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HomeMy WebLinkAboutTR-9612 Michael J. Domino, President .�%oXo 00 ` Town Hall Annex John M. Bredemeyer, III, Vice-President {'0 54375 Route 25 1 Glenn Goldsmith �: N z r P.O. Box 1179 � .. A Nicholas Krupski 1' Southold, NY 11971 Greg Williams �0Telephone (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 is' day of construction '/2 constructed When project complete, call for compliance inspection; 0N ��..111y''i•_ _ :_ �••���Iti'• _ \1 r1 MS'S.. _ - S: �w"yu;t� ".-.•�.� ^..--_;.':;wiP,. '�y;3...�::.,u4iwi„� :;u'a'd' .:• �jy�iui„r..a:Yh?y;. '` .¢t. .,, ..py....n..m,.,v,.,,m,ra.+•,..,r.a,,.x.va•..nin...a, mxrt..:rcnm .x •.oa.n,,..x .. ..., ,, wm . 4^.9xduft^.g*�.1n ,fi:F.tM!fN1`T!'1>'A:0.Tx•D?AA ,r+.n.�r::r.,rry+r:.rn r.,rx..mrnnamra, BOARD OF SOUTHOLD TOWN TRUSTEES �< SOUTHOLD, NEW YORK : •T �., it ” PERMIT NO.9612 DATE: DECEMBER 11,2019 ! ' i t, ISSUED TO: JOHN B.HENRY REVOCABLE TRUST PROPERTY ADDRESS: 2360 VILLAGE LANE,ORIENT SCTM# 1000-26-1-15.1 i AUTHORIZATION .' Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 11, 2019, j and in consideration of application fee in the sum of$250.00 paid by John B. Henry Rev. Tr. and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: I Wetland Permit to replace existing cesspool with a new I/A sewage disposal system; S.C.D.H.S. is considering this project a "best sanitary upgrade only"; and as depicted on the site plan prepared by Condon Engineering, P.C., dated September 13, 2019 and stamped approved on December 11,2019. i i IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the 11 th day of December,2019. COD • i ��o�o �oGy r,._ r ,�,�9 lam^ y ;{ -C'a•. w.•.uraw azaa,.. wu:ax;;a.,.:H..w,..vu�.....*ma....v.w.aw .•. 4l , TERMS AND CONDITIONS The Permittee John B. Henry Revocable Trust, residing at 2360 Village Lane Orient, 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. 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,President q so�jy Town Hall Annex John M.Bredemeyer III,Vice-President ,�0� ��� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams � i0 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 13, 2019 John J. Condon Condon Engineering, PE 1755 Sigsbee Road Mattituck, NY 11952 RE: JOHN B. HENRY REVOCABLE TRUST 2360 VILLAGE LANE, ORIENT SCTM# 1000-26-1-15.1 Dear Mr. Condon: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 11, 2019 regarding the above matter: WHEREAS, Condon Engineering, PE on behalf of JOHN B.,HENRY REVOCABLE TRUST, 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 November 4, 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, 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 December 11, 2019, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 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 JOHN B. HENRY REVOCABLE TRUST to replace existing cesspool with a new I/A sewage disposal system; S.C.D.H.S. is considering this project a "best sanitary upgrade only"; and as depicted on the site plan prepared by Condon Engineering, P.C., dated September 13, 2019 and stamped approved on December 11, 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 Very truly yours, Michael J. Domino President, Board of Trustees MJD/dd N TEST HOLE DATA (TEST HOLE DUG BY McDONALD GEOSCIENCE ON FEBRUARY 8, 2002) „ E Notes: ELEV. 6.5 0' VIZI ` All wiring and equipment are to be be provided and installed by the Electrical contractor(EC)in accordance with s the National Electric Code(NEC)and Local Electrical Codes. \ MIXED SAND & LOAM ' The EC will file all necessary forms and pay all fees for the electrical work shown on these drawings.The � 3 contractor will arrange for all inspections and secure a Fire Underwriters certificate which is to be turned over to ` 2' the owner at the completion of the work. \ CESSPOOL1 BROWN SANDY CLAY CL PROJECT ELEV. 3.9 ' All foundation penetrations for entry of direct buried feeders are to be equipped with galvanized steel sleeves. 2.6' Pe rY h eq pP 9 ` i CESSPOOL- /" LOCATION RMC is to be used at all other foundation and floor penetrations. WATER IN BROWN SANDY CLAY CL ALL 'Furnish and install new service equipment and circuit breakers as shown in these drawings.All panels and breakers are to be labeled. The electric panels are to be installed and grounded in accordance with the NEC and Local Electric Codes. 4' ORIENT HARBOR /r' `All switch and outlet boxes,junction boxes,and pull boxes installed on the exterior are 10 be galvanized steel ` \ o / and rated for exterior use. \ All exterior outlets are to be housed in weather proof enclosures. � /'- WATER IN BROWN CLAYEY LOCATION MAP SAND WITH 20% GRAVEL SC / 1"=600' EX. CESSPOOL'� GENERAL NOTES ELEC PANEL CESSPOOL_/ r 1 \` / �v� WATER IN BROWN FINE TO COARSE SAND WITH 20% GRAVEL SW 1. ALL MATERIALS AND METHODS OF CONSTRUCTION SHALL CONFORM TO THE STANDARDS 13, AND SPECIFICATIONS OF THE LOCAL TOWN OR VILLAGE AND THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES AS REQUIRED. / 2. TOPOGRAPHIC SURVEY BY JOSEPH A.INGEGNO LAND SURVEYOR DATED 9/16/2003 BOX BELOW GARDE IN A 20 AMP BREAKER EXTERIOR RATED JUNCTION \ � �/ �.-'� VERTICAL DATUM IS N.G.V.D.29. �� SPRINKLER BOX `NG °oil / �`` / 3. THE CONTRACTOR SHALL FIELD VERIFY THE LOCATION AND DEPTH OF ALL UTILITIES PRIOR TO THE COMMENCEMENT OF WORK. THE CONTRACTOR IS ADVISED ALL SUBSURFACE 12 AWG OF WIRE IN �*EV� x c� \ p(•WELL - /r' INFORMATION SHOWN ON THESE PLANS IS CONCEPTUAL AND MUST BE CONFORMED 3/4'PVC SCH 80 oF�s\�wE / \ '� ACCORDINGLY IN THE FIELD. CONDUIT / ' 4. A MINIMUM SEPARATION OF TEN(10)FEET HORIZONTAL AND EIGHTEEN(18)INCHES r < \ \ VERTICAL IS TO BE MAINTAINED BETWEEN WATER LINES,STORM DRAINAGE AND/OR / PLC CONTROL PANEL <y `� \ E)(, AVER \ SANITARY LINES OR STRUCTURES. c, �-W/HP80 COMPRESSOR AIR PUMP / \ 4 C� o\ DR AY `` 5. THE CONTRACTOR SHALL BE RESPONSIBLE FOR SECURING ALL NECESSARY PERMITS BEFORE COMMENCING WORK. ELECTRIC RISER DIAGRAM CA x�N� SSP° 1 $� ERt �� cE 1•� o 0 6 . `� cessPooL - / 1 6. ALL UNSUITABLE MATERIAL AND DEBRIS SHALL BE DISPOSED OF IN ACCORDANCE WITH NOT TO SCALE '0'o,�'+'F"� '-'Gs °`' x� � � �I �Na S of ?`" TOWN,COUNTY,STATE AND FEDERAL LAWS,CODES AND ORDINANCES.CONTRACTOR �6`M o oc ZR�,E aEcc ° y o SHALL BE RESPONSIBLE FOR DISPOSING OF ALL UNSUITABLE MATERIALS OFFSITE. DEBRIS CESSPOOL�__ / \iN� E 6 y7 \ `�' \ e , ` �•, _ yF SHALL NOT BE BURIED ON-SITE. p0 ��p0 ov x cf y ,\ . I `` Vic, 7. ALL PRECAST STRUCTURES SHALL INCLUDE SUFFICIENT STEEL REINFORCEMENT FOR FINISHED GRADE 6 51 �� '''O 4 0 ,o e y o ��•a TEMPERATURE AND SHRINKAGE,TRANSPORT,AND TO ALLOW THE STRUCTURE TO s WITHSTAND AASH WN ON THE PLANS. w 6 s 2 s.z 6 2 9 s wEu e,, TO H-20 LOADING AT THE COVER CONDITIONS SHO I �y- rs.n:-1 i....!':/.:. i�.Y.a... ,<:.-.. ._N. .. . .:. .�•'.�i�.�=to-. ... ..°....,:fw' \ E �� \'- X �O T .5-fPROPOSED ° �s \' `` 8. ALL PRECAST STRUCTURES SHALL BE MANUFACTURED WITH 4000 PSI/28 DAY STRENGTH Z a v+pOo. ` 2z5 � � p � ,I �, a� /. 1 12'SCH.40 PVC PERFORATED DISTRIBUTION PIPE \ S�QeoR C c 6.z PZ. . o a CONCRETE.HYDROACTION GEOMATCORE � �^ o`+� ° � `� AN-500C VA OWTS X _/ \ a� \�o I \ 9. SANITARY PIPE TO BE SDR-35 PVC OR AS SPECIFIED ON PLANS. E GEOGUARD ORIFICE SHIELD \ \ `ON >' \ e a /' GEOTE)ML.E FABRIC 1:3 SLOPE MAX TO MEET EX. x_ o s0-` 17g �- f �'' 10. DURING CONSTRUCTION,EROSION AND SEDIMENT CONTROL MEASURES TO BE UTILIZED AS � 3'MIN. GRADE OR RETAINING WALL 'L EX.GAS SERVICE /" NECESSARY TO PREVENT THE TRANSPORT OF SEDIMENT TO OFFSITE AREAS,PONDS, 20 N z ° G DRAINAGE INLETS,ETC. THE METHODS AND MATERIALS EMPLOYED IN THE INSTALLATION v' \ mss'�' C.O. o `. ` - AND MAINTENANCE OF EROSION CONTROL MEASURES SHALL CONFORM TO"THE NEW o z YORK GUIDELINES FOR EROSION AND SEDIMENT CONTROL'. �s Q� vA C \ \ o0 oZ\ h Z �� 5 f+IM. yn \ G v e\' ` /� 39' 9PFyF N$ A �" ^ •'' P OPOSED /"' 11. ALL BACKFILL SHALL BE SELECT GRANULAR MATERIAL COMPACTED TO 95%MAXIMUM 6• 6' 6' 6' 'THE GEOMAT SYSTEM SHALL BE PLACED IN o n 4'r s 37,lT� ti�vl \ mac^op o m 4.0 F \ �^Z4' y 2 � .o. , s_e �- G Cp NORWECO DUP / - �' ACCEPTABLE LEACHING SOILS WITH CLEAN PROPOSED VENT TO BE Ly cyc �~ =x c 0 22. s x\rn PUMP STATION ` �� DENSITY AT THE OPTIMUM MOISTURE CONTENT,AS DETERMINED BY STANDARD PROCTOR 12'WASHED CONCRETE SAND SAND AND GRAVEL('SP'OR BETTER)WITH A 9s F of "o O' \ /" TEST. TERMINATED THROUGH ROOF WITH FP n 6 H ELECTRIC LINE TO BE f 1-5 MPI PERCOLATION RATE. IN THE EVENT x9 no 1�1 \ x - ° �,. PLACED IN CONDUIT �� ' s POOR LEACHING MATERIAL IS ENCOUNTERED, A CHARCOAL FILTER s� �,-' - e s o m 4 0 a A o 12. TOTAL LOT AREA AREA=4,522.36 S.F. EXCAVATION IS TO BE CONTINUED TO 6'NYDOH WASHED CONCRETE SAND Z - 'F SUITABLE MATERIAL AND BACKFILLED AS9p sP cE FE PROPOSED HYDRO-ACTION CONTROL v' �i.- �a \ � ,. �� v+ 0 DETAILED. PANEL AND AIR PUMP ON A 36"X 36"X j' `NATIVE SOIL AND/OR SPECIFIED FILL 'SP'ORU' V3 o� BETTER SOIL WITH 1-5 MPI PERCOLATION RATE 6"P.C.SLAB WITH 6X6 W1 AXW1.4 WWM 16', \ e a N°SAN s 6� �\ oN P �� cE EXISTING SANITARY SYSTEM TO BE PUMPED N DRY AND ABANDONED OR REMOVED IN o ACCORDANCE WITH THE SCDHS STANDARDS `' GEOMAT LEACHING SYSTEM CROSS SECTION -5.6xN-�,�N2� ,+ HAY SILT NCE I E LINE o NOT TO SCALE l� 2 p0 PROPOSED 23 LF.GEOMAT O BA 3,900 GRAVELESS GEOTEXTILE S 6 F Y �� N SAND FILTER TRENCH KN xgxENRY � �� ET J SARA�\NG i NS ^_ J FF O`II �J _ _ -- I/A UNIT BUOYANCY CALCULATIONS: �__--- HIGHEST EXPECTED GROUNDWATER ELEV. = 3.9 BOTTOM OF I/A UNIT ELEV. =-0.87 TOTAL BUOYANT FORCE: o 49.15 SFX(1.5-(0.87))X 62.4 PCF=-14,629# SITE PLAN g RESIST FORCE(WEIGHT OF I/A UNIT)=16,350# SCALE:1'=2(Y 0 +16,350#>-14,629# NO BALLAST IS REQUIRED. CESSPOOL \ REMOTE PLC CONTROL PANEL PUMP STATION BUOYANCY CALCULATIONS: 36'X 36'X 6•P.C.SLAB W/HP80 COMPRESSOR APPROVED BY WITH 6X6 W1.4XW1.4 WWM HIGHEST EXPECTED GROUNDWATER ELEV. =3.9 _ _ _a BOARD OF TRUSTEES BOTTOM OF I/A UNIT ELEV. 1.6 ° ° a ALL ELECTRIC TO BE PLACED= TOTAL BUOYANT FORCE: CONTROL PANEL &AIR PUMP ELEVATION IN SCH.80 PVC CONDUIT TOWN OF SOUTHOtD 6.94 SF X(3.9-1.6)X 62.4 PCF=-996# DATE RESIST FORCE BALLAST REQUIRED: 996# /150 PCF=6.6 CF X 1.5=9.96 CF PSD LEACHING SYSTEM DESIGN - -- ----- -- - PROVIDE 10 CF OF BALLAST. CALCULATIONS: -2 BEDROOMS -1-5 MIN.PER INCH PERCOLATION RATE 2'VENT 1114'0 PVC PERF.PIPE W13/16'HOLES Q 18'O.C. USE 3.0 GPD/SF LEACHING RATE FOR SHALLOW PRESSURE DRAIN HEALTH DEPARTMENT APPROVAL STAMP THE VENT TO BE TERMINATED PERF.HOLES SHALL BE ALONG PIPE INVERT. FIELD CATEGORY 1 PER TABLE 13. THROUGH THE ROOF. PROVIDE GEOGUARD ORIFICE SHIELDS @ 18'O.C. 12'MIN: ORIFICES TO BE IN THE 12 O'CLOCK POSITION 2 BEDROOMS X 110 GPDBEDROOM=220 GPD WITH EVERY 5TH ORIFICE INSTALLED IN 6 6'MIN. WATERTIGHT PLASTIC FRAME&COVER WI APPROVED O'CLOCK POSITION 220 GPD 13.0 GPD/SQ.FT=73.3 SF LOCKING DEVICE TO WEIGH 60 LBS.MIN.OR CARBON FILTER SECONDARY SAFETY LIDS!DEVICES TO BE PROVIDED MATERIAL OF THE SAME PERMEABILITY ELJEN LEACHING SYSTEM: 39'TRENCH WIDTH) -�' DEVICE WATERTIGHT PLASTIC FRAME&COVER W/APPROVED AS THE UNDERLYING ORIGINAL SOIL 73.3 SF/3.3'WIDTH=22.6 L F. LOCKING DEVICE TO WEIGH 60 LBS.MIN.OR SHALT.BE USED AS USEABLE FILL SECONDARY SAFETY LIDS/DEVICES TO BE PROVIDED 23 L.F.GEOMAT 3900 USE 1 ROW 23 L.F.GEOMAT 3900 GRAVELESS GEOTEXTILE SAND 9/13/19 SCDHS COMMENTS CLEANOUT 2'VENT TO VA UNIT VELESS GEOTEXTLLE 1:3 SLOPE MAX TO FILTER TRENCH=23 L.F.>22.6 L.F. F.F.EL.7.0 SAND FILTER TRENCH MEET EX.GRADE NOV 4 2019 REVISIONS [L. .6 EL.6.6 EL 6.6 3'MIN. 50%EXPANSION: EL.7.0 USE 1 ROW 11.3 L.F.GEOMAT 3900 GRAVELESS GEOTEXTILE SAND I QF t � INV.EL.5.3SLOPE BACK TO INV.EL.5.0 ? 1' GEOTEXTILE FABRIC FILTER TRENCH =12 L.F.>11.3 L.F. / Q. ,�� ° ,•� AL INV EL.5.4 PUMP STATION THERE IS NO ROOM TO PROVIDE 50%EXPANSION. INV.EL.5.5 INV.EL 5.4 INV.EL.6.0 12"WASHED CONCRETE SAND . a; 4'SANITARY WASTE PIPE 4' 6. PVC WASTE LINE r f PITCH 114 INCH PER FOOT PITCH 118 INCH PER IM/.EL 5.0 1117 HDPE SANITARY Plans are prepared by Condon Engineering,P.C. It is a violation of the New York State Education 6'NYDOH WASHED CONCRETE SAND FOOT FORCE MAIN Law Article 145,Section 7209 for any person unless acting under the direction of a licensed ------------------------- -- --- - --- - -- -------------- --- -- ----------------_ Professional Engineer,Architect,orLand Surveyor,to alter an item in an way. an itembearin EL.3.9 HIGHEST EXPECTED- GROUNDWATER--ELE / 9 , EL.-0BT------ 6•-; - Y Y Y Y 9 ,�i'r 2.7'(5-MIN.) '., EL.1.6 the seal of an Engineer,Architect,or Land Surveyor is altered,the altering Engineer,Architect,or fir. P POSED HYDRO ACTION 2'MIN.(5� ,' •` ..° BACKFILL WITH CLEAN SAND Land Surveyor shall affix to the item his/her seal and the notation'Altered by'followed by his/her AN-6M=VA OWTS AND GRAVEL('SP"OR signature and the date of such alterations,and a specific description of the alteration. S.C.T.M.: DIST. 1000 SEC.26 BLK. 1 LOT.15.1 4'0 SANITARY BETTER)WITH a 15 MPI PROVIDE 10 CF CONIC.BALLAST PERCOLATION RATE SEWER MANHOLE 2-NORNECO MODEL:HB105 EFFLUENT PUMPS Scale:AS SHOWN Condon Engineering, P.C. HENRY RESIDENCE HYDRO-ACTION AN-500C DETAIL PROPOSED NORWECO EL.-0.5 UNDERLYING ORIGINAL 1755 Si sbee Road 2360 VILLAGE LANE FUJI CLEAN TREATMENT SYSTEM DUPLEX PUMP STA. �-'SP'SOIL"MPl Drawn by:JJC 9 ORIENT, NY OF GEOMAT GRAVELESS GEOTEXTILE Mattituck, New York 11952 PERCOLATION RATE SAND FILTER TRENCH NOTE: Date:7/1/2019 (631)298-1986(631)298-2651 fax SANITARY SEPTIC SYSTEM PROFILE PSD AND TREATMENT UNIT TO BE COVERED www.condonen Ineerin Com SANITARY PLAN NOT TO SCALE BY A MAINTENANCE AGREEMENT. SANITARY 9' M / \ \ GENERAL NOTES: N D (D DEPTH OF THE PUMP STATION INLET INVERT IS ADJUSTABLE FROM 28 TO 34 -1 0 ° • • A �'° A INCHES BELOW GRADE WHEN USING A -1 a /� C STANDARD 4"DIAMETER EFFLUENT LINE. Z Z 6 Inlet / Outlet oa ® DEPTH OF THE PUMP STATION OUTLET INVERT IS ADJUSTABLE FROM 5 TO 9 ;1 MINCHES OR FROM 26 TO 34 INCHES BELOW � 0 - �,• GRADE WHEN USING A STANDARD 1y" 3: ° NIGG:""��� DIAMETER EFFLUENT DISCHARGE. M Z ° `\ ° BASIN RISER Z 0 \ '� (SEE NOTE 4) FINISHED GRADE MUST BE "'i 0 \ ` = � / ® DRIP L P OF THE ACCESS COVER.AINEDAT LEAST 3 INCHES BELOW THE MOISTURE SAFETY/SERVICE 3 HEAVY DUTY Z \ / GUARD ACCESS COVER ®ON DEEPER INSTALLATIONS,RISERS MUST PLAN VIEW v Z BE USED TO EXTEND THE MOUNTING M v COMPRESSION MOISTURE CASTING TO GRADE. N O CLAMP DRIP LIP 0 WHEN ADDITIONAL HOLDING CAPACITY IS V REQUIRED,RING z SECTIONS ADDED TO INCREASE THE DEPTH OF THE Z m REMOTE PLC CONTROL PANEL PLC CONTROL PANEL WITH AIR PUMP. _11 MAY BE MOUNTED ON UNIT HS 20 LOAD RATED BOLTED w HPao WATERTIGHT F MAIN B • PUMP BASI 05 WIN. JUNCTION BOX ® DIMENSIONS SHOWN ARE BASED ON A CAST IRON COVER. STANDARD PUMP BASIN.SEGMENTED OR REMOTELY. ®/\®/\�/ /\�/\�/�� m Z MAXIMUM OF 3'OF EXTENSION ® ® � � BASINS AND BASINS CONTAINING RINGS 0 COLLARS MAY BE USED TO 0 BRING CASTING TO GRADE. �j®\� ® OR RISERS WILL REQUIRE ADJUSTMENT. M m A I(WE)HEREBY PROJECT ENGINEER'S APPROVAL: CERT FY THAT THIS ;U N DRAWING HAS BEENICHECKED AND IS BUTYL RUBBER GASKET ELECTRICAL CONDUIT THROTTLING r r I---- APPROVED FOR USE IN CONFORMITY TO CONTROL PANEL VALVE MM �_ RUBBER PIPE CONNECTOR WITH THE CONTRACT DOCUMENTS. 0 Inlet Outlet DATE: FL LINE 0 DISCONNECT FITTING NAME: M CONTRACTOR'S CERTIFICATION: 0 1(WE)HEREBY CERTIFY THAT THIS D 0 APPROVED FOR USE IN CONFORMITY 'n F e LAG FLOAT WITH THE CONTDRAWING HAS BRACT DOCUMENTS.EEN CHECKED AND IS D � F r- DATE: T NAME: mZ D Yf v r ALARM FLOAT CRITICAL DIMENSIONS Z Z = PUMP 5'-10�„ M LIFTING CABLE „ -n C_ 0 A S T A L P I P E L I N E H © '-s " a � D -_ 3 z'-2Y" C -4 m (631)369-4000 PRODUCTS CORP. © 2, ❑M C P.O. Box 575, 55 Twomey Ave. , Calverton NY 11933 ON FLOAT El s'-7Y„ ❑o C) � PRECAST CONCRETE NZ MONOLITHIC TANK Project: 'n • I HS-20 LOAD RATED PUMP al 91 O• 10' EARTH COVER:0.50-3.0 FT. 10 r Net*• Contractor: BASINAffli • OFF FLOAT TOLERANCES -"U •Tbw ' HYDROACTION AN500-C NITROGEN REDUCTION SYSTEM nl Precast Nitro Product: - en Reduction Unit yWEIGHTS: 9 MAY VARY±�NOMINAL DE N LOENGTH FOR EANS ARE CH BASE hdrCtio BASE UNIT:12,250 LBS. DUPLEX COMPONENT. ROOF SLAB:4,100 LB. scale date dwn. by dwg. no. - SUBMERSIBLE PUMPS CHECK VALVES U.S. 11��,, None 9/26/16 D.O.R. HA-01R2 PA°'�°S )�0 fl WEm. y-... GM PENDING DUPLEX �•JMM PUMP 5-22-00 MOD STATION NTS N . SECTION^^- OUTLET vlEw ® MM PUMP COMPRESSER POWER CIRCUIT 120105 _-1 PGS9632 ri-N _ X11 CB1 M1 a L1 NX ___L_ Rx �, aLx x PAGE N U SPRAY 1 I PUMP > NT NMT N MOTOR PUMP RATINGS: `n 3/4HP ® 115V CB 2 M2 CSR 6 LOOPS 11 G 15.0 F.L.A. = aLK o ax BIX LN RP1 RECIRC UM? RATINGS: D_ NHT WHT PUMP 3/4HP @ 115V N MOTOR 15.0 F.L.A. CB3 M3 +I G axo--M__A N aL" �P MIXER UMP RATINGS: PUMP 3/4HP ® 115V ""T N MOTOR 15.0 F.L.A. 11 GC84 A + A CLASS•A• A MY Mr C1 COMP COMP. RATINGS: � CONCRETE FILL 4000 PSI 1/4HP 0 115V WHT TYPE II CEMENT N MOTOR 5.4 F.L.A. NOTE: ALL MOTORS ono MUST HAVE INTERNAL OVERLOAD PROTECTION. aw LR1-Q1 RM M1 MIT aw LR1-Q2 PINK M2 "T pNK A RECIRC RUNNING BLu LR1-Q3 M3 w"T PLAN G MIXER RUNNING STANDARD M.H.FRAME&COVER, MANHOLE NOTES: aw LR1 w1T FINISH GRADE TYPE'F'ADJUSTABLE CASTING ILR1-Q4 1- ALL MANHOLES SECTIONS #4 BARS @ 8' SHALL CONFORM TO A.S.T.M. aw REDI6 PLC INPUT O.C.E.W.BOTTOM / C-478,LATEST REVISION BLU AS-1 P�Ic STANDARD SPECIFICATIONS co i ADJUST TO GRADE WITH N.J.SHALE FOR PRECAST REINFORCED RUN AUD. RED BRICK&MORTAR(MIN-OF TWO CONCRETE M.H.SECTIONS. a�, 5 .- 6 � FORCE MAIN CALCULATIONS: ,, ALARM IY2.J COURSES&MAX.OF 15') ORGeRN PIPE MATERIAL: HDPE FRICTION LOSS(C):150 MANUF.IDENTIFICATION COVER 2. MANHOLE RISER SECTION TO HWA MUTE S.C.D.P.W.STD.M.H.STEPS BE FURNISHED IN 1,2,3,OR 4' PIPE LENGTH: 12 L.F.INCL.BENDS(WORST CASE TO WASTE PIPE OUTLET) CAST IN WALL (S-S.OR STEEL REINFORCED HEIGHTS AS REQUIRED. BUUTEST LOSS PER 100 @ 1 12': 12.T COPOLYMER POLYPROPYLENE) $ ALARM ELEVATION CHANGE: 5.4' 12'O.C. 3- MANUF.TO CERTIFY THAT O LIGHT (TYP.) CIRCUMFERENTIAL MANHOLES DELIVERED MEET TOTAL PIPE LOSS: 12.T X 12 L-F/100'=1.5'+5-4'=6.9' REINFORCEMENT 0.12 SQ.IN/FT. ALL REQUIREMENTS OF BLK RED "'T AREA OF PIPE: 1.52X(1r/4)=1.77 IIT OF HEIGHT S.C.D.P.W.SPECS. HEALTH DEPARTMENT APPROVAL STAMP GPM: 28 GPM @ 6.9 HEAD LOSS(SEE CHART BELOW) 1Y'cLEARANCE %'SQ.OR Y4'0 SELF 4. LOADING TO CONFORM T ENABLE VELOCITY: V=0.4085 X FLOW/AREA OF PIPE(2 FT.PER SEC.MINIMUM) (rrn-) SEALING BUTYL RUBBER AASHTO W20 LOADING BLO 1 n >�L ii PLC INPUT V=0.4085 X 28 GPM 11.77 Itf=6.46 FT/SEC>2 FT/SEC. 5. REBAR TO CONFORM TO ASTM USE A 1 12'HDPE FORCE MAIN3'-3'MAX. A-615-60 Fs--60,00060,000 PSI . OVERRIDE (TYP.) 4'OR 5' 6. WELDED WIRE MESH TO BLU 3 4 CSR I2 PLC INPUT CONFORM TO A.S.T.M.A185 Fs=65,000 PSI aLu "" INT` I4 PLC INPUT 5• 7. CONCRETE TO BE 4000PSI @ 28 TIME DOSE TA" I7 PLC INPUT DAYS REVISIONS � LJII VVII,m yo Pi ia�c � ... , myic Nna�c i 8. FLAT SLAB TOPS(NO JOINT) NOV BLU DEMAND �F /r�.- �. Pump Performance Curves MUST HAVE TOP&BOTTOM i ���F u0 219 +L 20 STEEL. i SPRAY I8 PLC INPUT ,p _- _ #2STEE 5 v PVC A L HOOP 9. REFER TO THE SCDPW a goo w �- -- 4� 2'(TYP.) 3140 SANITARY SEWER STANDARD AROUND OPENING(TYP.) ' 4 NOTES: FLOAT SWITCH TO BE RATED 2 AMP AT 120V MINIMUM. ~� m �I MAIN PANEL DISCONNECT MUST BE PROVIDED BY INSTALLER. W1 - ' ""`1G2o - -- _ _ _ _ _ DETAIL SHEETS FOR Wl 81 DASHED LINES INDICATE ITEMS NOT CONTAIN IN THE PANEL. -- .�I, -- ADDTIONALDETAILS.Plans are prepared byCondon Engineering,P.C. It is a violation of the New York State Education REQUIRED TORQUE FOR TERMINAL BLOCK SCREWS IS 16 in-lbs. ` so y� FLEXIBLE JOINT(TYP.) /. . 'ooo Law,Artide 145,Section 7209,for any person unless acting under the direction of a licensed FIELD WIRING MUST BE A MINIMUM OF 60'C COPPER WIRE. 20 s SClos 'KOR-N-SEAL'FLEXIBLE SLEEVE Professional Engineer,Architect,or Land Surveyor,to alter any item in any way.If an item bearing a 1Y' OR APPROVED EQUAL(TYP.) the seal of an Engineer,Architect,or Land Surveyor is altered,the altering Engineer,Architect,or CHANGES TOLERANCES DRAWN BY DATE ° ocovER (SEE DETAIL) Land Surveyor shall affix to the item his/her seal and the notation'Altered by'followed by hisRler F DECIMALS C. BARRICK 11/3/16 SCHEMATIC, ELECTRICAL SEE SCORING DETAIL signature and the date of such alterations,and a p S.C.T.M.: DIST. 1000 SEC.26 BLK.1 LOT.15.1 U.S.Gallons r Minute specific description of the alteration. E XXX *.005 Xx_ 10 MATERIAL SPECIFICATION: MONOLITHIC BASE SLAB D t 0FRACTIONAL SCALE: PART N0. «. R O.C-E. .TOP #4 BARS SECTION A-A SEPTIC PRODUCTS INC B ANGLES AS NOTED 120105 `ormance Curves .� .- 8 O.C.E.W.TOP Condon Engineering, P C , x/x� t.1/ea A x _stir FULL 5" _• t Scale:AS SHOWN , HENRY RESIDENCE 4 DIAMETER SANITARY SEWER MANHOLE2360 VILLAGE LANE 1755 Sigsbee Road ORIENT, NY OF N.T.S. Drawn by:JJC Mattituck, New York 11952 Date:7/1/2019 (631)298-1986(631)298-2651 fax www.condonengineedng.com SANITARY PLAN Michael J. Domino, President r,,��o G��1 Town Hall Annex John M. Bredemeyer, 111, Vice-President y z ' 54375 Route 25 Glenn Goldsmith 1� o "s 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 TO: JOHN HENRY c/o CONDON ENGINEERING Please be advised that your application dated September 9, 2019 has been reviewed by this Board at the regular meeting of November 4, 2019 and your application has been approved pending the completion of the following items checked off below. Pre-Construction Hay Bale Line Inspection Fee ($50.00) — 1 t Day of Construction ($50.00) '/2 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 TOTAL FEES DUE $ 50.00 BY- Michael J Domino, President Board of Trustees Michael J. Domino, Pr( ,t $UfFOj,�� 0 COG$ Town Hall Annex John M. Bredemeyer III,Vice-rresident br�� y�Q 54375 Route 25 Glenn Goldsmith y a P.O. Box 1179 A.Nicholas Krupski • Southold,NY 11971 Greg Williams 1 Telephone(631)765-1892 ��✓ Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD G I Date/Time: I 0 •� v Completed in field by: Condon Engineering, P.C. on behalf of JOHN B. HENRY REVOCABLE TRUST requests a Wetland Permit to replace existing cesspool with a new I/A sewage disposal system; S.C.D.H.S. is considering this project a "best sanitary upgrade only." Located: 2360 Village Lane, Orient. SCTM# 1000-26-1- 15.1 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 V 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: Gyle✓ Sv /&vj 16411,1710V /�� ✓lY tip a l Gv v 0V- -Z I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer 9"'M. Domino G. Goldsmith N. Krupski G. Williams Other g \` L��� cam• YrE WELL u. U , , V° . 452? ANO 5� r� LO 5 \ 3 9p ° V• / X SLP e f /• �' — • C N x >W _` HQ�SN \5i SRV GPRPGR NCE� �ocan ��\,Ll �'�.` N NN oUS� Fl• N N >>�E6 ro \ Io IN`CP•R\JP oN�o= I F11 L0EOROOM5366 < /e 3x �L �Z u tk N LL Z, / •� / ` sE j o x f0 All ` Z Qv..,�0 d �d x � r ` QQ SNE,pa.H�pH C3 0 , ` �Y y Henry Residence-2360 Village Lane, Orient, NY Picture #1 f s' Picture #2 p� 4„p. 7jffK Picture #5 (i _e1T -- p I f� ��tr � ,r+I �,,fir~..o��'�'f s .t,�gr.•,:�� hi�y, }.wT-. Picture #6 .3. r 025 T , m tw $ t s is m ,21 Al 28 WMM) Y 21 27 2, ,t 23 M7 - � pwl t M N •U IDA ys 11A(c) � a v �p e� 11KU s•�\ Sp ,o fie* O \ Ilk ' �♦ \ �. w 9Sk y H.,1 1.y� an to 3914 ,.&k 87A 39.16 ty\ i \ m \ ( M Oft y ty J / •� .23 M / w so �e) r• �'� w . a w p \ w 21 At" m 8 \ C17J IS 12 _.a COUNTY OF SUFFOLK O N NOTICE K o,lwer w. toot SECT01 NO. E o a�—z___ _— — — — .--— r ��,,•°"- _ — •� „ ,,,u Real Property Ta:Service Agency NNnrerwcv.w.ieurax wean r E -- -- --- -- d.u. --- ,a goocarey TaxServm Ag W E usrn,anion or<Nr cannon o<iNe N aoun,otD 026 A DP ____... _____ S rsex Roninira�roec OFFICE LOCATION: �O��Of SU(/j�Ol MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 �p� Telephone: 631 765-1938 Fax: 631 765-3136 � UNTY,� 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: December 9, 2019 Re: LWRP Coastal Consistency Review JOHN B. HENRY REVOCABLE TRUST SCTM# 1000-26-1-15.1 Condon Engineering, P.C. on behalf of JOHN B. HENRY REVOCABLE TRUST requests a Wetland Permit to replace existing cesspool with a new I/A sewage disposal system; S.C.D.H.S. is considering this project a "best sanitary upgrade only." Located: 2360 Village Lane, Orient. SCTM# 1000-26-1-15 1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is 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,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 1► '� Southold,NY 11971 y�1+p1 ���11` 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., December 4, 2019 the following recommendation was made: Moved by Carol Brown, seconded by John Stein, it was RESOLVED to SUPPORT the application of JOHN B. HENRY REVOCABLE TRUST to replace an existing cesspool with a new I/A sewage disposal system. SCDHS is considering this project a best fit sanitary upgrade only. Located: 2360 Village Lane, Orient. SCTM#26-1-15.1 Inspected by: John Stein, Carol Brown, Peter Meeker The CAC Supports the application using best management practices. Vote of Council: Ayes: All Motion Carried Michael J.Domino,President off �� p Town Hall Annex �4 54375 Route 25 John M.Bredemeyer III,Vice-President g� P.O.Box 1179 Glenn Goldsmith T Southold,New York 11971 A.Nicholas Krups1d ,j Telephone(631)765-1892 Greg WilliamsI�COU , ► ty Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment�T ransfer/Extension NOV 4 2019 � Received Application: 11 Ajq Received Fee: $ Completed Application: 1 _ Incomplete: / SEQRA Classification: TypeI Type II ✓ Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): �J LWRP Consistency Assessment orm Sent: 11.2Z.l"1 CAC Referral Sent: IIS Date of Inspection: IZ -t Receipt of CAC Report: :t Technical Review: Public Hearing Held: Resolution: Owner(s)Legal Name of Property(as shown on Deed): Q"#^/ A 144-- 2c! d2.9 1l Q GeS&jfMUS% Mailing Address: 2-360 1/I k-' 466 Phone Number: Suffolk County Tax Map Number: 1000- 2-6 —I Property Location: ?,360 1//L-LA-6,6 h-i CCKE� —Z)r l/f)=7 LKZ-7I /vy2(Y OF X/.,6 ST DNFES 7- (If (If necessary,provide LILCO Pole#,distance to cross streets,and location) AGENT(If applicable): T6 .J L�o�v L { PE 67N a"ji✓�/� 2/ti = Mailing Address: l7 s� S/CQ 5L �6 A/J !?/li4 77'-iTvc/< �►h' //9jZ Phone Number: 49 Board of Trustees Applic, on GENERAL DATA Land Area(in square feet): 4512-360 SF Area Zoning: 2� Previous use of property: Intended use of property: M i L Covenants and Restrictions on property? Yes w No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? _zYes 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? V Yes No Prior permits/approvals for site improvements: Agency Date ✓No prior permits/approvals for site improvements. V/ 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): PC�4C� �4N � S77N G ('e 5 S Z_ �N 1 TN /q Al EW jL4S /4Cp �� �o .¢L S t/ST�otit SCDNS /S' �'o�/ �.vE S Wo �4 `� Sr fi r SAN�t'� i✓AdZ4 , oN or -� Board of Trustees App: ation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 7-6 uPC24.deff 4 1,4iL,6 <4077'e-- <V 4077'c Vis- , . Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 2Z.l feet Closest distance between nearest proposed structure and upland edge of wetlands: Vg feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? 71-5 cubic yards How much material will be filled? 2.5" cubic yards Depth of which material will be removed or deposited: 7 feet Proposed slope throughout the area of operations: ''— 1 %0 Manner in which material will be removed or deposited: 6e 64u*T/Onl 1riyL 194.3 AJC( r4T02 Poo,L -'wt S IV/4z' 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): A)4 I.002kl= iS OPo4,0QW w/ti "A6 rzAti 40s &Z-If5 D /GY �i��,E LINE li'IL L 156 PG4640 Tv Pb r,�CJ-- t�Fr�AS_ 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing 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 I 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: Project Location(describe,and attach a location map): 2360 v1 a,,46E Z 4N4, 119T7 Brief Description of Proposed Action: , 7N �,�E W 1,A ! eep 1 e E A&'P44CE 14'.,14'., ,�,r�jJi.vG GESSPoa L d15�es^ i- Name of Applicant or Sponsor: Telephone: E-Mail: Address: ,56 o 1/1 L L4 L LAnrev- State: Zip Code: Cityrno: N7/ //9.S-? d2r NO YES 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, administrative rule,or regulation? r"ij' r--� If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ILCCJJ L0 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: El d Nys DC-c TIDAL wEr`L1Ao/D S,, SCDN S, T w�v �vrtD�,�6 acres PFr2.r917— 3.a.Total acreage of the site of the proposed action? b.Total acreage to be physically disturbed? acres —�'�-- c.Total acreage(project site and any contiguous properties)owned �,/P3�i acres or controlled by the applicant or project sponsor? 6 4. Check all land uses that occur on,adjoining and near the proposed action. M Urban ❑Rural(non-agriculture) [:]Industrial ❑Commercial 51Residential(suburban) ❑Forest ❑Agriculture LidAquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ Q ❑ b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the,pproposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: EeryW-Y 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: ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water. Pie IVATF, WFI Z, F* ('l 11.Will the proposed action connect to existing wastewater utilities? NO YES If No, ,dcribe method for providing wastewater treatment: /440 1EIN [,E 18/s/v5r4 ( ,e( ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? FA ❑ 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? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. IId�de��tify the typical lta�b"itat types that occur on,or are likely to be found on the project site. Check all that apply. LtilShoreline ❑forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetlan ' [j Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated ha01ta ,"lRfdd 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 DYES [rT ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO DYES 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: F1 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: 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: ��- Date: 1c+ Signature: Part 2-Impsgusing nt. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Pe 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning Uf regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? N 4. Will the proposed action have an impact on the environmental characteristics that caused the Q establishment of a Critical Environmental 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? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate El reasonably available energy conservation or renewable energy opportunities? 1I��LJJ 7. Will the proposed action impact existing: a.public/private water supplies? ❑ b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate 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 1:1problems? 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-term,long-term and cumulative impacts.- Check mpacts.Check this box if you have determined,based on the information and analysis above,and any supporting documentation, at 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 im acts. a ToSQUUWA sof Trustees lZ Name of Lead Agency to M ichael J. Demi too President Print or Type Name of Responsib a Officer in Lead Agency Title of Responsible Officer Signature o Respo ible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT page 4 of 4 ZOO-1-/57.f APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM ���tro�a '+mss of Etnics orohibits conflicts of interest on the Dare of town officers and cmalovem The twroose of this fbm is to jjjA–dforwcon le t o w i cob a acti e' mn hich a f rs nPrncrnry to avoid same. _ g YOUR NAME: r 4� A-9 (Last name,first name,girddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map _ Planning Other (If"Other,name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest`Business intemsr means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%ofthe shares. YES NO --A— if A --_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(whets 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 this Tday of 20 xSignature m Print Nae JD Fly H N ti' Form TS 1 Board of Trustees Applic .on AFFIDAVIT JOHN 8, H EN R 1 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. A—igm-aiurie—of Property O er Signature of Property Owner �'I'e.�sP� 20 / y SWORN TO BEFORE ME THIS DAY OF DENISE A N VOTARY PUBLIC-STATE OF OF NEW YORK Notary Public No O 1 NA6191295 Qualified in Suffolk County Poly Commission Expires Board of Trustees App; ation AUTHORIZATION (Where the applicant is not the owner) I/We, J o Irl N 0 k Em k Y owners of the property identified as SCTM# 1000- ?�v— /3: in the town of �u 1))7-f.9 Z-6 __,New York, hereby authorizes - oyti �( yr­O�A."j 4znN C,,,v e - 2 C. 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's Signa a Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF , 20 //q DENISE A. NAVARRA NOTARY PUBLIC-STATE OF NEW YORK No OINA6191295 Notary Public Qualified in Suffolk County My Commission Expires -,E,- I L Z_0_1—c--- APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics tirohibits conflicts of interest on the Dart of town officers and employees.The Vuroose of this form is to provide inforination which can alert the town of ggssible conflicts of interest and allow it to take whatever action is necessary to avoid same, /, '�'" YOURNAME: CG�O*W 509"1 J• (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 Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business intemst"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%ofthe shares. YES NO )N/, 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 br 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(whet[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 this 20. , Signature Print Name o� Form TS l PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: /dew j Lo K �U f/<�fen �1 � vrld'-f 3 z �� -�- 17 l � n roeC't �Qde ric(C C. Sco �Ile lr�t � f- r, 1 / 30S' S6PAc.�( � fn 51�, a6 _ � - f3 0 �l'► d q STATE OF NEW YORK COUNTY OF SUFFOLK 61 a (? , residing at S 6 tz being duly sworn, deposes and says that on the _—day of ,*^&er , 20_1_1, 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 TT/T�G� that said Notices were mailed to each of said persons by CERTIFIED MAIL/RE 'URN RECEIPT. Sworn to before me this 3 Day of 20 1 _ Notary Public BARBARA H.TANDY Notary Public, State Of New York No. 01 TA6086001 Qualified In Suffolk County Commission Expires 01/13/20 2.;-� SENDER: COMPLETE THIS SECTION COMPLE TE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. 9 re ■ Print your name and address on the reverseX O Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, Receiv by(P reed Name) C. Date of Dellitery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from Item 1? O Yes If Y ,enter delivery address below: p No Apr/ iYl('clholl�n� YES, Avg__ ApT32— GAt�dzh Cri� y, � IIJ 30 II�IIIIII Ilii III(III i I I I I II I I I I I Ii I II I II I I III 3.'Service e ❑Priority Man 0 Adult Signature Q Registered McIITM ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 3607 7305 3585 66 ❑Certified Mail® ❑Certified Mail ResMcted Delivery ❑Mim�rchandlse�for 13 Collect on Delivery n, 2 n,r,,re lir,,.,r e.rr.,ter,s ,. �.,, i n n rnllart nn Delivery Restricted Delivery 0 Signature Com nroWn 7 017 0190 0000 7690 2605 11 RwWcW Delivery Restricted Delivery „ Ps Form 3811,July 2015 PSN 7530-02-000.9053 Domestic Return Receipt ; SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Si ■ Print your name and address on the reverse X so that we can return the card to you. 9��Addmessee ■ Attach this card to the back of the mailpiece, B. Received by(PrintedC. Date of Delivery ty or on the front if space permits. I t` 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes r If YES,enter delivery address below: No 113 v �,T�'a u !d r n Om ah)tl &g��y II I IIIIII IIII III I III IIII I II I'll III IIII I II I I I I 3. Service Type ❑Priority Mail ExpressiS ❑Adult Signature ❑Registered MailaiITM ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Certified Mail® Delivery 9590 9402 4357 8190 4479 27 ❑Certified Mail Restricted Delivery 11Return Receipt for ❑Collect on Delivery Merchandise 2 r____�_ ___..__,_�_„ ❑Collect on Delivery Restricted Delivery ❑Signature Confinnationn" __"?n 17—'019 0 0 0 0 0 7 6 9 0 2 612 restricted Delivery ❑Riestricted gnature Delivery Confirmation PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt `s Michael J. Domin-, , ,esident �QS�fFO(,�c�� Town Hall Annex John M. Bredemeyer 111, Vice-President 4Y;`QO Gyf{li� 54375 Route 25 Glenn Goldsmith oco P.O. Box 1 179 A.Nicholas Krupski p al.; NY 11971 Greg Williams y� 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 JOHN B. HENRY REVOCABLE TRUST COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS INPLA CE FOR AT LEAST SEVEN DA YS PRIOR TO THE PUBLIC HEARING DATE Q l & residing at/dba 17J--S— ( SS h GGj- >� vim. being duly sworn, depose d say: — That on the 1 S day of IA? ek filer , 2019, I personally posted the property known as 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,December 11,2019. -k Dated: , _ (sign/ // Sworn to before me this Sworn +o rnr lzx- *vets �'2 ` dqN day ofbfc 20I or- pec ao\C'% _ MELISSA R DEBOER NOTARY PUBLIC STATE OF NEW YORK No ry Public SUFFOLKCOUNTY BARBARA H.TA LIC.#01DE6349M Notary Public,State Of New COMM.EXP. No. 01 TA6086001 Oualified In Suffolk County Commission Expires 01/13/20 2�� TM Postal Postal o RECEIPT CERTIFIED o RECEIPT v- ftJ ni Domestic Mail • nly rl Domestic il a ru ni NE RK #Y 10022 p p �' Certified Mail Fee r [t�48 n 3. tC� Certified Mail Feet F�EJ $ [Jj $ v Extra Services&Fees(check box,add tee�,s„gpp¢)g7ate) Extra Services&Fees(check box,add fee as appro ate) p ❑Return Receipt(hardcopy) $ i V li,Lrr ❑Return Receipt(hardcopy) $ p ❑Return Receipt(electronlc) $ �1r)- I'] Postmark F1 Return Receipt(electronic) $ Postmark p ❑Certified Mail Restricted Delivery $ Here C3 []Certified Mail Restricted Delivery $ Here p ❑Adult Signature Required $ � C3 ❑Adult Signature Required $ EC O 3 , C]Adult Signature Restricted Delivery$ ❑Adult Signature Restricted Dellvery$ E3 Postage r C3 Postage VI.55 9 � Er p Total Postage and F s 12/03/2019 r-I $ V.85 p Total Postage and Fees $ -- Seynt�o N --- -- ------------------- 0 St. "d � V0. -- - p ..and t.Nom or P Bir Sp TI tie an t.No.,ori S �� r.. ----------- �3 0 s �=' «y t =----------------- - �,I ��+ e r I ---- ------------ -- City, e,ZIP+4s postal RECEIPT ,.n CERTIFIED MAILP p 1 Domestic Mail Only -� 0 7Services CITYY •NY 11530 . jr �� r 0948 3.50 05 I`- Fees(check box,add tee pp:rpngate) p (hardcopy) $ UU tit 1 p ❑Return Receipt(electronic) $ ;)I_(ifi Postmark C3 ❑Certified Mail Restricted Delivery $ $0I Its— Here E3 ❑Adult Signature Required $ — ❑Adult Signature Restricted Delivery$ Er Postage $`I.rt5 -M $ 12/03/2019 FT.p Total Postage and� 8a r- $ oSentfi I'l U f D ) p� 1 11 N Street and Apt.No., r No. Gry B2- Qhc H I /S30 :r• t - PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: q ---—_ STATE OF NEW YORr, 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 NUTILOL. Uim HL. AKINC 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: JOHN B. HENRY REVOCABLE TRUST SUBJECT OF PUBLIC HEARING : For a Wetland Permit to replace existing cesspool with a new I/A sewage disposal system ; S.C.D.H.S. is considering this project a "best sanitary upgrade only." Located : 2360 Village Lane, Orient. SCTM# 1000-26-1 -15.1 TIME & DATE OF PUBLIC HEARING : Wednesday, December 11, 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 LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalisation Program. A proposed action will be evaluated as to its sia 4cant beneficial and adverse effects upon the coastal area(which includes all of Southold Town„. 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be Mlamed in detaiL fisting both supporting and non supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: 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# 2-441 /- /-S-1 I PROJECT NAME M-0-57— The 20STThe Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: DACE )—ck C Sc,Pon/ Wi Tl-f Nc-w I A E 1.,,a 6E is L�S.4 S y S T•Gw� D I..�i,y—lL,�a� ����ist i.0 l' � y T H-, Location of action: 2-560 V)L-LA GE LAn c- Site acreage: v r)D 3 Present land use: S/.--6 Present zoning classification: R LL 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: -�f�a3 I-II^' 2yy17 �/'= TD•� (b) Mailing address: (c) Telephone number: Area Code( ) (d) application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes R1 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, etu makes beneficial use of a coastal location,and preserves open space,makes efficient use of infrastructure, minimizes adverse effects of development. See LWRP Section III—Policies;Page 2 for evaluation criteria. Yes No ❑ Not Applicable WfL[-/1 G ITX06 .v 727Ly dR ►F�T u � 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 11 No VNot 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 Rfyes ❑ 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 ❑ No ffNot Applicable ffeIT7 �! f� � a S Attach additional sheets if necessaryftftWa5ee LWRP Section III and Policje s Pages rove water quality and Supply in the Town o Policy Prote 16 through 21 for evaluation criteria — e dy ❑ No ❑Not Applicable ,u itional sheets if nemswY of Sou*old ecosystems including Atm' Policies;Page8.2Z uality and function of the WO 'P Section III— policy 6. Protect and restore the q �Fish and•Wildlife Sabitats and wetlands. Scant Coag through 32 for evaluation criteria• ` 0 i i es No Not Applicable el 4CO4 STP � '�► C i i � 1 Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. Selo LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ yes ❑ No Not Applicable i / /L wnJ of Sv i Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold � 38 solid dew waste and a hazaa. ous substances and wastes. See LWRP Section III--Policies; Pages 34 through I ❑ yes ❑ No ffNot Applicable i L I i ! f 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; Pap 38 through 46 for evaluation criteria. ❑ y No Ef'Not Applicable N L Attach additional sheets if necessary i I WORKING 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. FYes ❑ No ❑ Not Applicable 7}� J2,6r4 —I�►2� V162 t 1-117 Ok2 6Z�4u�. 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. L-1 Yes ❑ No❑ Not Applicable ` 77/iS OAaS-tcTOF 1/ A-) ,�•i�'I�.vE Sov s ,�y 1/Y��/1„v/wi( 1���'f.)2.. Q�ALi TSC 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. 11 Yes F] No u Not Applicable &_Q y_ CZ- JJ,+- itto NE6A Tii E )AqPAGT S� -t0 -- - - 0Sw2GEC /N n4c of <1,rz�L - Attach additionsi shoats;fes Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III-Policies; 65 through 68 for evaluation criteria. �F] Yes No El Not Applicable NE S ,u (ZESoy�2C•E S /ti M69 7Tt-,,V 2A S'aow” PREPARED BY E DATE Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattituck,New York 11952 Fax 631-298-2651 www.condonengineering.com November 1, 2019 Ms. Elizabeth Cantrell, Clerk Board of Town Trustees Town Hall Annex Building 54375 Route 25 Southold NY 11971 Re: Trustees Wetlands Permit— Carroll residence—2360 Village Lane, Orient, NY SCTM: 1000-26-1-15.1 Dear Ms. Cantrell: Attached are the following documents for the above referenced application • Four sets of the Trustees Application, short EAF, LWRP Form and Transactional Disclosure Form • Four Sets of the site plans The applicant proposes to install a new I/A sewage disposal system and a Geomat shallow pressurized drain field to replace a failed cesspool. The SCDHS has reviewed this project and has approved the layout as a"Best Fit Sanitary Upgrade Only" since no work is proposed on the existing structure(see attached SCDHS Notice). Yours truly, J. Condon, P.E. NOV 4 2019