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Home My WebLink AboutTR-9831A Glenn Goldsmith, President �®��®� S0 � Town Hall Annex �®® A.Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples '$® ® �® Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 2105C Date: November 12, 2023 THIS CERTIFIES that the removal of an existing sub-surface sanitary system and abandon, fill with clean sand and restore ground surface with topsoil and lawn; establish and perpetually maintain a 10' wide non-turf buffer running along edge of wetland line; At 1750 Beebe Drive, Cutchogue Suffolk County Tax Map#1000-103-3-5.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated March 2,2021 pursuant to which Trustees Administrative Permit#9831A Dated March 18,2021 was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for removal of an existing sub-surface sanitM system and abandon,fill with clean sand and restore ground surface with topsoil and lawn; establish and perpetually maintain a 10' wide non-turf buffer running along edge of wetland line. The certificate is issued to Paul Romanelli &Theresa Boyle owner of the aforesaid property. b Authorized Signature ,} CC#: C21-9989 N< COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A.PASCALE,Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 04/30/2021 under Liber D00013102 and Page 282 and, that the same is a true copy thereof,and of the whole of such original. In Testimony Whereof,I have hereunto set my hand and affixed the seal of said County and Court this 04/30/2021 SUFFOLK COUNT�Y7 CLERK JUDITH A.PASCALE SEAL I IIIIIII IIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII I(IIIII Illll IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 04/30/2021 Number of Pages: 17 At: 09:25:49 AM Receipt Number : 21-0085640 LIBER: D00013102 PAGE: 282 District: Section: Block: Lot: 1000 103.00 03.00 005.001 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $85.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $11.05 NO RPT $200.00 NO Fees Paid $336.05 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County C�2 Number of pages 17 This document will be public record. Please remove all Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Tota I Notation _ Spec./Assit. or EA-52 17(County) Sub Total i G 5 Spec./Add. EA-5217(State) TOT.MTG.TAX —�� , Dual Town Dual County _ R,P.T.S.A. F�D, Held forAppointment Comm.of Ed. 5. 00 Transfer Tax Affidavit • + Mansion Tax ✓""''"" "` The property covered by this mortgage is CertifiedCop_y cU Gj or will be improved by a one or two 15. 00 family dwelling only. NYS Surcharge Sub Total rn O� YES orNO Other / Grand Total 13 • f If NO, see appropriate tax clause on page# ofthisinstrument. 4482503 1-000 10300 0300 005001 4 Dist. 5 Community Preservation Fund Real Property RRSMI R JUNEBill / Consideration Amount$ Tax Service .Agency 28-APR-21 CPF Tax Due $ Verification / pp Improved 6 Satisfactions/Discharg RECORD e RETURN TO�Owners Mailing Address Vacant Land TD TD iJl�/UG/ J v 7 /i(7w TD Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name. /7), V OCia jC_�S 6,:57-'4C7 J<• www.suffolkcountyny.gov/clerk Title# Grs y 8 Suffolk County Recording & Endorsement Page This page forms part of the attached made by: ( PECIFYTYPE OF INSTRUMENT) /` vr;''9^'�EL� The premises herein is situated in % SUFFOLK COUNTY,NEW YORK. TO In the TOWN of ��f'CJf��JL•� In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BETYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over DECLARATION OF COVENANTS THIS DECLARATION made this Z? 'day ofC, 2021,by Paul Romanelli and Theresa Boyle,residing at 1750 Beebe Drive,Cutchogue,New York 11935,hereinafter referred to as"DECLARANT(S)": WITNESSETH: WHEREAS,DECLARANT(S)is/are the owner(s)of certain real property located on Beebe Drive,Cutchogue, Town of Southold,County of Suffolk,State of New York,described in the Suffolk County Tax Map as District 1000, Section 103,Block 3,Lot 5.1 which is more particularly bounded and described as set forth in Schedule"A"annexed hereto,hereinafter referred to as the Property; WHEREAS,the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold(hereinafter the"Trustees")pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; / '"13' ''r WHEREAS,the DECLARANT(S)therefore made application to the Trustees for an Administrative Permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities;and WHEREAS,as a condition of the granting of an Administrative Permit to undertake such regulated activities,the Trustees required that a 10'wide"non-turf buffer"running along the edge of the wetland line be established and perpetually maintained;and WHEREAS,the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of the Property. NOW,THEREFORE,the DECLARANT(S)do/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained 10-Foot"non-turf buffer"as defined by Chapter 275 of the Town Code;and as depicted on the site plan prepared by Samuels&Steelman Architects last dated March 1,2021 and stamped approved on March IS.2021,see Exhibit A attached;and 2) These covenants shall run with the land and shall be binding on the DECLARANT(S),his/her/their heirs, assigns,purchasers,or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF,the owner(s)has/have duly executed this instrument this Z>day of f?; :! ,2021. r�Paul�Rmanelli� Peresa Boyce STATE OF NEW YORK: COUNTY OF SUFFOLK: On the"='day in the year 2021,before me the undersigned,a Notary Public in and for said State, personally appeared Paul Romanelli.and Theresa Boyle,personally known to me or proved to me on,the basis of satisfactory evidence to be the iiidividual(s)whose name(s)is/are subscribed to the within instrument and acknowledged to,Jne that he/shelthey executed the satne in his/her/their capacity,and that his/her/their sigiiattire(s)_on }a instrument,the individual or the p.ersons.on behalf of-vyhich the individual(s)acted,exec e`d the instratrrenr. ifotary Public BETSYA.PERKINS Notary Public,State of New York No.OIPE6130636 Qualified in Suffolk County I Commission Expires July 18,4 i Z rill AE3STRACTS, IiVCOF�PORAT(=D ' Roaidanzial S.Commorcla�Tina Insuranoa 31:�ca'i g8q � as agent fer Fidelity National Title Insiu•ance C'onipany SCHEDULE A DESCRIPTION Title Number_12-85295 Page: 1 ALL'that certain plot piece or parcel of land,situate,lying and being in Cutchogue,Town of Southold,County of Suffolk and State of New York,being bounded and described as follows: BEGINNING at a point.on the westerlyside of Beebe Drive distant 839.37 feet as measured southerly along same from the corner formed bythe intersection of the westerlyside of Beebe Drive with the southerly side of Antler Lane; RUNNING THENCE along the westerlyside of Beebe Drive;the following two(2)courses and distances: 1)South 57 degrees 30 minutes 00 seconds east,31.41 feet; 2)South 17 degrees 09 minutes 30 seconds east,96.71 feet; THENCE south 77 degrees`36 minutes 50 seconds west,362.00 feet to the easterly ordinary High water mark of Eugene's Creek; THENCE along Eugene's Creek on a tie line course of north 50 degrees 19 minutes 20 seconds west,144.01 feet; THENCE north 76 degrees 43 minutes 40 seconds east,301.00 feet; THENCE north 77 degrees 27 minutes 40 seconds east, 119.27 feet to the westerlyside of Beebe Drive at the point or place of BEGINNING. v v P.O. a=/`rC o°o�" ,��z^"�.� z`9z 7��+�� m:��s�� ` ` 30-4-RDOF T0WXTRUSTEES To`InvoFSorzano] ponnitNo.: 8831& Date of Receipt of Application: March 22O21 AppUcant: Pau| RumanoUi &TboreaoB` ia pn4 e Drive,Project �75n Beebe D i C Boyle SCTM#: 1OOO4O-'3'5.j . utuhogu* Date ofRoau|u§on/iumuanoe: March 1O 2021 Date ufExpi,aUnn: K8amh1B. 2V23 ' Reviewed by: A. Nicholas KrupmkiVice-President Pn8eotDeocription; Remove on existing sub-surface sanitary system and abandon. m with�h clean sand and restore ground surf wit h and lawn; establish and perpetually maintain a 10'wide non'tu�buffer running along edge u' wetland line. Findings: The project meets o||rxe requirements for|ouuanuaofan8gm|n/otro�|v Permit set forth in Chapter 275 o,me Southold Town Coda The|anuonoe of an s Admin|etnaUvePermit allows�rthe openeUoosaa|ndivata—on the ai� / n Samuels&Steelman A�hdema.da�d March 2U2� ond"tampedc�pmnpnap�nuby �o. zO�� ' ~ "pp",�oonmarcn apoo/e/oonu/,inna: The Punn/,taeis required to provide evidence that a copy ofthis Trustee pennb has been n,00nd:dwith the Suffolk Coun�QeU(s Office aaanoucc covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(So) calendar days of issuance of this permit. Inspections: Final |f the proposed activities do not meet the requirements for issuance man*uministra�ve Perm kset nonh|nC»amor275o[the Sou� ' Southold eVVo�anupann�,�Uua required. This is not a determination from any other agency. Glenn Goidsrnl4h. President Board cfTrustees n A.,f/iJi r DRAINAGE CALCULATIONS AREA OF RESIDENCE (DW-A) DRY WELL AREA x RAINFALL x RUNOFF FACTOR (DN-A) 1,135 Sr- x (2/12 FT) x 1.0 = IqO CU. FT. USE:: (1) 8' DIAMETER x 4' HIGH POOL (1) 8-X 4' STORM DRAIN RING = 168.q CU. FT. USE: (1) V DIAME::TER x 4' HIGH POOL (I) V X 4-STORM DRAIN RING = 8q.3 CU. FT. PROVIDED REQUIRED 258.2 CU. FT. > MO CU. FT. AREA OF RESIDENCE (DW-B) DRY WELL AREA x RAINFALL x RUNOFF FACTOR (DA-E5) 1,351 SF x (2/12 FTJ x 1.0 = 252 CU. FT. U5E: (1) 8' DIAME'.TER x 4' HIGH POOL (1) 8-X 4' STORM DRAIN RING = 168.q CU. FT. USE: (2) V DIAMETER x 4' HIGH POOL (2) 6- X 4- 5TORM DRAIN RING = 115.6 CU. FT. PROVIDED REQUIRED 34-1.5 CU. FT. > 232 CU. FT. AREA OF DRIVEWAY( )W-C) DRY HELL AREA x RAIIFALL x RUNOFF FACTOR (DA-C) 2,555 SF x (2/1:2 FT) x 0.7 = 2qq CU. FT. USE: (2) V DIAMEETEER x 4' HIGH POOL (2) 8'X 4' 5TORM DRAIN RING = 33-lb CU. FT. PROVIDED REQUIRED 33?.5 CU. FT. > 2qq CU. FT. 1.0 NYSDEC "ADJACENT AREA" TOWN OF SO LOT COVERAGE TABLE LOT COVERA SITE AREA TOTAL: 50,340 sf SITE AREA TOTAL: UPLAND 51TE AREA FROM SITE AREA UPLAND FFK TIDAL WETLAND BOUNDARY: 28,710 sf TIDAL WETLAND 50UNi AREA CALCULATIONS FOR SITE AREA AREA CALCULATIONS STRUCTURES EXI5TINCG PERCENTAGE PROPOSED PERCENTAGE STRUCTURES HOUSE: 1,271 sf 4.42% 2,401 sf 8.3q�o HOUSE: DETACHED GARAGE: 555 sf 1.86% O sf 0% GARAGE: DECK: 554 sf I.qS% 554 sf I.aS% DECK: COVERED PORCHES: 0 sf 05yo 65 sf 0.224o COVERED PORCHES: STONE WALKWAYS: 588 sf 2.055vo 36a sf 1.21% TOTAL: PAVED DRIVEWAY: 2484 of 5.6596 0 sf 0% TOTAL: 2,701 sf 11.4096' 5,5Q5 sf 12.5290 DRYWELL5 FOR 5TORMWAT RUNOFF (4x(?) SEE DETAIL I WO/F PROPOSED 51LT E GE RICHARD A. M. JONE5 4 DURIN6 CON5TRUGTION DARGY 6AZZA 5EE DETAIL 2-5P 1000-108.-3-18 LOCATION OF EXISTING USES PUBLIC WATER SANITARY SYSTEM TO FLOOD ZONE INE BE ABANDONED AND �- AREA FILLED XI5TING AOOD.LIOCK \ / -AND RAMP TO REMAIN 3 4 5 6 7 N 7643'40" E _ f ` \ 1_ 315.98' PATH �l(l i.µx IIS'- TLAND E A \ PEST HOLE ##1 TH®L® "BUILDABLE LAN® NO SCALE ELEV.+5.5 E T'A B L E 1.5 FT LOAM OL SC'. 50,540 sf MEDIUM TO p PR( 4.5 FT COARSE SAND SP ! AD[ WATER IN 11 FT COARSE SAND SW OW RY: 28,710 sf COMMENTS:WATER ENCOUNTERED R SITE AREA 4.5' BELOW SURFACE, ELEV 1.0' ISTING PERCENTAGE PROP05ED PERCENTAGE SITE ,2-71 sf 4.42% 2,40q sf 5.5g% zor 555 sf 1.56% 0 sf 09b SUF 554 sf I.g5% 554 sf Lci5% 0 sf 0% 65 sf O 2296 560 sf 5.21Flo 3,026 sf 10.54% LOOD ZONE LINE FLC ROf'051=D NEW ZOr WALKNAY XISTING GARAGE TO zor BE REMOVED _ X15TIN6 BELOIAN STABILIZED CON5TRUCTION BLOCK GUREi ENTRANCE 5EE DETAIL B-SP EW BELGiA Eyi DRIVEWAY ENTRY BLOCK CURB ROP05ED 51LT PENCE DURING CONSTRUCTION 9 10 1r1 12 13 5EE DETAIL 2-5P \7; '40'�E 119.27'1 MOOSE zor ..' jrji . .�f..1, - ,, �Q : : TRAIL rn 11.4 M1 13 REVISIONS:" rE- [J'ATA 1126/21 3/1121 for Trustees 1 1006-103-03-5.1 AP! ROVED BY :RTY: 1750 BEEBE DRIVE :SS CUTCHOGUE, NY 11935 30A OF 'I RUSTEES R: PAUL ROMANELLI&TERRY B YLE OW OF SOUTHOLD 1750 Beebe Drive Cutchogue, NY 11935 DAI . rdkkcq- IS ZoZ4 T` 50,340 sf= 1.155 aC a 1 R-40 - --` :YOR: Nathan Taft Corwin III 1586 Main Road Jamesport, New York 11947 LICENSE#50467 ' �J -se 6118119 W 1 x 0 0 ZONES: }- AE: BASE FLOOD ELEVATIONS DETERMINED 0 X* : AREAS OF 0.2%ANNUAL CHANCE uj W FLOOD;AREAS OF 1%ANNUAL Z CHANCE FLOOD WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR O WITH DRAINAGE AREAS LESS ^— THAN 1 SQUARE MILE;AND AREAS. Lu PROTECTED BY LEVEES FROM 1% ANNUAL CHANCE FLOOD. X, AREAS DETERMINED TO BE OUTSIDE THE 0.2%ANNUAL '~ CHANCE FLOODPLAIN. z _ w 0 .�U TIE LINE N 5EAWARD EDGE �✓ OF 5ALT MEADOW EUGENE'S' CREEK (EAST CREEK) -LLVL VI EXISTING 1 - � ? •'f / LANDWARD EDGE OF TIDAL LAWN Ir WETLAND5 A5 LOCATED BY G. JUST - JMO ENVIRONMENTAL CONSULTING ON JUNE 14, 201cl j`` i 1ON/X I l f ELT MEADOW Z " / 2 I FLbOD ZONE O FLAG #2 I AE (EL 6) [�b INE OF LIMITED WAVE ACTIONfit I PROPOSED 10 FT. WIDE NON-TURF BUFFER. REPLACE EXISTINS LAWN 2_8 D TRUS WITHIN BOUNDARY w/NATURALIZED FLAG #3 soul"o4 1 VEGETATIVE BUFFER, INGLUDINS 1 \\ BEACH 6RA55 { TEST HOLE I � EL + 5.5 f r 41!' DSE OF EXISTING ! / (�P y LAWN 1 1 FLAG #4 ? / S 77 36'50" W 3 4 5 FLOOD ONE I EXISTI S POND FROPOeED 5IL TO REMAIN DURING GON5TRUGTION 5EE DETAIL 2-5P 007TA(5F- E L /Aa SCALE: 1" = 20'-0" PAUL ROMANELLI 1000-103.-3-5.2 USES PUBLIC WATER 50'MIN COMMERCIAL 17GYYL STORY. / ADDITION 'I: / -Gr'�RAG1w S1.A 1" �` XISTING `' LE�+TI;'�f'. j ER�ANDED'�fi !�`��✓ l I d GUY hlF �15.0' i i DY'}rA 'h a2��. -X � I• � o DRYWELL EXISTING G s. i 4xe �\ �; �� RATE R 2 STORY w - I RUNOFF (• 1 HOUSE PU „� ISTING / - BLLG iR LINE FLR ELEV +15.7 i , BLOCK GI /1Z w XISTING \10� 34.1' XISTING II, I II i I I >4x5 E t EXI5TIN6 F� ti Y I i I PROVIDE 1JI11 III• ' ____ _ , / r,; ' i I DRIVE►NA' l-' i•I 4 i�� • �I' fiL 4x LF1 I 2 N O FLOOD LP ) I ZONE X — 5 I FORA 4 1 1500 al i-Xr'i S�TSAGK' � (31 8 z OD rn { , � 'jj BEEBE - FUTUF DRIVE HIGH LEA 7 8 8 ' ' i NEST HOLE #2 9 10 1 1 �' 1 12. EL + 11.5 1 - � L LOOD ZONE LINE j XIST!NG ROPOSED NEW UTILITY POL j BUILDING ADDIT1 N �p X 1571 NG E3U 1 G TO ?:ISTING REMA I N AND REN01�A= SECONDARY 6 SITE y.- ENTRY GARAG SHED SHED -ITY POLE La 5 d BLOCK CURB 1:: V METAL INLET ZSTORMWATER SEE DETAIL I-SP -VAN -2 2021 �-TER METER old Town f Trustees ERHEAD WIRES IVEWAY. REMOVE ASPHALT. RMEABLE, CRUSHED STONE )N EXISTING 5UB—BA5E 4EW SEPTIC 5Y5TEM 7ROOM RESIDENCE �L, SEPTIC TANK (ST) )UT IA x 4' HIGH LEACHING POOL (LP) LOCATION FOR (2) V DIA x 4" -INC POOL (EXP) °a Z• N Q• " 0 � a y ...I �• ti )C TI MAP WJ• UR ; x ~ a Z a W• LmFo a N a Ij• = M U 1 .�yyGfiN�S¢0� t" C1 n m in U)• O � O n. :•t �p4 S <y� MppSE n` T D IF pNE �! I,'SE OFty�' SITE m' VIAo 9 O��AS Q SJkp� STABILIZED CONSTRUCTION ENTRANCE NOTES: 1. Stone size-use 2 inch stone,or reclaimed or recycled concrete equivalent. 2. Length-not less than 50 feet(except on a single residence lot where 30 foot minimum length would apply). 3. Thickness-not less than six(6)inches. 4. Width-twelve(12)foot minimum, but not less than the full width at points where ingress or egress occurs.Twenty-four(24)foot if single entrance to site. 5. Geotextile-will be placed over the entire area prior to placing of stone. 6. Surface water-all surface water flowing or diverted toward construction entrances shall be piped beneath the entrance.if piping is impractical,a mountable berm with 5:1 slopes will be permitted. 7. Maintenance-the entrance shall be maintained in a condition which will prevent tracking or flowing of sediment onto public rights-of-way, all sediment spilled,dropped,washed or tracked onto public rights-of-way must be removed immediately. 8. When washing is required,it shall be done on an area stabilized with stone and which drains into an approved sediment trapping device. 9. Periodic inspection and needed maintenance shall be provided after each rain. STABIL 3 NO SCALE EXISTING7 -O EXISTING GROUND PAVEMENT S.� FILTER MOUNTABLE BERM 2" STONE OR PROFILE CLOTH (OPTIONAL) RECYCLED CONCRETE 50'MIN 00MMER°IAL 80'MIN SOVEWIAL z - EXISTING ? ;' '.,' �Q v GROUND `. ,.'. �•, „; �' !€ 12' MIN. OR MATCH UJ n GROUND WATE ADJACENT ROAD WIDTH - PLAN PERMANENT STOF ED CONSTRUCTION ENTRANCE STORM Di NO SCALE 10'MIN. X15TING-L// TEST HOLE #2 AF EIGHBORING NO SCALE BUILDING BY MARK McDONALD GEOSCIENCE TRUCTURE5 SOUTHOLD, NEW YORK 11971 TEST HOLE DATA 1/13121, 11:45 AM DRAIN, ELEV.+ 11.5 DARK BROWN LOAM OL DRY WELL A' BROWN SILTY SAND SM USE: ---TOP OF EXISTING SRADE PALE BROWN FINE SAND SP CAST IRON FRAME AND COVER TO GRADE(AS REQUIRED) WATER IN TRAFFIC SLAB(SEE PALE BROWN FINE SAND SP PLANS FOR LOCATIONS) COMMENTS:WATER ENCOUNTERED DRY WELL Al 10.1'BELOW SURFACE,ELEV 1.4' (ON-13) I ga USE: I ® ® ® ® ® ® ® USE: 1 ® ® ® ® ® ®® s� DRAINAGE BA51N FOR (2) : I ® ® ® ® ® e b 51ZE5 SEE SITE PLANS 1 ® EB ® ® ® JED BACKFILL MATERIAL WIRE FENCE W/ is ® ® ® ® TO BE GLEAN SAND FILTER CLOTH ® ® ® AND GRAVELFILTER CLOTH MIN b., SURFACE ® ® BELOW cSRADE F o;,, AREA OF RE USE: WATER RUNOFF CONTROL MEASURE TEMPORARY STORM WATER RUNOFF CONTROL MEASURE (2) g' .INAGE RING TYPICAL , EROSION & SEDIMENT CONTROL DETAIL a' /NO SCALE REGULAT( EAST _I•ru'r,J`.1� (n 'd CREEK ,tp1% `l V• GE CALCULATIONS PROJECT NO: 1704 DRAWN BY: x RAINFALL x RUNOFF FACTOR UT DBNRFs�®W-A) 1.0 = 140 CU. FT. CHECKED BY: & DIAMETER x 4' HIGH POOL TS 4' STORM DRAIN RING = 168.9 C.U. FT. 6' DIAMETER x 4'HIGH POOL DATE: 4' STORM DRAIN RING = 8Q.5 CU. FT. 11/17/20 OVIDED REQUIRED SCALE: 8.2 CU. FT. > 1110 CU. FT. 1„ = 20' -on x RAINFALL x RUNOFF FACTOR SHEET TITLE: F x (2/12 FT.) x 1.0 = 252 CU. FT. V DIAMETER x 4' HIGH POOL 4' STORM DRAIN RING = 168.9 GU. FT. 6' DIAMETER x 4' HIGH POOL SITE 4'STORM DRAIN RING = 175.6 CU. FT. OVIDED REQUIRED PLAN 'J.5 CU. FT. > 252 CU.FT. DENCE (DW-B). x RAINFALL x RUNOFF FACTOR SHEET NO: EWAX2f BWT,Q x 0.? = 2q-1 CU. FT. 8' DIAMETER x 4'HIGH POOL 4' STORM DRAIN RING = 55-1.5 CU. FT. tOVIDED REQUIRED 7.8 CU. FT. > 2011 CU. FT. RY APPROVALS Glenn Goldsmith, President ®* S0UI� 1 Town Hall Annex A. Nicholas Krupski,Vice President at®� ®�� 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York.11971 Liz Gillooly G � Telephone(631) 765-1892 Elizabeth Peeples Fax (631) 765-6641 COUNT I, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 11112, 23 INSPECTED BY: �Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1st day of construction % constructed _ Project complete, compliance inspection COMMENTS: w 904 9 S C) Ssut CERTIFICATE OF COMPLIANCE: r CC#: C21-9989 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A.PASCALE,Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 04/30/2021 under Liber D00013102 and Page 282 and, that the same is a true copy thereof,and of the whole of such original. In Testimony Whereof,I have hereunto set my hand and affixed the seal of said County and Court this 04/30/2021 SUFFOLK COUNTY CLERK JUDITH A.PASCALE SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 04/30/2021 Number of Pages: 17 At: 09:25:49 AM Receipt Number : 21-0085640 LIBER: D00013102 PAGE: 282 District: Section: Block: Lot: 1000 103.00 03.00 005.001 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $85.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $11.05 NO RPT $200.00 NO Fees Paid $336.05 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County M[2] Number of pages This document will be public record. Please remove all Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 I, FEES Page/Filing Fee ,.7 Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation _ Spec./Assit. r or EA-52 17(County) y Sub Total 7 Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. r500 � Held forAppointment Comm.of Ed. 5. 00 Transfer Tax Affidavit Mansion Tax 7 The property covered by this mortgage is CertifiedCop e G ��'� or will be Improved by a one or two 15. 00 ^ ! family dwelling only. NYS Surcharge Sub Total oy YES orNO Other Grand Total /• if NO, see appropriate tax clause on �, page# of this instrument. Q 06/-11�?3-1�21 4 Dist. 4482503 1000 10300 0300 005001 5 Community Preservation Fund Real Property RPM, Consideration Amount$ Tax Service (� Agency 28 APR-2 CPF Tax Due $ Verification g pp Improved 6 Satisfactions/Discharge�COIRD&RETURN T0�Owners Mailing Address Vacant Land TD TD TO Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name. J OC.�T6S gcSCT �C. www.suffolkcountyny.gov/clerk Title u G'Ts y 8 Suffolk County Recording & Endorsement Page This page forms part of the attached L ��E/t'� ut made by: ( PECIFYTYPE OF INSTRUMENT) /` 11-/'4��L�� The premises herein is situated in / Cj'1LC SUFFOLK COUNTY,NEW YORK. TO In the TOWN of In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over DECLARATION OF COVENANTS THIS DECLARATION made this t 7~'day of P,r)r,, 2021,by Paul Romanelli and Theresa Boyle,residing at 1750 Beebe Drive,Cutchogue,New York 11935,hereinafter referred to as"DECLARANT(S)": WITNESSETH: WHEREAS,DECLARANT(S)is/are the owner(s)of certain real property located on Beebe Drive,Cutchogue, Town of Southold,County of Suffolk,State of New York,described in the Suffolk County Tax Map as District 1000, Section 103,Block 3,Lot 5.1 which is more particularly bounded and described as set forth in Schedule"A"annexed hereto,hereinafter referred to as the Property; WHEREAS,the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold(hereinafter the"Trustees")pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS,the DECLARANT(S)therefore made application to the Trustees for an Administrative Permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities;and WHEREAS,as a condition of the granting of an Administrative Permit to undertake such regulated activities,the Trustees required that a 10'wide"non-turf buffer"running along the edge of the wetland line be established and perpetually maintained;and WHEREAS,the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of the Property. NOW,THEREFORE,the DECLARANT(S)do/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained 10-Foot"non-turf buffer"as defined by Chapter 275 of the Town Code;and as depicted on the site plan prepared by Samuels&Steelman Architects last dated March 1,2021 and stamped approved on March 18.2021,see Exhibit A attached;and 2) These covenants shall run with the land and shall be binding on the DECLARANT(S),his/her/their heirs, assigns,purchasers,or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF,the owner(s)has/have duly executed this instrument this 23 day of ffi:) .1 .2021. C d Paul Romanelli s 1 ,�heresa oy e O STATE OF NEW YORK: COUNTY OF SUFFOLK: On the VT day of e, in the year 2021,before me the undersigned,a Notary Public in and for said State. personally appeared Paul Romanelli and Theresa Boyle,personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is/are subscribed to the within instrument and acknowledged to that hajshe/they executed the same in his/her/their capacity,and that his/her/their signature(s)on instrument,the individual or the persons on behalf of which the individuals)acted,exec ed the instrument. I 17 jotary Public SETSYA.PERKINS Notary Public,State of New York No.OIPE6130636 Qualified in Suffolk Counly Commission Expires July 18.; 2 L.1 ABSTRACTS, lN(--pRPORATEp"" Rssidancial 9.Commercial Ticia insuranoa sl.-nca'i sea as agent for Fid elity Nat io nal Title Lisuraxce Company SCHEDULE A DESCRIPTION Title Number:12-85295 Page: 1 ALL that certain plot piece or parcel of land,situate,lying and being in Cutchogue,Town of Southold,County of Suffolk and State of New York,being bounded and described as follows: BEGINNING at a point on the westerly side of Beebe Drive distant 839.37 feet as measured southerly along same from the corner formed by the intersection of the westerly side of Beebe Drive with the southerly side of Antler Lane; RUNNING THENCE along the westerly side of Beebe Drive-,the following two(2)courses and distances: 1)South 57 degrees 30 minutes 00 seconds east,31,41 feet; 2)South 17 degrees 09 minutes 30 seconds east,96.71 feet; THENCE south 77 degrees`36 minutes 50 seconds west,362.00 feet to the easterly ordinary high water mark of Eugene's Creek; THENCE along Eugene's Creek on a tie line course of north 50 degrees 19 minutes 20 seconds west,144.01 feet; THENCE north 76 degrees 43 minutes 40 seconds east,301.00 feet; THENCE north 77 degrees 27 minutes 40 seconds east, 119.27 feet to the westerlyside of Beebe Drive at the point or place of BEGINNING. A:lr i;r r t. Town 14z," BO.4JZD or TOWN TRUSTEES TJi OF S(_)UTPOLD Permit No.: 9831A Date of Receipt of Application: March 2. 2021 Applicant: Paul Romanelli&Theresa Boyle Project Location: 1750 Beebe Drive, Cutchogue SCTM#: 1000-103-3-5.4 Date of Resolutionlissuance: March 18, 2021 Date of Expiration: March 18, 2023 Reviewed by: A. Nicholas Krupski,Vice-President Project Description: Remove an existing sub-surface sanitary system and abandon, fill with clean sand and restore ground surface with topsoil and lawn;establish and Perpetually maintain a 10'wide non-turf buffer running along edge of wetland line. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southoid Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Samuels&Steelman Architects.dated March 1, 2021 and stamped approved on March 18.2021. Special Conditions: The Permittee is required to provide evidence that a copy of this 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. Inspections: Final If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code._Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith. President Board of Trustees i DRAINAGE C:ALCULATIQNS AREA OF RESIDENCE (DW-A DRY NIELL AREA x RAINFALL x RUNOFF FACTOR (ON-A) 1,156 SF x (2/12 FT.) x 1.0 = IC10 CU. FT. USE: (1) 5' DIAMP:TER x 4' HIGH POOL (1) 5' X 4' STORM DRAIN RING = 165.q CU. FT. USE: (1) V DIAMETER x 4' HIGH POOL (1) 6' X 4' STORM DRAIN RING = 51.5 CU. FT. PROVIDED REQUIRED 255.2 CU. FT. > IcIO CU, FT. AREA OF RESIDENCE (DW-B) DRY HELL AREA x RAINFALL x RUNOFF FACTOR (DW-D) 1,391 5F x (2/12 FT) x 1.0 = 232 CU. FT. U5E:: (1) 5' DIAMETER x 4' HIGH POOL (1) 5' X 4' STORM DRAIN RING = 165.9 CU. FT. USE: (2) 6 DIAM'TER x 4' HIGH POOL (2) 6' X 4' STORM DRAIN RING = 175.6 CU. FT. PROVIDED REQUIRED 341.5 CU. FT. > 232 CU. FT. AREA OF DRIVEWAY( )W-C) DRY NIELL AREA x RAINFALL x RUNOFF FACTOR (DW-C) 2555 SF x (2/1.2 FT) x O.1 = 2Q9 CU. FT. USE: (2) 5' DIAMETER x 4' HIGH POOL (2) 5' X 4' 5TORM DRAIN RING = 337.5 CU. FT. PROVIDED REOUiRED 337.5 CU. FT. > 299 CU. FT. 11.0 NYSDEC "ADJACENT AREA" TOWN OF SO LOT COVERAGE TABLE LOT COVERA 51TE AREA TOTAL: 50,540 sf 517E AREA TOTAL: UPLAND SITE AREA FROM 517E AREA UPLAND FF TIDAL WETLAND BOUNDARY: 28,710 sf TIDAL WETLAND BOUNI AREA GALCULA71ONS FOR 51TE AREA AREA GALGULATION5 STRUCTURES EXI5TING PERCENTAGE PROPOSED PERCENTAGE 5TRUCTURES HOUSE: 1,271 sf 4.42% 2,40,1 sf 8.314b HOUSE: DETACHED GARAGE: 555 sf 1.863o O 5f 0% GARAGE: DEGK: 554 sf I.°131 5 �o 54 5f I.15 DECK: COVERED PORCHES: 0 sf 090 65 sf 0.229b COVERED PORCHES: 5TONE WALKWAYS: 588 5f 2.05Y 361 sf 1.21190, TOTAL: PAVED DRIVEWAY: 2484 5f 8.659b 0 5f 0%, TOTAL: 2,-101 sf Ci.405o 3,5Q5 5f 12.529b DRYWELLS FOR 5TORMWAT RUNOFF (4x6) 5EE DETAIL I N/OIF PROP05E0 51 T cE CE RIGHARD A. M. JONE5 E DURIN6 CON5TRUCTION DARGY OAZZA 5EE DETAIL 2-5P 1000-103-5-15 LOCATION OF EXI5TIN6 U5ES PUBLIC WATER BENABANDONED AND FLOOD ZONE INE AREA FILLED X1571NC, W D OOD OCK \ /f-AND RAMP TO REMAIN 3 4 5 6 7 N 76*43*40" E � \ 315.98' 4� w r .,1i. TEST HOLE #1 THOLD "BUILDABLE LAND NO SCALE ELEV.+ 5.5 E TABLE 1.5 FT LOAM OL s MEDIUM TO SC' 50,34G sf 4.5 FT COARSE SAND SP PR( WATER IN AD[ 11 FT COARSE SAND SW OW FRY: 28,710 sf COMMENTS: WATER ENCOUNTERED SITE AREA 4.5' BELOW SURFACE, ELEV 1.0' R ISTINS PERCENTAGE PROP05ED PERCENTAGE zor ,271 5f 4.42% 2,400, sF 8.3q,% 535 sf 1.86% 0 sf 0% SUF 554 sf I.C15% 554 sf I.C15% O sf 0% 63 sf 0.22% 360 sf 8.219b 3,026 sf 10.5496 LOOP ZONE LINE FLC RO!-OSED NEW ZOt• WALKWAY (STING GARAGE TO ZOl, BE REMOVED r-EX15TIN& BELGIAN 5TASILIZED CONSTRUCTION BLOCK CURB ENTRANCE SEE DETAIL 5-SP EY`i BELGIA 'EW DRIVE-NAY ENTRY BLOCK CURB R.01`05ED 51LT FENCE DURING CONSTRUCTION 9 10 11 12 13 5EE DETAIL 2-5? \ 1 772 '40 `E 119.27'1 MOOSE ZOI TRAIL 11.4 REVISIONS: DATA 1/26/21 r-E 3/1/21 for Trustees 1 1000-103-03-5.1 AR' ROVED BY :RTY: 1750 BEEBE DRIVE :SS CUTCHOGUE, NY 11935 30AF D OF 1 RUSTEES R: PAUL ROMANELLI &TERRY B YLE" OWd OF SOUTHOLD 1750 Beebe Drive Cutchogue, NY 11935 DKI' AA-" IS 74zq 50,340 sf= 1.155 ac ?;1 3: R-40 :YOR: Nathan Taft Corwin III 1586 Main Road Jamesport, New York 11947 LICENSE#50467 DATED 6/18/19 W u Y m 0 0 ZONES: F— }- AE: BASE FLOOD ELEVATIONS 0 DETERMINED � � z X* : AREAS OF 0.2% ANNUAL CHANCE FLOOD; AREAS OF 1% ANNUAL (n 0 CHANCE FLOOD WITH AVERAGE z DEPTH OF LESS THAN 1 FOOT OR O �^ WITH DRAINAGE AREAS LESS V♦ THAN 1 SQUARE MILE; AND AREAS Lu PROTECTED BY LEVEES FROM 1% ANNUAL CHANCE FLOOD. X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. 06 0 O IL N SEAWARD EDGE �✓ �. OF SALT MEADOW EUGENE'S' CREEK (EAST CREEK) EX15TIN6 1 j LAWN LANPNARV EIPOE OF T112ALI J WETLANDS A5 LOCATED BY 6.Al JU5T - JMO ENVIRONMENTAL CONSULTING ON JUKE 14, 20111 1 i L D / 14 Z8K X. ELT MEADOVQ y FL oD ZONE ii O \ FLAG I AE (EL 6) NE MITED ;NAVE: ACTIONI I S��aAp N � PROPOSED 10 FT. WIDE NON-TURF ` USTEES WE BUFFER. REPLACE EXISTING LAWN 2_8 p TR WITHIN BOUNDARY W/NATURALIZED �� #3 1 VEGETATIVE BUFFER, INCLUDING 1 \` BEACH 6RAS5 TE5T HOLE � EL + 5.5 1 >• t► ill DGl= OF I EXISTING I \ LAWNFLAG #4 i � r S 77'36'50" W 1 3 4 5 O E ]=XI51'IN6 POND I PROPOSED 5I TO REMAIN DURING CONSTRUCTION SEE DETAIL 2-SP -` E PLIAH l COTTAGE of SCALE: I = 201-011 PAUL ROMANELLI 1000-105.-3-5.2 USES PUBLIC WATER 50^MIN GOMML-RGIAL �vL rr A,R£A ! � TEXISTING STORY ! ,1 ADDITION E6(�ANDED' d GUY V�I f DRI1/ZViAYt5.0' / f \ � toI '�-N W BELL r>n {- ,2R . o DRYAELL ' , 4 GRATE FcSTORY1 RUNOFFHOUSE (STING ELEV +13.7 i c : LINTn SLOG4G G J 12 --EXISTING `»� XISTING 3a.�' urn a i'`' �s J/_ ,` r,. �t7i- ,Lf', 4 I EXISTING PROVIDE r\LP) t fi `. ' Lr,I J P05E I I / FOR A 4 1 ZONE x 54=TSAGiG' 150 I I _ GLEP co \ , FL OD D N .r r / 1 I B E E B E - FUTUF ZON X" HIGH LE, DRIVE 7 361. 8' 9 10 11 1 i 2 NEST HOLE #2 ! � EL + 11.5 LOOD ZONE LINE Ll XI5TING ROP05ED NEW UTILITY PO BUILDING AIDDITI N X 15T 1 NG BU I CG TOSECONDARY EXI5TIN6 REMAIN AND RENOVATED � NEIGHBORING 51TE ENTRY GARAG SHED SHED v � -ITY POLE Q � 4 BLOCK CURB O V METAL INLET Q rG� z V STORMWATER W O � ) SEE DETAIL I-5P -GIAN MAR —2 2o21 s 6.e® U TER METER Southold Town Board of Trustees ERHEAD WIRES IVEWAY. REMOVE ASPHALT. RMEABLE,CRU5HE17 STONE )N EXISTING 5U5-13A5E 4EW SEPTIC 5Y5TEM BROOM RESIDENCE �L. 5EPTIC TANK(5T) )VT IA x W HI&H LEACHING POOL (LP) LOCATION FOR (2) V DIA x 4" Z. -fING POOL (EXP) 06 v/ • M Q N � d J • n O K .. )CATION MAP ~ � � W W 1'1 H Q = LL W K O Q N O v tD W' - x n Rpm 1 ~ �pgt1� Q �• u � to U• O � a n a A m <yy MppSE F T fW 0010 OF SITE ,SRO�Y �Ql`ttPS P'''S.c-->7 STABILIZED CONSTRUCTION ENTRANCE NOTES: 1. Stone size-use 2 inch stone,or reclaimed or recycled concrete equivalent. 2. Length-not less than 50 feet(except on a single residence lot where 30 foot minimum length would apply). 3. Thickness-not less than six(6)inches. 4. Width-twelve(12)foo+l minimum, but not less than the full width at points where ingress or egress occurs.Twenty-four(24)foot if single entrance to site. 5. Geotextile-will be placed over the entire area prior to placing of stone. 6. Surface water-all surface water flowing or diverted toward construction entrances shall be piped beneath the entrance.if piping is impractical,a mountable berm with 5:1 slopes will be permitted. 7. Maintenance-the entrance shall be maintained in a condition which will prevent tracking or flowing of sediment onto public rights-of-way, all sediment spilled,dropped,washed or tracked onto public rights-of-way must be removed immediately. 8. When washing is required,it shall be done on an area stabilized with stone and which drains into an approved sediment trapping device. 9. Periodic inspection anti needed maintenance shall be provided after each rain. STABIL 3 NO SCALE EX15TIN5 EX15TIN5 GROUND PAVEMENT MOUNTABLE BERM 21, STONE OR OLOTH (OPTIONAL) RECYCLED CONCRETE PROFILE7 W'MIN 60MMOVIAL 50'MIN REIDENMAL O EXISTING < GROUND 12, MIN. OR MATCH GROUND KA7E ADJACENT ROAD Y41PTH b PLAN PERMANENT STOP ED CONSTRUCTION ENTRANCE STORM D1 NO SCALE X157ING TEST HOLE #2 p E16HBORINC, NO SCALE BUILDING BY MARK McDONALD GEOSCIENCE 71R.UGTlJRE5 SOUTHOLD, NEW YORK 11971 TEST HOLE DATA 1113121, 11:45 AM DRAIN, ELEV.+ 11.5 _ DARK BROWN LOAM OL DRY WELL A' E oOF Fd BROWN SILTY SAND SM USE: —TOP OF EXISTING GRADE PALE BROWN FINE SAND SP O �Ij b CAST IRON FRAME AND COVER TO GRADE(AS REOUIRED) WATER IN TRAFFIC SLAB(SEE PALE BROWN FINE SAND SP PLANS FOR LOCATIONS) COMMENTS:WATER ENCOUNTERED DRY WELL Al 10.1'BELOW SURFACE, ELEV 1.4' (DW-e) 1,30 U5E: I ® ® ® ® ® ® ® :SEsE I ® ® ® ® ® ® ® y/ DRAINAGE BASIN FOR USE: 6 I ® ® ® ® ® e SIZES SEE SITE PLANS I ® ® ® ® ® E ® w BACKFILL MATERIAL WIRE FENCE NV 12 ® ® ® ® ® ® TO BE GLEAN SAND FILTER CLOTH 123 C9 ® ® ® ® ® — AND GRAVEL FILTER CLOTH MIN. b"� SURFACE ® ® DER ® ® ® ® BELOW 6RADE DRAINAGE FLow AREA OF RE DRY V`II=LL AF USE: WATER RUNOFF CONTROL MEASURE TEMPORARY STORM WATER RUNOFF CONTROL MEASURE (2) 8' INAGE_ RING TYPICAL ,�NOSION & SEDIMENT CONTROL DETAIL t LE REGULAT{ ,R EAST �1Y I .,_4t .4 10 'aid P CREEK GE CALCULATIONS PROJECT NO: 1704 DRAWN BY: x RAINFALL x RUNOFF FACTOR 1JT ®E,NQE4®W-A) 1.0 = ICIO CU. FT. CHECKED BY: 8' DIAMETER x 4' HIGH POOL S 4' 5TORM DRAIN RING = 168.q CU. FT. 6' DIAMETER x 4' HIGH POOL DATE: 4' STORM DRAIN RING = 811.3 CU. FT. 11/17/20 .OVIDED REQUIRED SCALE: 5.2 CU. FT. > IqO CU, FT. lot _ 20' - 0" t x RAINFALL x RUNOFF FACTOR SHEET TITLE: F x (2/12 FT.) x 1.0 = 252 CU. FT. 8' DIAMETER x 4' HIGH POOL 4' STORM DRAIN RING = IbbA CU. FT. b' DIAMETER x 4' HIGH POOL SITE 4' STORM DRAIN RING = 1'78.6 CU. FT, OVIDED REQUIRED PLAN '73 CU. FT. > 252 CU. FT. DENCE (DW-B) x RAINFALL x RUNOFF FACTOR SHEET NO: EWAY6 f BWTC)x 0.-1 = 299 CU. FT. 8' DIAMETER x 4' HIGH POOL 4' STORM DRAIN RING = 33-7.5 CV FT. :OVIDED REQUIRED 7.5 CU. FT. > 2qq CU. FT. RY APPROVALS Glenn Goldsmith,President �QF SUUT Town Hall Annex A.Nicholas Krupski,Vice President ,`O� �� 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III [ l Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 co BOARD OF TOWN-TRUSTEES TOWN OF,SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU.ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 721HOURS PRIO_ R TO COMMENCEMENT OF THE ACTIVITIES CHECKED'OFF BELOW INSPECTION SCHEDULE Pre-construction; hay bale-line/silt boom/sift Curtain 1st day of construction constructed K When project complete, call for compliance inspection; Glenn Goldsmith,President �QF SO&P Town Hall Annex A.Nicholas Krupski,Vice President ,`O� �� 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III J�[ Southold, New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 coUNrI,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9831A Date of Receipt of Application: March 2, 2021 Applicant: Paul Romanelli & Theresa Boyle Project Location: l 50-Beebe Drive, Cutchogue SCTM#:-1000-103-3-5.1 Date of Resolution/Issuance: March 18, 2021 Date of Expiration: March 18, 2023 Reviewed by: A. Nicholas Krupski, Vice-President Project Description: Remove an existing sub-surface sanitary system and abandon, " fill with clean sand and restore ground surface with topsoil and_lawn; establish and perpetually maintain a 10'wide non-turf buffer running along edge of wetland line. Findings: The project meets all the requirements for-issuance of an Administrative' Permit set forth in Chapter,275 of the Southold Town Code. The issuance'of an Administrative Permit allows for the operations as indicated on°the site plan prepared by Samuels & Steelman Architects, dated March 1, 2021 and stamped approved on March 18, 2021. Special Conditions: The Permittee is required to provide evidence that a copy of this 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. Inspections: Final If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. 44 e Glenn Goldsmith, President Board of Trustees TEST HOLE #1 REVISIONS: DRAINAGE CALCULATIONS NYSDEC "ADJACENT AREA" TOWN OF SOUTHOLD " BUILDABLE LAND NO SCALE ELEV. + 51 1/26/21 AREA OF RESIDENCE •DW-A SITE 3/1/21 for Trustees �� LOT COVERAGE TABLE LOT COVERAGE TABLE 1.5 FT LOAM OL AN ROVED BY DRY WELL AREA x RAINFALL x RUNOFF FACTOR SCTM # 1000-103-03-5.1 (DIN-A) 1,158517 x (2/12 FT) x 1.0 = I�IO GU. FT. MEDIUM TO p PROPERTY: 1750 BEEBE DRIVE USE: (1) 8' DIAMETER x 4' HIGH POOL SITE AREA TOTAL: 50,340 sf (I) 8' X 4' STORM DRAIN RING = 165.a GU. FT. SITE AREA TOTAL: 50,340 sf 4.5 FT COARSE SAND SP ADDRESS CUTCHOGUE, NY 11935 OAR OF -1 r�USTEES WATER IN USE: (1) V DIAMETER x 4' HIGH POOL UPLAND SITE AREA FROM SITE AREA UPLAND FROM OWNER: PAUL ROMANELLI & TERRY B YLE OW OF SOUTHOLD 11 FT COARSE SAND SW 1750 Beebe Drive (I) 6' X 4' STORM DRAIN RING = 81.3 GU. FT. TIDAL WETLAND BOUNDARY: 28,710 sf TIDAL WETLAND BOUNDARY: 28 110 sf Yh�i2 IS 1017-1 PROVIDED REQUIRED COMMENTS: WATER ENCOUNTERED Cutchogue, NY 11935 DKI 258.2 CU. FT. > MO GU. FT. 4.5' BELOW SURFACE, ELEV 1.0' AREA OF RESIDENCE (DW-B AREA CALCULATIONS FOR SITE AREA AREA CALCULATIONS FOR SITE AREA � DRY WELL AREA x RAINFALL x RUNOFF FACTOR STRUCTURES EXISTING PERCENTAGE PROPOSED FERGENTAOE STRUCTURES EXISTING PERCENTAOE PROPOSED PERCENTAGE SITE: 50,340 sf= 1.155 ac '- (DW-B) 1,3a1 SF x (2/12 FT) x 1.0 = 232 CU. FT. HOUSE: 1,211 Sf 4.429'o 2,401 Sf 5.aCl o ZONING: R-4o _ I HOUSE: 1,2�I sf 4.42/0 2,40q sf _.____.....,._ U5E: (1) 8' DIAME'.TER x 4' HIGH POOL DETACHED GARAGE: 555 5f i b&% O 5f 0910 GARAGE: 555 sf 1.869'0 0 sf 09b SURVEYOR: Nathan Taft Corwin III (1) 8' X 4' STORM DRAIN RING = 168.01 CU. FT. DECK: 554 5f I.Cf59b 554 sf I.cf3% ° 1586 Main Road USE: (2) V DIAMI=TER x 4' HIGH POOL ° DECK: 554 Sf I.Ci3/o 554 5f I.Q3% Jamesport, New York 11947 (2) 6' X 4' STORM DRAIN RING = 118.6 CU. FT. COVEREID PORCHES: 0 Sf 090, 63 5f 0.2.2 COVERED PORCHES: 0 5f 0% 63 5f 0.2296 LICENSE #50467 PROVIDED REQUIRED STONE WALKWAYS: 55a Sf 2.05% 361 Sf 1.21916 TOTAL: 2,360 sf a.21% 5,026 Sf 10.549/o DATED 6/18/19 WUj 341.5 GU. FT'. > 252 CU. FT. PAVED DRIVEWAY: 2,454 sf 8.6590 0 5f 09b AREA OF DRIVEWAY (1)W-C) TOTAL: 2,101 Bf cl.401010 3,5C15 Bf 12.52% DRYWELLS FOR 5TORMWATER = 0 0 DRY WELL AREA x RAINFALL x RUNOFF FACTOR RUNOFF (4x6) SEE DETAIL 1-5P LOOD ZONE LINE FLOOD ZONES: >- (DW-C) 2,555 SF x (2/12 FT) x 0.1 = 2119 GU. FT. ROPOSED NEW ZONE AE: BASE FLOOD ELEVATIONS USE: (2) 8' DIAMETER x 4' HIGH POOL PROP05ED SI T FENCE 0 8'(2) X 4' STORM DRAIN RING = 331.8 C.U. /O/F DURING CONSTRUCTION WALKWAY DETERMINED U. FT. �,. I.L,I PROVIDED REQUIRED RICHARD A. M. JONES 4 SEE DETAIL 2-SP XISTING GARAGE TO ZONE X* : AREAS OF 0.2% ANNUAL CHANCE Z 551.8 GU. FT. > 2Qa GU. FT. DARCY GAZZA BE REMOVED - FLOOD; AREAS OF 1% ANNUAL 1000-105.-5-I5 LOCATION OF EXISTING XISTING BF-LC71AN STABILIZED CONSTRUCTION CHANCE FLOOD WITH AVERAGE Z USES PUBLIC WATER SANITARY SYSTEM TO ENTRANCE SEE DETAIL 5-SP BE ABANDONED AND BLOCK CURB DEPTH OF LESS THAN 1 FOOT OR O FLOOD ZONE LINE AREA FILLED EW BELGIA EY`I DRIVEWAY ENTRY WITH DRAINAGE AREAS LESS BLOCK CURB ROPO5ED SILT FENCE THAN 1 SQUARE MILE; AND AREAS Uj XISTING WOOD DOCK DURING CONSTRUCTION PROTECTED BY LEVEES FROM 1% AND RAMP TO REMAIN \ 4 5 \ $, 9 10 11 12 13 SEE DETAIL 2-SP ANNUAL CHANCE FLOOD. \ ZONE X: AREAS DETERMINED TO BE -y MOOSE Q N 7643'40" E 315.98' 77 2 '40" E 119.27' \ - - - - h11, \ •, OUTSIDE THE 0.2% ANNUAL TRAIL \ CHANCE FLOODPLAIN. �. rn 11.4 , otS Vt \ �ETBA �t / I - � 131 .0 1i, rye - ETLANDS Cl / 4x8 I, z �o \ I / \ I �, F` ELEVATIONS ARE REFERENCED Z i1►_ FLAG 1 DGE OF ' I NEW 2 RIN �� TO N.A.V.D. 1988 DATUM z EXISTING 4x6 N STORY. I , A I LAWN / / I �c / ADDITION I .� F- c;> ANDWARD EDGE OF TIDAL L -- XISTING UTILITY POLE u"I �- I I J GARAGE SLAB 1 1. - __ " Q WETLANDS AS LOCATED BY G. I / LffV ++7. N E ANDED\� !� �{Ci� \ I GUY WIRE C JUST - JMO ENVIRONMENTAL ` �n ` r I DRIV•E`WAY CONSULTING ON JUNE 14, 201LI I I / 34.1' - , . \`°.�� \ o / EA BELGIAN BLOCK CURB 0 dll. / �,�,15.0 / co I � O = Z NI D / �1 I i Dw A +2!� /F 11• �� o DRYWELLS W/ METAL INLET 0 Z V SALT MEADOW O I 4tic8 �� I GRATE FOR STORMWATER r "� EXISTING , , � � W 1- 2• I FL OD ZONEO 2STORY W 6' 1 �� I RUNOFF (4x8) SEE DETAIL I-5PFnn ,I A (EL 6) r'o �� °' { Y �� MAR - 2 2021 FLAG #2 d 1 HOUSE w , , 1 XISTING BELGIAN (� PUBS 7\� LINE 12BLOCK CURB o w FLR ELEV +13."I1`II' INE OF IMITED WAVE ACTION °' J XISTING WATER METER Southold�- I I -� p► � 6:�'' �F.1 / 'I Boerd of Trustees A S 1 11 XISTING OVERHEAD WIRES D � S 111 1Q� VIE L N \ \ 10.2 34.1' W O " PROPOSED 10 FT. WIDE NON-TURF I Vc�'(�ES I I� T-� 4x8 ` C), =LF)\ � EXISTING DRIVEWAY. REMOVE: ASPHALT. BUFFER. REPLACE EXISTING LAWN 22-8 PROVIDE PERMEABLE, CRUSHED STONE 1-0 WITHIN BOUNDARY w/NATURALIZED SOU�� \ ---_ ___j / _ �, ' I I DRIVEWAY ON EXISTING 5UB-BA5E VEGETATIVE BUFFER, INCLUDING FLAG #3 1 \ \ \� 4x ( LF _ ROP05ED NEW SEPTIC, SYSTEM BEACH GRASS I I ELS+ 5.5 LE 20 oD FLOOD \A FOR A 4 BEDROOM RESIDENCE N 8�• `I�i' III, DGE OF I I i �N /N ZONE X - 5 - 1500 GAL SEPTIC, TANK (ST) TIE: LINE ALONG `3\ EXISTING I / PO FR NT YA� / - GLEANOUT SEAWARD EDGE LAWN \ \ N ( xf-) TBAGK o I - (5) V DIA x 4' HIGH LEACHING POOL (LP) OF SALT MEADOW N OD rn N . I I l B E E B E - FUTURE LOCATION FOR (2) 8' DIA x 4" z * d O HIGH LEACHING POOL (EXP) 06 _FLAG #4 22 / / 6 rn - 1 DRIVE M 07 S 77 36'S0" W I J �• o Q. I o 3 4 5 7 8 361. 8 \ 1 / I TEST HOLE #2 M A PW � o r FLOOD ZONE LINE EXISTING POND 9 10 1 1 1 12 : EL + 11 5 - , Z W X TI TO REMAIN LOUATKA _ � ? EUGENE S CREEK PROPOSED 51 T FENG LOOD ZONE LINE XISTING I w a M DURING CONSTRUCTION o� w• N U (EAST CREEK) SEE DETAIL 2-5P ROPOSE-D NF UTILITY POL COTTAGE BU I L_D I NCG ADD 171 N �� E��"eSRoA� a ~• U m m CO Cn' X 1ST 1 NO BU I O TO X15TING 0 m SECONDARY REMAIN AND RNOY,�TD NEIGHBORING SITE 9�mo� SCALE: 1 " = 20' 0" ENTRY Cy Moose 'yam SRp\1- PAUL ROMANELLI GARAG 5HED SHED 1000-103.-5-5.2 USES PUBLIC, WATER *�m ��ENE N RWpO J'E OF SITE 50' MIN COMMERCIAL o EMORY ��ONS C S��/�C? 30' MIN REIDENTIAL c ROAO � n 3 � STABILIZED CONSTRUCTION ENTRANCE NOTES: -� qT EAST EXISTING EXISTING Fa TEST HOLE #2 qVF CREEK � `�• GROUND FPAVEMENT XISTING AF 1. Stone size -use 2 inch stone, or reclaimed or recycled NEIGHBORING NO SCALE oGgsti r�qc �qr V"' concrete equivalent. $'/ BUILDING BY MARK McDONALD GEOSCIENCE STRUCTURES SOUTHOLD NEW YORK 11971 2. Length - not less than 50 feet(except on a single residence lot where 30 _ I I�I � PROJECT NO: foot minimum length would apply). 11 - TEST HOLE DATA 1/13/21 11:45 AM DRAINAGE CALCULATIONS 1704 FILTER MOUNTABLE BERM ELEV. + 11.5 DRAWN BY: 3. Thickness - not less than six(6) inches. 2" STONE OR PROFILE CLOTH (OPTIONAL) DRY WELL AREA x RAINFALL x RUNOFF FACTOR UT RECYCLED CONCRETE DARK BROWN LOAM OL WOF RFzS1DEuNtQE41DVV-A) 1.0 = IcIO GU. FT. 4. Width -twelve (12) foot minimum, but not less than the full width at points USE: (I) 8' DIAMETER x 4' HIGH POOL CHECKED BY: where ingress or egress occurs. Twenty-four(24)foot if single entrance to BROWN SILTY SAND SM (1) V X 4' STORM DRAIN RING = 168.11 CU. FT. TS site. O USE: (1) V DIAMETER x 4' HIGH POOL DATE: 50' MIN COMMERCIAL TOP OF EXISTING GRADE PALE BROWN FINE SAND SP J (1) 6 X 4' STORM DRAIN RING = 8a.3 GU. FT. 11/17/20 5. Geotextile -will be placed over the entire area prior to placing of stone. 30' MIN REIDENTIAL CAST IRON FRAME AND COVER To - PROVIDED REQUIRED GRADE (AS REQUIRED) WATER IN 258.2 CU. FT. > IcIO CU. FT. SCALE: 6. Surface water-all surface water flowing or diverted toward construction TRAFFIC SLAB (SEE PALE BROWN FINE SAND SP 1 = 20' - 0 entrances shall be piped beneath the entrance, if piping is impractical, a PLANS FOR LOCATIONS) COMMENTS: WATER ENCOUNTERED SHEET TITLE: DRY WELL AREA x RAINFALL x RUNOFF FACTOR mountable berm with 15:1 slopes will be permitted. 10.1' BELOW SURFACE, ELEV 1.4' (DW-5) 1,5111 5F x (2/12 FT) x 1.0 = 232 GU. FT. USE: (1) 8' DIAMETER x 4' HIGH POOL 7. Maintenance -the entrance shall be maintained in a condition which will :,' _ _ -' (1) 8' X 4' STORM DRAIN RING = 168.01 GU. FT. prevent tracking or flowing of sediment onto public rights-of-way, all ' Z S ' ' ? : • ® ® ® ® ® ® ® ® ® DRAINAGE BASIN FOR USE: (2) 6' DIAMETER x 4' HIGH POOL SITE sediment spilled, dropped, washed or tracked onto public rights-of-way ® ® ® ® ® ® ® ® E� 2 6' X 4' STORM DRAIN RING - must be removed immediately. SIZES SEE SITE PLANS ( ) 178.6 GU. FT. y• :Y'` t >t :. '' ^''Q > 4 ® ® ® ® ® F9 29 - PROVIDED REQUIRED EXISTING ' .. ;�; ti d �� ® ® IE ® ® ® ® ® ® Hv 541.5 CU. FT. > 232 CU. FT. PLAN GROUND _ WIRE FENCE 8. When washing is required, it shall be done on an area stabilized with 1L ® ® ® ® ® ® ® ® ® BAGKFILL MATERIAL FILTER CLOTH To BE GLEAN SAND stone and which drains into an approved sediment trapping device. � ' ;` `" � O • :, Z AND GRAVEL FILTER CLOTH MIN. 6" SURFACE ^` 1- BELOW GRADE AREA AREA OF RESIDENCE (DW-B) 9. Periodic inspection and needed maintenance shall be provided after each `>• ' tf) X ` z DRY WELL AREA x RAINFALL x RUNOFF FACTOR SHEET NO: rain. 12' MIN. OR MATCH `4 LU _ GROUND WATER '\�j/ I \�j/ I >; �OF / IAA (Q1 )x O."1 - 2G�I GU. FT. ADJACENT ROAD WIDTH .� : o // USE: (2) 8 DIAMETER x 4 HIGH POOL PLAN PERMANENT STORM WATER RUNOFF CONTROL MEASURE TEMPORARY STORM WATER RUNOFF CONTROL MEASURE (2) 8' X 4' STORM DRAIN RING = 55-7.5 GU. FT. O) MD RAINAGE RING TYPICAL ER) ��lON & SEDIMENT CONTROLDETAIL 33O8 GU.DT. > RacuR. D.BILIZED CONSTRUCTION ENTRANCE NO SCALE N 3 NO SCALE la MIN. REGULAR TORT( A PPROVALS Glenn Goldsmith,;~ '�sident OS�FF04CCG `} , Town Hall Annex A. Nicholas Krupski, Vice-President %-A 54375 Route 25 John M. Bredemeyer, III o =` P.O. Box 1179 Michael J. Domino o Southold, NY 11971 Greg Williams 9 ®!� Telephone (631) 765-1892 �Cd Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 3/3 h I Completed in field by: /J, Tom Samuels on behalf of PAUL ROMANELLI & THERESA BOYLE requests an Administrative Permit to remove an existing sub-surface sanitary system and abandon, fill with clean sand and restore ground surface with topsoil and lawn; establish and perpetually maintain a 10' wide non-turf buffer running along edge of wetland line. Located: 1750 Beebe Drive, Cutchogue. SCTM#: 1000- 103-3-5.1 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 ✓ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey :5 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: ��✓,cwLJl ��ans �/� V4s,�d �'Vl� S.'rP /`1uI�A� �I'jw�, {to,�r� �- NQW Sys 4"1W , dew p1wis 1") CI J 04 -3) 1� araJw(A (&A,) a We,,, p_ New (of pfP - irk &14 r--, I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other TEST HOLE #1 REVISIONS: DRAINAGE CALCULATIONS NYSDEC "ADJACENT AREA" TOWN OF SOUTHOLD "BUILDABLE LAND 1/26/21 NO SCALE ELEV. + 5.5 13/1/21 for Trustees AREA OF RESIDENCE: (DW-A) LOT COVERAGE TABLE 1.5 FT LOAM OL DRY WELL AREA x RAINFALL x RUNOFF FACTOR LOT COVERAGE TABLE SCTM # 1000-103-03-5.1 (DW-A) 1,158 5F x (2/12 FT) x 1.0 = Ia0 CU. FT. TOTAL 8' DIAMETER x 4' HIGH POOL � PROPERTY: 1750 BEEBE DRIVE USE: (1) AREA : , SITE AREA TOTAL: sf 4.5 FT COARSE SAND SP � (1) V X 4' STORM DRAIN RING = 166A CU. FT. SITE 50340 sf _WATER IN ADDRESS CUTCHOGUE, NY 11935 U5E: (1) V DIAMETER x 4' HIGH POOL UPLAND 51TE AREA FROM SITE AREA UPLAND FROM COARSE SAND SW OWNER: PAUL ROMANELLI & TERRY BOYLE (1) V X 4' STORM DRAIN RING = 811.5 CU. FT. TIDAL WETLAND BOUNDARY: 25,-110 sf 11 FT 1750 Beebe Drive PROVIDED REQUIRED TIDAL WETLAND BOUNDARY: 28,-110 sf COMMENTS: WATER ENCOUNTERED Cutchogue, NY 11935 258.2 GU. 1=T. > Iq0 GU. FT. AREA OF RESIDENCE' DW-B AREA CALCULATIONS FOR SITE AREA AREA CALCULATIONS FOR SITE AREA 4.5' BELOW SURFACE, ELEV 1.0' STRUCTURES EXI5TIN6 PERCENTAGE PROP05ED PERCENTAGE SITE: 50,340 sf= 1.155 ac DRY WELL AREA x RAINFALL x RUNOFF FACTOR STRUCTURES EXISTING PERCENTAGE PROPOSED PERCENTAGE ZONING: R-40 (DW-B) 1,5a1 SF x (2/112 FT) x 1.0 = 252 CU. FT. HOUSE: 1,211 sf 4.42% 2,40q sf 5.5Cf50/0 HOUSE: 1211 sf 4.42% 2 40q sf 5 3cf% USE: (1) V DW-MTER x 4' HIGH POOL DETACHED GARAGE: 555 sf 1.56% 0 sf 09/0 GARAGE: 535 sf 1.56% 0 sf 00/0 SURVEYOR: Nathan Taft Corwin III (1) 8' X 4' STORM DRAIN RING = III GU. FT. DECK: 554 9f I.C15% 554 sf I.cf 596 1586 Main Road U5E: (2) V DIAMETER x 4' HIGH POOL DECK: 554 sf 1.15% 554 9f I.Cf 3% Jamesport, New York 11947 COVERED PORCHES: O sf O% 65 sf 0.22% o (2) 6' X 4' STORM DRAIN RING = I'18.6 GU. FT. COVERED PORCHES: O sf O/o 63 sf 0.22% LICENSE #50467 � PROVIDED REQUIRED STONE WALKWAYS: 555 sf 2.05966 56ZI sf 1.2q% TOTAL: 2,360 sf 5.21% 5,026 Sf 10.54% DATED 6/18/19 WUJ 54-1.5 CU. FT. > 252 GU. FT. PA\/ED DRIVEWAY: 2,454 sf 8 65% 0 sf O% AREA OF DRIVEWAY (DW-C) TOTAL: 2,101 sf 1.405yo 5,5115 sf 12.5.2 DRYWELLS FOR 5TORMWATER = 0 0 DRY WELL AREA x RAINFALL x RUNOFF FACTOR RUNOFF (4x(b) SEE DETAIL I-SP LOOD ZONE LINE FLOOD ZONES: >- (DW-G) 2,555 5F x (2/12 FT) x 0.1 = 2aQ CU. FT. USE: (2) 8' DIAMETER x 4' HIGH POOL PROPOSED 51LT FENCE ROPOSED NEW ZONE AE: BASE FLOOD ELEVATIONS O ?� DURING CONSTRUCTION WALKWAY DETERMINED (2) 8' X 4' STORM DRAIN RING = 53'7.8 GU. FT. N/0� I-- W PROVIDED REQUIRED RICHARD A. M. JONE5 4 SEE DETAIL 2-5P X15TING GARAGE TO ZONE X* : AREAS OF 0.2% ANNUAL CHANCE Z 55'1.8 GU. FT. > 2ciq CU. FT. DARCY GAZZA BE REMOVED - o FLOOD; AREAS OF 1 /o ANNUAL V) 1000-105.-5-I5 LOCATION OF EXISTING STABILIZED CONSTRUCTION USES PUBLIC WATER SANITARY SYSTEM TO XISTING BELGIAN ENTRANCE SEE DETAIL 5-SP CHANCE FLOOD WITH AVERAGE Z BE ABANDONED AND BLOCK CURB DEPTH OF LESS THAN 1 FOOT OR Q FLOOD ZONE LINE AREA FILLED EW BELGIA EN DRIVEWAY ENTRY WITH DRAINAGE AREAS LESS XISTING WOOD DOCK BLOCK CURB ROPOSED SILT FENCE THAN 1 SQUARE MILE; AND AREAS Uj AND RAMP TO REMAIN \ DURING CONSTRUCTION PROTECTED BY LEVEES FROM 1% Q 3 4 5 6 \ 8\ 9 10 11 12 13 W SEE DETAIL 2-5P ANNUAL CHANCE FLOOD. N 7643'40" E _ _ _ 315.98' 772 '40'\E I �' 1119.27' \ - MOOSE ZONE X: AREAS DETERMINED TO BE - - kill \ - s OUTSIDE THE 0.2% ANNUAL - - - PATH _ _� p _ ' '� .O� _ \ \ 13 TRAIL CHANCE FLOODPLAIN. Og �I ` \TH'� IIS'-"I WETLANDS �ETBA rn 4xs ' \ (� I, '� 1 I 1� , _ F ELEVATIONS ARE REFERENCED Z Ljj FLAG #1 I I . R IN ��`;� TO N.A.V.D. 1988 DATUM DGE OF NEW 2 A _ �j Z - EXISTING 4x6 ' STORY I , �=\` ��` �- I 0 LAWN I ADDITION I ,�-� / ., �_ ANDWARD EDGE OF TIDAL I LGARAGE SLAB 1T Q� QJ ` % XISTING UTILITY POLE I LET M.'�f N - Q �j _ I GUY WIRE WETLANDS AS LOCATED BY G. 1 E ANDED'�� ' lCi � o ' JUST - JMO ENVIRONMENTAL in i DRIV.E`WAY °. �� ; v I > 0 CONSULTING ON JUNE 14, 20101 I I / 34.1' -� ,15 �' / fa`, \�\� coo / EN BELGIAN BLOCK CURB nn O O U � ; Z ;t = N X'� / 1 i i DNY A o DRYWELLS W/ METAL INLET Z V SALT MEADOW OD ZONE O O •-/7 EXISTING 6 ', , 1, / 4x8 \ `�`\ ;% m I GRATE FOR STORMWATER f _ W I-- t✓ / 2• I FL \ I Io ` 2 STORY }i �, ��\ I RUNOFF (4x8) SEE DETAIL I-SP BAR 2 2021 �/ \ FLAG #2 E (EL 6) �1d 1 1 011 -1 HOUSE w , , a XISTING BELGIAN cc\ I I (n ` _V �,- c,a FLR ELEV +I5.1 i , PUBS TER LINE I BLOCK CURB 12 Southold Town �� °' LINE OF WAVE ACTION X15TING WATER METER Board of Trustees , li, � / I I a �., o'- N ' XISTING OVERHEAD WIRE5 11L �QO WE LA \ \ 10.2 34.1 ' V -___7 ST' i^ PROPOSED 10 FT. WIDE NON-TURF 4x8 �0�- - 'LF)\ j EXISTING DRIVEWAY. REMOVE ASPHALT. BUFFER. REPLACE EXISTING LAWN 2_8 OLp T " _ ._ �\ PROVIDE PERMEABLE, CRUSHED STONE 1_0 WITHIN BOUNDARY w/NATURALIZED FLAG #3 SOUTH DRIVEWAY ON EXISTING 5UB-BASE i � VEGETATIVE BUFFER, INCLUDING 1 - BEACH GRASS TEST HOLE 4xb LeF) \ ROPOSED NEW SEPTIC SYSTEM L P L FOR 4 BEDROOM RESIDENCE �I► I I EL + 5.5 � � 2pN o� FLOOD �' � I / RES N u II, DGE OF I I //v ZONE X 5 - 1500 GAL SEPTIC TANK (5T) PO I TIE LINE ALONG 2�� EXISTING / - FR NT YAR - GLEANOUT� SEAWARD EDGE /'!' \� LAWN N ( xF) ->-B?,GI< I - (3) 5' PIA x 4' HIGH LEACHING POOL (LP) OF SALT MEADOW 1_3 ' / FL OD rn .� N , , 9) : BEEBE - FUTURE LOCATION FOR (2) 8' DIA x 4' ZON X* Y O v / I HIGH LEACHING POOL (EXP) °d Z' 9' FLAG #4 2- / ,'�., CD rn - DRIVE a I 3 4 5 361. 8' \ I / I TEST HOLE #2 J '� o F OOD ZONE IN 7 8 9 10 1 1 1 12 : I FW -J• X 3 EL L I V M A W Z W x EXISTING POND a EUGENE ' S CREEK PROPOSED SILT FEN, TO REMAIN LOOD ZONE LINE Ij W• o o XISTING a N c, DURING CONSTRUCTION cm o (EAST CREEK) SEE DETAIL 2-SP ROPOSED NE UTILITY POL I P W. }�I N = M COTTAGE BU I L.D I NG ADD I TI I�( E�GRRRgROP° r Q ~ U X I ST I NCB BU I & TO XISTING $ m 711111 REMA I N AND RENO\/ATED NEIGHBORIING SITE tiy�� ., o PLAN-SCALE: 1 " - 20' 0" ENTRY °� PAUL ROMANELLI M°ose '1F 'tRpl 1000 -5-5.2 GARAG SHED SHED F 4v USES PUBLIC WATER SITE m�n F4pN y N R WOO �O„r� 50' MIN COMMERCIAL L ERop ��P C. r 30' MIN REIDENTIAL o , Sri VJ�LS � STABILIZED CONSTRUCTION ENTRANCE NOTES: '-O" EXISTING ATER EAST { EXISTING TEST HOLE #2 AVF CREEK GROUND x{Al+;r PAVEMENT XISTING Fv r << � � 1. Stone size -use 2 inch stone, or reclaimed or recycled NEIGHBORING NO SCALE oAsy RAc �Ar N�c 1835 BY MARK McDONALD GEOSCIENCE concrete equivalent. $'/ BUILDING ••� STRUCTURES _ _ SOUTHOLD, NEW YORK 11971 2. Length - not less than 50 feet(except on a single residence lot where 30 •� PROJECT NO: foot minimum length would apply). �,T�11 I IT�1 ,111= TEST HOLE DATA 1/13/21, 11:45 AM DRAINAGE CALCULATIONS 1704 FILTER MOUNTABLE BERM ELEV. + 11.5 DRAWN BY: 3. Thickness - not less than six(6) inches. 2" STONE OR PROFILE CLOTH (OPTIONAL) r DRY WELL AREA x RAINFALL x RUNOFF FACTOR UT RECYCLED CONCRETE DARK BROWN LOAM OL AREWOF F,?JE6tD&NQE4DVV-A) 1.0 = 1-10 CU. FT. 4. Width -twelve (12)foot minimum, but not less than the full width at points CHECKED BY: where ingress or egress occurs. Twenty-four(24)foot if single entrance to BROWN SILTY SAND SM USE: I) 8' DIAMETER x 4' HIGH POOL 8 TS (I) ' X 4' STORM DRAIN RING = 168.q GU. FT. site. O USE: (1) 6 DIAMETER x 4' HIGH POOL DATE: 50' MIN COMMERCIAL TOP OF EXISTING GRADE PALE BROWN FINE SAND SP ' (1) V X 4' STORM DRAIN RING = 8Q.5 CU. FT. 11/17/20 5. Geotextile -will be placed over the entire area prior to placing of stone. 50' MIN REIDENTIAL CAST IRON FRAME AND COVER TO r PROVIDED REQUIRED GRADE (AS REQUIRED) WATER IN 258.2 GU. FT. > IaO CU. FT. SCALE: 6. Surface water-all surface water flowing or diverted toward construction TRAFFIC, SLAB (SEE PALE BROWN FINE SAND SP 1" = 20' - 0', entrances shall be piped beneath the entrance. if piping is impractical, a PLANS FOR LOCATIONS) COMMENTS: WATER ENCOUNTERED SHEET TITLE' DRY WELL AREA x RAINFALL x RUNOFF FACTOR mountable berm with 5:1 slopes will be permitted. 10.1' BELOW SURFACE, ELEV 1.4' (DW-B) 1,5a1 5F x (2/12 FT.) x 1.0 = 252 GU. FT. USE: (1) 8' DIAMETER x 4' HIGH POOL 7. Maintenance -the entrance shall be maintained in a condition which will H _ (I) 8' X 4' STORM DRAIN RING = 1168.01 GU. FT. prevent tracking or flowing of sediment onto public rights-of-way, all Z ® ® ® ® ® ® ® ® ® USE: (2) 6' DIAMETER x 4' HIGH POOL sediment spilled, dropped, washed or tracked onto public rights-of-way <. DRAINAGE BASIN FOR = SITE N ® ® ® ® ® ® SEE (2) b' X 4' STORM DRAIN RING I"i8.6 GU. FT. must be removed immediately. z SIZES SEE SITE PLANS EXISTING ;Y. :t. It:�: ~' �' O-4i - ® ® ® ® ® ® ® ® ® > WIRE FENCE PROVIDED REQUIRED ® ® ® ® ® ® ® ® ® Yy/ 347.5 GU. FT. > 232 GU. FT. PLAN 8. When washingis required, it shall be done on an area stabilized with GROUND ;` •` �; , y 0- z°- ® ® ® ® ® ® ® ® ® BAGKFILL MATERIAL FILTER CLOTH q N z TO BE GLEAN SAND stone and which drains into an approved sediment trapping device. rU d O ® ® ® ® ® ® ® ® "•` ''' AND GRAVEL SURFACE MIN. b f':., Z ® ® ® ® ® ® ® ® ® FILTER CLOTH DRAINAGE 9. Periodic inspection wind needed maintenance shall be provided after each - - BELOW GRADE FLOY,� AREA OF RESIDENCE (DW-B) - z DRY WELL AREA x RAINFALL x RUNOFF FACTOR SHEET NO: rain. 12' MIN. OR MATCH `'� w � _ GROUND WATER ��/�� /��j�� A)OF IEWA)bf I3WfC)x 0.7 29"t GU. FT. ADJACENT ROAD WIDTH .� : o �/ USE: (2) V DIAMETER x 4' HIGH POOL PLAN PERMANENT STORM WATER RUNOFF CONTROL MEASURE TEMPORARY STORM WATER RUNOFF CONTROL MEASURE (2) V X 4' STORM DRAIN RING = 55'7.5 CU. FT. STORM DRAINAGE RING TYPICAL ER( ��TIQN & SEDIMENT CONTROL DETAIL 55-7.5 1DEDT. > RagCUU.. F. STABILIZED CONSTRUCTION ENTRANCE NO SCALE DN O 3 NO SCALE 10' MIN. REGULATORY APPROVAL S TEST HOLE#2 TEST HOLE#S SITE DATA RF51DE FlRST PLR EL 19T FT T SCALE T SCALE ELEV•5 5(�j ELEVATION11.2CLEAN OVr BY MARK Dc00NALD K 11971ENCE VELVEELEVATIOuclog PT6R 2LINE ELEVATION—D PT TESSOUTHOLO,NEW YORK 119T1 SCTMq 1760.BEEBE 1 MIN]HAKTEST HOLEDATA 111=1,1145AM MEDIUM TO PROPERTY 1T60BEEBEDRIY 1FTI COARSE SAND SP ADDRESS CUTCHOGUE NY 119J5 ELEV•115 WATER IN OWNER PAUL ROMANELLI S TERRY BOYLE AR OAM O 1FTCOARSESAND SW 1T60BROWN SILTNO DMMENTS WATERENCOUNfERED Cuic0P9N<,NY 11955. POOL Pm POOL•a a L S BELOW SURFACE ELEV 10' PALE BROWN FINE SANG BP Q SITE S0,9d0 e1=11S5 ac IE _ ZONING RAO • 6NOUND WAreR.l4 ATER IN SURVEYOR N91Pan Tall C01wIR III 9'HIN PALE BROWN FINE SAND S 15BGM 1R d SEPTIC PROFILE COMMENTS WATER ENCOUNTERED `\\ JOmeepoN New York 11.1 101 BELOW SURFACE,ELEV IA \ LICENSENS066) INTIS \ \ DATE..10119 'W Y DRYwELL9 POR STLRPWATER / \\ =U 0 R.NOPP fam) LOOD zONe Lt. \ FLOOD ZONES F } osev NEry \�ZONEAE BASE FLOOD ELEVAT10N3 Z WUV`RD AOH JO c51 / WKF ISTINb 6ARAbE To INED ZONE X• AEASMOF02%ANNUAL CHANCE 0W \ Z o_T bAZ2AOLTTI�ON OP // Be REHwED — FLOOD,AREAS OF 1%ANNUAL Q-109-s-10 \ CHANCE FLOOD WITH AVERAGE Z USES PUBLIC WATER SrWITARY SYSTE TO BE REHO DEPTH OF LESS THAN iFOOT OR O//� w DRNEvuY ENmv ''((JJIITHDRAINAGEAREAS LESS F AJf xISTINb PtlODDOC.HAIN TkAN 1 SDUARE MILE,AND AREAS LU Arm RANp To rsel-uIN \ a 5 6� ) B g PRaTECTED N LEVEES FROM 1% Q N)6•J 10'E / I \ \ \ 1D 1j 12 13 ..,L ANNUALCHANCE FLOOO Q _ _/� J 9B' .N n11O1E I �N92T1 MOOSE ZONEX AREAS DETERMINED TO BE Q_ ' _ .... - 1 OUTSIDE.THE02%ANNUAL // \, I I f-�,1-• --•j � �; 1J TRAIL CHANCE FLOOOPLAIN i _ r\ ` I I X r I /IWw n�t�sw•• � •4 y'•J 1 Z / ELEVATION ARE REFERENCED N '� �[1 i1 �• l TO NA VD t80 DANM O W Ny.L yf�d s'fl. d T I l DDDION-f 1,T fl3 JI.Jr, J'vI I / F-Z LL nA EsoLAT e�b I / \ I J/ / J=,;- ` :riS-"•'-� L:y- fi�'`y-1'.1'1:t, \ exlr� luTr FOLe Q C7 CON.M.TINb ON JME 14 2019 I I I/ 1 I / / k -•T J S^✓l:r•JL. \ I / S O / IIIRbbb i��ilT�,n.,a 3.,Mill e I G= £\ 1l I L •/ �1 E - -",IIT , o �NELLs W!@TAL INLET ` Z y,� SALT HEADOw� I I PI O�� a \ I n_�1'{SYWfS i i S 4+ :t: \\r•'/I LNO F IM.ITEE DETAEIL I— W O LL 11 1 IZH$UTORY-_LM <� \ 1 / IEL bl i1 \ I 1 r i , _ _�5p*R_r E%ISTIHS 'FD.•G Rxl9Tlri5 OVERNEwD WIRES I 0 m L V `- h^'-r -':Rs' D u o R i_ I ._- xlsner,wnieR.rereR �r o.T ;I�!,T� :-1,'It D/5 JLP 1 a 1 aik• —excel VSTI a v6aNE�Ae�ERCRus� 9TD ouEI l (p \ .. :k•.1 / RIVEWAY ON E%ISTINb 511E-BASE II \\ \ IIIII e1S�LP 1 •YZ�' OR A 4 BEDROOM RESIOENOE iflt I I I \ 1y��I�G� P rY• FLOOD E. I 11 I IIII vLLEANWTSEPTIL TANK(Si, TTEEEL5.99LE1 \ 1�41�u1 T iYgl T1^iv/. JP DIA=a OM OR(2)Ns PODL ILP) LP SAL:P�°bDELw J a I I I / S\\ P \ I I�$7 I I P nwE LLLADLN FOR a,B CIA n i e.P �ir1.2 e^,III BEEHE HILH LEALH1N6 Pool lExPi ma 9• I / \ \ _ \, r • i DRIVE 5 w 11 I l a e 3 J e s i e J61 It I Ali I / �f • ° 1. 2 EUGENE•S CREEK c LOOO2 LINE xISTINS II LOCATION MAP f (EAST CREEK) ROPOSED NEW VT1L1^ BUILDING ADDITI N I ,Pe•�' a� �' SITE PLAN X15TIN6 BUI G TO � �p1 REMAIN AND RENOVATED SCALE V=20'-0" PAVL RL� L=1 /�� t,s•'• IDOL-IL � Er�D SPED U5E5 FU%iL vta / O 5 \ %19ilNb '^1 Y {k JF L� \ �EIbHBORINb �.,M 4i4,j E V E 0 a{LL 11__ \ BTRULTLREB •�"-�•. U I1l.�L� PROJECT NO D \\ // 1704 DRAWN BY \ UT \ / CHECKEDBY \ / TS 21 F E B 10 2021 , SCALE 20'.D i 1••= a• D SHEET TITLE SITE Southold Town PLAN Board of Trustees SNEET NO SCDHS SUBMISSION la v NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Divisions 0 Environment&.'P.—rnitso.Raegior°,1 SUNY'@ Stony Brook.50 Circle Road,Stony Brook,NY 11790- P:(631)444-0365 1 F.(631)44"360 wWw.dec.ny gov PERMIT MODIFICATION February 19, 2021 Mr. Paul Romanelli 1750 Beebe Dr. Cutchogue, N.Y. 11935 ° Re: Permit 91-4738-00880/00004 Facility: 1750 Beebe Dr., Cutchogue, N.Y, SCTM#1000-103-3-5.1 Dear Permittee: The Department of Environmental Conservation (DEC)has reviewed your request to modify the above referenced permit in accordance with the Uniform Procedures Regulations (6NY6RR Part 621). It has been determined that the proposed modification will not substantially change the scope of the permitted actions or the existing,permit conditions. Therefore, the permit is hereby modified-to authorize: Current sanitary system will be abandoned and'filled based on Suffolk County Y Depar`utment of Health Services Regulations. A new conventional sanitary system will be installed greater than 100 feet from the tidal wetland boundary. All work must be done-in accordance with the plan prepared by Thomas C. Samuels dated 2/812021 and stamped NYSDEC ap 'roved 211912021. Please reprise condition#12 on permit issued November 6, 2020: Sanitary System: Existing sanitary system will be abandoned based on-Suffolk County Department of Health Services Regulations. New conventional sanitary system will be installed greater than 100 feet from tidal wetland boundary. This letter is a modification to the original permit and must be available at the job site whenever authorized work is in progress. All other terms and conditions remain,as written in the original permit. Sinc I , /(semi L.Aicher Regional Deputy Permit Administrator cc: Thomas C. Samuels, BMHP, File Conservation SEE aEC. '`eEE - LINc �"nE 1 w oi; H i t , ONE ` � �r � � AT SEE SEC. tA• 1 •*� a -. FOR pCL NO.NO .. 4 \M Y- y M .�.q91 08-091 2 E J I '' ~ ♦ \/ to l 2 co♦arr♦ ea +5 ,� ♦:W(cI t't1.L�:' CA A 95h 12 a r 5 \ ♦ mucr 5. rm Af`1 r•` i � �Q. ! e c� � � /"�� ! ♦ s+ t � �: � r tea ten i ti �,r, - " fi - +' g .r �Cq� �\ -. '� �. �,w � r1 � �,* s 1 m .♦ � t,/ `.\,"� ♦ 1 I , ry >� ♦ t � r"j .� { �raE t�K� . ri � � � ape 19 11n11 O ly l�c �\\' � fix, ! � a !'p �, �� /A- � ' �" �♦ r ^ { i „/�, ,p �a ivy ♦ '♦:3s. - tty,d • RD. a �:,. + a !p,`P! ♦!' tee e r �-�"�� { � ��'. '• �°�°�'°E t1 r,E��fit � p e" 21 m 2t� �,z�� i� a!�p B a as er mA a` �'� �-r € '� ♦ 19 { r M : 'ti♦t z.an 2a t �} r k � ! � b tee ; m 2�n �y e�'. t/ , •�' 1�5 v � O O w „ ,-�'^ s�., b� O sy� �' e> e� �*�� . '� ^s �a a�W��" H n yjlan* � w °e a e 2B n„ '¢? �h°�1' ,�• , M22 �1 { 'ems _ 1 a 'e <l b a ♦ a "° ® ! n 4't*`STft� .`�' � �. '>k. ^�a� to a gar�`� �. r a { ?� 2 � ram¢.�s�� _� ♦ `2 s a • e a fi' !ay/ !o !. / o ay/ h a /. x ; --b^�k } ti ♦ 5 {t_ {1 BPI-�WiN PL. lso'1 .r rm �xa a I P o'P? ♦ ♦ 1 rP4 a a- .a" " k;T s ..ERy (so7 � e P � e Q r7 �o a s! �"��,E„µ �� ,�` �� 't��'- "s'x� �� • eta 1 as n ,��,�y,ra* c,. �''" b4 � � !a ♦ ♦, „� � .' ��(+ � 2' t.vdc)r err r� «r �" . a q� e.� ,•'' Q! e' !, :! P �q�,� 1'l -. ~ tst\ t1.t n2 22+ PIN', u�w,d � �7�4`k o s 'Li d ! a �c � _, 4' ,'� /,, m „' ♦t��`� � . 2-6 If J ♦� rt FJRf LNO EOi 4CI NO r r _ ,n SECTION NO NOTICE COUNTY OF SUFFOLK O E R A Property Tax Service A6 9 N ew.naaEra.n auiva a.� x aoumOeo .�Q r� l[ oan c me E as ec mom.* E..anaa�no�ts rxr sanro omae Eo :M .a. rowers ... -.'.: .._:,._, S w;r.r�_... ,.. .. .� � 2,� po., .�_ _ � �♦\ _�1 ge c.no.oie - - .-.-a5!*^yP.c`- x -. - ,-i'9-, Z OFFICE LOCATION: �� MAILING ADDRESS: Town Hall Annexe vk P.O. Box 1179 54375 State Route 25 .' Southold, NY 11971 (cor. Main Rd. &Youngs Ave.)Southold, NY 11971 Telephone: 631 765-1938 E LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date: March 12, 2021 Re: LWRP Coastal Consistency Review for PAUL ROMANELLI &THERESA BOYLE SCTM #1000-87-3-58 Tom Samuels on behalf of PAUL ROMANELLI & THERESA BOYLE requests an Administrative Permit to remove an existing sub-surface sanitary system and abandon, fill with clean sand and restore ground surface with topsoil and lawn; establish and perpetually maintain a 10' wide non-turf buffer running along edge of wetland line. Located: 1750 Beebe Drive, Cutchogue. SCTM#: 1000-103-3-5.1 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 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 Glenn Goldsmith,President Town Hall Annex A-Nicholas Krupski,Vice President 54375 Route 25 P.O.Box 1179 John M.Bredemeyer 1H Southold,New York 11971 Michael J.Domino C/1 RZ Telephone(631) 765-1892 Greg Williams Fax(681) 765-6641 eo BOARD OF TOWN,TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Ec " W- E R - Wetland Permit Application 2021 -Administrative Permit MAR - 2 Amendment/Transfer/Extension , I —Received Application: 5,2.Z( 7 , Received Fee: $ 100.— Southold Town Completed Application: Board of Trustees Incomplete:_ SEQRA Classification-, Type I_ Type II Unlisted Negative Dec. Positive Dec. -Lead Agency Determination Date: -/—Coordination:(date sent): "I LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: ?-164-1 -Receipt of CAC Report: Technical Review: Public Hearing Held: -3.M, Resolution: Owner(s)Legal Name of Property(as shown on Deed): &&d el 6,9, 0 Mailing Address: Dn'vx" aL��koqv& ' M, aq�� . 14fa '/' V Phone Number: 7-7 q- Suffolk County Tax Map Number: 1000 - 103- (915-0 / Property Location: /75 0 ezbjj� orliet a-r& (If necessary, provide LILCO Pole distance to cross streets, and location) AGENT(If applicable): ,�lr &"qk Mailing Address: -e, , AW iffl-� Phone Number: 40 Email: To-m(P, a i w— tud� tee,111UH, CCM Board of Trustees Applic ion GENERAL.DATA Land Area(in square feet): Area Zoning: 4-40 Previous use of property: GL Intended use of property: Covenants and Restrictions on property? Yes ✓ No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? ✓ Yes 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 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓ No Yes If yes,provide explanation: Project Description(use attachments if necessary): J l o0w/ C1 WLf �^ 77VS Board of Trustees Appli4 ,ion WETLAND/TRUSTEE LANDS APPLICATION DATA i Purpose of the proposed operations: [6 O Geer e'Lf� - V c i cc9t�s�yUG�`eGl ov fsArea of wetlands on lot: D square feet Percent coverage of lot: 3 % / �l Closest distance between nearest existing structure and upland edge of wetlands: H V / feet �/� i/ Closest distance between nearest proposed structure and upland edge of wetlands: l/p feet Does the project involve excavation or filling? No V Yes If yes,how much material will be excavated? cubic yards How much material will be filled? cubic yards f�,/�c��Ul � �qb�e�1 0 Depth of which material will be removed or deposited: �? —feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: &K&1'I 1(41 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): Kx*W�- mZ1 twe Po -zh, effed 01 -60 Qi� GAS ©G'®lZ�''' K boa 61 Z20 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 l based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: , 66c, cm- �I , eep a,<)Aav a-( rAmme-U/ f2?s 'dwaoee Project Location(describe,an_attach a location Map):-- &ekOr 4,-d � CWf iD rtl A4 e C � Brief Description of Proposed Actidn:- !�� KCSfI�?� ��11�L i ] cS�✓�� i� 1�Icx�— i f�//,i 01 Name of Applicant or Sponsor: Telephone: 3` 73� j�/ � G' W ��ii (/� ae,(s k14, E-Mail' City/PO: State: Zip Code Qlkh f //V3r 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO IYES administrative rule,or regulation? ❑ If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: El I cied IV 3.a Total acreage of the site of the proposed action? 2D acres b.Total acreage to be physically disturbed? 0r�� acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres :4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial []Commercial RrResidential(suburban) ❑Forest ❑Agriculture ®Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 ,5. Is the proposed'action; -NO YES N/A a,A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? El [00 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 proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO , YES If Yes,identify: • � �. � �" 8. a.Will the proposed action result in a substantial increase in'traffic above present levels? NO [ ' YES b.Are public transportation service(s)available at or near the site of the proposed action? d 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 (Mg;-1 � wile sere<c� jGl *C, If No,describe method for providing potal3le water: 11.Will the proposed action connect to-existing wastewater utilities? NO YES_ If No,describe method for providing wastewater treatment: 12'. a.Does the site contain a structure that is listed'on either the State or National'Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Idl� ep tify the typical habitat types,that occur on,or are likely to be found on the project site. Check all that apply,• �Wshoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional [ZWetland ❑Urban [?S`uburban 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? j 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? 'EJNO AYES , b.W ill stortit water discharges be directed to established conveyance systems(runoff and sto drains)? If Yes,briefly describe: ❑NO' EYES 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 proper;been the location of an active or closed NO YES solid waste management facility? If Yes,describe: Q 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 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATEVO THE BEST OF MY KNOWLEDGE Applican sponsor ame: C (,c , Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 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 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 a ❑ 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? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the El 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 ❑ reasonably available energy conservation or renewable energy opportunities? 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)? LJ Page 3 of 4 s No,or Moderate' small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? El 11. Will the proposed action create a hazard to environmental resources or human health? o El 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 this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) .PRINT _ Gage 4 of 4 � Board of Trustees Appli(_3-.0mm A-J�O ATION (Where the applicant is not the owner) Wive, td Jn -mx- owners of the property identified as SCTM# 1000-191_f�-- in the town of New Fork,hereby authorims _ ,9m o, Z7,(% IFIr- fil l J�r �reaG to act as my agent and handle all necessary work involved with the application process for permit(s)from the Somhold-town Board of Trustees for this property. Property owWieyS' store Property Owner's Si e SCORN If0 BE, ORE ME TIRS '��" DAY OF gy ' A L:=.. Notary Public �xaY4l7S`3 y, MUM? ��E:ir.s? slate ofplawYm, , �fsa:CCVC:i��13E$��sa7te�t� a � 1 OP !� BEING DULY SWORN DEPOSES AND AFFIRMS THAT EWJSHE 19 THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE �lMANNER SET FORTH IN THIS APPLICATION AND A$S MAY BE APPRI� I�By K HE S�Oggv-LH�IOyLD'TOWN.BOARD�O�Fg�Y R^tl tSTE�`S. 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 SAE D PERmT(S),IF GRANTED. IN'CO IPLETING 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 lN CONJUNCTION WITH TEN 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 TRUSTEE,S DURING THE TERM OFT PE 'I'o Sigpature of Prupe wrier Signature of P er SWORN TO BEFORE ME THIS �� ° DAY 04-1�� a 20'L O TRMSAMONAL DISCLOSURE FORM maim £lf'_� sC � e�rhoflhhtsrt ! of tnanr�i„� assd 'alk form 6 to rmxm i 6,-e YOUR ' (tsar Win% �_.rasing. Initial,untess YOU are appfyiag in the ner=of sonwattv elst orotheroatity.such as acongmy.use,sadicatethe other pason's or ny's than&,} Tax grimmoe Varimm amporzone total Edon Appovalofplot Mooring . Ex,mWdon ftm plat of off ebi map ..�r .� Ph mhing _ C-IN-i (If"Odl&',sm--M 11M r tivhtg -- Do ,qxmw,siblin& any officer or enhpleft afthe Town of Southold? a`Itelationship" hY btvod,naurriage„or busihte�Merest."8usi in�arest"sr�ahs a busih , including a psrwshipi in which the town ofii'M or ernptoyee bag ewm a pow owneiship of(" hy)atexponfin in vrhfcb the oit M*r eniployo owns mom tlhan of the shoo YR§ airy --- ifyou answered"YEV,complete the balsa=of this form and daft and.sW vdm Indicated. Nam ofphersmh employed by ftTown of Southold Tift br position ofthatperson ��u.�r�3�-r�i�s�t�ieti- �a�c��w,fnsae�ir?iyac��r.:�; ��C"�oi� [4�� -�s•a:.:•��as -cs�' ��ay�.�ad6�rCii�s9� the A)t 4;n D)ar&wftwirbe in t'.seV= mtd. 'llhn:fowth officer orer�4oyetorhlsorhtzappuse,sibling,pat�t�adfild is(�kalltltatappiyr A)dw ownt r of gmaw ttmh S%of dw si am of foe outparate stock ofthe ahppifcw (who ft$Ml'srant is a ompramy, 0.—kgai ar ."U: -; Ufa by;Ua xh rah ima101-M Wate.e,-1sdg r(W-W i the D)to actual mmic uht. DESCRII'7110N OF RELAI IDAISW Subrthitfsd of Suture Fixm TS i — TRANSACTIONAL DISCLOSURZ FORM ehs_fornct" :Is oyapy�ycs�tic.� .ieafitrl 4 awl ear,alert A anwa R-_g�t M o�,�ltc� f�and allow is tC�"M Mb r��{+ `M iL+�Jl QMMV Rm- J (Lastnemr,f cst name,rpiddte initial,upless.you are applying iu Zke nmme of someone else or other entity,such as a company.If so,indicate the other pewon's or company's name.) 14MAIR OF APPLICATION: (Chuck all that apply.) Tax grievance rait Variance _ T Change of Zoae Coastal Erosion, Approval ofigat Mooting Exmpdon from plat oroffrcial map Planning Cthar (if"Odwr",melee flea w%fiif.} _ Do you pewnelly(or through your r company,spouse,sibling,potato,or child)have a>eWonship with any officer or employee of the Town of Soufttd? "ReWonsbip"hicludcs by blond,nmaiap,or bteatess interest"Business Wwwr means a busing, inetuding a parowship6 in which the town offiWor employee has even a pmtiai owssership of(or c'ssepleyrml by)a corporatlon in which the town otfwer or emptoyw owns spore than S't'o of the shares. Y1-S NO -- if you answered"YES",complete the balance of this forin and date and sign where indicated. Name of persona employed by the Town of Southold Title b r position of that person fa=rihe€tar selatio"p lvowwn yruaeself(lhe maplicanUagent4epmesrta Live)and the town officer or employee.Father check tu Wrapi=sine A)drovin D)mWer ir.Lh--qat�:provi&L The town officer or employee or his or her spouse,sibling,parear,of child is(check all that apply): A)dmownerefgreater d mt S%of the shamsof the empon to stock ofthe applicwt (Yftn the applicant is a=Votmiosr); __B)the legal or bemticisl owner of any irMerest in s non-corporate entity(whets the a J�;,-reef a C0!;nnr910R: C)an o'it=,director,parer,or c€ ploys of the applicant;or D)the actual applicant DESCRWrM OF RELATIONSHIP Su title day of 20_ Me th I"orrn TS 1 APPUCANVAGEWAIEPRESENTATI n TRANSACTIONAL DISCLOSURE FORM la To"QL'�MS 22M sea do Won 26"Unalank. neasary to Avol �a M. E YOUR NAM : -- U Aalfimt (Lest name,fiist namc, riddle 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 Vaarrience /j�� Taustee Change of zone y Coastal EroSffl Approval of plat Mooring Exemption from plat or official map Planning _ Other (lf-Other'',nacre the aciivity.) 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 ihteresL"Business interest"means a business, including a partnership,in which the town officer or emploype has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% f the shares. YES NO if you answered`ACES",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 appliciuWageatlrepresomative)and the town officer or employee.Either check the appropriate line A)through D)and/or dewAbe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(checkail trial apply); A)the owner of greater than 5%ofthe shares of the corporate stock of the applicant (when the applicant is a corporation}; B)the legal orbeneficial owner of any interest in a non-corporate entity(whea the applicant is not a corporation); C)an officer,director,partner,or employee of'the applicant;or D}the actual applicant: DESCRWMN OF RELATIONSHIP w Submitt d this Print W8M. `M 04 Z4. Form TS 1 Town of Southold ip' , 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 Revitalization Program. A,proposed action will be evaluated- as to its significant 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_explained in detail, listing both supporting and non- stimortint1acts. 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#-103 -3» 5-1 PROJECT NAME 14 ce The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ BuiIding 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: f� c few w,')*t'k l s e . -��iS�Z��, ��l ry' l�b'GL I�a1l 2 s �j �pk a \• ESL r�� !� Location of action: f� � � _ fc� Site acreage: 50,3 40 cS A 165-1,4 ex(i S T� a Present land use: ' � Jm Present zoning classification: — 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 (b) Mailing address:__ 75 A e1ff be, I;�� (c) Telephone number: Area Code{ ) —� 27 (d) Application number,if any: . Will the action be directly undertaken,/require funding,or approval by a state or federal agency? Yes ❑ No 2 If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. _DEVELOPED COAST POLICY Policy 1.. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section IIY—Policies; Page 2 for evaluation criteria. Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWR.P Section III—Policies Pages 3 through 6 for evaluation criteria ell Yes',❑ No ❑ Not Applicable t Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWR P Section III—Policies Pages 8 through 16 for evaluation criteria +=� Yes No ❑ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria NYesEJNo Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes No P 'applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. R, Yes L1 No Q Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances andwas tes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. 0 sa Yes u No Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies;,Pages 38 through 46 for evaluation criteria. Q YeO No u Not Applicable Attach additional sheets if necessary WQRIGNG COAST PO 'IES h ` 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 ❑ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estua and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65 forZNot on criteria. ❑Yes ❑ NoApplicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; P es 65 through 68 for evaluation criteria. ❑Yes ❑ No Not Applicable / j PREPARED BY _( M . GL_�jCS TITLE__/ 1i!/L% � DATE J�L 'All 0 E_ p E C E 0 V E S A M U E L S & MAR ® 2 2Q March 1, 2021 S T E E L M A N Southold Town Southold Board of Trustees Board of Trustees Town Hall Annex 54375 Main Road, Southold, NY 11971 Re: Removal of sanitary system at the ROMANELLI RESIDENCE 1750 Beebe Drive, Cutchogue SCTM#1000-103-03-5.1 Dear Board of Trustees, I hereby submit materials for an ADMINISTRATIVE PERMIT for the above referenced project. The permit requested is to remove an existing sub-surface sanitary system, which is located partly within your jurisdiction. The existing system will be abandoned, filled with clean sand, and the ground surface restored with topsoil and lawn. Note also that requested non-turf buffer is shown. Attached please find the following: 1. Four (4) copies SITE PLAN 2. Trustees Permit Application 3. Short Environmental Assessment Form 4. Affidavit 5. Authorization 6. Applicant/Agent Transactional Disclosure Forms 7. LWRP Consistency Assessment Form 8. NYSDEC permit 9. Check for$100 Please note that original items 4, 5 and 6 were submitted as part of original application for Letter of Non-Jurisdiction, and are on file in your office. Please get back to me with any questions or concerns. If application is complete, please schedule time for consideration and, hopefully, approval. Respectfully submitted, UK*U- Tom Samuels, RA ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (631)734-6405 FAX(631)734-6407