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Deerkoski, James
'i X\®i soupy Michael J. Domino, President � ®l® % Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 i P.O.Box 1179 Charles J.Sanders Southold, New York 11971 Glenn Goldsmith �+ �� Telephone (631) 765-1892 A. Nicholas Krupski 'COU _ Fax(631) 765-6641 BOARD OF TOWN TRUSTEES ` TOWN OF SOUTHOLD TO: � 5 ARK® Tou CEfAM6Re5 Please be advised that your application dated ixq Z51 has been reviewed by this Board at the regular meeting of 04 and your application has b en 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) 1" Day of Construction ($50.00) - - -Y2 Constructed ($50.00) j IT Mewk Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) i 30-Year Maintenance Agreemen it to Board of Trustees Office) r The Permittee is required to provi a of the Trustee permit has been recorded with theALP.® 0� ivenant and deed restriction to the deed of the suk d within ninety(90) calendar days of issuance of tfI Permit fees are now due. please make c, � ithold. The fee is computed below according to tl'iG-,uneuuie or rates as set torte in Chapte—r-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: $ BY: - Michael J. Domino, President Board of Trustees DiSalvo, Diane ,From: Richter,Jamie Sent: Wednesday, March 13, 20191:24 PM To: DiSalvo, Diane Subject: RE:260 Deer Drive, Mattituck Diane . I I have looked at the stormwater plan for the Deerkkoski property that you forwarded to my office.. All appears in order and this plan is compliant with Chapter 236 for Stormwater Management. When this plan goes to the Building Department for permit review this will get a formal Chapter.236 review. If you have any additional questions please let me know. Jamie James A.Richter,R.A. Stormwater Manager Office of the Engineer Town of Southold,New York Stormwater Management Control Plan Website: http://www.southoldtowM.gov/index.aspx?nid=195 Office: 631-765-1560 CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of,the communication. From: DiSalvo, Diane Sent: Wednesday, March 13, 2019 11:46 AM To: Richter, Jamie Subject: 260 Deer Drive, Mattituck Please review the attached for any concerns you may have. Trustees'approved a permit back in September of 2018 pending Town Engineer review. Thank You D%n vLe DLSP LVo SouthoW Towo, Trustees 54575 Route 25 1 APPLICANT: S.C.T.M. . 1000CHAPTER 236 (Property Owner,Design Professional,Agent,Contractor,Other) — — �OSUFF�!( 114 10 02 Stormwater Management Control Plan CHECK jLIST NAME: Robert Wilson Section Block Lol n � S M C P -Plan Requirements: Provide ONE copy of the Building Permit Application. pj� Date: The applicant must provide a Complete Explanation and/or Reason for not providing (631)504-8842 3/14/2018 qc all Information that has been Required by the following Checkhstl Signature Td,,ptam•Nnmtvn 1. A Site Plan drawn to scale Not Less that G0'to the inch MUST If You answered No oi-NA to any Item, Please Provide Justification Herel YES NO NA If you need additional room for explanations,Please Provide additional P6per. show all of the following items: Y p p a. Location& Description of Property Boundaries b. Total Site Acreage. 00 c. Existing-Natural & Man Made Features within 500 L.F. of the Site Boundary as required by §236-t7(c)(21 d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. 00 e. Limits of Clearing & Area of Proposed Land Disturbance. f. Existing& Proposed Contours of the Site (Minimum 2 Intervals) 0 g. Location of all existing& proposed structures, roads, driveways, sidewalks, drainage improvements& utilities. h. Spot Grades& Finish Floor Elevations for all existing& proposed structures. I. Location of proposed Swimming Pool and discharge ring. 0 J. Location of proposed Soil Stockpile Area(s). 0� k. Location of proposed Construction Entrance/Staging Area(s). 1. Location of proposed concrete washout area(s). {-- M. Location of all proposed erosion&sediment control measures. 2. Stormwater Management Control Plan must include Calculations showing that the stormvtater improvements are sized to capture,store,and infilti ate MAR 1 4 HiQ on-site the run-off from all impervious surfaces generated by a two(21 inch rainfall/storm event. 3. Details&Sectional Drawings ror stormwater practices are required for approval. 'u Q4rit Items requiring details shall include but not be limited to: `= a. Erosion&Sediment Controls. 0 b. Construction Entrance &Site Access. 0 c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.) 0� d. Leaching Structures (e. .infiltration basins,swales,etc.) FOR ENGINEERING DEPARTMENT USE ONLY _ _ _ _ _ _ Additional Information is Required i Reviewed & ® Stormwater Management Control Plan is Not Complete. I Approved By; — — — — — — — — — — — — — — — — — ? IStormwater Management Control Plan is Complete. �3 Date: I,_® SMCP has been approved by the Engineering Department. FORM ' SWCP Check List -TOS MAY 2014 STORMWATER RUN—OFF PLAN i — ~� DEERKOSKI RESIDENCE 260 DEER DRIVE PERSPECTIVE VIEW o MATTITUCK NY SCTM : 1000-114-10-02 NO 13 2M9 SCALE 1'= 20' 4 T erz Al.1-11. MMON DETAIL SILT FENCE DETAILS.... ROY, EDGE OF WETLANDS AS DELINEATED BY GLENN SLOPE Fvurna"" ACE JUST OF .0. E ENVIRONAL SERVICE ON SEPTEMBER M26NT. 2006 CONSULTING BEDDING DETAIL AN...= PREAMGLYLAmBALF OIVI' Flow .............................. OCATED 10'-0' MST CHAIN UNk FENCE TO 13&4�IEL BOUNDFNv3 . ''>'9` CED ON CONTOUR 2RE4MRS 91EELPICKMOR REL It 11 FE r -STAKESIGROLM x2 NtoT IN IIRIVSMtAK2SFLUSMWTMT0P0F � AILLE' NON DISTURBANCE BUFFERANCHORINGTZA STRAW BALE DIKE DETAILS EXIST LAWN SILT 10FENCE EXIST ST HOLE----\----- NEW IN-GROUND,31MMING POOL T'= if 1A A—— it (/h EXIST.LAWN —T DEER DRIVE V_ 0 b! w TEST HOLE DATE DRAINAGE CALCULATIONS McDONALDGEOSCIENCE 50 FES 1 HOUSE ROOF AND NEW DECK 3920 S.F. x 0.17 = 666 CU. FT. R I PROVIDE 4 DRYWELLS MIXED SAND MND LOAM 21' 6' DIA. x 8' 226 CU. FT. EACH POOL AND PATIO .-o —JE MIDN 8 1058 S.F. x 0.17 = 180 CU. FT. PALE BROWN FINE SAND SP PROVIDE 1 DRYWELL VDIA. x 8' 402 CU. FT. A. L -:w big.6-ecup' I_eo� . I � DRIVEWAY M 2231 S.F. x 0.17 379 CU. FT. gp PROVIDE 1 DRYWELL 8' D IA. x 8' 402 C U. FT. DRYWELL DETAIL NOTE—ER ENCOUNTERED I 1'11E—SURFACE 77T'T r q� JOAN CHAMBERS PO BOX 49 SOUTHOLD NY 11.971 joanchambersl 0@gmail.com 631-294-4241 Southold Town Trustees Re: Deerkoski Residence 260 Deer Drive Mattituck SCTW 1000-114-10-02 July 14, 2017 In response to your notes from your field inspection on this property we would like to submit a revised Site Plan to be included in the application. The revisions include: 1. A new split rail fence will be added to delineate a non-disturbance area seaward of the fence. 2. The existing leader and existing drywells at the house will be labeled. 3. A new drain and drywell will be added to alleviate the driveway run-off. C Thank-you, J U L 14 2017 Southold Town r of e Joan Chambers l P� I I t " 2 G° J�4Y�yoo6 { °O y. ►`� S i G^r 4 _ \ 4����`'� \ •'. ' °•'• �- o. e etc doC,S- ( 4�, °Q ,( / - •'°a ° code ��'pF bo .10 lip - ,1��Gy /�� �� .°°• _ :°Pye. e�{0., � a,�.c °roc, .. ° ° . { _�� i - �/ �,� ed •- ..d •�° QQ� G• J�3,�� BOG d -• GO�Gy �°• I BSO 1y , 11b coo, °e ° RESIDENCE 260 DEER DRIVE MATTITUCK N .Y. W 13 RIS 8' 1T' TEA TY . EXISTING: SINGLE FAMILY RESIDENCE R-15 BAT INSULATION TYP. SCTM# 1000- 114- 10-02 1/2" GYPSUM BOARD TYP. ZONE R-40 0.495 ACRES CLOSET c� 3-22" x 41" DH PROPOSED: 2x4 STUDS @ 16" O.C. FINISH EXISTING BASEMENT AS-BUILT INTERIOR RENOVATION OF KITCHEN ADD DECK & SCREENED PORCH @ REAR M ADD RECREATION SPACE OVER EXIST. GARAGE ADD SWIMMING POOL IN REAR YARD W/ IN-GRADE PATIO 27" x 49" DH 2x6 STUDS @ 16" O.0 LINEN 14'-54" CLOSET RECREATION AREA 38" x 57" DH EGRESS N O 1 BATHROOM 27" X 49" DH GENERAL NOTES 1. All work shall conform to the requirements of the Residental Code of New York State, County and Town Department Regulations, Utility Company requirements and 10'-22 1 1'-4 best trade practises. / " 2 " � s R 2. Before commencing) work the Contractor shall file all documents required by the Building Department, pay all fees required by local agencies and obtain all required permits. 3. The Contractor shall visit the site and verify all dimensions and the existing 31"x46" DH3-22" x 41" DH conditions affecting the work prior to construction. Any discrepancies which would SCREENED PORCH Mlt "' interfere with the satisfactory completetion of the work described herein shall be reported to the architect or property owner. Do not start work until such conditions have been examined and a course of action mutually agreed upon. Failure to notify 2X6 RAFTERS AND 2- 36"08" the owner or architect of unsatisfactory conditions will be construed as an acceptance COLLAR TIES CASEMENT 2x6 STUDS @ 16" O.0 of the conditions to properly perform the required work. SECOND FL. OVER GARAGE 4. All work is to conform to the drawings and specifications of the architect and engineer consultants. RECREATION ROOM PLAN 5. The Contractor is to maintain a complete and up to date set of plans on the 2x4 STUDS @ 16"1 O.C. job site at all times 8'-0" 1/4��= 1 6. The drawings are not to be scaled under any circumstances. 29-1/2"x 41"x 29-1/2"x 7. It shall be the Contractor's responsibility to ascertain all prevailing procedures 2xa �olsTs @ ts" O.C. 37-1/2" DH 48" DH 37-1/2" DH P Y P 9 including storage and toilet facilities,protection of existing work to remain,access to work area, hours of permitted work,availability of water and electric power and all 0 other conditions and restrictions for this particular location in order to execute the o work in a careful and orderly manner with the least possible disturbance to the public. cr- 8. The Contractor shall make the neccesary arrangements to utilities and services temporarily disconnectedi while performing the work as required. 9. The Contractor shall provide all dimensions and cut-outs for other trades. 10. Th Contractor shall provide proper shoring and bracing for all remaining structure 2-2x12 GIRDERS ... .. -. ... .. P gr I � prior toeremovalcofrexistin structure.pe NOTCHED AND BOLTED _.. - .. _.-- .__ _..___ — — —,— ---- — ——_—---1 __I _ V and similar work s b r y sed n n e To 6x6 POSTS TYP. _ T- 1 1. Plumbing, electrical,, H A a 'ar wo hall e ROOF OVER CELLAR ENTRY BELOW_ ROOF OVER CELLAR ENTRY BELOW___, _ _. ______ _.__-_______- _ __,__..____ persons arrange for and obtain all required inspections. The General --..-.,_" "., _ ons w o shall O LINE OF OPEN CONC. BLOCK STORAGE SPACE BELOW I I Contractorshall beresponsiblefor scheduling all other inspections as required. . The Contractor is solely responsible for construction safety and shall hold the ownera nd architect harmless from litigation arising out of the Contractor's failure to EXIST. 34310 EXIST. 34310 ROOF OVER STORAGE BELOW CICY)S DECK provide construction safety means and methods.. I O i REPLACE EXIST. FWG. 6068 W/ - MATCHING 34310 DH WINDOWS X1 _. II IBJ TRUCTION NOTES 32'-9" N REPLACE EXIST. 34310 DH I W/ NEW 3068 FULL LITE DOOR REMOVE EXISTING 2832 DH T� 1. All footings shall rest on undisturbed soil at a minimum of 36" below fin. grade. ..:m� _ ��'�' 2. Poured concrete shall have a minimum psi of 2800 at 28 days unless noted. 3. Sill plates shall be preserved, treated wood and be installed above a 16 oz. D. NEVs AIR ASE copper termite sheild. NEW ITCH 1 OCA JETS ' s K N o 4. Shingle siding shall conform to ASTM D 3679 and be installed in accordance P 1 RI . @ a' 10' TRE DS TYP. W with the New York State Building Code and manufacturers specifications. ° z 9 P m 5. Pilings shall be installed by a licensed contractor to a depth and bearing agreed c7 OPEN TO NEW LAUNDRY RM. —^ � �° upon by an engineer and certificates shall be issued stating same. z N = 6. Unless otherwise noted al! framing and structural wood components shall be C) Lli 0- #2 or better Douglas Fir. REMOVE WALLS & EXPAND KITCHEN w LU INTO FORMER LAUNDRY/UTILITY RM. NEW UTILITY AREA g z 7. All framing techniques and methods shall be as prescriptive design based on EXISTING MASTER BEDROOM EXISTING GREAT ROOMW �\�+ +6J�• AF&P Wood Frame Construction Manual for One and two Family Dwellings (WFCM) NO CHANGES NO CHANGES tiSG(8, i or as specified in R301.2.1.1 8. All building envelope components shall comply with Chapter 6 of the Energy - Conservation Code of the State of New York. 1 NEW WALL (TYP.)-----/ 9. Fireblocking shall be provided in all wood framed construction in accordance NEW KITCHEN ISLAND 2x4 @ 16" OC with NYS Code R 602.8 to form an effective fire barrier between stories and 1/2" GYP. BID.ING @ INTERIOR between the to story and roofs ace. W/ PANELLING P rY P 5/8" FIRE RATED GYP. BD @ 10. Protective panels shall be provided for glazed openings in accordance with M GARAGE INTERIOR NYS code R301.2.1.2 if they are required. g R-15 BATT INSUL. 7 11. All portions of the new structure are designed to comply with local geographic w i and climatic criteria as stated in the following table. Z m m z GEOGRAPHIC & CLIMATE DESIGN CRITERIA W Z O FNMI GROUND SNOW LOAD 45 ps1 Y WIND SPEED 130 MPH SEISMIC DESIGN CATATGORY B WEATHERING SEVERE EXIST. CLOSET FROST LINE DEPTH 36" EXISTING MASTER BATHROOM3,-O„� REF. NEW KITCHEN CABINETS ;REF. TERMITE THREAT MODERATE TO HEAVY O NO CHANGES DECAY SLIGHT TO MODERATE ,,,.,•., WINTER DESIGN TEMPERATURE 11 DECREASE OPENING EXISTING 2 CAR GARAGE FLOOD HAZARD AS NOTED ADD NEW PANTRY A- 101 FIRST FLOOR PLAN, GARAGE PLAN DN. To BASEMENT `' = A- 102 BASEMENT PLAN, SITE PLAN o 1 N a0 N F- X W - W UJ 3310 DH o FIRST FLOOR PLAN, GARAGE PLAN o EXISTING STUDY EXIST. FOYER DINING ROOM NO CHANGES NO CHANGES NO CHANGES Tess =:x SCALE AS NOTED 0 r. W PWDT RM. 1' MAY 3, 2017 J U r^ 1STAI permits caftin expediting , 1�l„Y 2 5 ,� F RJEh/YO 7017 �� r FEE � 1” 14 ., 101 �o I Ld EXISTING COVERED PORCH , yrl NO CHANGES _.. FIRST FLOOR `� �_ 1 OF 2 r�. . a 7' �, 1 /4" V-0" 4. 23 . 17 PO BOX 49 JOAN C HAM B RS SOUTHOLD NY 11971 631-294-4241 RESIDENCE 260 DEER DRIVE MATTITUCK N .Y. EXISTING: SINGLE FAMILY RESIDENCE SCTM# 1000- 114- 10-02 ZONE R-40 .495 ACRES PROPOSED: FINISH EXISTING BASEMENT EDGE OF WETLANDS AS DELINEATED BY GLENN AS—BUILT INTERIOR RENOVATION OF KITCHEN JUST OF J.M.O. ENVIRONMENTAL CONSULTING ADD DECK & SCREENED PORCH @ REAR SERVICE ON SEPTEMBER 26, 2006 ADD RECREATION SPACE OVER EXIST. GARAGE 77 ADD SWIMMING POOL IN REAR YARD W/ r IN—GRADE PATIO , I .I .I EXIT TIE LINEA TAKEN FROM SURVEY BY NATHAN CORWI ,I EXISTING FENCE d i o NON—STRUCTURAL STONE VENEER TYP. 2x4 STUDS @ 16' O.C. TYP. BAT INSULATION TYP. I t m 112" GYPSUM BOARD TYP. 32'-2" 2'—6 I 1 • i ;I I • I I m { C, RECREATION ROOM NAILING/'FASTENER SCHEDULE I � Q EXIT —I ' PROVIDE MSTA30 OR EQUAL METAL STRAPS OVER RIDGE TO ROOF RAFTERS @ 16" OC C) TYP. NOT APPLICABLE IF =i COLLAR TIES ARE PRESENT. ' - 8D COMMON @ 6"OC @ 4'-0" PERIMETER ZONE 8D COMMON @ 12"OC @PANEL FIELD .I UI 8D COMMON @ GABLE ENDWALL RAKE REFER TO TABLE 3.8 WFCM-SBC LL O r PROVIDE 8 - 110D COMMON AlN 1 s T EACH END OF COLLAR TIES — PROVIDE SIMPSON H2 /H10 OR 1/2" PLYWD.SHEATHING U a EQUIVALENT HURRICANE RAFT TIES 6D COMMON @ 3" OC EDGE TO SECURE ROOF RAFTER 6D COMMON @ 6" OC FIELD x I — PLATE AND WALL FRAME. PROVIDE SIMPSON LPT4 OR EQUIVALENT TO TIE RIM BOARD TO DOUBLE PLATE TYP. I { jI PROVIDE SIMPS9OREQUIVILANT TO)OF BOTH FLOOBAND JOIST @ PROVIDE SIMPS EQUIVALENT TO TIE WALL STUDS TO PLATE & BAND JOIST @ x.ee.xn.arcs OC TYP. I PROVIDE SIMP50N LPT4 OR TO SILL L TO TIE RIM BOA PLYWD. FLOOR SHEATHING RECREATION ROOM To slu PLATE ' 0 DGE 8D COMMON @8D COMMON 612"QOCEFELD •� I I PROVIDE APPROPRIATE METAL PLATE WASHER, NUT &ANCH R '1 I BOLT TO TIE SILL PLATE TO .I 1 2 8'_of 11 •i .. .:.«oo,oma.cx w xM�exc ___ _ _ _ _ MASONRY FOUINDATION TVP 1 STORY. 0 FOR ..::,..».x.ere:<e[w ems+ cower.,...r..,__ •{ •"� m wc..,�.cooe ----- .. ....__..... .................. I. � STORIES.OR11 " FROM CORNERS 1 3z-s - - _ wE�°"E mo..�s..c OPENINGS AND 2 BOLTS TO BE MIN. & ` I xw aoo.u« •'^ j�I s0 • •..111jI II 0o w , o o .xmoo w,c�x, __o._�._:..__.,.o_.._._..:.w_:..._.N......_.._......—..l�.._...:—..:....�...i.:.__m._....:_—....-._.,,.w,.x. .w..,,,,..w..�_.,...w �. . _. a.w.:oxw DRIVEWAY — 12 DEEP. EXISTING FENCE&GATE LID / 58- GYPSUM BOARD P FENCEL - - - - - - - - - - - - POWDER 7 UNHEATED ROOM UTILITY ROOM ww� � O F� a bex ® _1=x Tx � 1 UTILITY SPACE oma. II A- 101 FIRST FLOOR PLAN, GARAGE PLAN i A- 102 BASEMENT PLAN, SITE PLAN EXISTING ASPHALT DRIVEWAY - BASEMENT PLAN, SITE PLAN SITE PLAN SCALE AS NOTED MAY 3, 2017 BASEMENT PLAN 1/4 l'—0 — ress 1% Ell if �fNlpi ermits drafting ex editin TAr\ 1 [00000, OF NEW y0 DE P) 1 02 / y Lij SOA o• 0.72 �P� C5S PO BOX 49 JOAN CHAMB RS SOUTHOLD NY 11971 631-294-4241 G ° °O�O " SURVEY OF ALI, 5 Q- Q• LOT 18 MAP OF DEER PARK lA FILE No. 3204 FILED JULY 25, 1960 T ? SITUATED AT MATTITUCK �0 % S s8o TOWN OF SOUTHOLD \�oAl \/ air, SUFFOLK COUNTY, NEW YORK 30'' S.C. TAX No. 1000- 114- 10-02 � SCALE 1 "=20' GATE �9 SEPTEMBER 27, 2006 AREA — 21,573.83 sq. ft. \ •c `'� �` \ �' .• a 'e eF� (TO TIE LINE) 0.495 ac. \. d Re Fqn G� NOTES: '' ,� GZ�°/ \ �0 4Y \ v 'e. ° a' v• a\0o� ' ro�' a.•, e �cyFO rop GPO 1 ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM ,/�O PP/,�0�� \9s• ?' J s a ° Go` `� e' �°' ; ° °sr� EXISTING ELEVATIONS ARE SHOWN THUS: X 4a' G p `I I' ��O 9L \ \',pA \ ° 4. e CNC R� 04 �F 10: 00 'A. °Q4 Q�pQ� 62 v ° 00 s / O \ v 4 QOM°� ^� ,.a "h6 ?off .e. e• °e.� P '. °e, a �h :e° -Y `! .• '.GOA v a G e P�'� .: 2 •• A ... v �Qo �P 9 p2� 004, e a.. a �yQ ° .. d ..•v ::d e°,. v S '�q V ?• ° a / Iro 0 h e `C k CcQ` .G' ' ,.a a .. F J nF !ES• 5'�� a0k QOQ• �l��Q` Co / ° ., 'e ° �y p X00 �Act / 4. .• v ' .d GO '9 T. 9R�G v. . . jd •'�' a •� .. � _ / \ e r J e 4 f a MAY 2 5 1017 r0 ° oti\ '�cyJ�\ >�� G�Q� /(� •O .m oo V '4• PREPARED IN ACCORDANCE WITH THE MINIMUM •O0 STANDARDS FOR TITLE SURVEYS AS ESTABLISHED e' BY THE L.I.A.L.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND t e' '• d TITLE ASSOCIATION. OF tj Go2ry�a• e. e e• .. ti� VAFr e • • ° � JJ4JJ`` 1 4 n v'• �f`/ -461 Y.S. Lic. No. 50467 UNAUTHORIZED ALTERATION OR ADDITIONSURVEY IS _--� THIS SURVEY IS A VIOLATION OF Nathan Taft Corwin l l l SE SECTION OF THE NEW YORK STATE EDUCATION LAW. COPIES THIS SURVEY MAP NOT BEARING Land Surveyor THE LANDD SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY Y IS PREPARED, AND ON HIS BEHALF TO THE Joseph A. Ingegno L.S. TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND Title Surveys — Subdivisions — Site Plans — Construction Layout TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 26-337 Michael J. Domino, P Int O�Q CSG Town Hall Annex John M. Bredemeyer III, Vice-1;resident �� �� 54375 Route 25 Charles J. Sandersc = P.O. Box 1179 Glenn Goldsmith ,>- "7 Southold,NY 11971 A.Nicholas Krupski �� p!�' Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: ��l/r? 3,00 Completed in field by: �lo�s�►9`'�'� Joan Chambers on behalf of JAMES DEERKOSKI requests a Wetland Permit for the as-built 2,762sq.ft. single-family, two-story dwelling constructed further landward than original location with as-built attached 321 sq.ft. covered front entry porch; and as-built attached 610sq.ft. multi-level wood framed deck with an octagonal screened in section on seaward side of dwelling; as-built masonry retaining walls separating the higher grade below the deck from the surrounding yard; as-built stone steps and a short bluestone walkway run along the retaining wall. Located: 260 Deer Drive, Mattituck. SCTM# 1000-114-10-2 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: NJ Non a;_S4ur ban4e Sz,_.,rcsA e G 7Re y�6 d n Z z w.--I is _ 9ra.ncic�e te:�i�L✓ �ot pcopec$y Present were: J. Bredemeyer \/ M. Domino G. Goldsmith N. Krupski -."/C. Sanders Other Page 1 of 2 Michael J. Domino,I ent ��S11FF0C4-Co 4 Town Hal]Annex �_,% John M. Bredemeyer III,Vice=President ��� G$� 54375 Route 25 Charles J. Sanders y = P.O.Box 1179 Glenn Goldsmith ® Southold,NY 11971 A.Nicholas Krupski ��l?1 p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by:` Joan Chambers on behalf of JAMES DEERKOSKI requests a Wetland Permit for the as-built 2,762sq.ft. single-family, two-story dwelling constructed further landward than original location with as-built attached 321 sq.ft. covered front entry porch; and as-built attached 610sq.ft. multi-level wood framed deck with an octagonal screened in section on seaward side of dwelling; as-built masonry retaining walls separating the higher grade below the deck from the surrounding yard; as-built stone steps and a short bluestone walkway run along the retaining wall. Located: 260 Deer Drive, Mattituck. SCTM# 1000-114-10-2 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 a ►J& 01, 1� a tow - _,y.aL+F � ,a#.^n�A9 -i Syr •} jr-\ - r.r` " - - , Y �°.i s nt{ ,, �t �i 7.n 1�jG �,.• ,5.'G1 s.L���, ytti r� f ,. ^�'_ _ amts Deerkoski 60 Deer Drive,Mattituck CTM#•• 1000-114-10-2 /11/17 N;�'�t �'':n �. , v'��RSC 7 iM YAM?�,.,, #� 7r'z ter ila'`\Y!E �YC' '�•• ^F !R L � � sy. a',��+ .. ,�,�� + 'Jql mli4, k,Ml, y . i - J s s ki. r • ffow ' ik. 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" 6 A�!> � M f "A�•;,.+i .'� A ��, � ���8 J Oil ,%' j� t •,t�r'�,.c•� Y �l�F...t T.ti D .. f..< �.i , amcs Docrkoski 60 Dccr Drivc,Mattituck CTM#: 1000-114-10-2 /l1/17 9 T• a' • ✓ d �r sdN'� �� "Sr1 i� `. i f5�.�i J.;jt4 r P C.:- � , • ': - _ .. a.°'-'�►/ .. r� � �vF� ��� le��S�� � ""�� Y F� 4 r"C't 7'�2'�t -- - v,, � ' 1 y�d�"4t��' .v if !`,�.'..�',.r .,_•� 'a'f -,e °v F. � r �� `�af✓'�'r {i �e t � �4i r 11 + [ e ir. . a „ RIO MR W�m WOR m.M.-M�w M�m M�MM sddf r _ '' - � , ��4� �� --_�i.�"'���'�C S,1�j�'�"�'� �i•+ter'_�",S''�21� �• `��. � � V••y ��#, � Y _ � �f a -i- 4 "ice - _ t .James Deerkoski 60 Deer Drive,Mattituck CTM#: 1000-114-10-2 ' /11/17 ,1 - ''"�,.}''�' '!j �,�,t�f� - ,� 1"i'i•' p''w, �n�'. �'��{',,� i,^��h�';..,"tom�” :.�,,���hA�`�'�� +.``� -3 a :, a... �4,;.rte c4 "?' n• `v. y:, Y� _ - _ -.+C - .�s.-1-:'.�..r�r•t---.Sz,+t:-�'w:'s�:�r"F-�+.riC.rlr�. x�i,ti•1•ivT-+.� .f6.r w 7'7d .?f'!L�'vtYS:7,,..�Y'ro�i!•�S�t�lJ'+�'b'r 3�'.� ``.�D'.`si.L�tn�?'�.�i1:a:-'�J3F2+�..``i�i►'"v�RM.`4s'`. �_ - T. ni ry ' w . deL Af AL 1.4 ta •� _ i b.4-�s7+-,:ar< i . _ s�.'..i:. _ . '� - .. •1'Y1 Y.,< ` � r ry'f,�� ,�. _ r _ James Deerkoski - .260 Deer Drive,Mattituck SCTM#: 1000-114-10-2 Y` , 7/11/17VL s � f)�• 1�'- ' F` ailA " lo i ° yam+•• 7.��'_ ''���.4'�jr ''�' r '�J�' .� , r „ ' t �x <�� i �/ �� �u:� 6� .+`•P,.,� ($eJ� • « G, ...s s1� y��r�'r�... ►`e_r'�1x'�._r�.�12 �"��._..t:d"".,.. _� __ 's"'.y„";"i p'+T'.s"�;'rl_ ,�,. _u Board Of Southold Town Trustees 'u SOUTHOLD NEW YORK PERMIT NO. � DATE: ...May 23,..1996. ISSUED TO . _......... .. ...... ....... James...Deerkoski rE Pursuant to the provisions of Chapter 615 of the Laws of F .. the State of New York, 1893; and Chapter 404 of the Laws of the y � w, f State of New York 1952; and the Southold Town Ordinance en- - " titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the .y REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM f \ LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on May 22....... �� � }9....9.6.. and in consideration of the sum of $ 150..04. paid by }� '... .Deerkoski . of ........ ... . ...... ..... .. .. .. N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: to construct a single family dwelling approx. 751 from - ` �- j � wetlands. Hay bales must be placed 50' from the northwest property line and no clearing shall take place within that 50'. all in accordance with the detailed specifications as presented in v the originating application. R IN WITNESS WHEREOF, The said Board of Trustees here- 1 by causes its Corporate Seal to be affixed, and these presents to :--' be subscribed by a majority of the said Board as of this date. ,- 9 0 ti v Trustees ?} �.�- � -.d.-.y�.;�" ..�'....� .:.--'�_. -.:� �.-.rti.:.ef'`�- -*'moi•• - t-� ;Aa` i _ ,z.a s....��Yv� 3A .:t.J+L't*:::wwu.K+:ri«i6a6kiV,'ai..s'Jl:rPubi.9^LY+kdGi3<.:CW3K✓'le tit:e:r,'.aXrv,:."7ur.-+;,n +.:1M'r+•' .:-., �i J- .. - T,APPROVAL -- P L 13IAi 4F P ;rE ; M1 QF Pt?QP fTY �J[ sPOLK C Ht;q�.TH dE A$ OL �K'W W0204. sufWaYED t=bf2 APR 151996 2 gw-Nl aci l2.eF rz 'f0 MEAN Sr?�1 _ LEVEL,WOVr), JA lei AT IN"F THE WAI'•ER SUPPLY AND SEWAGE DISPOSAL ` L �iJES47gNDS — !�'AT�'{Tk!Ck SYSTEMS FOR THIS RtESIDENCE WILL ^ __ - � .. CONFORM TO `THE STANDARDS OF THE N.41 419 E-1 tt7 18 y,, __ _r ... 6 1"17+WN OFSOUTHOL P N.Y. SUFFOLK CO. DEPT. OF HEALTH SERVICES. �... O,_c vlTar�•Px�uN" Isl APPLICANT p SUFFOLK COUNTY DEPT. OF HEALTH T9' .: •..`4� i } SERVICES — FOR APPROVAL FOR CONSTRUCTION ONLY ,+�, DATE H.S.REF NO.: APPROVED- d7♦i CI¢ � 9U'FfOLIC CG,TAX MAP DESIGNATION: ��� P'-- ..,0•� ._'•. 1;.,�5 •.-�,.,FS— 14SQ' -- ✓ DIST. SECT. BLOCK PGL. 4 �sfMt. 1 _._�' 10 l'4 IG. Z PaoR HO. 4 - �� QxSTIi, I J/ OW S A PR 7A-�. I ..,�.:;.,,, .l•�. ` l c ,, .�'ri R�Au2l,S��S�. � �,Nhr,r� I .�.q.'L• —NEFF— DEEDi L.t4JA P, I per` 17��� Bo ran�aa of NexYME11Y ff � y��A �p,W , Y+'� � uaYwn�.n•r n.ovrgw,/ / +'W I1 Oer/pn WrMvn M,YYW/ ur tM1�d milia btn, ' f ' p 4 0 YUKYYIO S sit Y. Y k0 hi/inl"IG C 71a/ulna pneYp:6 _ 1�' .•--, r-"'�' � "-*•�----.__"_,.,-�ti_ •� .j�*\tl . �: ,'• � w.aan w b�mwwn�r�aw"'°t'n h�P\CK V As gip, 1 ^:RODE tOK VAJ+ tisso tq 'SVP LICENSEDLANd`6WYt5R8 . ._Car .�. ....;r:._,. _..c,...,:._..._. .. 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O : 6 UNION FREE SCHOOL OOL DISTRICT B 1 ,2 1.3 �To— SO q � x j ® 2 Tv SZ a /,) a \.\` / e y`� • t SCHOOL DISTN.CT lo 4 Is 7 'ti I "lo ,!J M ANTTRICI(PARK DISTRICT •fie �� + !_ r,'� x ^' A �t � ROMAN e TS 4 L�g6 e 1 1.6M1 sa CHURCH u.2 �. ,1'{L \ w1s,✓� 111 sM 11 12 1aS t.ul(c, 11141 - Q9i A J 122.2 29 16 FOR PCL.NO R' RIA N A^h w 14.6 �1 SEE SEC NO 19 16 yp 1 12 1e 111 79A I 11111-015 IbN.c1 t7 161 ` v 1 I NEy, gUFFOUL ^ 6 6 T e 6 w m 142 R x-N I—E) I i3.1I\ I 2.6k,,) JAN.) ,.oA A 147 I = eP + 42 s IwE I .n f 10ULE � M- 17 ,tA 14.1 ,^ FDR PCL Fq M SERE SPEC No 1.9A / 132 lam- w e ME SEC.W. 122- yy i..on -�— ,CX --� vtm MATCH---�—--LINE 1a.6 3 IMT +-E�R / 17A(6) SEE SEC'NO.t22 w ,a7 2.4a(c) NOTI- COU TY OF SUFFOLK Q K SOUTHOLDsl=craN No -- Property Tax Service Agency __-- ..._.. 114 dp x e MATCH -00 t6.6A(c�. P tom] \ Ix w tt .rm" zl.6A(c>t or.rr.,nr4.ra GREENPOR7 hill+ '.y .oz of , u az tf1A(c)a 1st I OFFICE LOCATION: ®� ®F S® y®� MAILING ADDRESS: Town Hall Annex '` ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 I ® a� Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN.OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: July 14, 2017 Re: Local Waterfront Revitalization Program Coastal Consistency Review for JAMES DEERKOSKI SCTM# 1000-114-10-2 Joan Chambers on behalf of JAMES DEERKOSKI requests a Wetland Permit for the as-built 2,762sq.ft. single-family, two-story dwelling constructed further landward than original location with as-built attached 321 sq.ft. covered front entry porch; and as-built attached 610sq.ft. multi- level wood framed deck with an octagonal screened in section on seaward side of dwelling; as- built masonry retaining walls separating the higher grade below the deck from the surrounding yard; as-built stone steps and a short bluestone walkway run along the retaining wall. Located: 260 Deer Drive, Mattituck. SCTM# 1000-114-10-2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is INCONSISTENT with the below listed Policy Standards and therefore is INCONSISTENT with LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction The structures were constructed without a Wetland Permit. 1. Require chapter 236 stormwater management controls, including gutter and leaders leading to drywells. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in { preparing its written determination regarding the consistency of the proposed action t ! Peter Young,Chairman 4 Town Hall,53095 Main Rd. rA Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 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., July 12, 2017 the following recommendation was made: Moved by Greg Williams, seconded by John Stein, it was RESOLVED to SUPPORT the application of JAMES DEERKOSKI for a two-story, single- family dwelling with covered front entry porch; multi-level wood framed deck with an octagonal screened-in section; masonry retaining walls separating the higher grade below the deck from the surrounding yard; and stone step and short bluestone walkway along the retaining wall. Located: 260 Deer Drive, Mattituck. SCTM#114-10-2 Inspected by: Peter Young, John Stein, Keith McCamy, James Abbott Vote of Council: Ayes: All Motion Carried MLcKael J Domino, vice-Presidenrr- ' '�� l0 54J75 Main kt03d t i V P O Box l 179 James 1= King Trustee itliold New York 11971-0959 Dave Bergen.Trustee G �� Telephone(631) 765-1892 Charles J. Sanders, Trustee 0 Fa-e(631) 765-6641 - BOARD OF TOWINT TRUSTEES D TOWN OF SOUTHOLD To- Southold.Town Building Department Q� 3 1 20 7 Re: Verification of Building Department Permit Requirements ]BUILDING DEM. TOWN OF SOUTHOLD - I�PICoSK� Property Owner[Mame: ` rJ Date Sent to Bldg_ Dept-: The Office of the Board of Trustees is forwarding,the above referenced application for verifcafion of the Building Department`s permitting requirements stated below: YES NO Vllill the proposed project require a Building Permit? - Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Date Jignature of Reviewer vl ; ,, Michael J.Domino President »� Town Hall Annex ' illy' 54375 Route 25 P.O John M.Bredemeyer III,Vice-President ; �� fga" " .')^ '(a �,q BOX 1179 vasg ;,, Southold New York 11971 Charles J.Sanders .N,r Glenn Goldsmith Telephone(631) 765-1892 ` w A.Nicholas Krupski ' Fax(631) 765M41 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit AtnendmendTransferlExtension Received Application: Received Fee: $X00, Completed Application: _ -- 7m� '___ �- � / Incomplete: SEQRA Classification: Type I_ Type II Unlisted Lead Agency Determination: MAY 2 5 2017 s N Coordination:(date sent);_ k �LWRP Consistency Assessment Form Sent: 1.7. �CAC Referral Sent: (r28�1 7Sautt�rf i r�,.�,<7 Date of Inspection: ) �. • 8tr�+. f(t it5 ..k.T.,. ,. 1 Receipt of CAC Report: Technical Review: Public Hearing Held-. — Resolution: Legal Name of Property Owner(s): James Deerkoski Mailing Address: 260 Deer Drive Mattituck NY 11952 Phone Number: (631)294-4241 - Suffolk County Tax Map Number: 1000- 114-1.0-02 Property Location: 260 Deer Drive Mattituck NY 11952 265' SW of Westfalia Rd. (If necessary, provide'LILCO Pole#,distance to cross streets, and location) AGENT(If applicable): Joan Chambers Mailing Address:, PO Box 49 Southold NY 11971 Phone Number:. (631)294-4241 Ca(X 117 ` oard of Trustees App3i,caL :n GENERAL, DATA Land Area(in square feet): 21,573 sq. ft. 0.495 ac. Area Zoning: R-40 Medium density residential Previous use of property: Single family residential Intended use of property: Same with attached rear deck and ool in rear ard. 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 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 V No If"Yes",please-provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ��_No Does the structure(s)on property,have a valid Certificate of Occupancy? _Yes No Prior permits/approvals for site improvements: Agency Date Southold Town Building Department August 7th 1996 Southold Town Trustees May 23rd,1996 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_V No Yes If yes,provide explanation:. Project Description(use attachments if necessary): A 2762 sq,ft.single family,two story,framed house with a 321_N. ft.covered front entry porch. A 610 square foot multi-level wood framed deck with an octagonal screened in section. Mason retaining walls seDarating the higher grade be gwjhe O-Qk from the s _ _ e-steps.,andzsbo -bkwstone.walkway tun along the retaining wall Board of Trustees Appiica m WETLANDf]rRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Obtain a Southold Town Trustees permit for an existing 2762 sq.ft.single family residence wl'fh a-321 sq.ft.covered front entry porch. On May 23rd 1996 a Southold Town Trustees permit was obtained to construct a single family dwelling approximately 75'from the wetlands.The existing house is similar in size, but is..ap - - m total of 610 sq.ft. including stairs,and has a screened in section.There are also masonry retaining walls separating the higher grade below the deck from the rear yard.A set of stone stairs along the retaining wall runs along the retaining wall between t e two levels of the lot.A-small,bluestone walkway connects the top of the stone stairs to the bottom of the deck stairs. An as-built chain link fence encloses the rear half of the property. The fence roughly follows the side property lines. In the'regi;yard the fence follows a line apppJCmately 29'-from tha edge of fb wattlao6q - Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % 96'(as built house) 73'(as built d k Closest distance between nearest existing structure and upland edge of wetlands: I= 96'(as built house) Closest distance between nearest proposed structure and upland edge of wetlands.73'(as built decteet Does the project involve excavation or filling? I/ No Yes If yes,how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: - Flat Manner in which material will be removed or deposited: , N/A 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): Any effect on the wetlands will be minimal. The house is set back 96'from the wetlands.The deck is set back 73'. The closest structure to the wetlands is the NW comer of the masonry retaining wall at 42'-10". There is a fence in lace to clearly deliniate, and protect a 22'undisturbed buffer between the wetlands and the rear yard of the dwelling. L Board of Trustees Applica' n COASTAL EROSION APPLICATION DATA Purposes of proposed activity:,, Obtain a Southold Town Trustees permit for the following as-built construction. A 2762 sq.ft.single family,two story,framed house with an attached 321 sq.ft.covered front entry porch.A multi-level wood framed deck with an ocatagonal screened and covered section.The deck is 621 sq.ft.in total including stairs. Masonry retaining walls separating the higher grade below the deck from the lower rear yard with stairs down,and a short bluestone walk way,connecting the lower yard to the bottom of the deck stairs. .Are wetlands present within 100 feet of the proposed activity? 'No V Yes Does the project involve excavation or filling? V_ No _ Yes If Yes, how much material will be excavated?. N/A (cubic yards) How much material will be filled? N/A (cubic yards) Manner in which material will be removed or deposited: N/A Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed,including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) Environmental impacts on the property will be minimal. The area under the deck is sand to allow for drainage of storm water. Run-off from the roof of the house is diverted into dry-wells by gutters and leaders.There is a fence at the rear of the property to delineate and protect a 22'undisturbed buffer between the wetlands and the developled portions of-the property. • L i 617.20 Appendix B Short Environmental Assessment Form Instructions,for, colttpletin Part 1'-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 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: 260 Deer Drive Project Location(describe,and attach a location map);, 260 Deer Drive Mattituck NY 11952 Brief Description of Proposed Action: As built two story house with multi-level deck attached to the rear, seaward side of the house. Name of Applicant or Sponsor: Telephone; (631)294-4241 E-Mail-,;joanchamberslo@gmaii.com Chambers _ loanchambers10@a gmail.com Address: PO Box 49 _ City/PO: State: Zip Code: Southold NY _ 11971_ _ 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 Q 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 YES If Yes,list agency(s)name and permit or approval: 12, El 3.a,Total acreage of the site of the proposed action? —_0-495-_—acres b.Total acreage to be physically disturbed? -„_0_001__acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? - 0.495 ___acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial EjResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 . r 5. Is the proposed action, �W NO YES, .N/A a. A permitted use under the zoning regulations? ❑ b.Consistent with the adopted comprehensive plan? . ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ TO 7. is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES F71 1:1 If Yes,identify_ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? -N-'O'y YES L2 ❑ b.Are public transportation service(s)available at or near the site of the proposed action? FV] c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? Rv Cl 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:- 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water:_ ❑ I V1 11.Will the proposed action connect to existing wastewater utilities? NO -YES If No,describe method for providing wastewater treatment: n ❑ 12. a.Does the site contain a structure that is I isted on either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? El 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? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:---_ _ _ 14. Identify the typical habitat types that occur on,or are likely'to'be found on the project site. Check all that apply: ❑Shoreline F-1 Forest ❑Agricultural/grasslands El Early mid-successional ❑ Wetland ❑Urban 21Suburban 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? 12 ❑ 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 ornon-point sources? -NO LYES If Yes, a.Will storm water discharges flow to adjacent properties? M NO ❑YES T] b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,bri lIkdescribe: ❑NO [ YES Run-off from the roof will be diverted bJr gutters and conve ed leaders to d wells. 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: ; . . _ __ F (� 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: 2' I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE t_ Applicant/sponsor name.,-- J� _ Date: _ _ 17. 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 1 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 1 small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regu lations? El - 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? v I 4. Will the proposed action have an impact on the environmental characteristics that caused the (� establishment of a Critical Environmental Area(CEA)? E] S. Will the proposed action result in an adverse change in the existing level of traffic or jl affect existing infrastructure for mass transit,biking or walkway? ( j---J 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public/private water supplies? b.public I private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? �9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 x-^ 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 a problems? _ 11. Will the proposed action create a hazard to environmental resources or human health? a 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 targe 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-term,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. QCheck this box if you have determined,based,on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees _ -771 O ^7 me of Lead Vency Date d7i,-_jl A President Print or Type me ofp-Respo ible Officer in Lead,Agency Title of Responsible Officer Signature om Re onsible Officer in Lead Agency Signature of Preparer(if different from.Responsible Officer) PRINT= Page 4 of 4 ,--,Board of Trustees Applicay_1`n AFFIDAVIT James Deerkoski 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 SOU THOLD 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. Signature of Prop y O er Signature of Property Owner i 7M SWORN TO BEFORE ME-THISDAYOF 20_�7 Notary 1ic NOTARY PUBLIC S ate of New No. 01 DE5958125 York Qualified in Suffolk County Commission Expires Jan. 31 0f1q Board of Trustees -Applitslr_ ,aDn AFFIDAVIT James Deerkoski and Dawn Deerkoski 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 FANNER 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. Signatu Pro y Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF 20 Notary tic f JOSEPH A. DEERKOSKI NOTARY PUBLIC,State of New York No. 01 DE5958125 Qualified in Suffolk Cou commission Expires Jan. 31, Board of Trustees Applaa+ on AUTHORIZATION (Where the applicant is not the owner) 1/We, James Deerkoski and Dawn Deerkoski } owners of the property identified as SCTM# 1000- in the town of Mattituck New York,hereby authorizes Joan Chambers to act as my agent and handle all necessary work involved with the application process for perrnit(s)from the Southold Town Board of Trustees for this property. Property Owner's i aProperty Owner's Signature ` SWORN TO BEFORE ME THIS DAY OF ,20Z � { otary Public -JOSEPH A. DEERKOSKI NOTARY PUBLIC, state of New York No. ©1DE5C.58125 Qualified in Suffolk Countyg® Commission Expires Jan. 31, L _ Board of Trustees Applica >n AUTHORIZATION (Where the applicant-is not the owner) I/We' James Deerkoski owners of the property identified as SCTM# 10007, 114-10-02 in the town of New York, hereby authorizes Joan Chambers 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,, Property Owner i % e Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF, ,20f 7 Notary Public NOTARY JOSEPH A DEERKOSKI BLIC. State QualN. 01DE59581 New York Commission Exn Suffolk Coun Aires Jan. 31, APPLICANT/AGENT/RE-PRESENTATI W TRANSACTIONAL DISCLOSURE,FORM ,'lie Town of Soutliold's,Codde 6fEthics-prohibits conflicts of inters is on the Wi l'tovyn officers- id bfij6 ee, `Mpauroase of ih;s form iiia`provide infaiination'ivlaich sari tt Ott Me-town of possible_ 6nMcf-s of inte�st aind'allovv it to take'dvhatever action 1� nece�to avciitl-Baine. YOURNAME: Deerkoski, James (Last name,fust name,ipiddle initial,unless you are applying in the name of someone'else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"Other',name the activity.) 17o yMpersonally(oit through yiiurcompan4,spouse,sibling,parent,or-child)have:a mIWonsfiip with anyoffi:cer,dr employee of ikTow- Rel Wolf Svinhold? " ationship'"inchtdes by blood,,ntarc`iage,or busincs'sin(e-it L'Musiness iratotest':'-means-a Business, in dueling;ri.pprinership,in which the tovan officer or s mpli�yce hascvc�ra partial.gwnetshilt`of(oe cmploytnent by)a.corporation in%vJilch thc,toCvn officer irir cinployacc,bwns mors.than'56/a 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 De-scribe,the relationship belwwn yourself(the t�pplicantlageht/representative)and the town officer or employee.Either check #lte 'pmnriate line A)through D),fthdibr•descrllie in the,space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)tl opfiner,of,greater than1%ot'the,sliares of the corporate stock,orthe anplicsnt (avhen the appliponvis a iiorpor&ion); 13}`the 1cgaLi�rbcnetic'rat divner bf any�intcrest in anon-corporate entity(ivheri die applicant is not corporation); �C)anfliccr,,director,partner ox e�itplayceof the applicant;itr D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted i day of 20 / Signature - --- Print Name �Si2, _ Form TS 1 JOSEPH A. DEERKOSKI NOTARY PUBLIC, State of New York No. 01 DE5958125 Qualified in Suffolk Coun Co fission Expires J��aq. 31, 4Q APPLICANT/AGENT/REPRF,SEN,TATI VE TRANSACTIONAL DISCLOSTW FORINT The Town of u hold's Mle des RT ib" Co9flicjs of jnLeMg on the nart of townf'ti r jiis frnm is Lo provide igfrttinetit,p w i h can ortlftk, *f ixxrsM, ie a e tt v o neaess�rv_,,,to avoi carne• YOURNAAM: Deerkoski, Dawn (Last name,first name,ipiddle 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 Clic:Town of Southold? "Iteiationship"Includes by blood,marriage,or business interest."Business int wst"-means a business, including a partnership,lit which the town officer or employee has even a partial ownership of(or employment by)a co"ratfon in which the town officer or employee owns more than 5%'o of the shares. YES NO ✓ If ydu answered"YES",complete the balance of this form and date and sign where indicated. Name of perm employed by the Town of Southold Tittle br position of that person Descrilm the relationship between yourself(the applicanVagont/rrepresentative)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 50/6 of the shames of the corporate stock of the applicant (when the applicant is a corporation); _____$)the legal or'beneflcial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partnce.'or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitteuqk J day of —20-L71 Sigatttttty _ Print Naive f a a 'tt Jew6 Form TS I JOSEPH A. DEERKOS N07-ARy PUBLlC tate of Kl No. I21 p grate 0'New York Quaon E in Sutfol!<Gourti� mmiss;oR%�/Expires,! APPLICANT/AGENT/RE-PRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Tite Town cif Southold's Code of Ethics p ibis conflicts ot'interest o ' to ttart ot'town officers and eronioees.Tlie purt§tise df foma is'o wide n cirination wlaich'can alert the town of passable conflicts of interest an d allotiv it to take_wltataver rte io is nPrsssar„�to avoid sam6: ' YOURNAME: Chambers,Joan M. (Last name;'first name,.rpiddle 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 _w _— Planning Other (If"Other",name the activity.) Ua.you personalty(or'through your ccamony,spouse;sibling,parcnt,or child)have a relationsliip widtiiny officer or employce ' iif Ote Tovrn ot',Sottthotd? " ellafonship"inclui s byblood;marriage,ar or "Business intcrc st'.''paeatas'n business, iticluditig a partnership;ia•which'fhe•town officer or cmpiq*°has even a partial ownership of(otrycmptoyment b})a corporation in which tlae,town officer or mpioyGc owns inose than 5%of the shares. YES _ NO V 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 tile-relationship between.yourself(the ypplicanttagetit/representative)and the town officer or employee.Either check 'the appcoprlate line A)through Dj andlor 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}ttze,cswner of greater than'S°/is of the-sha_tw of tfie'co"6W Aock•of the appllc rnt '(whGn ttto,appli+r�nt'isa•corporation); - .I3�`tlaG legal,4rbGnGficifll 4�ynet=,of'any;intcrest in n non-corpgtalte entity-(when tltc .• applicant is not Wrpor Ilion); pn 6ffipe:r,director,,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this ak d of Iv! 20 jZ Print Name _ CbL1 Form TS 1 Michael J. Domino, President � ®uFFOj�'00' Town Hall Annex John M. Bredemeyer I1I, Vice-President ¢r�� ���1 54375 Route 25 Charles J. Sanders ro P.O. Box 1179 Glenn GoldsmithSouthold,NY 11971 A.Nicholas Krupski �plr' Telephone(631)765-1892 �l r Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD \ BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JAMES DEERKOSKI COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I,Ra b fc r-r \AV;1sen , residing at/dba P m S i i Ila, La River krj AjY j jq(j t being duly sworn, depose and say: That on the Zk day of f to I y , 201}, I personally posted the property known as Ar f1 C)er, pr Matjtjuar. N'i llti 5:L 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,July 19,2017. Dated: l� (signature) Sworn to before me this 114W day ofsll 2017 P\Iw Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. OID1475593 Qualified in Suffolk County Q My Commission Expires April 30, 20 1 V PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK �u6 .rr �wr;LSrN , residingat tlsr Prjsc;ilu La Mier gai /V`( I Im , being duly sworn,deposes and says that on the it" day of T,,Ily , 20J T , 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 Souflw I i , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. a Sworn to before me this t Day of 20 I i i i Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. O1 D1475593 Qualified In Suffolk County (� My Commission Expires April 30, 2010 Postal CERTIFIED © RECEIPT ru I •.mestic Mail Only m a ' Ln MATtg"T C�;r�t�Y�iri 9�2 / . „� MAT TSTt� iY i9� �� Certified Mad Fee u =5- ru Certified Mall Fee LJ'7 $ $3.s'5 0971 i3•JC 0971 Extra Services&Fees(checkbax,add fee Ln fn $ 04 r� (BRetum Receipt(hardcopy) A p ate) X 4 Ext Services&Fees(checkbox,add fee p ate) pc) $ I 1 1111 9 Q ❑Ret um Receipt(electronic) �---�C70 ' Retum Receipt(hardcopy) $ ) $ C3 ❑Return Receipt(electronic) $ I��JL� .rP Q OC.UM Mafl Restricted Delivery $ `Pos�tpr Q ❑Certified Mall Restricted Delivery $ `Hef �• Q ❑Atlult Signature Required $ - Here--k �U.�1.! O OAdult Signature Restricted Dehvery$ { Q F]Adult Signature Required $ '0 rt� 9 (� Adult Signature Restricted Delivery$ � t� �- Postage � Q Postage — t� -0 $ 11.70 b /( $ �I.717 ( 0 Q Total Postage and Fees �• .n C17 %211 $ 6.8 7 7/_1 i�/ry(i 7 Total Postage and Fees @ � $ $6■8�! v � S- � Sent Tod• Lr) Q ---- Q�b�1► G�ctu_ _1I Sent To Street and t No.,- PO Box C J - N A --------------------------------- Q SVeet and Apt No.,or P Box Wo. —e Z1 p+4 __� � �. ' City,Stale,ZlP+4s �!- r------------.5-9 G 5�_ tQ1sc► t Cary,State,2IP+4 v � � :.. 1 0.6 [ � ' ,. ,,,• tPS Form 3800j,Aprilr 7530-02-000-9047 - - F — Postal. ' • © REC ■ CERTIFIED 1 CERTIFIED tJ . ■ im � nj Domestic min Only M •- °HAT T Tl1C scNY'1, Ln E Ln MAT"ngrC�£ Yj L / ..a _� Ln i :.s I Ln Certified Mail Fee 1 3 fiJ Certified Mail Fee J.3� 0971 I n $ X3.3` X71 j $ ii4 �+ EMra Services&Fees(check box,add Mae p ate) g� ExtraService &Fees(checkbox,eddies �Pp�p��n}ate) k ❑Return Receipt(hardcopy roti Retum Receipt(hardcopy) $ ' (,( rtAA ❑Return Receipt(electronic) $ t ❑ Return Receipt(electronic) $ mafk\` \ AFI Q v� \ C ❑Certified Mail Restricted Delivery $ C ere }� i Q ❑Certified Mail Restricted Delivery $ $0. r. - Hre F;1 st i Q []Adult Signature Required $ — "-P fes' Q []Adult Signature Required $ []Adult.-�• „ 1 I Adult Signature Restricted Dehvery$ �, 01 []Adult Signature Restricted Delivery$ f11 i Q Postage Q Postage (7.717 ® ' $0.70 ...► � .D $ 141/11 .A $ rt Total Postage and Fees / Q Total Postage and Fees 7/ p n, Q $6.80 $ $6.80 V � $ LrI Sent To � Sent To V -------- 1--------------------------------------------------- Q --_ _Carulyr�__ IJAJU-SiO------------------------------------------- � Q StreetandApt.No.,orPOB No. $7reet Nh- jV-,or PO Box No. [ti �-�-------- mar 4lAdy--L A- ---------- -- - City,State,ZIP+4® y '` Cdy,State,ZIP+4°D �l M yt,�r N l Y��CIL PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name. RAJ�� �'fo-/)ei !�5 A) � 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 i Notary Public ; i 1000-114-10-1 Clifford Polacek 2905 Westphalia Rd Mattituck NY 11952 1000-114-10-3 Stephen McLoughlin 380 Deer Dr. Mattituck NY 11952 1000-114-10-12 John Howell 445 Deer Dr. Mattituck NY 11952 1000-114-10-18 Carolyn Zuhoski 105 Cindy Lane Mattituck NY 11952 INOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 (\/lain Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: JAMES DEERKOSKI SUBJECT OF PUBLIC HEARING : For a Wetland Permit for the as-built 2,762sq.ft. single-family, two-story dwelling constructed further landward than original location with as-built attached 321sq.ft. covered front entry porch; and as- built attached 610sq.ft. multi-level wood framed deck with an octagonal screened in section on seaward side of dwelling; as-built masonry retaining walls separating the higher grade below the deck from the surrounding yard; as-built stone steps and a short bluestone walkway run along the retaining wall. Located: 260 Deer Drive, Mattituck. SCTM## 1000-114-10-2 TIME & DATE OF PUBLIC HEARING : Wednesday, July 19, 2017 — 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 LW,, 1tP 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 proposed.action will be evaluated .as. tea its si nig, ficant 'beneficial and adverse effects ii&n the-coastal areawhich includes all of Southold Town). 1 If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus each answer inust-bc ex lainW.in detaiL liAing both sunporting and "on- supporting or« su ordiia ''_facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it.shall snot be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#1 114 10 - 02 PROJECT NAME 260 Deer Drive The Application has been submitted to(check appropriate response): Town Board ❑ Planning 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) n (b) Financial assistance(e.g. grant,loan,subsidy) L.,1 (c) Permit,approval,license,certification: Nature and extent of action: Obtain a permit for an as-built 2 story house, and multi-level deck attached to rear of house. . P Location of action: 260 Deer Drive Mattituck NY 11952 SCTM: 1000-114-10-02 Site acreage: 0.495 ac. 21,573 square feet Present land use: Single family residential Present zoning classification: _R-40 Medium density residential 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: Joan Chambers (b) Mailing address: PO Box 49 Southold NY 11971 (c) Telephone number: Area Code( (631)294-4241 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No 12, 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. DEN—tM - ti b 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. Eyes ❑ No 0 Not Applicable The eeping with the arghde�►�,lral cytvlQ of the ngiahYorhood and the other hoUses alos�c nngW_d deck nrp. �d and built to enjoy,but not disturb the coastal location. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See r LVW Section III–Policies Pages 3 through 6 for evaluation criteria 10' Yes ❑ No ❑ Not Applicable There are no known archaeologically or historically sensitive'sites on or adjacent to the the property in question. 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 The house and deck are designed and built to enjoy the local scenic resources without damaging or obstructing them 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'O No EJ Not Applicable The construction is outside of the the coastal erosion hazard area. 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 -M Yes 0 No [:]Not Applicable Waste water from the house is disposed of safely and cleanly in.a septic system that meets department of health code._ Storm-water run Storm water run-off will be collected by gutters and leaders,and diverted into drywells. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Dish and Wildlife habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. 1:1 F11 !�.I r t =Yes No Not Applicable The construction is all set back from the wetlands at least 63 feet. A fence exists separating the rear lawn from the wetlands to protect an undisturbed buffer. Attach additional sheets if necessary " Policy 7. Protect and improve air quality in the Town of Southold. See LNVRP Section III — Policies Pages 32 through 34 for evaluation criteria. ,E] Yes ❑ No[;], Not Applicable Neither the house nor the deck will affect air quality,in the Town of Southold. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LNM Section III—Policies; Pages 34 through 38 for evaluation criteria. 0 Yes 0 No ❑ Not Applicable No hazardous waste will be generated by either the house or the deck. Solid waste from the residents of the house will be removed and disposed of in an appropriate manner. PUBLIC COAT 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. ❑ YeO No 0 Not Applicable Neither the house nor the deck will affect access to or use of coastal waters or public land. Attach additional sheets if necessary t WORDING 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 0 Not Applicable Neither the house nor the deck have any effect on possible water-dependent uses of the creek. A fence exists to protect the undistubed buffer between the house and the wetlands. 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 11 No 0 Not Applicable ° There are no on-going water-dependent uses of the wetlands adjacent to the property. The as-built construction would not affect any future water dependent uses. — ' Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages 62through65 for evaluation criteria. �--!.Yes 11, No❑ Not Applicable Neither the house nor the deck will have any impact on agricultural lands. .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 There are no known energy or mineral resources on or adjacent to the property PREPARED BY - �� C.� i S TITLE DATE 5,Z4,(.'7