �+/Vt�Td Q Q �Ll.l� -�Gt ✓_� c�laS ZIM -Ly- Location of action: 'C1cA icy..( - .V'or�J ,-=6 _ ,a&' �-�C.--_- Site acreage,-- Present creage:__Present land use: O Present zoning classification:-- a elo,1 _ _ tXmm�i - �,�,i C�►-1 C� 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: 15 4©0 0 awn (c) Telephone number: Area Code (d) Application number,if agy : Will the action 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 fZ 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—Policies Pages 3 through 6 for evaluation criteria ❑' Yes,❑ No;4 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 ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes F 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 )C Yes 03 No ❑Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑- Yes No Not Applicable LL:�k Lt 1\,aA n aAP-c-k I.Wa Q.Lc)�. --,Ae..mS 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. N'YeSM 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. 0. Ye�] NO Not Applicable Attach additional sheets if necessary 1 WORE NG COAST POLICIES 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. ❑ Yes ❑ No Fgl 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 waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No ® Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III -Policies; Pages 62 through 65 for evaluation criteria. ® Yes ❑ No Not Applicable 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. ❑ Yes ❑ No "�-' Not Applicable PREPARED BY _j- `TITLE cC�l�� DATE ? Ll '