HomeMy WebLinkAboutTR-9804E Y
4
Glenn Goldsmith,President `` QF SO(/�y Town Hall Annex
A.Nicholas Krupski,Vice President hQ�Y OlO 54375.Route 25
P.O. Box 1179
John M. Bredemeyer III Southold, New York 11971
Michael J.Domino G Q Telephone(631) 765-1892
Greg Williams � . Fax(631) 765-6641
oly��UMY,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
EMERGENCY WETLANDS PERMIT
Permit No.: 9804E
Date'of Receipt of Application: January 25, 2021 _
Applicant: Robert&,Donna Drummond
SCTM#: -1-000=8784-7 -
Project-Location: 675 Private Road #12, Southold
Date of Issuance: January'25; 2021
Date-of Expiration: 90 Days from Date of Issuance
Reviewed by: Board of Trustees
Project Description: Replace existing failirigsanitagy ystem with new
Innovative &Alternative Wastewater'Treatmen system further-laridward than
existing.
Findings: The project meets the requirements for issuance of an Emergency
Wetlands Permit as determined by the Board of Trustees. The issuance of an
Emergency Wetlands Permit allows for the operations as indicated on the site
plan prepared by Jeffrey Patanjo dated January 1, 2021.
Special Conditions: A full Wetland Permit must be obtained within 90 days-in
order to conduct any further activity on the property.
This is not a determination from any other agency.
Glenn Goldsmith, President
Board of Trustees
i
J
N2T58'10"W j 210.81'
DOCK 4.2
AREA = 10,709 SF 1 st STORY;
BG OR 0.246 ACRESyo STORY DECKPM�L� RES' EX. \
Q \ G I LE F DRAIN o,
,�j s�oo yEyo 2 S�OR�I �BV'�RpOMs2 GARAGE DRIVEWAY \ �+
G.F. ELEV. 6.3
WAV
SERVICE
SOIL 10' MIN. o =
` ELEV. C.O. ^ 1 EBORING
TO WATER5.
- 47 ABANDON EXISTING FAILING j O O 50% \o y
_ SANITARY SYSTEM ELEV. EX_PJ
S18'30'00"E s - - _ 4.7 5'
75' MIN. u, ELEV. MIN. SHED
4.5 ELEV.
100' MIN. - - _ 4.3
SEPTIC TANK-/ (2) 23' GEOMAT 199.97'
STAAR I/A TREATMENT UNIT o
L -{ PROJECT
- _ LOCATION
C yrI/n/I
PD
PROPERTY OWNER: JAN 25 221
ROBERT H. DRUMMOND
' DONNA K. DRUMMOND
F- - - ,t �'S'` - - -
-•;.; - "li',; ;.;,� 'o.'�'_ - 106 CENTRE AVE. Southold Town
EAST ROCKAWAY, NY 11518 Board of Trustees
= ,', `'�'a,;ti; •. o
PREPARED
- - _��' _ _ ;r,"4 r,�.`s•'-=�`` -2;�, V'r=- :;,.' - -- - - =o:-. - BY:
JEFFREY PATANJO
P.O. BOX 582
BOHEMIA, NY 11716
=',675'W1ndyPofnt1n_
631-484-9332 Sp,uthdldM)141971,
SANITARY TARY SYSTEM REPLACEMENT SCALE:
1"=20'
j' c PROPOSED PLAN
NOTES: DATE:
&
LOCATION MAP
1. ELEVATIONS REFER TO N.A.V.D. 1988 DATUM 1-1-21
675 PRIVATE ROAD #12
PROJECT LOCATION MAP
2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: AKA 675 WINDY POINT LANE
N.T.S. JOHN MINTO LAND SURVEYOR SOUTHOLD, TOWN OF SUFFOLK COUNTY,0NYOLD
SHEET:
LATEST DATED JUNE 18, 2008 TAX YAP N0. 1000-87-4-7 1 of 1
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TOWN OF SOUTHOLD
SUFFOLK COUNTY, N, 'Y.
' 1000 - 87 - 04 - 07
Scale 1" = 20"
Sept. 18, 1990 _
JUAIF +8. 2006
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Board of Trustees
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Glenn Goldsmith,President 0�'Q(/ Town Hall Annex
Michael J.Domino,Vice-President 54375 Route 25
P.O.Box 1179
John M.Bredemeyer III : Southold,New York 11971
A.Nicholas Krupski G Telephone(631)765-1892
Greg Williams ' _ �� Fax(631)765-6641
4:
BOARD OF TOWN TRUSTEES i
TOWN OF SOUTHOLD
This Section For Office Use Only -�
X
`M"06v" ft9ml-r eke Qbe +ton r
Coastal Erosion Permit Application0 U E2
'Wetland Permit Application D
Administrative Permit
Amendment/Transfer/Extension JAN z 5 2�2�
,_Received Application: 1'2521
A Received Fee: $ 5o.
Completed Application: Southold Town
Incomplete: Board of Trustees
SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec.
Lead Agency Determination Date:
Coordination:(date sent):
LWRP Consistency Assessment Form Sent:
CAC Referral Sent:
Date of Inspection:
Receipt of CAC Report:
Technical Review:
Public Hearing Held:
Resolution:
Owner(s) Legal Name of Property (as shown on Deed): Robdri-
Mailing Address: 1196 Cen.�fe �Je � '�ZaclL�way � �� 11518
Phone Number: 5,16- 7 3 8
Suffolk County Tax Map Number: 1000 - 87" o
Property Location: d 7 S W' Lh n e
See: CeA-�IAn M of ,
(If necessary,provide LILCO Pole#, distance to cross streets, and location)
AGENT(If applicable): J d EA tih
Mailing Address: �' 9 �o� ���- o �` t h t N4
i
Phone Number: 6 31 ' y y .13
9 3�—
Board of Trustees Application
GENERAL DATA
Land Area(in square feet):
Area Zoning: s
Previous use of property:_ �5
Intended use of property: S
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 w`-No
If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review {
and Elevation Plans will be required.
Does this project require a variance from the Zoning Board of Appeals? Yes No
If"Yes",please provide copy of decision.
Will this project require any demolition as per Town Code or as determined by the Building Dept.?
Yes No
Does the structure(s)on property have a valid Certificate of Occupancy? ✓Yes No
Prior permits/approvals for site improvements:
Agency Date
Ir
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):
5.4 A ( A f q ei �C W(+ G u� -CA SS
tArid ✓�,2 tX v� •mac S I l
Board of Trustees Applitt,.,r,".ion
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:_ LAtc dAt S4 1% IAl h M!V 5 4 nI f4L
n
Area of wetlands on lot: square feet
Percent coverage of lot: %
Closest distance between nearest existing structure and upland edge of wetlands: /0 O feet
Closest distance between nearest proposed structure and upland edge of wetlands: /oy feet
Does the project involve excavation or filling? '� No Yes
If yes,how much material will be excavated? ^' A cubic yards
How much material will be filled? cubic yards
.Depth of which material will be removed or deposited: iJ feet
Proposed slope throughout the area of operations:
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):
-'hent will be- A gve-
to v��o f a n !A ,&t,- 5-e e-- Ct't s G
Board of Trustees Application
AFFIDAVIT
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.
Signature of Property Owner Signature of Property Owner
SWORN TO BEFORE ME THIS DAY OF dr / ,20,IL
i
Nota y ub t
k JEANNE N,9.C,, 2RIEL
Notary Public,.311;m s of Now York
a No,31 t3x'.60616 7�i8
Qualified in uu€.ins County
j Commission expires Septembar 30,
Board of Trustees Application
AUTHORIZATION
(Where the applicant is not the owner)
I/We, �o �j.e12- OOnnc` Orvd"roionUc - -
owners of the property identified as SCTM# 1000- Y 7- 0 yl - o-7 in the town of
•t o ..New York,hereby authorizes
pot 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 Signature Property Owner's Signature
SWORN TO BEFORE ME THIS DAY OFyi4l . 20
Notary P li
JEANNE k A3RIEL
Notary Public,State of New York
No.01 GA50,86738
Quelii4a��in Oyeens County
a Commission<xplres soptember 0, �a
i
APPLICANT/AGENTMURESIEPTTATM
TRANSACTIONAL DISCLOSURE FORM
The Town of So ald's Codeof Ethics prnhihils c--'---
aimtth o b e ea rintmst and pflaw itt ie actio rs
nets�rvtoe:vbr�d�„tme. '
YOUR NAME: .
(Last name,fust name,.tpi a initial,unies's 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 dplat Mooring
Exemption from plat or official map Planning
Other
(If"Other',name the activity.)
!70��ou persoeally.'(arthrougti ycigrcompany,spause,,siblIng;parent,-6rclrild)fuive a iefationship with auy officex or employee
of the Town of 8outhold2 "kelationship"includes by blood,r4arriagc,or business WcresL'%usutess interest"means a business,
including.a-paMgrship,.in which the-town officer or,employee has,even a partial awnerthip of(or employment by)aicorporafion
In which the town,officer or an4ployce owns"more(hap 3°I of the shares.
YES NO
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person.
Describe the relationship between yourself(the applicantlagcnttrepresentative)and the town officer or employee.Either check
the appropriate line A)through D)andfor describe in the spaM 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 ft.corporate stock of the applicant
(when the applicant is a coraoratioil);_
B)the legal or beneficial owner of any interest in a non-corporate entity(when the
applicant-is nota corporations
C)an officer,director,.partner,or cmployee.of the applicant;or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
Submitted this day of 'SA 20Z
Signature
Print Name .r r•� ovr
Form TS 1
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Toiv»of s°inha}d's CoBe ofEtitics nrclub'`"^"fl"'�of int�,est on the Hart of town officers and emplo The ou+ a of
this forr rs#o tiro+-ide iN"orination whic czn alert the ta�vn or^�'b a cor�Eiicts of�nterest and allow at t�take whaiev acrjon is
net *v to avoid same.
YOUR NAME, V•f.venm,o n cQ �®n n�
(Last name,first name-riddle initial,unless you are applying teethe 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
Trustee
Variance
Change of Zone Coastal Erosion
Mooring
Approval of plat --
Exemption-tt ra plat or official map Planning
Other
of"Other",name the activity.)
bo you personaliy'(orthrougfi your company,spouse,;sibling,parent,or child)Piave a reiationshrp•wrtfr arty officer or employee
of the Town of Southold?"Relationship"includes by blood,marriagc,,or business interest."Business interest'-'means a Business;
inpluding rtparMership,in which tbc.town°ii?eeror erriplayee has-cven a partial:ownership of(or empigyrnent by)ricorparati°n
in which the town officer or employee owns than 5°�of the shares.
YES NO
If you answered"YES",complete tate 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(ilia applicatntiagentliepresentative)and the town officer or employee.Either check
the appropriate line A)through D)andl°r 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 tfre applicant is a c6rporhtiod)t,
$)the legal or beneficial owder ofany_interest in a non-corporate entity(when the
appiieant-is nota cotpuration7
Gq ari officer,director,partner,or employee of the applicant;or
D)the actual applicant
DESCRIPTION OF RELATIONSHIP
Submitted this 9 day of `5 AIJ 20 Z
Print Name �, . IAtIIAd1t/D
w
Form TS 1
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM r
eT vn of Siiu ol"'s C - -bf E ics rohibi co i inter - e' oaf �v -iifficets �# ` to ees e e tff
this t'o ' i,to ldedrifo "o :which.ca$alert th o ible co111flicis o interes"t dal o�v it#o talc whatever-ahti'n i .
Recess , 4o avoid same.
D
YOUR NAME: `. A w W1 o
(Last name, name,.rpiddle initial,unless ou 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 personalty{orthi u h your company,spouse,sibling,parent,prcfiilgleave a relationship with any off or emplayeo `
.ofthe To,,Wn of Southold? "Relationship"includes by:bloa'd;i4arridA or•businoss interest.="Business interest's means a busine5,
ideludfng?tpartnership,in which the town oftico-or etiployee has even a pai#lal ownership of(oretziploymedt y),asoipai tion Y
-in lvirich•the town ofticer•or.edtployee twos"mops th®n:s% the shares.
YES
NO
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the relationship between yburseif(the applicant/ageatfiepresentative)and the town officer or employee.Either check
the•approp`riate line A)through D)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)tha owner of greater than 5%of the shares of-the corporate stock of the applicant
(v�+henthe•aPpGcantisucorpocation) -
B)the fogaf.or:beneficial dwnertt£arly;awred ima non-corporate entity(whdn the
apprcant-is,nota eorporatfon�,
an tett',director;partner,or employee t�f theppllcant;or
I))the actual applicant.
DESCRIPTION OF RELATIONSHIP
} Submitted this day of �j1 rt 20
$18"ature___
Print Name
Form TS l
1
Short Environmental Assessment Form
Part I -Project lnformadon
Instructions for Completing
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
Robert Drummond
Name of Action or Project:
675 Windy Point Lane-Southold
Project Location(describe,and attach a location map):
675 Windy Point Lane-Southold
Brief Description of Proposed Action:
Remove existing failing sanitary system and replace with new VA type system in accordance with SCDHS requirements in a new location further
landward of emsting bulkhead.
Name_of Applicant or Sponsor: Telephone: 516-860-9738
Robert&Donna Drummond E-Mail: rdrumm@optonline.net
Address:
106 Centre Drive
City/PO: State: Zip Code:
East Rockaway SOY 11518
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 r-1may be affected in the municipality and proceed to Part 2. If no,continue to question 2.
77 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES
If Yes,list agency(s)name and permit or approval:NYSDEC/SCDHS /Town of Southold Trustees ❑
3. a.Total acreage of the site of the proposed action? 0.245 acres
b.Total acreage to be physically disturbed? 0.030 acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 0.245 acres
4. Check all land uses that occur on,are adjoining or near the proposed action:
5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban)
❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify):
❑Parkland
5. Is the proposed action, NO YES N/A
a. A permitted use under the zoning regulations? ❑ ❑
b. Consistent with the adopted comprehensive plan? ❑ 0 ❑
NO YES
6. Is the proposed action consistent with the predominant character of the existing built or natural landscape?
❑ ❑✓
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
Name:Corey Creek,Name:Peconia Say and Environs,Reason:Significant coastal fish&wildlife habitat,
If Yes,identify: Reaso:Protect public health,water,vegetation,&scenic beauty,Agency:Southold,Town of,Agency:Suffolk ❑ ❑
NO YES
8. a. Will the proposed action result,in a substantial increase in traffic above present levels? ❑
b. Are public transportation services available at or near the site of the proposed action? ❑
c. Are any pedestrian accommodations or bicycle routes available on or near the site ofthe 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:
❑ W1
10. Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water: �
❑ IJ
11. Will the proposed action connect to existing wastewater utilities? NO YES
If No,describe method for providing wastewater treatment:
12. &Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES _
which is listed on the National or State Register of Historic Places,or that has been determined by the
Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the ® ❑
State Register of Historic PlacesT
b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for
archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory?
13. a. Does any portion ofthe site ofthe proposed action,or lands adjoining the proposed action,contain NO YES
wetlands or other waterbodies regulated by a federal,state or local agency? ❑ a
b.Would the proposed actionphysically 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:
Pap 2 of 3
14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply:
❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional
m Wetland ❑ Urban m Suburban
15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES
Federal government as threatened or endangered?
Piping Plover,Least Tem ❑ ❑
16. Is the project site located in the 100-year flood plan? NO YES
❑ ✓❑
17. Will the proposed action create storm water discharge,either from paint or non-point sources? NO YES
If Yes, � ❑
a. Will storm water discharges flow to adjacent properties? ❑
b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑
If Yes,briefly describe:
18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES
or other liquids(e.g.,retention pond,waste lagoon,dam)?
If Yes,explain the purpose and size of the impoundment: ❑ ❑
19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES
management facility?
If Yes,describe: ❑ ❑
20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES
completed)for hazardous waste?
If Yes,describe: ❑ ❑
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF
MY KNOWLEDGE
Applicant/same: Robert&Donna Drummond Date: 1 '3 2-1
Signature: Title:Owners
PRINT FORM 1=aae 3 of
EAF Mapper Summ' _' Report Friday,January 1,20212:18 PM
Disclaimer: The EAF Mapper Is a screening tool intended toassist 4`�{ _ !+�a r t i:'£ $ ' 3 ? •r; € Project sponsors and reviewing agencies in preparing an environmental
,7^ -,7& ?` assessment form
Ni eule"r y A � ti- '� t - t +� + # (EAF).Not all questions asked in the EAF are
'`' F ';:' `�6-4'-'�•`I'• 176--747 answered by the EAF Mapper.Additional information on any EAF
question can be obtained by consulting the EAF workbooks. Although
the EAF Mapper provides the most up-to-date digital data available to
;1 DEC,you may also need to contact local Y Y op or other data sources in order
.4^ r 78 _Y' ',.y, ^^ fF.•5 W N{ f -`t f to obtain data not provided by the Mapper.Digital PP 9 da to is not a
_ a sutmstitute for agency determinations.
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Part 1 /Question 7 [Critical Environmental Yes
Area]
Part 1 /Question 7[Critical Environmental Name:Corey Creek, Name:Peconic Bay and Environs, Reason:Significant
Area-Identify] coastal fish&wildlife habitat, Reason:Protect public health,water,vegetation,
&scenic beauty,Agency:Southold,Town of,Agency:Suffolk County, Date:3-9-
90, Date:7-12-88
Part 1 /Question 12a [National or State No
Register of Historic Places or State Eligible
Sites]
Part 1 /Question 12b [Archeological Sites] Yes
Part 1 /Question 13a[Wetlands or Other Yes-Digital mapping information on local and federal wetlands and
Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook.
Part 1 /Question 15[Threatened or Yes
Endangered Animal]
Part 1/Question 15[Threatened or Piping Plover, Least Tem
Endangered Animal-Name]
Part 1 /Question 16[100 Year Flood Plain] Yes
Part 1 /Question 20[Remediation Site] No
Short Environmental Assessment Form EAF Mapper Summary Report i
January 18, 2021
Town of Southold Trustees
Town Hall Annex Building
54375 25 E C
P.O. Boxte.1179 E -0
Southold, New York 11971
R
JAN5 201
RE: • 675 WINDY POINT LANE -SOUTHOLD
SCTM No. 1000-87-04-07
REVISED APPLICATION Southold Town
Board of Trustees
Dear Trustees:
Attached, please find four (4) copies of plans and data required for an Emergency
Permit Application for the replacement of a failing sanitary system with a new I/A style
system in a more landward location as existing.
If you should have any questions or require anything further, please do not hesitate to
call me at 631-484-9332.
Very truly yours,
9,Pkv
Jeffrey Patanjo
P.O. Box 582
Bohemia, NY 11716