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HomeMy WebLinkAboutTR-9952 Glenn Goldsmith,President q SD!/� Town Hall Annex A. Nicholas Krupski,Vice President ,`O� Ol0 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams �O �� Fax(631) 765-6641 l'Y�OUNTI,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU,ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF.TRUSTEES '72"HOUR8-PRI6R TO COMMENCEMENT OF-THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-constructi6n; hay bale line/silt"boom%silt curtain -1st day of construction- %2 constructed When project complete, call for compliance inspection; BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO.9952 DATE: JULY 14,2021 ISSUED TO: ANTHONY IENNA PROPERTY ADDRESS: 2400 GLENN ROAD,SOUTHOLD SCTM# 1000-78-2-41 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 14, 2021, and in consideration of application fee in the sum of$250.00 paid by Anthony lenna and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to abandon and remove existing sanitary system and install a new UA OWTS system; and relocate existing shed from west to east side of property; and as depicted on the site I plan prepared by P.W. Grosser Consulting,Inc.,last dated June 29,2021 and stamped approved on July 14,2021. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the 14th day of July,2021. 3FF it FF 'U� TERMS AND CONDITIONS The Permittee Anthony Ienna, residing at 2400 Glenn Road, Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President *U SQ(JT Town Hall Annex A.Nicholas Krupski,Vice President �Q ��© � 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III AwSouthold,New York 11971 Michael J.Domino C.13Telephone(631)765-1892 Greg Williams '® " Fax(631) 765-6641 U{�t`I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 20, 2021 = -Sean O'Neill P.O. Box 1375 Southampton, NY 11969 RE: ANTHONY IENNA 2400 GLENN"ROAD, SOUTHOLD SCTM# 1000-78-2-41 Dear Mr. O'Neill: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 14, 2021 regarding the above matter: WHEREAS, Robert Brown Architects on behalf of ANTHONY IENNA applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated May 4, 2021, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 14, 2021, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of ANTHONY IENNA to abandon and remove existing sanitary system and install a new I/A OWTS system; and relocate existing shed from west to east side of property; and as depicted on the site plan prepared by P.W. Grosser Consulting, Inc., last dated June 29, 2021 and stamped approved on July 14, 2021. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, 440f i President, Board of Trustees GG/dd s " J J Scaav Naron In Y \ THE EXISTENCE OF RIGHTS OF WAY I i t~~--'`\, - `k _ r J AND/OR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEEDresdew uses public water 1 c _ vacant lot no wells or cesspools Tar than/1000-78-01-33PMC - Tar Mop 71000-78-01-31 - EXIST. ABANDONED J� j I / ti4 / CLIENT DRIVEN SOLUTIONS N8�'so'oo"E PRIVATE WELL �Jl:L ' �, ✓Ve51C2?z ey3P.W GROSSER CONSULTING,INC. gIenn road 103.00' .enter Yak EXIST. WATER LINE ;—T ;t 1_-'� i�.i�'� ;�\ SITEB,„e .11716S616 I 678 Johnson AAvenue Su8e7 B� `�f ! -4 ,t \ `t:�- �?�' - 31 1 Phone(631)589.6353.Far 1631)5892705 EXIST. GRAVEL 834x 769 x x735 TEST HOLE LOCATION , t 'w��� l t�'t E.W1 INFOQPWGROSSEP-COM asphalt pavement Z 1 r I• .-'� 1 m t_I _ "• ! \- CONSULTANTS DRIVEWAY TO ,a � 67B 7" EXIST. 2-STORY DWELLING W/ REMAIN 188 774 761 746 737 19 698 edge o pavement I mwlbor 'tet `r''~ 1" �, `1 -�i - ` d' - x87 787 759 mtet x726 724 i14 concrete NO BASEMENT TO REMAIN .'�-, "r PROP.50° 750 776 x > moll F.F. EL. 9.00 0 550'TO GRISSOM LN a� 794 EXPANSION AREA x744 73 732 BUILDING AREA' 3 800± SF —�—`' ?` EXIST. FUEL TANK 855 well 705 691 '1—' 829 799 co �740 Y �c, n O Qd- 75 427' 76 bblestone x curbing 701 /zi,ae' VICINITY MAP TO BE RELOCATED o 767 7 nk 165 Or / 1 J3 7 18 170 PROP 2' EFF. DEPTH o °•b o ego 780 774 7�>696 x SCALE: 1" = 600' LEACHING GALLEY60W 61 oxo m 70 750 x7992 748 761 144 ' , ' , ' , ,Aul • [1101 (TYP OF 8) 802 0 PROP. 24" POLYLOK x148 x(76 758 porch 5-82 5076 1 N N SITE. ' 2400 GLENN ROAD DISTRIBUTION BOX a 430' 19 I x 745 WD p SOUTHOLD,NY 11971 PROP. FUJI CLEAN fere 9a 70 1149 m 71' 77714 l(\ o O SCTM# 1000-78-2-41 ! �E 700 GAL. 2 story v 750 Q GROSS LOT AREA' 23,871.05 SQ.FT.(0.548 ACRES) ;rLO� y �G 1 z° m ' Ma a ne resldenc AC It ^ TREATMENT UNIT- 101 ' 738 721 S� BUILDING CLASSIFICATION. SINGLE FAMILY RESIDENCE I� pa Healer MODEL CEN7 X7,4 y2' 667 z04' zos x 62 fl,stone BUILDING AREA: 3,800±SF e R PY` r'' 7 Or- 68 fen nd 6 - 162'o !;� �- 5 si"� PROP. 45° BEND 3,E 9ror deck wok x690 eaiaerce w red nag/ °°p6 apl� \ 650 , w 1 asespublk EXIST POOLTO ' `� Ali ''' W/CLEANOUT x� 6 - ren air o 37 X cessA o6 steps steps f-� 6 up 11000-78-01-4e REMAIN PROP CLEANOUT �« chaon fok foncea-o/o t 654 o_o-o-o- - - - ramp Stone masonry per` 616 SINGLE FAMILY DWELLING U;^ 0925"3 EXIST. SANITARY v walk l 6fi4 Game 2750 GLENN ROAD ter' residence 35Eca' 6 ' SCTM# 1000-78-2-42 SIX 6 BEDROOM-SINGLE FAMILY DWELLING=660 GPDp�P SYSTEM TO BE uses pWIG wate in—grow d 674n wa0 ( ) ABANDONED AND T.Mop 1100° -°7-q6 6fi3 I X531 xs� (IMPROVED W/PUBLIC WATER)__ bin / pooh I/A SYSTEM DESIGN 6fi0 1 REMOVED 6 9 647 \hence or REQUIRED: 6 BEDROOM=660 GPD MINIMUM 5 X X532 x 5.42 l chain fail fence 02'E EXIST. 671 I ti 1575~6 x566 6 x56 $11 LOT 25 X 501 PROPOSED: ONE(1)700GALLON FUJIUNIT-MODEL CEN7 RELOCATED FUEL o 7S'MIf�30 1 UPDATED SYSTEM LOCATION 62921u TANK ZO x 6fi4 x ' S 9 172 2' L 0 T 24 LEACHING GALLEY DESIGN "°` CO N 4D x 523 5 i� EXIST. RELOCATED REQUIRED: 400 SQ.FT.OF SIDEWALL AREA BAG e �� t4 x rood&wire PROPOSED, 2'EFFECTIVE DEPTH LEACHING GALLEY HAS 53 SF PER UNIT LT oz-16.2021 EXIST. SANITARY o s 4 fence SHED SYSTEM TO BE ° x 419 400 SF/53 SF/UNIT=7.55 UNIT MIN.REQUIRED BAG ASN°�° p s x 434 PROVIDE EIGHT(8)LEACHING GALLEYS W/2'EFF.DEPTH ABANDONED AND O ILA663 �Ie0nc9eEend x �, x 475 REMOVED LOT 26 C from e 620 Z retain wall , r 544 x 570 EXIST. SHED TO BE wetland flag 1 676 X21 6 we land fl g 2 wetland flay fence car 2400 GLENN ROAD RELOCATED x574 x4fflla x41° ore !_,_._ PROPOSED 552 5 x55` 5 wetland flag 4 . ' ' ' . 1 , dock we, flag 5 SANITARY SYSTEM 2300 GLENN ROAD bulkhead 230 1 3 q q y 478 2400SOUGLENN TOWN OF SOUTHOLD p 2400 GLENN ROAD SCTM#1000-78-2-40 0 '� 2 4 BOARD 'OF I RYSTEES (IMPROVED W/PUBLIC WATER) 049 0 ' suFFoNLKcouNTY1NEwrNORK 2- 044 ramp 062 - TOWN--0F SOUTHOLD ` 1666.76-zrt Rwez163 high water line @ time of survey pie �n fl a Ing WEST CREEK TE Tval ,q� 20Zj D E E 0 V E - OVERALL docSITE 117.86' '` _ � PLAN N85'0293319W I JUL — 2 2021 SURVEY- OVERALL SITE PLAN 0 40 80 Southold Town C-101 I Board of Trustees r SURVEY INFORMATION OBTAINED FROM JM LANDSCALE' 1"=40' _ 1 a SURVEYING DATED FEBRUARY 26,2021 SCALE: 1" =40' e�... .. BWE2103 l X 744 ® 7.31 732 8.55 511' 's well 705 691 PROP 50% i 799 7.6 cobblestone EXPANSION AREA708 O 7.75 42 7' ]67 curbing PROP. 2' EFF. DEPTH O 7.33 7.54 LEACHING GALLEY 4' 765 ' /® 718 PMC 7 30 11 O' EI 7 CLIENT DRIVEN SOLUTIONS r d /� 7 64 ] 696 X PROP 2 P.W.GROSSER CONSULTING,INC. (TYP OF 8) \ b O d e� 736 72 W/CARBON FILTER 0.3' El. 6.7 PROP. 24" POLYLOK � O 780 ]]4 7.68 LOAMY SAND W/ 6BoheMa30 n Y.117162616AV nue.Suft 7 X 7 50 PROP ELECTRIC LINE GRAVEL (SM) Ph—(631I669EM Fu(6311689 706 DISTRIBUTION BOX 7 59 7.4 3.1 EI. 3.9 Ercall INFO�pWGROSSERCOM PROP.FUJI MIXED SAND W/ CONSULTANTS PROP. FUJI CLEAN 700 67 O` O x 7.70 - 2 < CONTROL PANEL GRAVEL (SP) GAL. TREATMENT UNIT- - 91, ] 7 44 s.o' WATER IN MIXED EL 1 MODEL CEN7 �X X o, 8'MIN 7 58 748 ]62 SAND W/ GRAVEL PROP 45 BEND W/ ��I IN porch 7.42 12.0' (SP) El. -5 CLEANOUT rl PROP.FUJI CLEAN deercn O 00 / 7.45 AIR LINE GROUNDWATER ENCOUNTERED PROP CLEANOUT x fen / PROP FUJI BLOWER 6.0' BELOW GRADE. x 748 745 TEST HOLE DATA X as N story ]50] 14 216121 SHAWN M. BARRON, M.S. 310' 7��5p` o° ^' x 'MIN 10'MI r e s i d e n c 7 20 _ :� frame AC units 'r.`�E 1`1/ ' x 1.0E x7 2�"� '7 38 7 21 EXIST POOL TO REMAIN <- �. eG fj-``` 4 ,E /f-/� pool heater 20� �, 2/ 204' 7.14 x 687 �� end ° 627 F, fence 6 86 - 16 2 0 I stone 3 1'E / ° gravel l walk x 6 90 y ✓ ! 0 659 663 650 deck I I c residence red o x X 642 �� // /° uses public water ; o�>15' � EXIST. RELOCATED 637 steps \ Tax Ma 1000-78-02-42 ` gyp' fence car x X steps chain link fence p RELOCATED SHED Ja• ss FUEL TANK 3 4'E EXIST. SHED TO BE — FI -c° 83' 654 � // o - o - o - o o - o - o 0 0 0 - RELOCATED � �'C 22 3 �, stone I I I�'1 C S O 11 I")/ p 659 616 , ti p ` 6 64 shed car V a ram walk frame ° residence p 3 5'E �� retain wall , UPDATED SYSTEM LOCATION 62&21e uses public water �� — g r o u n d ' ° \ I f1 GENERAL NOTES BAG Tax Map #1000-78-02-40 bin p 0 0 I �' 6 34 1 x LT W.m 62.16.2021 1. ALL PROPOSED PIPING TO BE 4"0 SDR-35,EXCEPT WHERE INDICATED. BAG AS NOTED 6.60 i 6 63 5 31 ! 5 88 2. ALL— 3 NO PROPOSED NS ARE IN NAVD88 6 47 D OR EXISTING STORM DRAINS WITHIN 10'OF THE � � �" � 629 fen PROPOSED SANITARY SYSTEM. _ 6 71 X I x 5 32 X J•42 \` Chain link fence E x 5.60 Q 4 THERE ARE NO WELLS WITHIN 150'OF PROPOSED SANITARY SYSTEM 2400 GLENN ROAD � PROPOSED ° 6 1 1 1 1 / 1 / __ x 5 66 � ! � 5 SANITARY SYSTEM N x 5 01 X 5 30 ^ 2400 GLENN ROAD 6 64 L O T L 4 1 SOUTHOLD,TOWN OF SOUTHOLD -� SUFFOLK COUNTY,NEW YORK 5 x 523 i " 1000-78-241 HWE21 ° x 4 89 5 .� 4 14 x 5 �� ► 2 PARTIAL ® E C E P v SITE x4.79 x434 683 x� 5 � PLAN �R fence end �- JUL ® 2 2021 C-1 02 0 20 40 Southold Town Board of Trus ees 2 4 PARTIAL SITE PLAN SCALE: 1" = 20' SCALE: 1"=20' BWE2103 a Z DISTRIBUTION BOX 0 m SCUM BAF B CHAMBER Volume(gal) TO BE EQUIPPED W/ GRADE EL.7 35t Sedimentation Chamber 397 SAFETY GRATE 4'DUCTILE IRON -+t 2•-B� z•-t Anaerobic Filtration Chamber 396 PIPE THROUGH Aerobic Contact Filtration Chamber 181 FOUNDATION Clarification Chamber 90 GRADE EL 7 75 WALL ® EaaeuunoN Disaffection Chamber 6 22.45"—�'I PMC - AIR LIFT PUMP CYLINDER Total Volume 1069 I L I CYLINDER(OPTIONAL) PROVIDE RISERS TO CLIENT DRIVEN SOLUTIONS INV 662' 4*INLET PIP 'CURET PIPE SPECIFICATIONS 1610" GRADE AS NE P.W.GROSSER CONSULTING,INC. SANITARY LINE RINV TLET pp'' ♦ A Anaerobm Media PP/PE 4-B}•i ! Board Type Aerobic Media PVC/PP/PE 13 91" Baa Johnson Avenue.-Suite 7 2618 Aerobm Media PP/PE 4"DUCTILE IRON PIPE Bohemia.53.Fu(631)5BID— 3 5CfmPhone•1671)NFO@P7.R0 SEFLC!9-0705 583 Ema111NFO�PWGRO55ERCOM FFLUENT Tani. FRP (OUTLETS TO BE EQUIPPED INLET BAFFL J ® AIR LIFT PUMP Pim PVC/PP/PE WITH ENDCAP LEVELING CONSULTANTS ® Access Covers Plastic/Cast lron 4"DUCTILE IRON PIPE DEVICE) mI Disudectant(Opuonal) Chlorine Tablets INV 600 , 2-1R'VENTILATION PIPE LOW BAFFLE J 2 AIR INTAKE RECIRCULATION PIP (CLEANING OPENING) B FLOWOPENING(TYP PLAN VIEW POLYLOK DISTRIBUTION BOX SCALE NTS PROP. CLEANOUT ISINFECTION 24•MANHOLE WI ORENCO RISER SCALE:NTS 18•MANK LEWIORENCORISER 21 MANHOLE WI ORENCO RISER CYLINDER(OPTIONAL) ANDSAFETYGRATE AND SAFETY GE ANDSAFETY GRATE O RISERS AS NECESSARY GRADE EL 7 7RATLOW OPENING 4"DIA DUCTILE IRON PIPE CONCRETE COVER CARD TYPE SLOPED @ I%MIN CONTACT MEDIA HS-20 RATED 4"0 DUCTILE 4"0 DUCTILE IRON PIPE IRON PIPEGRADE — -- INV 6.22' © INV 605' ECIRCULA780m \ O AIR LIFT PUMP INLET BACKFILL WITH •- �;y �`�(/[/ �; a•-o• m 6-0• s•-r 4•-r ® a•-r SEE NOTES FOR REV �� 2 h `% CROSS-OVER PIPE , ® ® CLEARANCES % _; �2 .� 8 KNOCKOUT,USE 4'DIA t /� est/ \ -A- ERoelc MEDIA BOTTOM EL 3 70 -\��' SDR 35 PVC OR ,I p ' \%/ / / /\ EQUIVALENT PIPE q� t �E� Cr ERATION ASSEMBLY 2'MIN \\�\\�\\�\;O \� 1- t`•"b'�i o,� r7jc Z {t TO GROUNDWATER LU BOTTOM EL 1 13 I + GROUNDWATER ELEV.10'± SECTION A-A VIEW SECTION B-B VIEW HIGHEST EXPECTED GROUNDWATER ELEVATION 10' J1 (CONFIRMED PER USGS DEPTH TO GROUNDWATER VIEWER) o� 092 523 LEACHING GALLEY DETAIL SCALE NTS 700 GALLON FUJI CLEAN TREATMENT SYSTEM - MODEL CEN 7 NOTE'SLABS,DOMES,COVERS TO BE PRECAST REINFORCED CONCRETE,TRAFFIC BEARING AASHTO HS-20 LOADING 3 SCALE.NOT TO SCALE 2 DESIGN CONCRETE COMPRESSIVE STRENGTH=4,000 PSI AT 28 DAYS 2 3 OPENINGS TO BE 24 INCH MINIMUM 4 PRECAST CHIMNEYS SHALL BE UTILIZED TO BRING COVERS WITHIN T OF GRADE 5 SPACING OF LEACHING GALLEYS SHALL BE 4'BETWEEN ROWS AND T BETWEEN GALLEYS,AS PER SCDHS BAG REQUIREMENTS LT 02-16-2021 6 LEACHING GALLEYS TO BE MANUFACTURED BY LONG ISLAND PRECAST OR PELKOWSKI PRECAST CORPORATION, BAG AS NOTED AS APPROVED BY SCDHS SELF LEVELING WEIR SHAPE RIBS THAT PROVIDE [4t 45 oa FRICTION FOR ALL • FITTED 4"0 PIPE ID 2400 GLENN ROAD O GEARAND RACK 2� Zm PROPOSED PROVIDES POSITIVE ONE 1504 crj IS T mlj POLYLOKEOUALI7" TIME LEVELING ttP TMPSCDHSAPPROVAL ' SANITARY SYSTEM PART NO-3049 16 a2 at r0 a l MATERIAL-FILLED POLYPROPYLENE [1414 1 2400 GLENN ROAD SOUTHOLD,TOWN OF SOUTHOLD 6m 3s SUFFOLK COUNTY,NEW YORK [1539c1l BOXACCEPf5 END CAP LEVELING DEVICE DETAIL 3aT 9,5rn1 LIGHTCOJER PARTI,O 30090 [3523 or] HEAWCOJEA PARTNO aflt 1000.78-241 HWE2103 SCALE NTSOnSc VTALL ISER PART NO 3009 [56 i66 m1 17-TALL RSER FART NO 300-RIZ PUTOUTS FOR ® /� �5 i5 it SITE s - 4•P,PE(4SOES) Ir`'[,`J.' U {``111)//( FOR US-=WITH PART 30x1 Cm OIJTSFOR DETAILS VALVE IMETER BOX CONVERSION POLYLOK667 HOLE20 OBDX CUT OUTS FOR ' JUL - 2 201 FI3iT N0 3017105 SFOLE TPRE fiHOLE 3 ' 7011201 iHy 1SIOE-�IHOLE MATERIHL•PO.YPROoYL6\E EORUB_�1.6 W 03 € CCLOR-BLACK PARii38 C_ Southold Town Board of Trustees 3 a 24" POLYLOCK DISTRIBUTION BOX DETAIL SCALE N T S BWE2103 - CircWwm Alarm Circuit Breaker Carbon Filters Brereakeke r Float Switch,Pressure Switch, Test/Normal/ Air Blower Test/Normal/SllenceSwitch Silence Switch Riser Safety Grate Circuit Breaker Applications General (Extra component ifOrercoCarbonFitersreduce the odorofsavergases inpassive alr- The OrencoCarbon Fiarattachestovenlproasvnlhasfp[it The Applications General Alarm Beacon flov venhng appGcauons, weather cap Is removable to allow replacement of the carbon pack necessary,such a5 Orenco•s non corroding polypropylene riser safe F—A— _ age Carbon replacement frequency wig he based on the volume and g help re 15 grates rest inside Cf Are a nser safety grates slrengtn of gases th mg swhbed by the filter Carbon recharge pack PMC - dlscha discharge pump) of an access nseC to help prevent people or tools from falling into the .Are easy to install and remove ages,adapter bushings and astan sin are available tank opening They are sized to ft inside of tllba-Rib',Perma-Loc•", Weather Cap Y 1 KorFLo',and equivalent nsers •Allow semcepmwderstorest filters orother components onthe CLIENT DRIVEN SOLUTIONS .•� grate Inside the riser to clean and hose them off Carbon i Standard Models P.W GROSSER CONSULTING,INC. •Prevent sort buildup when Installed In the bottom of a valve box. rp I B C13 0`4 ori ( Pressure Switch 07" •Rt most hrands of ribbed PVC profile pipe Housing $� 630 Johnson Avenue.Suite 7 ,li •Are made of nbnconoding polypropylene Product Code Diagram Bohemia.NY.11716-2618 RISEf salety gra to mesh detail Scares Pwte Phe E-mall(INFO@PW GROSSER.COM Sag-.6353.Foul(631) 705 1 X26" Standard Models i c CP❑ CONSULTANTS �jry F—D—I I T TRnwma . itr pram) POPF-jFjAF1 RG12,RG18,RG21,RG24 43:41: • �❑❑� CF3,CH Cutaway Vrew(side) 4=4' t !Ak ' X00 00000° t 1� Carom54a ❑ ��g ❑❑❑❑❑ ❑ Materials of Construction: wealnerCap o o ❑ °O❑0°❑°❑ _ Materials of Construction pp flap E Rser grate PohProp)lene 1 ❑❑ El n000 ❑❑E ❑ SetSttex WeaNer Cap ABS(CF3 CF4),Rbe,glass(CF61 Terminal Blocks �p ❑ p �p � carbon Gmmdar actnow lmpngnated Carbon 1 pp❑❑p❑❑ ❑n p❑poopp❑pp❑❑ ❑❑� Specifications carbon �` 6 O❑❑❑❑00°❑OOOOO P P xmalng wrasslam we Op ❑���]]]❑❑O❑❑❑❑pRG12 RG18 RG21 RG24 Fimsng '- ] Screen Plate PoryelnNere I, ❑pp❑p ❑ ❑o❑p❑❑❑❑ODemeter in(mm7 11 70(297) 1750(445)2050 Will 23 25(591) ❑ °❑�HOD❑g 0-00000 Thickness In(nim) 050(13) 050(13) 05D(13) 050(13) Screen Plate {-r 1!U❑❑❑❑ Specifications t 888 888 Weight to(kg) 0 70(0 3) 1 7(081 2.3(10) 3 0(1 4) � c t Ajax load Ib(kg) 350(159) 350(159) 350(159) 350 p59) I 1� Dlmensmos CEI CF4 CF6 Wiring Diagram o RG24 user safety grate I y Maxtank opening 10 0(254) 15 5(394) 10 5(470) 20 0(508) A.m(mm) 51,(139) 5 W(139) 9(229) Horn n CFO LLmwa V'ew side S1' see, (mint Y ( ) Sin hand 101254) 12 i5(318) 18 N,c(465) I 1� Lb trot uefrtrSvYry Garsmrmsrax acersgs L+�rsvmmmaxr+um nnt¢mma CN(mm) ln(318j Ilk(38 1) 3M,(87 3) D,In Imm; 314(88 9) 4 K(114) 6%fill Curran weight lbs 11,3) 00(041) 16(073) 60(273) r - pacd)9r a-mxr>w•,. 014 014 _ +• -,ar snt, cn tg ��1' � b•k /�'"' ./`� �'-`'ate"'/.'�• "0 CF3,CF4AchrofWe.(side) V"—(side) •''r 1,i;�y� r,"- �' L!tai Watertights Incoming Air Neutral Block Grounding Block CARBON FILTER DETAIL Pressure Tubing ll - , d "�)1_� _ $7 Procerg nsprred rhe r6asa,erygraler SM oenw.rn u,e aaess reser vd0ce 7 �..'�-��-/n-z }' rJnk patron,rarh,,,ar n,e•armde,n�yg.•aresnon,r�dw,:ayw,graes.7 SCALE NTS FUJI CLEAN CONTROL PANEL DETAIL INCOMING SERVICE, SCALE N T S 100A,10, 120/240 VOLTS `•V/`� 09�S`L�df �I RISER SAFETY GRATE DETAIL NEW 20 AMP,1 POLE BREAKERA �FEss��r� SCALE. ' NTS 120 VOLT,10 SERVICE TO UTILITY FUJI CONTROL PANEL 2#12,#12 GRD IN 1"PVC CONDUIT 6 D 5 a 6 3/8- CIRCUIT 3 61) specifications BREAKER METER 2 Modal MAC60R11 MAC80RII MAC100RI1 FUJI s CFM 2 1 2 8 3 5 FUJI MAC CONTROL PANEL ® ® air Flaw volume L/min— 67- —so— —mo— - 100RII PANEL O Normal Pressure Psi _ z z _ z z _ _z s_ BLOWER BAG kPa IS IS 18 NOTE LT 02-16-2021 Rated Voltage V AC 120 Frequency H: so EX GROUND ROD 1) BURIED ELECTRICAL POWER BAG AS NOTED 11 Power ConsuraPtIon w 37 51 74 = CONDUITS SHALL BEAMINIMUM, �m Weight los ApVro_I1 AD Dr_II APPrex II 24 INCHES BELOW GRADE T kg APP rox'5 APDrox 5 APprox 5 outlet PIF DlPmete Inch 3/4' 2) ALL ELECTRICAL WORK TO BE Power core Leagtn Incn 6.2• PERFORMED IN ACCORDANCE jJUL fire orI f gln Japan number E341420 Country ELECTRICAL ONE LINE DIAGRAM WITH NEC 2400 GLENN ROAD °O SCALE NTS PROPOSED Inslallatlon/Operation 6 Maintenance Notes AC120V fiOHz Instgll blower an leveled,alta base Ensure adequate ve siltation and protect against alrect sunllgnt MAC100R11 Ambient 66°F SANITARY SYSTEM nspect enc clean InternaI.%,rsrl Iter one evert 3nmon the -Recoan ea Ol Ppnrogm/calvs se lr rop'.lcement o ce evert 50 1 APPROVAL ' ' (33) 12 mantas (Neter torn re to fol welt atrigger nstr the Au tamall a-stov conn lPn 1 45 2400 GLENN ROAD -Pteose make sure to follow the Instruction manual LL 40 —r SOUTHOLD,TOWN OF SOUTHOLD 0 35 -#_ SUFFOLK COUNTY,NEW YORK s m @\ 30 I- 1BaD-78-2.41 BwEzn 13 $10-32 >?� 25 LL 20 ELECTRICAL 15 I I I To be hardwired to ,D D _ -- DETAILS I - the aontml panel 05 (r ( 30) 11/4' 4 3/8- we (Ik 101 � (31 5) II01 QQ )... `_1 LoLr 00 05 10 15 20 25 30 35 40 45 50 I At2 At( drawing measurements In inches(earn) Pressure[PSI] Performance Curve C-1 04 Soufhold.Town Board of Trustees, FUJI MAC10OR11 BLOWERS DETAIL -" — a a SCALE N T S BWE2103 == �a ® � Glenn Goldsmith, President ,�� y Town Hall Annex A Nicholas Krupski, Vice-President o 54375 Route 25 John M. Bredemeyer, III o P.O. Box 1179 Michael J. Dominoo� Southold, NY 11971 Greg Williams Telephone (631) 765-1892 Fax (631) 765-6641 �sVA Y aU�e�` BOA6 RD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ANTHONY IENNA c/o SEAN O'NEILL Please be advised that your application dated May 4, 2021 has been reviewed by this Board at the regular meeting of July 14, 2021 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $_50.00 Q,Za� -BY: Glenn Goldsmith, President Board of Trustees \ Ilk f yy s�' !by�a�'•�.',tet. ,�` '."r;4' u�,... , -A tid pw# f i 1 1':• S ��� � 'gip„ `F��• x n '.1 � "h,�'� ' y�,,r `'' y: F`, Z.. i ,.�+ :j?'' ,..,{..1Y w�, JTfit,- �" !+ ;T+ a ;\o sw•{< .�t •�r t t •..t'Lr-^-�f .t: .a � .+ '4'..�,p �� r !'.¢� � r��{ t +.�+ - a �' '�`'3 ,f't. 1 •Ca s.s i'....; �pai�wt+`� 't4v.`bt$� �� f^��:'....iti� -.� ' °y .�r;yi'a. .i� W ':t y �e e+ �'•� '�w:'�.Et .� � N�': pw. ♦ 1 '� �."''�{ k'r� .r'� r:;; :rn+i•+r .: t r'A E't�t J �. •r't •fi.'' Y�T ' '..,• y?` /� f 4 9 i s v�-f .. . , a t �y:lf E .{tags.E�i� sq, i� 3 .fM1 �f i 1 ti^E •; '�x- _a... .t �.c�++U�. , '�„ •��j^'" 1�4�s.°�'r�.��. ;%v 3a �a'� a'r�.s`�,r< �'=i �' •# �'�'Kr�,', i, ,t, `�" + + .�'1', r' s , - � AM� �' ,�r'.�•t t 3- �,rr- � � •.�'i'� ,t,�.<r ,A,jgF«'i' .�iM ��.• { �t t;. r�.<� { k �, �•�}'z- ,_, r'1,r1 `�\1 '7 / 1-2021, '10 - T � NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY a Stony Brook,50 Circle Road,Stony Brook,NY 11790 P (631)444-0365 1 F (631)444-0360 www.dec.ny.gov June 7, 2021 2 2 2400 GLENN HRDY E C E pp Ill V�p E ID l SOUTHOLD, NY 11971 1 i Re: IENNA PROPERTY SEP 14 2021 2400 GLENN RD SCTM 1000-78-2-41 Southold Town SOUTHOLD, NY 11971 Board of Trustees DEC ID: 1-4738-01811/00006 1 Dear Permittee: I In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit for the referenced activity. Please carefully read all permit conditions and special l permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather and a Notice of Commencement/Completion of Construction. i Sincerely, tx,-.,"4 + Laura F. Star Deputy Permit Administrator Enc„ Cc: Bridgewater Env. DEC-BMHP File � tntro f�FdEVlYORK Department o€ r ciera1¢+,aury Environmental —�91 Conservation �e.rr NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC 11) 1-4738-01811 PERMIT Under the Environmental Conservation Law ECL Permittee and Facility Information Permit Issued To: Facility: ANTHONY IENNA IENNA PROPERTY 2400 GLENN RD 2400 GLENN RDISCTM 1000-78-2-41 SOUTHOLD,NY 11971 SOUTHOLD,NY 11971 (516) 741-6423 LJ EC E 1 V Facility Application Contact: - BRIDGEWATER ENVIRONMENTAL SEP 14 2021 SERVICES INC PO BOX 1375 SOUTHAMPTON,NY 11969-1375 Southold Town Board of Trustees Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Southold Facility Principal Reference Point: NYTM-E: 716.175 NYTM-N: 4547.24 Latitude: 41002'51.7" Longitude: 72°25'40.3" Project Location: 2400 Glenn Rd. Watercourse: West Creek Authorized Activity: Installation and maintenance of an Innovative and Alternative Onsite Wastewater Treatment System(I/A OWTS) to replace an existing septic system on residential property in Suffolk County. Relocate existing shed. Work includes the following activities in areas regulated by 6 NYCRR Parts 661: -The excavation necessary to expose the existing septic system. -The removal of some or all components of the existing septic system. -The installation of an Innovative and Alternative Onsite Wastewater Treatment System model which has received Provisional or General Use Approval by the Suffolk County Department of Health Services, including all required exterior electrical and plumbing work and, if included in the design,the installation of a new,Pressurized Shallow Drainfield. -The importation and placement of granular fill or other appropriate fill/soil material (as necessary to construct a functional system) required to replace soils unsuited to the proper functioning of the new I/A OWTS and topsoil necessary to landscape the completed installation area. - Maintenance and repair tasks; including associated excavation, backfilling and dewatering,for the installed system such as the replacement of filter media or the repair/replacement of failed components. All activities authorized by this permit must be in strict conformance with the attached plans stamped approved by NYSDEC on June 7, 2021. SAP 1-17-001 Page 1 of 6 I NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-01811 Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-473 8-01811/00006 New Permit Effective Date: 6/7/2021 Expiration Date: 6/6/2026 j i NYSDEC Approval By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this j permit. 1 Permit Administrator:LAURA F STAR, Deputy Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY @ Stony Brook150 Circle Rd Stony Brook,NY 11790 -3409 Authorized Signature: Date Distribution List BRIDGEWATER ENVIRONMENTAL SERVICES INC Marine Habitat Protection LAURA F STAR Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS I. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Bryan Andrew Grogan, last revised May 25, 2021, and stamped approved by NYSDEC on Tune 7, 2021. Page 2 of 6 MOW NEW YORK STATE DEPARTMENT Or ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-01811 2. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project,the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 3. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 4. Authorized Systems This permit authorizes the installation of any models of Innovative/Alternative Onsite Wastewater Treatment Systems(I/A OWTS)which have received the approval of the Suffolk County Department of Health Services(SCDHS). If SCDHS rescinds its approval of one or more of these models during the term of this permit, DEC will no longer approve new installations of that model. 5. Installed System Must Be Properly Maintained The permittee must maintain, service and repair the installed I/A OWTS in accordance with the maintenance schedule set forth in the SCDHS permit issued for the system. 6. Install and Maintain Erosion Controls Staked hay or straw bales or other DEC-approved erosion control measures are to be installed on the downslope edge of any disturbed areas. This barrier to sediments is to be put in place before any disturbance of the ground occurs and is to be maintained in a fimctional condition until all disturbed land is heavily vegetated. 7. Contain Stockpile and Disturbed Areas All disturbed areas where soil will be temporarily exposed or stockpiled for longer than one week shall be contained by a continuous line of staked hay bales/silt curtain(or other department-approved method)placed on the seaward side between the fill and wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 8. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area(upland) and removed to an approved upland area for disposal.No debris is permitted in wetlands and/or protected buffer areas. 9. No Disturbance to Vegetated Wetlands There shall be no disturbance to vegetated wetland areas as a result of the permitted activities. 10. Concrete Leachate During construction,no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State,nor shall washings from ready-mixed concrete trucks, mixers,or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. 11. Prohibited Toxic Materials The introduction of materials toxic to aquatic life, such as pesticides, cleaning fluids, oils and chlorinated liquids is strictly prohibited in the absence of permit authorization. 12. No Equipment in Wetland Heavy equipment, including bulldozers, backhoes,payloaders, etc., shall not be operated in the wetland. 13. Equipment Storage 1.00' from Wetland,Water Body All equipment and machinery shall be stored and safely contained greater than 100 feet landward of the regulated wetland or water body at the end of each work day. This will serve to avoid the inadvertent leakage of deleterious substances into the regulated area. Page 3 of 6 v NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 'Row Facility DEC ID 1-4738-01811 14. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 100 linear feet from the wetland boundary. 15. Clean Fill Only All fill shall consist of clean soil, sand and/or gravel that is free of the following substances: asphalt, slag, flyash, broken concrete, demolition debris, garbage, household refuse,tires, woody materials including tree or landscape debris, and metal objects. The introduction of materials toxic to aquatic life is expressly prohibited. 16. Seed, Mulch Disturbed Areas All areas of soil disturbance resulting from this project shall be seeded with an appropriate perennial grass, and mulched with straw immediately upon completion of the project,within two days of final grading, or by the expiration of the permit, whichever is first. 17. Temporary Mulch,Final Seeding If seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather conditions favor germination and growth but not more than six months after project completion. 18. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments,fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 19. State May Order Removal or Alteration of Work If fixture operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if,in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit,the structure, fill,excavation, or other modification of the watercourse hereby authorized shall not be completed,the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require,remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 20. State May Require Site Restoration If upon the expiration or revocation of this permit,the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require,remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 21. State Not Liable for Damage The State of New York shall in no case be liable for any damage or- injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation,or for other purposes, and no claim or right to compensation shall accrue from any such damage. Page 4 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION table Fneility DEC ID 1-4738-01811 GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department)to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps,drawings and special conditions,must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals,Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal,modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal,modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify,suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the pen-nit application; d. newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since the issuance of the existing permit; Page 5 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Fuility DEC ID 1-4738-01811 e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents("DEC")for all claims, suits, actions, and damages,to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with,or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the-extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The perrnittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. Page 6 of 6 IWYORK Department ®f EOFgORTUNITY Environmental Conservation NOTICIm The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator Permit Number SUSAN ACKERMAN Expiration Date /_ /� 2-L NYSDEC-ENV. PERMITS SUNYOSTONY BROOK 50 CIRCLE ROAD NOTE: This notice is NOT a permit STONY BROOK, NY 11790-3409 NOTICE OF COMMENCEMENT OF CONSTRUCTION RETURN THIS FORM TO.COMPLIANCE OR FAX TO: 631-444-0272 Iowa maririe Habitat PrOggtlort E_iVlait;dec.sm;IR11NHP �EH@dec;ny;gov 50 Circle Road SUNY@ Stogy Brook storey gook, NY���9�3409 � I PERNiiT NUMBER, ____T __—. EXPIRATION DATE.��^ PE,R,iViITTEE NAME PROJECT APPRESS: i CONTRACTOR NAME&APPi L:_: y§,--- _ -----___ --=- i TELEPHONE: _ i Dear Sir: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity shall commence on We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit,permit sign,and approved plans will be available at the site for inspection in accordance with general Condition No. 1. (Both signatures required) PERMITEE• DATE I CONTRACTOR: DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT I AND/OR ANY ASSOCIATED REGULATED ACTIVITIES FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Cut along this line X X X X X X X NOTICE OF COMPLETION OF CONSTRUCTION RETURN THIS FORM TO-COMPLIANCE OR FAX TO: 631-444-0272 Marine Habitat Protection E-Mail:dec.sm.R'i MHP_BEH@dec.ny.gov NYSDEC 50 Circle Road SUNY@ Stony Brook Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS. CONTRACTOR NAME&ADDRESS: TELEPHONE: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on We have fully complied with the terms and conditions of the permit and approved plans.(Both signatures required) PERMITEE: DATE: CONTRACTOR DATE• THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY,AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. Glenn Go{ rth, President �0��_ �co � Town Hall Annex A.Nicholas I4tups,ci, Vice President 54375 Route 25 John M. Bredemeyer III C-0 P.O. Box 1 179 Michael J. Domino � p� Southold,NY 11971 Greb Williams y� Telephone(63 1)765-1892 7 Fax(631)765-6641 x BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/TimeCompleted in field by: �� 0 Sean O'Neill on behalf of ANTHONY IENNA requests a Wetland Permit to abandon and remove existing sanitary system and install a new I/A OWTS system; and relocate existing shed from west to east side of property. Located: 2400 Glenn Road, Southold. SCTM# 1000-78-2-41 CH. 275-3 - SETBACKS WET]-AND BOUNDARY: Actual Footage or OK=q 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 ofHearingCard Posted: Y / N Ch. 275 ( Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: --7 �a� SAO I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: J. Bredemeyer M. Domino X"G. Goldsmith ` N. Krupski G. Williams Other J� II I 9s<ar Htllon!n - } THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED __ _ _ �^�-_!� f Sae• _----'�, residence uses public eater wcont lot no wells or cesspools Tex Nap/I000-18-01-33 -1 �'I tk- " PMC Tax Map/101HI-78-01-32 EXIST. ABANDONED _ 1 1 I� `} "� - - ��� �4' ` -- 1 t I } CLIENT DRIVEN SOLUTIONS a d Ns�•3o'oo"E PRIVATE WELL 1 P.W.GROSSER CONSULTING,INC. gI en n ro `�`I_ ;_ f� — iNec'Creu p 103.00' .water valor EXIST. WATER LINE aRa :-=��,{ SITE 636 Johnson Avenue.Gutte7 Bohemia.NY.11716.2616 6 '1, Phone(631(559.0353.Fu(631(559-0705 TEST HOLE LOCATION �� '� ,( �'` _ Ercall INFO PWGROSSER.COM EXIST. GRAVEL e34x 16s x L x 735 '�� i ` Vy ' _ DRIVEWAY TO asphalt paremed �_- r r, 1 lots 788 i8676 7" EXIST. 2-STORY DWELLING W/ `�f..�- t `I f.�� �j' , '. --='4 I CONSULTANTS �74 �61 746 131 19 698 i _r REMAIN edge pavement a mailbox W ter 724 114 NO BASEMENT TO REMAIN x81 7 � 787 759 mtrr x728 concrete PROP.50% 550'TOGRISSOMLN\ 750 736 794 x7 0 r� mono F.F. EL. 9.00 EXPANSION AREA x7,44 731732BUILDING AREA. 3,800±SF ` f EXIST. FUEL TANK 855 1 wall 7119 691 f r 829 a O q, 799 75 417' X cobblestone 701 121.0. TO BE RELOCATED o' 765 733 767 ` 7 770 VICINITY MAP nk dr1 / 76 18 x 696 SCALE: 1"=600' PROP. 2 EFF. DEPTH O ° ego 760 77476e LEACHING GALLEY x o 750 759 748 (TYP OF 8) 60W O 67 O O 70 x192 782 781 744 802 �s 758 as 50762 * N SITE- 2400 GLENN ROAD PROP. 24" POLYLOK x748 ire^—�- 742 x 745 W O SOUTHOLD,NY 11971 DISTRIBUTION BOXfence 430• /m 19 O Q ]/ 748745 � O SCTM#: 1000-78-2-41 --. 70' o, 1149 71' 0 PROP. FUJI CLEAN go m 2 story v 7714 1 y , 700 GAL. NH o e residen c� �°n,,S I^ m GROSS LOT AREA: 23,871.05 SQ.FT.(0.548 ACRES) TREATMENT UNIT- lot 5 e�\ bell 738 721 J Q BUILDING CLASSIFICATION: SINGLE FAMILY RESIDENCE �� .P�gREw (1 � MODEL CENT 714 a2' x687 I . 205• l f " �� T s2 ,o \ f), BUILDING AREA: 3,800±SF { �� fens nil ° 68fi = i6. stone PROP. 450 BEND 31'E gr°" deck wlk x690 residence �T 4 fAi A cp 667 �� ' `���r 1=`� W W/CLEANOUT ed fog /xl 6506 �, 7 asespab EXIST. POOL TO - a 637 W are steps ' op 11000-78-02-41 REMAIN fen cor x c 'W steps g PROP. CLEANOUT ° l63% e� x o chum rink fen e - &1- 654 masonry p2750 GLENN ROAD EXIST. SANITARY shed ear v rompwaes4 SINGLE FAMILY DWELLINGSYSTEM TO BE 35E e ria'�° SCTM# 1000-78-2-42 SIX 6 BEDROOM-SINGLE FAMILY DWELLING=660 GPD S G925`Z`3 uses publicewate ^ in—ground ( ) ABANDONED AND Taxk,ap/100 -02-40 bm pool x634 (IMPROVED W/PUBLIC WATER) �`���FESSI��P� 6� 667 531 5�- I/A SYSTEM DESIGN -- REMOVED 611 x x 532 x 542 6 9 647 fence car REQUIRED. 6 BEDROOM=660 GPD MINIMUM s chain Ink fence 02'E 1575'-6 6 x560 PROPOSED' ONE(1)700 GALLON FUJI UNIT-MODEL CEN7 ° EXIST. ° x566 r 514 LOT 25 RELOCATED FUEL 75'ffl 30 UPDATED SYSTEM LOCATION 6 zsz, X501 501 LEACHING GALLEY DESIGN TANK 0 664x o CS 1722' LOT 24 5� EXIST. RELOCATED REQUIRED: 400 SQ FT.OF SIDEWALL AREA ._ BAGILD j ? x 48 414 x woad x-re PROPOSED: 2'EFFECTIVE DEPTH LEACHING GALLEY HAS 53 SF PER UNIT LT " 02.16-2021 EXIST. SANITARY Q� W S 1, r/fence SHED 400 SF/53 SF/UNIT=7.55 UNIT MIN.REQUIRED BAC AS NOTED SYSTEM TO BE x 179 x 434 1 PROVIDE EIGHT(8)LEACHING GALLEYS W/2'EFF.DEPTH ABANDONED AND Lpt 683 k fe0 e'ad x x 175 6 OT 26 t REMOVED fro. 1 10 _ < return roll1 / � x 544 x 570 EXIST. SHED TO BE wetland flag 1 676 621 s We land fl g 2 wetland flay fence cor 2400 GLENN ROAD RELOCATED 551 5 x55 5 x534 / wetland flag 44 �o=E -70 PROPOSED 4 dock wetland flag 5 SANITARY SYSTEM 2300 GLENN ROAD bulkhead 270 1 3 4 4 y 438 SCDHS . , . , , 2 2400 GLENN ROAD SCTM# 1000-78-2-40 0 7� 1 f 4 SOUTHOLD,TOWN OF SOUTHOLD SUFFOLK COUNTY,NEW YORK (IMPROVED W/PUBLIC WATER) 049 �0 1 �o high water line 044 t000-7e-z at Bw�ztR, ramp 064 tl�� time of survey p9e ° floating WEST CREEK E C E D V E OVS TALL dock D TE 117.86' PLAN N85'02'331 W - JUL -2 M1 SURVEY OVERALL SITE PLAN 0 40 So southoid Town C 101 SURVEY INFORMATION OBTAINED FROM JIM LAND SCALE: 1"=40' Board of Trustees 1 4 SURVEYING DATED FEBRUARY 26,2021. SCALE: 1° =40' -- BWE2103 a X744 0 7.31 732 855 5'�ntfV '`' well 7.05 691 • PROP. 50% 7 99 7.6 cobblestone EXPANSION AREA 78 0 775 42.7' x curbing PROP. 2' EFF. DEPTH O O 767 7 65 7 33 7.54 PMC LEACHING GALLEY 4' Qr P 718 730 7 64 696 x PROP. 2"f�1 VENT LINE o' E► 7 CLIENT DRIVEN SOLUTIONS r d ' LOAM SM P.W.GROSSER CONSULTING,INC. (TYP OF 8) p e� 736 72 W/CARBON FILTER 0,3' E►. 6.7 6]O Johnson Avenue.Sutte7 11 \ � Q Q' 780 7.68 LOAMY SAND W Beherwa.NV.11716.2618 PROP. 24 POLYLOK x 7 50 7'74 PROP.ELECTRIC LINE GRAVEL SM / Phene(671)589-6757.Fab(8]1)589-6705 DISTRIBUTION BOX \ 759 7.4 PROP.FUJI 3.1' ( ) D. .3.9 _E.WI INFO&WGROWERCOM PROP. FUJI CLEAN 700 67 CONTROL PANEL� x 7.70 MIXED SAND W/ CONSULTANTS O GAL. TREATMENT UNIT- X X 91, 7.58 748 2 7 7,44 6'0 WATER 1N(MIXED El. 1 MODEL CEN7 0, X. 8'MIN 7.62 SAND W/ GRAVEL PROP. 450 BEND W/ J&Nporch 7.42 PROP.FUJI CLEAN 12.0' (SP) E►. -5 I CLEANOUT 7.45 PROP. CLEANOUT x denPROP. FUJI �BLOWER t "� 0 i AIR LINE 6.0o BELOWUNDWATEGRADE.ENCOUNTERED x - 7.48 745 TEST HOLE DATA 2� story 7,4 216121 1 ' 7 50 SHAWN-M. BARRON, M.S. 31.0 950' V 7.20 - MIN 10'MI X 2 a frame residences Kunits _ 1 0'E x7 �" 738 721 EXIST POOL TO REMAIN -'r_�ti )� pool heater o `a V'1/ 7.14 ° 42 j 687 20.4' 20.5' / i;` ��R�b ` � x 627 " V P fence end - 6.86 16,2' o ► 1, r' O 31'E ° gravel I stone x 6.90 ��' "� �' � 7 .� o x deck walk residence I CC �' red 6 59 x 6.63 650 6 4� _iZ� I uses public water n m1�1 n ti' s EXIST. RELOCATED ° 6.37 x steps Tax Map #1000-78-02-42 fence cot x steps 6 09252!2' FUEL TANK 3 4'E x 7 chain link fence RELOCATED SHED `d EXIST. SHED TO BE 6.54 o - o - o - o - o - o - o - o - o o - 22.3' '�,�O�ESS10� RELOCATED - ° ° $3 stone I !/ n'1 o s o n r y p 6 59 ' 616 7 IV ramp walk ` � 6 64 frame shed car a �r residence 3 5'E �=�� �� � / � retain wall uses public water � round � ,- 1 ,UPDATED SYSTEM LOCATION 62421 ° \ in - ground 1x634 _ a I^� GENERAL NOTES: - BLT N o o I - LT 02-16.2021 Tax Map X1000-78-02-40 bin 6 1. ALL PROPOSED PIPING TO BE 4"fd SDR 35,EXCEPT WHERE INDICATED BAG W AS NOTED 6,6 5 `D 5 31 x 5 88- 2. ALL ELEVATIONS ARE IN NAVD88. 6.60 6 47 3. NO PROPOSED OR EXISTING STORM DRAINS WITHIN 10'OF THE fen PROPOSED SANITARY SYSTEM. X I o x 5 32 x 5.42 G 29 chain link fence 0 4. THERE ARE NO WELLS WITHIN 150'OF PROPOSED SANITARY SYSTEM. 2400 GLENN ROAD 6.71 6 �E x 5.60 PROPOSED x 5.66 ° r 5 , APPROVAL 1 / TEM _ ° x 5.30 hSANITARY SYS X OT 24 0 ,. . ° 2400 GLENN ROAD X SOUTHOLD,TOWN OF SOUTHOLD 664 S x 523 j SUFFOLK COUNTY,NEW YORK BwE210.T °- x 4 89 5 0 5 4.14 x 2 n�/ \ ® E C E I V E PARTIAL f iI�6 5 x 4.79 x 434 PLAN 683 R fence en\ �� o JUL - 2 2021 C-102 0 20 40 Southold Town PARTIAL SITE PLAN Board of Trustees 2 a �d SCALE: 1"=20' SCALE: 1" = 20' •� -d" BWE2103 a Z DISTRIBUTION BOX TO BE EQUIPPED W/ SAFETY GRATE 7 SCUM BAFFL B CHAMBER Volume(gal DO GRADE EL 7 35t Sed+mentatran Chamber 397 4°DUCTILE IRON ' Anaerobic Filtration Chamber 396 PIPE THROUGH Aerobm Contact Filtration Chamber 181 90 FOUNDATION Clarification Chamber 90 GRADE EL 7 75 WALL 0-, AR LIFT PUMPN Dlsmfection Chamber 6 22.4rJ"ISINFECTION Total Volume 1069 ° PMC CYLINDER(OPTIONAL) PROVIDE RISERS TO CLIENT DRIVEN SOLUTIONS 16•1Dn P.W.GROSSER CONSULTING,INC. INV 6 62' 4'INLET PIP OUTLET PIPE SPECIFICATIONS RADE AS NECESSARYSANITARY LINE UA Anaembic Media PP/PEOUTLET 63D Chown Avenue.sutta 7 4.4+ i AembicBoard eAcroblcMedia PVC/PP/PE 13.91" 4"DUCTILE IRON PIPEAerobic Med1a PP/m Phone 631)589-.53.F-(63616 $lower 3 Scfm INV.5.83 Eawll INFOQPWGROSSERCOM706 FFLUENT Tank FRP (OUTLETS TO BE EQUIPPED INLET BAFFL AIR LIFT PUMP PI Ing PVC/PP/PE W CONSULTANTS ® ITH ENDCAP LEVELING AiS cto t( Chlorine Plastic/ tilts 4"DUCTILE IRON PIPE DEVICE) D1slnfectant(Optional) Chlonne Tablets INV 6 00 2-12'VENTILATION PIPE LOW BAFFLE Jr �rlAIR INAKE RECIRCULATION PIP (CLEANING OPENING) B , FLOW OPENING(TYP PLAN VIEW POLYLOK DISTRIBUTION BOX SCALE NTS PROP. CLEANOUT ISINFECTION 24'MANHOLE W1 ORENCO RISER SCALE:NTS IWMANHOLEWIORENCD RISER 2e MANHOLE WI-RENCORISER CYLINDER(OPTIONAL) JA NDSAFETYGRATE ANDSAFETYGRATE AND SAFETYGRATE DD R ISERS AS NECESSARY GRADE EL 7 7 LOW OPENING 1 4°DIA.DUCTILE IRON PIPE CONCRETE COVER CARD TYPE SLOPED @ 1%MIN ONTACT MEDIA HS-20 RATED 4.0 DUCTILE 4"0 DUCTILE IRON PIPE © IRON PIPE GRADE Bot INV 622' INV.6.05' ECIRCULATION --IR LIFT PUMP INLET BACKFILLWITH6 a S-+' 4-1• 4•-1• SEE NOTES FORQRu2 b % CROSS-OVER PIPE _ !CLEARANCESKNOCKOUT,USE 4DIA ; �' �'� 10 8 SDR 35 PVC OR 7 l�Y 0 r ` EROBIC MEDIA BOTTOM EL 370 / ( ° EQUIVALENT PIPE _ G� At- Tr ERATIONASSEMBLY 2'MIN 7'-10" TO GROUNDWATER r. uI cad''I,ti� II 111 BOTTOM EL 113 I 8!-6" SECTION A-A VIEW HIGHEST EXPECTED GROUNDWATER ELEVATION 10' GROUNDWATER ELEV.1 0'± SECTION B-B VIEW (CONFIRMED PER USGS DEPTH TO GROUNDWATER VIEWER) �� 1 0925�� ti LEACHING GALLEY DETAIL `•p0FESS\��� 700 GALLON FUJI CLEAN TREATMENT SCALE NTS ��_ T SYSTEM - MODEL CENT 1N0SLA BS,DOMES,COVERS TO BE PRECAST REINFORCED CONCRETE,TRAFFIC BEARING AASHTOHS-20 LOADING 4 SCALE.NOT TO SCALE 2 DESIGN CONCRETE COMPRESSIVE STRENGTH=4,000 PSI AT 26 DAYS 2 3 OPENINGS TO BE 24 INCH MINIMUM 4 PRECAST CHIMNEYS SHALL BE UTILIZED TO BRING COVERS WITHIN 6°OF GRADE. 5 SPACING OF LEACHING GALLEYS SHALL BE 4'BETWEEN ROWS AND T BETWEEN GALLEYS,AS PER SCDHS BAG REQUIREMENTS LTJROAD 6 LEACHING GALLEYS TO BE MANUFACTURED BY LONG ISLAND PRECAST OR PELKOWSKI PRECAST CORPORATION, Rnc AS APPROVED BY SCDHS SELF LEVELING WEIR SHAPE RIBS THAT PROVIDE [4145.1 ' FRICTION FOR ALL 2400 GLENFITTED 4'A PIPE ID2mPROPOSED GEARANDRACK f PROVIDES POSITIVE ONE unlSANITARY TIME LEVELING P rF APPROVALSCDHS ' , POLYLOK EQUALIZER 1642 PART NO.3049 [411oN MATERIAL-FILLED POLYPROPYLENE 424 4 ' _ 2400 GLENN ROAD SOUTHOLD,TOWN OF SOUTHOLD END CAP LEVELING DEVICE DETAIL C53 I6'"' �XACPrs SUFFOLK COUNTY,NEW YORK 1367 UCNT COVER PART .30M [3523.1 HEAW COVEY PART No M17t23 42(1 1000.78-2-0I RWC2103 SCALE NTS 916 6TALLiRSER PART O33Dn [5616 nn] 1TTNLRSER PARTNO 3009R12 CUTOUTSFO4PPE {jam Tom-. O �/J £ 4 ART#SIOEB) ® 1[L1�7j t,LILJ=— '1U(j SITE FOR USE WITH PARTk3a1f - E_ 0 CUT OUTS FOR DETAILS VALVEIMETERBOX , CONVERSION //�/��//� POLYLOK 687 HOLE 2T D0.BOX CUT OUTSFOR JUL -2 2021 PART NO U172a66 hOE 2SIDE , 3;117-201)HOLE 1SIDE67 HOLE COLOR PRDPYIENE 151OE THOLE C-1 03 COIOR BUCK FO'n USE WITH PA4TC300,E Southold Town Board of Trustees ` 24" POLYLOCK DISTRIBUTION BOX DETAIL 3 a SCALE N T S. BWE2103 >. R' • u - rY 7� +: Grant Alarm Clrcult Breaker /� " `� Breaker Float Switch,PressureSwltch, Test/Normal/ # J Carbon Filters Air Blower Test/Normal/Silence Switch Silence Switch Riser Safety Grate Circuit Breaker Applications General (Extra component if f Orenco,CarbonFilmsreducetheodorofsewergasesinpasivemi, The0onceCuban Filter attaches tovent pipeswith aslpfit The Applications General flaw venting applications weathar cap is removable to allow replacement of the carbon pack Alarm Beacon necessary,such as Drenoo's non-corroding polypropylene ruler safety grates rest Inside Orell riser safety grates A � age Carbon replacement frequency will be based on the volume and of an access riser,to help prevent people or tools from falling Into the � ;� suength of gases being scrubbed by the filter Carbon recharge pack- tank opening They are lazed to fit inside of Ulira-Rib'",Parma-Lx'" discharge pump) •Are easy to Install and remove Weather Cap ages,adapter bushings and custom Saes are available PMC _ - - - - '""- - KorFLo'",and ectuwalentnsers •Allow service providers torest filters orother components onthe CLIENT DRIVEN SOLUTIONS / lIP. grate Irlslde the nser to clean and hose them off Calori Standard Models P W.GROSSER CONSULTING,INC. •Prevent sod buildup when installed In the bottom of a vale box. s BCF3,CF4 Pressure Switch d7a^ •Fit most brands of hoped PVC profile pipe Hc.uq i 630 Johnson Avenue.Sutte 7 • Are made ai noncarrodmg polypropylene Product Code Diagram Bohemia.53.tits-2616 (20 mm) Phone(637)6694J63.Fad(631)5119-8705 Rlsef Sa/e �i Ercall INFOQPWGROSSERLOM 1 rygrate mesh deta7l Screen Plate r C DF❑ D16" Standard Models , r � CONSULTANTS I R'""') Raa� RG72,RG78,RG21,RG24 4' aimretm ( I „{ ❑ ❑❑ ❑ CF3,CR Getaway Vrew(sldeJ 4=a^ 000 —A col BH :3188 ❑❑ ❑ D0 ❑❑ °O❑ Materials of Construction: Wein"arm 0 0 0 ° ppp pippppp pHppp��p] Rear grate Polypropylene Materials of Construction I OOO°❑°❑❑ ❑ OOOO❑❑❑ 3 set screw � � e g��o� � — - w'eaNer Cap ABS CF3 CK,FiberglasslCF6 F y„•,,,,A mpragnated carbon Terminal Blocks to pL❑ ❑❑❑°°❑g❑3 Specifications Carom To - , a Gmorc Gmnuiar am ateei ' ❑❑ ❑❑❑❑ He ig W"resn`,mrt PJC ° ❑g❑�� ❑�❑❑®❑❑❑ RG12 RG18 RG21 RG24 '' X`"i ❑❑❑❑pppppp❑❑❑❑❑❑:11❑ Housing t, Stteen Plate Poryettryiene ' I OD� °❑❑�17❑O Diameter,In(mon 1170(297) 1750(445)2050(521)2325(591)❑❑ ❑ O❑D13q°❑gO ❑❑ Thickness,in mm) 050(131 05013) 050(131 050(13) Screen Plate T Specifications 898999 Vveght,lb(xg) 0701031 17(08) 23(10) 300 41 c Max load to(kg) 350(159) 350(159) 350(159) 350(159) —1- Dlrnmium er CF3 CR CF5 Wiring Diagram RG24 riser Safety grate —D— Amlmm) 51,(1391 5)4(1391 91229) et Horn Max lank opening 70 0(254) 15 5(394) 10 5(470) 20 0(508) '} size,in(mm)' Cr6 OLfawaYWew(lade) B m(mm) 10(254) 12 H(318) 16�,(ass) '1 ,�'` �, _ u,rix asefiwSr'enrnesromern.amwys r:ye.m:,meracr„m yw¢mma Cm(mml 176(318) 114 ria 1) 3%L873) '1 sxR11' D.Inrmm) 3Yz1681 47411141' 6%p6ar Carbzc p hl lb5(4) 09(041) 16(073) 60 tl aacdl'grams'. 014 0 14 014 '^� f• Fm mm,.urT,�aNR,vn A'at ri^veyneero4eYemrLvpmmr,r,e.rru was - +'-- vim f CFS,CF4ACNal Yew(side) CF6ACNaf Yew/tleJ U)ff t may',1 �,sB Watertl pts Incoming Air £, n , Z Neutral Block g Grounding Block CARBON FILTER DETAIL y ;t Pressure Tubing Por>n'ryrnsfafed Me raersaferygrefe nese,bet fire 0rz reardeame t rarkal—a,oda„aY"eradctraargmresrormi�dYm�es) SCALE NTS °S 1_ FUJI CLEAN CONTROL PANEL DETAIL INCOMING SERVICE, 1 SCALE NTS 100A, 10, 120/240 VOLTS t � RISER SAFETY GRATE DETAIL NEW 20 AMP,1 POLE BREAKER F 0925- �Ff SCALE NTS 120 120 VOLT,10 SERVICE TO UTILITY "`-�_F,/I-.t F E S� FUJI CONTROL PANEL 2#12,#12 GRD IN 1”PVC CONDUIT e O 6 4 6 3 6• SPeclflcations CIRCUIT 2 (Ifil) Madel MAC60RII MAC60RII MAe100Rtl FUJI BREAKER METER Air Flaw volume CFT - 2L _ M _ 2 i _ 2 8 _ 3 5 FUJI MAC CONTROL PANEL C/min s0 —ao —loo— 100RII Oo Psi _ 2.2 _ _z z _ _z 6_ BLOWER PANEL BAG Pa O NormaL Pressure -kF.- 15 IH - Rated voltage v ACI20 NOTE LT 02-16-2021 FrequencY Hz 60 EX GROUND ROD 1) BURIED ELECTRICAL POWER BAG AS NOTED Power conaamPtion w J7 sl 74 = CONDUITS SHALL BEAMINIMUM ' �R _— —_�_— —_ welgnt lbs AHIo_II APPr_II ADPr_ iI 241NCHESBELOWGRADE k9 AIProx 5 APProx 5 APPrax 5 outuet PIP,0tamete Inch 3/4• 2) ALL ELECTRICAL WORK TO BE Pow,r cora Length Inon 6.2• PERFORMED IN ACCORDANCE DL Etre numbs Ea1420 Count rY of origin Japan ELECTRICAL ONE LINE DIAGRAM WITH NEC ® 00 SCALE N T S 4 NN ROAD Insiol"""/Operation 6 Malntenange Notes AC120V 60Hz PROPOSED -Install blower°n leveled salla nose Ensure adequate ventilation °"d Pr°t°°'°g°'"a' °°"°"Jii5'q"' "re a MAC100RI1 Ambient s6'F 1 k � -Inspect ono again Internal°Ir illter a cry J moil", I va- -Recaav"end alapnragm/valve 9s coaly replacement once every 5 D ' SANITARY SYSTEM 33) 12 months (Nater°torn dloPbro at will tr 199 er the Aul°matic-Stop funat ton 1 4 5 -Please make sure t°follow tae Insiructl°n m°nu°I 2400 GLENN ROAD U.2 4 0 —f SOUTHOLD,TOWN OF SOUTHOLD U 35 F SUFFOLK COUNTY,NEW YORK e 01 m� E 30 - E14100411.241 BWE2103 #10-32 0 25 20 o-> a 15 ® ELECTRICAL Ta be hardwared to 10 DETAILS I - I the control Panel 4 3/6• D 5 0 110 DQ I JUL ® / 2029 00 05 1 0 15 20 25 30 35 40 45 50 L AU drawing measurements In Inches(mm) Pressure[PSI] Performance Curve Southold Town -C-1 041 Board of Trustees FUJI MAC10OR11 BLOWERS DETAIL 4 4 SCALE-N T S BWE2103 2400 Glenn Road, Southold, NY 11971 111 . ` f I � � la �. f a 1 -4o 1 73 —1 0, 0� I. .,t;,-i' f 4 I�Y'' d:w*.-.���` �,�'`'.•+4�sc"�r,�[ `���'j .� �_' •art, :a� -. , 1 c ra h ,75.¢x.- ` r r ' 144 Y r r t• 06 2400 Glenn Road, Southold, NY 11971 a r �Y=�c 11I M111'-�� r I ) ;a;a II1s "/1►►fff' f� R , r _ 2400 Glenn Road, Southold, NY 11971 n1. $.nyMlr aX! �� OW. n tr oe nx; in O SLEEPY HLLOW a h ,a 10,9 s9Afc1 x e 9o.e � ,.OMq ,D.29 ax tv -.9 ,aa 31 � IUA()\ �♦ a/gc7 "' 4 .,�) 0 .1�� •B c ONeI _. •� Ti-NOF .. e e a 0 .. - R... fL ,. �� �� 010 SOUTNOlO ��l K f b Sal N J e e" -t x 1 9• $21 ac p °° a �, t P 1 A:,.J_: wasxrw,+w J<. 12 e NAS w.c, m•"ys•'E. •� q:. .'"') x'T % ,5 Q unzc xcu.. gt r ,,."` m w ,. 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Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold,NY 11971 ® ® Telephone: 631765-1938 �yC®UNTI,��� 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 �,V:�;r Date: July 7, 2021 Re: Local Waterfront Coastal Consistency Review for ANTHONY IENNA SCTM# 1000-78-2-41 Sean O'Neill on behalf of ANTHONY IENNA requests a Wetland Permit to abandon and remove existing sanitary system and install a new I/A OWTS system; and relocate existing shed from west to east side of property. Located: 2400 Glenn Road, Southold. SCTM# 1000-78-2-41 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP. 1. Consider relocating the leaching galley to the front yard at higher elevation and closer to " Glenn Road. This would increase the setback to the wetland. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney Peter Young,Chairman Q Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held July 7, 2021 the following recommendation was made: Moved by John Chandler, seconded by Maggie Merrill, it was RESOLVED to SUPPORT the application of ANTHONY IENNA to install an I/A septic system. Located: 2400 Glenn Rd., Southold. SCTM#78-2-41 Inspected by: John Chandler Vote of Council: Ayes: All Motion Carried h r Glenn Goldsmith,President 0 - 0 4 ` Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 John M.Bredemeyer III Southold,New York 11971 Michael J.Domino Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only D s.' Ru Coastal Erosion Permit Application X Wetland Permit Application VAY — 4 2021 Administrative Permit Amendment/Transfer/Extension ---— 1-Received Application: TA 24 Sou i::�io To n ' Board of Ti Received Fee: Completed Application: Incomplete:, / SEQRA Classification: Type I Type II ,/ Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): —7 WRP Consistency Asses m t F rm Sent: a AC Referral Sent: d Date of Inspection: 7• Z Receipt of CAC Report: G Technical Review: —;/--Public � Public Hearing Held:, � Resolution: Owner(s)Legal Name of Property(as shown on Deed); Anthony lenna Mailing Address: PO Box 1375 .Southam ton NY 11969 Phone Number: 516-978-6179 Suffolk County Tax Map Number: 1000 - 78000200041000 Property Location: _2400 Glenn ,Road Southold,- NY 11971 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable):, . Sean O'Neill Mailing Address: PO Box 1375, Southampton -NY 11969 Phone Number: -631-268-4434_,. �'nLO) ��`��e��kP�2�nu i rb ' v issv�es C6f-j G 1,30 Board of Trustees Applic_<son GENERAL DATA Land Area(in square feet):,__?6,571..60 Area Zoning: R210 Previous use of property: Residence Intended use of property: _Residence Covenants and Restrictions on property? Yes _ X _ No If"Yes", please provide a copy. Will this project require a Building Permit as per Town'Code? _-Yes X 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 X 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 X No Does the structure (s) on property`have a valid Certificate of Occupancy? X 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):,,, , Septic Upgrade to VA OWTS Board of Trustees Applic Lora WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: - Area of wetlands on lot: 3-P85-74 square feet Percent coverage of lot: 15 % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No X _Yes If yes, how much material will be excavated? , 20 cubic yards How much.material will be filled? , , . .cubic yards Depth of which material will be removed or deposited-411, 6_feet Proposed slope throughout the area of operations:., ._ n/a Manner in which material will be removed or deposited: . in accordance.with Suffolk Coun y,E)epartment of Health Services (SCDHS) requirements 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): no anticipated effect 6X 7.20 Appendix B Short Environmental Assessment Form Instructions for,Goinnletin . Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to frilly 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: 2400 Glenn Road, Southold, NY 11971 Project Location(describe,and attach a location map): 2400 Glenn Road, Southold, NY 11971 Brief Description of Proposed Action: To abandon the existing sanitary system by pumping the system clean, by removing the system and by backfilling with clean compatible sand, in accordance with SCDHS requirements, located approximately 75 feet from bulkheaded surface waters to the west and to install a new innovativelalternative on site wastewater treatment system. Name of Applicant or Sponsor: Telephone: Anthony lenna E-Mail: Address: 240. 0 Glenn Road City/PO: State: Zip Code: Southold NY. 11971 1.Does the proposed action only involve the legislative'adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that 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 finding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 1_1 DEC Tidal Wetland Permit, SCDHS design approval 3.a.Total acreage of the site of the proposed action? ;1 acres b.Total acreage to be physically disturbed? .2 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check alfland uses that occur on,adjoining and near the proposed action. ' ❑Urban E]Rural(non-agriculture) ❑Industrial ❑Commercial JXResidential(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? El R a b.Consistent with the adopted comprehensive plan? I LK L®�I Q 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 ((Y'��E'(S © 'U b.Are public transportation serviceFxl s)available at or near the site of the proposed action? I—} Lni c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? N ;❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: (--� 10. Will the proposed action connect to an existing public/private water supply? 'NO YES If No,describe method for providing potable water: 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? ,N ❑ 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? Tz— b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? 1-1 EJ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: !� 14.-Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply:. [M Shoreline El Forest ❑Agricultural/grasslands El Early mid-successional [X Wetland D Urban D Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? (x[ 16.is the project site located in the 100 year flood'plain? NO YES X 17.Will the proposed action create storm water'discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ®NO [—]YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ®NO DYES Page 2 of 4 � t �1 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: _ n El 19.Has the site of the proposed action or an adjoining property been the location of an active or closed - NO YES solid waste management facility? If Yes,describe: _ a ❑ 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: n ❑ i I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Anthony nna Date: L�_ZJ—-Z--0 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 rte( ❑ regulations? u 2. Will the proposed action result in a change in the use or intensity of use of land? tL�.fit ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the (� ❑ establishment of a Critical Environmental Area(CEA)? f_l 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? �v 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, F1waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 'No;or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? ❑ 11. Will the proposed action create a hazard to environmental resources or human health? 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-tern,long-term and cumulative impacts. ❑ 'Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date 1 rein — President Print CTIpe Nam' f sponsibIV Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer-(if different from Responsible Officer) ^ -PRINT Page 4 of 4 AFFIDAVIT Anthony senna and Giustina lenna BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND RELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN.BOARD OF TRUSTEES. THE APPLICANT AGREES TO FOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IV GRANTED. IN COMPLETING THIS APPLICATION,./HEREBY AUTHORIZE THE ? TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO I INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THETERM OF THE PERMIT. 5 ntureOf POer 4Sie of Property Owner x i SWORN TO BEFORE ME THIS 2�' —DAY OF P//a-� , 2p 2 I Notary Public ' CAROLINE M MACARTHUR NOTARY PUBLIC-STATE OF NEW YORK No.01 MA6384635 Qualified in Suffolk County My Commission Expires 12-17-2022 AUTHORIZATION (Where the applicant is not the owner) i I/We, Anthony lenna and 0ustina Jenna E y owners of the property identified as SCTM# 1000- 78000200041000, in the town of Southold New York,hereby authorizes Sean oweilil Bridgewater Environmental to act as my agent and handle all necessary work involved with the application process for permits)from the Southold Town i Board of Trustees for this property. C x.roperty Owner's Signatu e P rty Owner's Signature Y / SWORN TO BEFORE ME THIS �V DAY OF _P 2- 1 fit/ 20 2— 1 � Notary Public CAROLINE M MACARTHUR NOTARY PU81-IC-STATE OF NEW YORK No.01 MA6384636 Qualified in Suffolk County My Commission Expires 12-17-2022 ; APP]LICANTIAOENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Sobthold's Code of Ethics prohibits contlicts of interest on the part of townbfrccrs and employees The purpft of this formj"s to provide inforinationwhich east alert the town of possible conflicts of interest and allow,it to take whatever action is e necessary to avoid same. YOURNAME., Anthony lenna and Giustina/enna wish SAW_CL'NB /Rr;rtgeWater Environmental as Acting Agent (Last name,first name,spiddle 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 Vartanc_e Trustee X' Change of Zone Coastal Erosion Approval of plat Mooring 'Exemption from plat or official map Planning Other Of"Other`;name the activity.) bo you person;tlty(of through yi)6com�'sny,spouse,sibling,parent,or child)have a re'laticins}up tivith ariy officer or employee of thc'Town ofSouthold?`Relationship",int udes"by blood',`,marriage„or husitiess interest`-`I3ttsiness interesO rneans'a-business, including a,portncrship,in which the town offieer',or employee has even a partial o*neish_ip of(or-emplUymenr by)a corporation in wilich the town otlieeior_emplo ce owns riiote=than 5%of the shares. YES NO X If you-answered"YES",complete the balance of this form and date and-sign where indicated. Name of person employed by the Town of Southold Title or position'of that person Desdibe the,relationship between yourself(the applicanUagentlrepresentative)`and the town officer or employee.Either check the appropriate line A)throtfglt D):uuilor describe in"ihe spai•.e provided. # The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): ' 1 A)the o*ner of greater than 5%;,of the shares of the corporate stock of the applicuttt (*Ileo the applicant is a corporation). ' $)the legal ocbeneficia!oivtier of any interest in a non-corporate entity(when the applictn i isnot a,corporation); o(icer,director,pattner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP I Submitted this day o 0 ,� Signature Print Name n Form TS i Signature t Print Name:Giustina/enna Signature: 7--- Print Name:Sean O'Neill/Bridgewater Environmental Glenn Goldsmith, President �p Town Hall Annex A.Nicholas Krupski, Vice President y,�� yam ; 54375 Route 25 John M. Bredemeyer III y A P.O. Box 1179 Michael J. Domino O w ;y Southold,NY 11971 Gies Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 23, 2021 Sean O'Neill P.O. Box 1375 Southampton, NY 11969 Re: Board of Trustees Application of Anthony lenna 2400 Glenn Road, Southold SCTM# 1000-78-2-41 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Orders, this application is now scheduled to be heard by the Southold Town Board of Trustees via a combination of an in-person meeting and videoconferencing on Wednesday, July 14, 2021 beginning at 5:30 P.M. Please continue.to check the Town's website as the meeting date approaches for the latest meeting agenda and videoconferencing information. Enclosed is an informational notice regarding the videoconferencing meeting and how to access the online meeting. Please mail a copy of the informational notice along with all other required paperwork to each of the adjacent property owners. Please keep a copy of said informational notice for your records so that you can access the meeting in order to have a conversation with the Board during your application review. cr uly Yours, ,� 4a"X Glenn Goldsmith, President Board of Trustees �,O�gUFft1( y Town Hall Annex Glenn Goldsmith President A.Nicholas Krupski,Vice President 54375 Route 25 John M.Bredemeyer III y P.O.Box 1179 Michael J.Domino �,y ® 0�� Southold,NY 11971 Greg Williams '�0� �a Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESDAY, JULY 14, 2021 5:OOPM & 5:30PM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD-OF TRUSTEES will be held on Wednesday, July 14, 2021 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. The public is invited to attend the meetings either in person or virtually via the Zoom online platform. Masks are still required for members of the public who are not fully vaccinated. Written comments may also be submitted via email to the Trustees Clerks at elizabethc@southoldtownny.gov and diane.disalvo@town.southold.ny.us. Said comments will be considered at the public hearing provided that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing. The public will have access to view and listen to the meeting as it is happening via Zoom. If you do not have access to a computer or smartphone, there is an option to listen in via telephone. Further details about how to tune in to the meeting are on the Town's website at https://www.southoldtownny.gov/calendar or call the Board of Trustees office at (631) 765-1892 Monday through Friday between the hours of 8:OOAM —4:OOPM. Options for public attendance: • Online at the website zoom.us, click on "join a meeting" and enter the information below. Zoom Meeting ID: 992 1021 2887 Password: 427007 • Telephone: Call 1(646) 558-8656 Enter Meeting ID and Password when prompted (same as above). In order to "request to speak" when the application you are interested in has begun, please press *9 on your phone and wait for someone to acknowledge your request. When prompted to unmute your phone press *6. To view the application files please visit: https://www.southoldtownnV.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. Glenn Goldsmith,President o�QSpl W171:1:00 Town Hall Annex A.Nicholas Krupski,Vice President ,�� Gym 54375 Route 25 John M.Bredemeyer IIIy _ P.O.Box 1179 Michael J.Domino %O ® v Southold,NY 11971 Greg Williams 'y p! r Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BE ADVISED — AS PER CHAPTER 55 NOTICE OF PUBLIC HEARINGS Failure to submit the following originals to this office by or no later than 12:OOPM the day prior to the scheduled Public Hearing for your application will result in a postponement of said application. This office WILL NOT contact you to request said information: • All original white & green certified return receipt mail receipts stamped by U.S.P.S. • Completed original Proof of Mailing Form Failure to submit the following originals to this office by or no later than 12:OOPM the day of the scheduled Public Hearing for your application will result in a postponement of said application: • Original Affidavit of Posting_ form — DO NOT COMPLETE SAID FORM UNTIL THE GREEN SIGN HAS BEEN IN PLACE ON THE PROPERTY FOR AT LEAST SEVEN (7) FULL DAYS. Sign the form on the eighth day that the green notice of hearing sign has been up on said premises. All green signature cards related to said application that were returned to your office should be either dropped off in our "Trustee drop box" or mailed into our office whenever they are received. These cards are not required prior to the Public Hearing, unless specifically requested for by this office. This specific requirement is subject to change. !' Board of Trustees Applic' on PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME ,;". NAME: DD RE S 7o' 1 - 33 STATE OF NEW YORK COUTNY OF SUFFOLK residing at being duly sworn, deposes and says that on 'the day of ---.120 ,.deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at that_said-Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public Glenn Goldsmith, President 4r¢OtiQ C�Gc'`c Town Hall Annex A.Nicholas Krupski, Vice President -0�� �,,,,h 54375 Route 25 John M.Bredemeyer III P.O.Box 1179 Michael J.Domino Southold,NY 11971 Greg Williams p Telephone(631)765-1892 R � �;� ®� $a off✓ Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of ANTHONYIENNA COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, lel�SLi f1 �+��� , residing at/dba lZZyc% SSGC c L t(7 being duly sworn, depose and say: That on the"� day of .1 t , 20A� , I personally posted the property known as by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, July 14,2021. Dated: :TV(# 11, 2Daq (sig at )ire) Sworn to before me this r'� day of Tgty 20 Z( . Aj�l DIANE DISAWO NOTARY PUBLIC-STATE OF NEW YORK Notary Public No. 01 D1475593 y Qualified in Suffolk Counfy My Commission Expires April 30, 20 ZZ" Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: Ie oaAmu, 2-460 6-kno A 5' 5who(d NAME: ADDRESS: t6G0- �-5-2- �iI �ruca- Us4e'r 2 3vo 64"' gc '�O�Ao(d C IZ- 5i Wrlo f ►mi {� 2 d nn �cl� SouA4o Id 2)_ a I� �r rickkjmtys 5 Gd'ahA ��, SoU+ka Id V iw1 Ca-LI`72; 2L165 Sou4o0 STATE OF NEW YORK COOUTNY.OF SUFFOLK residing at (w i, v 0 , being duly sworn, deposes and says that on the C_day ofy 4 , 20 21 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold;that said Notices were mailed at the United States Post Office located at (0 1& �a�l—D na�t�� L)y_ J jjq g;- -,-that said-Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. 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Located: 2400 Glenn Road, Southold. SCTM# 1000-78-2-41 TIME & DATE OF PUBLIC HEARING: Wednesday, July 14, 2021 — at or about 5:30P.M. — Either in person or via Zoom. To access the Zoom meeting please see the meeting agenda located in the Trustees section of the Town website. If you have an interest in this project, you are invited to view the Town file(s) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LNRP 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 aciion-will-'be -evaluated. as- to-its sigiacant, "beneficial-and adverseeffects,uporiSontiidld-Trwn� 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. Thtis. eae i-answer`must.lie a.plain6d4n. de#ail, listingboth-supporting-and-non-, 'supnortinw6c& *If an action cannot be certified as consistent with the LWRP policy standards and conditions,it'sha11Ad be uridettakeii. 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# 1000 780002000:` 41000 PROJECT NAME 2400 Glenn Road, Southold, NY 11971 Septic Upgrade The Application has been submitted to(check appropriate response): ; Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 0 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: RX Nature and extent of action: To abandon the existing sanitary system by pumping the system clean by removing the system and by backfilling with clean, compatible sand, in accordance with Suffolk County Department of Health Services requirements, located approximately 100 t rom wetlands to the south, and to install a new innovative/alternative on site wastewater rest . P Location of action: 2400 Glenn Road, Southold, NY 11971, 100 ft from wetlands to the south Site acreage: .61 total property Present land use: residence Present zoning classification: 210 ; 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Anthony lenna (b) Mailing Address:,-PO Box 1375,,Southampton,-NY 11969_ _ u F -(c) Telephone number: Area Code( .)% 631-268-4434 (d) Application number,if any: /q, Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes 2 NoE! If yes,which state or federal ageho?,,SCDHS and N.YDEC-. 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 LVV"Section III—Policies; Page 2 for evaluation criteria. IX Yes ❑ No ❑ Not Applicable An i/a owts will reduce nitrogen pollution, which leads to beneficial use of coastal location and helps minimize adverse effects of development. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 0 Not Applicable i 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 An i/a owts will reduce nitrogen pollution that currently threats scenic resources. - Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ' Yes No ❑ Not Applicable ! Attach additional sheets if necessary Policy S. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ]' Yes r] No ❑Not Applicable An i/a owts will reduce nitrogen pollution, which improves water quality. 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. ® D I] r Yes No Not Applicable Nitrogen pollution is the leading threat to our ecosystems and leading cause of fish kills.An f/a owts reduces nitrogen. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes ❑ No j Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous i substances and wastes. See LVVRP Section III—Policies; Pages 34 through 38 for evaluation criteria. nn Yes U No ❑ Not Applicable k An i/a owts will directly reduce,environmental degradation from solid;waste. 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 LNVW Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye�] No 0 Not Applicable Attach additional sheets if necessary F / WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III•—Policies; Pages 47 through 56 for evaluation criteria. ,n Yes ❑ No ❑ Not Applicable An i/a owts will reduce nitrogen pollution, which improves water quality. Attach additional sheets-if necessary _ l Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. �@ Yes .❑ No ❑ Not Applicable Nitrogen pollution is the leading threat to our_ecosystems and leading cause,of.fish kills.An Ma owts reduces nitrogen. " Attach additional sheets if necessary' Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62.through 65 for evaluation criteria. Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No © Not Applicable Sean O'Neill President, Bridgewater Environmental PREPARED BY TITLE (Acting Agent) DATE 5/24/21