Loading...
HomeMy WebLinkAboutTR-10048 Glenn Goldsmith,President Town Hall Annex �® ®� �®u��®�® 54375 Route 25 A.Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski g Southold,New York 11971 Liz Gillooly r� Telephone(631) 765-1892 Elizabeth Peeples ® �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 2133 C Date: May30, 2024 THIS CERTIFIES that the construction of a two-story single-family dwelling(1,180 sq.ft. footprint)with attached 192sq_ft seward screened in porch installation of an IA/OWTS septic system; installation of a pervious gravel driveway- establishment and perpetual maintenance of a 19' wide non- turf buffer landward of the top bank with native plantings; installation of a 25"x48" generator set on a 29"x52"pad on the north side of the house with two(2)HVAC units-, as-built bluestone walkway on cement; 6' high panel fencing on north side of residence; 12"high timbe retaining wall; low profile boulder wall east of non-turf area(approximately 45'xl8"). At 1130 West Creek Avenue, Cutchogue Suffolk County Tax Map#1000-103-13-9 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 24,2021 pursuant to which Trustees Wetland Permit#10048 Dated December 15, 2021,was issued and Amended on August 16,2023 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a two-story,single-family dwelling(1 180 sq ft footprint)with attached 192sq ft seward screened in porch installation of an IA/OWTS septic system,• installation of a pervious gravel driveway' establishment and perpetual maintenance of a 19' wide non-turf buffer landward of the top bank with native plantings, installation of a 25"x48"generator set on a 29"x52"pad on the north side of the house with two(2)HVAC units;as-built bluestone walkway on cement,• 6' high panel fencing on north side of residence; 12"high timbe retaining wall-, low profile boulder wall east of non-turf area(approximately 45'xl8"). The certificate is issued to ROGER D. TODEBUSH owner of the aforesaid property. Authorized Signature Glenn Goldsmith, President ®F SO Town Hall Annex ® 54375 Route 25 A. NicholasiKrupski,Vice President �® �® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly G Telephone (631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 C®UNT`I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: INSPECTED BY: V"'Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain_ 1st day of construction % constructed Project complete, compliance inspection COMMENTS: K- / / � / (7 ` 1 CERTIFICATE OF COMPLIANCE: 12" HIGH TINKER WALL AR LINE EX157 MAPLE SAPLINGS VENT LINE ELECTRICAL CONNECTION r0 HIGH PANEL FENCE IN CONDUIT HYDRO ACTION D — BOX PROP05ED SCREEN PLANTS I - AN C DD LP i - -AIR PUMP GEN &CONTROLS LP. anus++ \ G-9WEY wai. AC AC WINDOW WELL �L PROP05ED r /\ SCREEN ACTUAL LOCATIONS \ , GRl�VEL DRIVEWAY �-- \ PORCH OF HVAC 8c GENERATOR LOW PROFILE r ^ AD ITIONAL NATIVE BOULDER WALL V 1 517-C. PLANTINGS \\ \\ \ GA5 METER \\ \\ \ \\ EXISTING W00 DOCK ' V EXIST NATURAL STONE \ WALK ON GRAVEL DECK \j \ // 4.3A, k! !, .4 a4lg ,gi �! !` �.! i! y!! 34 .�@!� 4! 3�.! }il.a� Al# ®04 ;' ,�, ®'�(� r ®x 7Q * Q BL, 5T. FLAG ON CONCRETE PR0P05E1) 5CREEN PLANTS 100' BACK FROM WETLAN05 75' BACK FROM WETLAN05 5TORY FRAME HOU5E APPROVED BY BOARD OF 1 RUSTEES TOWN OF SOUTHOLD DATE ----- - - ---� 1130 WE5-r CPaK AVENUE, Gu-rc.HocuE, w 1000-103-13-09 Revision ' Landsca e PIan : 8- 12-23 Landscape#. Sca e. esi n by: David Cichanowicz AUG 1 4 2023 1 0 IL i 8/142 2 1 " = 1 r .. To+ n Date: / 0 3 0 ° a °fT�� �es Cilowzeat'ive 1LJ esi Glenn Goldsmith,President �®f s®(/�y Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President �o�` ®�® P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples � �� Fax(631) 765-6641 COUNTY, August 17, 2023 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Roger D. Todebush - P.O. Box 5 Cutchogue, NY 11935 RE: 1130 WEST CREEK AVENUE, CUTCHOGUE SCTM#: 1000-103-13-9 Dear Mr. Todebush: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 16, 2023: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#10048 to install,a 25"x48" generator set on a 29"x52" pad, on the north side of the house with two (2) HVAC units; as-built bluestone walkway on cement; 6' high panel fencing on north side of residence; 12" high timber retaining wall; low profile boulder wall east of non-turf area (approximately 45'x18"); increase vegetated non-turf buffer landward by approximately 4' with additional native plantings; eliminate outdoor shower; and as depicted on the site plan prepared by Creative Environmental Design, dated August 14, 2023, and stamped approved on August 16, 2023. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Glenn Goldsmith President, Board of Trustees GG/dd 12" HIGH TIMBER WALL AR LINE EX15T MAPLE SAPLINGS VENT LINE ELECTRICAL CONNECTION r4HIGH PANEL FENCE IN CONDUIT HYDRO ACTION 0 — BOX LP PROP05ED SCREEN PLANTS , �- //- -- AN rOOD �. ❑ ❑❑❑❑❑ Q C1 cErJ &CONTROLS G-IM,IEY way AC - AC WINDOW , WELL i PROP05ED \\ SCREEN ACTUAL LOCATIONS U \\ PORCH OF HVAC 8c GENERATOR GRAVEL-DRIVEWAY. �-- U AD ITIONAL NATIVE LOW PROFILE � � , BOULDER WALL V ) SP-C. PLANTINGS \\ \\ \ GAS METER\ EXISTING WOO DOCK ' UNATURAL STONE ' ••, EECKT \\ % WALK ON GRAVEL , p BL. 5T, FLAG ON CONCRETE PROP05ED SCREEN PLANT6 100' BACK FROM WETLANDS 75' BACK FROM WETLANDS STORY FRAME HOU5E APPROVED BY BOARD OF 'i RUSTEES TOWN OF SOUTHOLD DATE r 1130 WCRaK /VENUE Cu-rcHocuE 1000-103-13-09 Revision #: Scale: Y �`� i , Landscape Plan : 8- 12-23 Landscape Design by: David Cichanowicz I AUG 1 4 2023 � 11 1 I „rr, 2 w�,,n� �^arc!of Tr!isteesDate: 8/14/2023 1 10at' I�' Glenft-�ioldsmith,President ���� �OGy Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 CO Eric Sepenoski ,? P.O.Box 1179 Liz Gillooly �y • o�� Southold,NY 11971 Elizabeth Peeples �Ol �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 2 3 Completed infield by: L), ROGER D. TODEBUSH requests an Administrative Amendment to Wetland Permit #10048 to install a 25"x48" generator set on a 29"x52" pad, on the north side of the house. Located: 1130 West Creek Avenue, Cutchogue. SCTM#: 1000-103-13-9 Type of area to be impacted: VSaltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Typep'Application: Wetland Coastal Erosion ✓Amendment `/Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No' Not Applicable Info needd/Modifications/Conditions/Etc.: ,� _, it"4 A `ovs , iN 0( . A61 r/paCA, as W. If HeS- Present Were: G. Goldsmith ✓N. Krupski E. Sepenoski L. Gillooly, E. Peeples Route 25, P.O. Box 160 Peconic, NY 11958 AUG 1 4 2023 ' 631-734-7923 Southold Town Board of Trustees creativeenvdesign@yahoo.com Southold Town Trustees August 14, 2023 Wetland permit# 10048 SCTM# 1000103-13-9 Plan by Creative Environmental Design Plan showing actual locations and proposed amendments to permit. Location of:** Generator, HVAC units, ** Bluestone walk on cement within 100'jurisdiction ** Fence on north side of residence. **12" high timber retaining wall (to better control runoff to neighbors property) ** Low profile boulder wall east of non turf area (to better control erosion to wetlands) ** Added additional native plantings landward of non turf area as depicted on plan. ** Removal of outdoor shower Proposed screen plantings on north and south side of property as originally depicted. Plan was surveyed and drawn by Dave Cichanowicz, pres. CED. Peconic surveyors will supply an as built as determined by Southold Town Trustees approval. Roger D. Todebush PO Box 5 Cutchogue, NY 11935 (773) 230-7862 nodebush@pequash.com July 21, 2023 Board of Town Trustees Q E ' - --E i 54375 Route 25 Southold, NY 11971 JUL 2 1 2023 i South-nN TI(Min Re: Administrative Amendment to Permit#10048 Board of—irdstees To the Board of Town Trustees: On December 15, 2021, you granted Wetland Permit#10048 for construction of my house at 1130 West Creek Avenue, Cutchogue (SCTM# 1000-103-13-9). Missing from my application for that permit was a request to include a generator with the house. The Southold Building Department informed me that the generator is permissible on the side yard and must be set back a minimum of 5' from the property line. I am proposing a 25"x48" generator set on a 29"x52" pad, on the north side of the house, approximately 8' from the property line. Please see accompanying site plan, generator location drawn in blue ink. I hope you can amend my original wetland permit to allow for this generator. Thank you veLy much, L Roger D. Todebush Glenn Goldsmith, President �q so�Ty Town Hall Annex A. Nicholas Krupski, Vice President ,`O lQ 54375 Route 25P.O. Box 1179 John M. Bredemeyer III 9 [ lxl[ Southold, New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 C4UNT`[,�1c� 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'HOURS PRIOR TO COMMENCEMENT OF'THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE _ - Pie-constructidrt;"kiay.bale-line/silt"-bbom/silt'curtain. ", 1st day of coh&uction % constructed When project complete, call for compliance inspection; TERMS AND CONDITIONS The Permittee, Roaer D. Todebush, residing at 1130 West Creek Avenue Cutchogue 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. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with,the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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. U. 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 QF sv�jyo Town Hall Annex A. Nicholas Krupski,Vice President ,`O �� 54375 Route 25 John M. Bredemeyer III P.0-Box 1179 Southold,New York 11971 Michael J. Domino N G • Q Telephone(631) 765-1892 Greg Williams '� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 20, 2021 Robert W. Anderson Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932-2003' RE:1 . ROGER j60EBUSH ' 1130.WEST CREEK-AVENUE, CUTCHOGUE =SCTM# 1000-103-13 -9 ' Dear Mr.-Anderson: The-Board of Town Trustees took the following`action during its regular meeting held on' .Wednesday,December'15, 2021 regarding the above matter: WHEREAS, Suffolk Environmental Consulting on behalf of,ROGER-D. TODEBUSH 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 September 24, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.1 of the Local Waterfront Revitalization Program to the greatest extent possible through the imppsition of the following Best Management Practice requirements; establish and maintain a non-turf buffer; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 17, 2021 and December 15, 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of ROGER D. TODEBUSH to construct a two-story, single family dwelling (1,180sq.ft. footprint)with attached 192.0sq.ft. seaward screened in porch; construct an outdoor shower; install an IA/OWTS septic system; and install a pervious gravel driveway; establish and perpetually maintain a 15' wide non-turf buffer landward of the top of bank; with the condition that no additional structures be,applied for in the area seaward of the proposed house and deck; and as-depicted on the site plan prepared by Mark Schwartz &Associates, last dated December 7, 2021 and stamped approved_on, December 15, 2021. Permit to construct and complete project will expire.two years from the date the permitis"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, Glenn Goldsmith President, Board of Trustees GG/dd REVISIONS: 04/07/21 04/08/21 04/12/21 04/14/21 04/20/21 04/23/21 04/30/21 05%05/21 05%20/21 05/24/21 05/25/21 06/01/21 06/10/21 06/114/21 06/25/21 07/08/221 08/06/21 08/25/21 09/22_/21 11/29/21 12/02/21 12/06/21 12/07/21 OLD PASTURE ROAD W W DWELLING PUBLIC WATER r'1 V1 SQUARE FOOTAGE N/O/F CHRISTOPHER M GROOCOK FIRST FLOOR 1180 SQ. FT. GLORIA G GROOCOK \ C DWELLING \ < SECOND FLOOR 1180 SQ. FT. rn 2 STORY PUBLIC WATER \ \ DWELLING TOTAL INTERIOR 2360 SQ. FT. FRAME \ -) PUBLIC WATER SCREENED PORCH 192 SQ. FT. HOUSE \ n COVERED PORCH 48 SQ. FT. \ �0UPPER DECK 90 SQ. FT. U \ 0M F T 1 \ 150'RAM WELL 150'F4 ('n EXISTING WOOD DECK 150 SQ. FT. HYDROACTIOBSrONEr' VELORNEWAY \ 'n LOT COVERAGE 1570 SQ. FT. or 14.9% \ 19$43� LOT AREA = 10,553 SQ. FT. TO TIE LINE O ELECTRICAL AN600 L�EU 1 C \ \ C ,U CONDUIT \ AIR W \ LINE fn 1 3'X3' CONCRETE rn LIVET \ \ a 1 PAD FOR AIR D-BOX N \, 18' Z PROP.DEER F6CINGTOPML UP AND -C:)P Q \ AFTERPLANTIBE REMOVEDII�GYEARS CONTROLS \ \�, d 1 m T TEST HOLE DATA TOP OF 1 DW 5'$° O x� E OLE 1 , ' ' — \ MCDONALD GEOSCIENCE BOTTOM BANK X16s'__i A-�y. � m PROPOSI Do 12/29/2020 I OF BANK 3�QQaE1 DW ~ �� — LP E UNDERGROUND O TIE LINE 7o�J sHo R �p \ N7 p RCH e1 o N SERVICE a^ - 5.0' 1 ,- WN00w ,r \ EP ELECTRIJ PR SED 15' CHIMNEY 5' _ — EL. 16.0' DARK BROWN LOAM OL I b a hbbbND bb WI E NON-TUR i° a �r r, �> r �, �__-4 m _ 0.5' BROWN SANDY CLAY CL I DV-"'" bb bb 9I BUFFER .- 2' I �, sg —�� 3, BROWN CLATEY SAND SP 4J I aG snsggg sg so I �I�� / �a f ? t.r �� f� t O� aj v 8' 61 s9 sJ 1 7r '� � 4 � 5 ? �k E5 { �; C I6' IW Q.�Sg S9 I ' t_J 1'r�,i-(1„v�5r.r Z I sE>o Ib s`sg , m L o tf I C. J .p 0, I So s. s9 2.1 FROM WETLA DS �� _ 62' \ E E r� a Q U o 1b�g PROP.4' 1 _ /E� I O� L O N 00 I.' L SUS O S sg S� \ 16' Iy E E Ems_ E E--E JE \ O_ � d WIDE PATH PORCH --� PALE BROWN FINE SAND P y L y o �� s J^ _l_ ` L L -ISI I E E_E_E \ w �• �n X72' J l II` L li 1” / gJ�I. _ - _ �I_ Ib W W G l(� E G r JI W W L? DOCK' Twc t;, 31.4 14' N i W — ��� 100'FROM DWELLING °� Q D s G, .8 EL. 0.8' 14' ` J EXISTING {i• WOOD sg 1 cn 197 WICKHAM WELL / I Z i 14' ` ' / DECK g�� I PROPOSED *¢ WELL ; o ti 5 UNDERGROUND a _ E ro : DEC 1 0 2021 W� W / Ib Ibbbbt) , �� 1 °�� ELECTRIC SERVICE I H �� i i Ln IT1 �4o w �Q APPROVED �Y I___ . _.._._ � U NOTE:WATER ENCOUNTERED 15.2'BELOW W S84 08 1 PROPOSED d USTEES SERVICE ��A�iD OF I h o PROPOSED 15'WIDE 75'FROM WETLANDS -- O SURFACE N 100'FROM WATER ; 00 E 00 ELEVATIONS REFERENCED TO NAVD 88 WETLAND WETLANDS W PRESERVATION NATIVE VEGETATED AREA I NON-TURF BUFFER 1 TOWN OF SOUTHOLD EXISTING ADJACENT N/O/F HOUSE LINE �r 1 APPRO p DATE pae Is- ZOZ1 PROP.DEER FENCING TOBE 1 LOCL ION OF GEKEE Y WICKHAM N1 AFTERPLANDT1-2 INGYEARS THOMAS WICKHAM .0 5�14 a W 1 DWELLING '� ~ LANDWARD LIMIT OF TIDAL WETLANDS 1 STORY AS DETERMINED BY SUFFOLK 1 FRAME WELL IN BASEMENT Q ENVIRONMENTAL CONSULTING ON HOUSE �fi O DECEMBER 20, 2020 WELL - . 1 -..._.__. A�� �'� s'ti; �I a�� N',M (n 1 < -N — Q- - - - - ------ _ _ Legend SCTM# 1000-103-13-09 O Common Name Y size U cn - Flower Grass Q Sg I Grass Switch 311 #2 METES & BOUNDS FROM So oats, Northern sea 25 1 02 PROPOSED SITE PLAN Shrub, Deciduous BY PECONIC Deciduous fi S '" = 20' bb Bayberry, Northern 14 #3 SURVEYORS, P.C. Ib Blueberry 11 #3 PC DATED: by Plum Cistena 7 #3 DRAWN:NK DWELLING Tree Evergreen SCALE:PUBLIC WATER ' g 2/9/2021 JOB#: : V=20,sx Arborvitae Green Gia t 23 6/7' 2/24/2021 (WELL LOCATION) DATE:4/5/2021 Cedar, Eastern Red 14 6/7' SREETNUMBER: 3/11 /2021 (FLOOD ZONES ADDED) si Suffolk Environmental Consulting, Inc. Newman Village ® Suite E - 2310 Main Street PO Box 2003 m Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED December 21St, 2021 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY _ 11971 RE: TODEBUSH Property— Situate: 1130 West Creek Avenue • Cutchogue, NY 11935 SCTM#: 1000—103— 13—09 Dear Members of the Board, Attached herewith, please find a check made payable to the Town of Southold in the amount of fifty dollars ($50.00) in full satisfaction of the requisite final inspection fee. Thank you for your time and cooperation regarding this project. Yours Tru , Robert W. Anderson (enc.) . ,♦ �, �• -• •• may- 4� � ."� L-• ,�[� _ + s AFI Iry .41 III i r ! - y. `.' I/ S �T•7' -C •' ! �'` air►. i - x _,�,.. ._. ._ _ - ........q✓ �`'•'�, ,�.a'w� _ �,.a�'^' "� � � .r, ,. is mull —07 14 Fw .a, «` �'r: _� _ `�mow,--�d�: �'•�'.'^ ..Si 'd'''am �' ,rte,+.' •-ti r � rte". �� � \ ,}� u. s• ' t�'l i .° k R►1h "'*lamb, 1l'V 9 / 2021 12 . 33 Glenn Goldsmith, President ago Gy Town Hall Annex A Nicholas Krupski, Vice-Presidenty z 54375 Route 25 John M. Bredemeyer, III o P.O. Box 1179 Michael J. Domino Southold, NY 11971 Greg Williams o� �a Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ROGER D. TODEBUSH c/o SUFFOLK ENVIRONMENTAL Please be advised that your application dated September 24, 2021 , has been reviewed by this Board at the regular meeting of December 15, 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) 1 It Day of Construction ($50.00) 'h Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) xx The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President ��� Board of Trustees Cantrell, Elizabeth From: Roger Todebush <rtodebush@pequash.com> Sent: Monday, December 13, 2021 4:08 PM To: Cantrell, Elizabeth Subject: [SPAM] - Comments on Wetland application - Todebush, 1130 West Creek Ave. Hello Elizabeth, The Trustees should have received the updated site plan for construction on my property from Robert Anderson. Per the Trustees' comments from their site visit prior to the the 11/17/21 meeting, and the comments from my neighbors at that meeting,the patio towards the water has been eliminated, there is now a 15' buffer of native plantings along the water, and privacy screening of native plantings between my house and both of my immediate neighbors. Additionally, as requested,the dimensions of the chimney, basement egress window, outdoor shower, basement Bilco door, and north-and south-facing stoops are noted on the site plan. Many thanks to Mark Schwartz,Joe Fischetti, Dave Cichanowicz, and Robert Anderson for their work on my behalf, ensuring a beautiful and appropriate house is built on my property. At the11/17/21 Trustees' meeting, my neighbor Mrs. Groocock said that my house would be out of character with the neighborhood, and would negatively affect the quality of life and property values. My neighbors have enjoyed their views of my vacant property since they purchased their homes, so I understand that they could be against my construction, but my house will be well within the town's guidelines, covering less than 15%of the property and set back similarly to the neighbors' houses. I don't see how the waterfront will be changed, since I've already got a permitted deck and dock in place (Wetland permit#1161), and my house will be set back farther from the water than the neighbors'. I'm well aware of, and invested, in the character, quality of life, and property values of the neighborhood. My grandparents, who built their house across the street almost 70 years ago, bought this lot in 1975, before the Groocock's bought their house to the north in 1977 and the Wickham's to the south in 1980. My mother lives in my grandparents' house, which will one day belong to my sister and her family, and I'll be living in the new house.We are all committed to maintaining a beautiful neighborhood. Thank you for considering my comments. Roger Todebush (773) 230-7862 t Suffolk Environmental Consulting, Inc. Newman Village a Suite E 2310 Main Street ® PO Box 2003 © Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED '!;;' December 10, 2021 —� PPIIJ DEC 1 0 2,121 Board of Trustees Town of Southold P.O. Box 1179 Board of ; Southold, NY 11971 RE: TODEBUSH Property–Revised Site Plans Situate: 1130 West Creek Avenue • Cutchogue, NY 11935 SCTM#: 1000–103– 13–09 Dear members of the Board, As per the Boards request during the November 17th, 2021 meeting, please find four (4) sets of site plans prepared by MARK SCHWARTZ last dated December 7th, 2021, depicting the following revisions: 1. Labels identifying the proposed egress window, outdoor shower, porches and bilco doors added; 2. Proposed 15' wide NATIVE VEGETATED NON-TURF BUFFER AREA landward of the top of the existing bank; 3. Proposed WETLAND PRESERVATION AREA added seaward of the top of the existing bank, and; 4. Proposed Privacy Screening added along northerly and southerly property boundaries. Thank you for your time and consideration regarding this application. Should you have any questions or concerns pertaining to this matter, please feel free to contact this Office at any time. Yours Truly, Robert W. Anderson (enc.) LLDEC 1 0 2021 Souii�uld T�ean 1 LLdGU Gf iGLSlC2S C.c. R. Todebush REVISIONS: 04/07/21 04/08/21 04/12/21 04/14/21 04/20/21 04/23/21 04/30/21 05/05/21 05/20/21 05/24/21 05/25/21 06/01/21 06/10/21 06/14/21 06/25/21 07/08/21 08/06/21 08/25/21 09/22/21 11/29/21 12/02/21 12/06/21 12/07/21 OLD PASTURE ROAD W W DWELLING PUBLIC WATER i V1 SQUARE FOOTAGE N/O/F CHRISTOPHER M GROOCOK GLORIA G GROOCOK � C FIRST FLOOR 1180 SQ. FT. \ SECOND FLOOR 1180 SQ. FT. DWELLING \ PUBLIC WATER \ \ DWELLING TOTAL INTERIOR 2360 SQ. FT. c 2 STORY FRAME \ PUBLIC WATER SCREENED PORCH 192 SQ. FT. HOUSE \ COVERED PORCH 48 SQ. FT. \ UPPER DECK 90 SQ. FT. v H \ \ WICKHAM WELL R1 EXISTING WOOD DECK 150 SQ. FT. HYDROACTIONEGCURB RAVELDRNEWAY \ \ m LOT COVERAGE 1570 SQ. FT. or 14.9% Q p gLUES'TON O AN600 eB `r) ELECTRICAL \ \ 19$43 \ )> LOT AREA = 10,553 SQ. FT. TO TIE LINE } C CONDUIT \ AIR Ln 3'X3' CONCRETE VENT \ LINE so Cn \\\ rn PAD FOR AIR a' LINE D—BOX LP\ MiN IV \\ 18. Z PROP.DEER F6CING TO PUMP AND \. BE REMOVED 1-2 YEARS \ b \ AFTER PLANTING CONTROLS f 1 " TEST HOLE DATA TOP ofBANK \ pW s'-s O ^� MCDONALD GEOSCIENCE BOTTOM 18' ` 6 _ fv % E OLE ' \ I m PROPOS D 12/29/2020 I OF BANK QIIE I DW i '`'t LP E UNDERG@OUND I - -— TIE LINE 77033 4 SHOM�R P,RSH I> el o ;c C*,.\ O N EP 5 Q, ELECTRI4 SERVICE —- NooW _ CLEAN ,1. .( \ E I PR SED 15' CHIMNEY 5'_ rn EL. 16.0' DARK BROWN LOAM OL bp bhbhb bbb I / WIDE NON-TURF r - ' syr �, =,' m " � n'r 0.5' bI:P bb BUFFER 6 . �, . ) 1 r�: 1 t. z I ,' a E BROWN SANDY CLAY CL y' b b bb Sg / t { t 1 - -I 2 � �I I� �Pps93 I II_ �I� rest data t7 ' / r� C O BROWN CLATEY SAND SP a sg s• s,l p�pj S r,. �> EZJ C. 6 aj 3' j — U o��' r. 0 � X � U �l-J_-i _ / O C N Z W solol Ib s sg I C_� E m `n X o �, Iv sg 1,FROM WETLA DS 62' \ E 050 1b fig 2. PROP.4' L - 1 6 WOD .v y- i I 30501' g sit I WIDE PATH PC— 'ly E _ ___--i E�E�E-�E-�E \ 0 O� L� O O IV so- 16' r ` r E O � Ln PALE BROWN FINE SAND SP W o G s s s'-1"__. ___ r1t r f-I E _ j 3Q-goso sg g I_�L._. J ,• J I 1 � _��,�' I I E E W W W _.__.._., .... .. _ 3 I r E rl EI�Ir ,SO \1 2' _ fir..h- II"'I E E'?r'E.-rF.-E-.�E CTI W lil I I II L 't_L_�_ cn I o W-'____W � �- � O 02 _�W ' O U \ DOCKS)�-_ 31' ' 14' W W 11 100'FROM DWELLING EL. 0.8' ^ TINGdD XISTING 3=e '„ $� I Z 14' " EXISTIN j: OOD 3;X1 1 cn 197• WICKHAMWELL DECK gl) j ti PROPOSED �< '� WELL DEC 1 0 2021 0 ^� 14 bb bb ti UNDERGROUND 9 j / y �� lb lb bb bh 11 ` °' ELECTRIC SERVICE I �' �___ .___. _�._ E U _ _ NOTE:WATER ENCOUNTERED 15.2'BELOW T SB4008 40 W 1 PROPOSED �� A s `J O ' 1 1 a) _0 O N 'WETLANDS SERVICE N O ELEVATIONS REFERENCED TO NAVD 88 PROPOSED E WIDE W FROM WETLAND NATIVE VEGETATED WETLANDS � W PRESERVATION (Z AREA I NON-TURF BUFFER 1 EXISTING ADJACENT N/O/F ';""� HOUSE LINE 1 APPRO . PROP.DEER FENCING TO LOC ION OF GEKEE Y WICKHAM BE REMOVED 1-2 YEARS 1 L THOMAS WICKHAM =� '- �` ' $C a AFTER PLANTING a. VN LANDWARD LIMIT OF TIDAL WETLAND 1 STORY DWELLING �sqJ �q d 'paw' ` 4 t• ''.e T 1 Q AS DETERMINED BY SUFFOLK FRAME o HOUSE ENVIRONMENTAL CONSULTING ON WELL IN BASEMENT ► 1 DECEMBER 20, 2020r—, WELL W ,• �r Y � ��a;�Y` Q fid` pias.:;+} N ---------- --- _ _ Legend SCTM# 1000-103-13-09 u - Common Name Y size - - Flower Grass Q Sg I Grass Switch 31 #2 METES & BOUNDS FROM PROPOSED SITE PLAN So oats, Northern sea 25 #2 Shrub Deciduous SURVEY BY P ECO N I C S 1+l =20' bb Bayberry, Northern 14 #3 SURVEYORS, P.C. Ib Blueberry 11 #3 PC DATED: by Plum Cistena 7 #3 DRAWN:NK DWELLING Tree, Evergreen 2/9/2021 SCALE: V=20' PUBLIC WATER JOB#:TODEBUSH Arborvitae Green Giant 23 6/7' 2/24/2021 (WELL LOCATION) DATE:4/5/2021 Cedar, Eastern Red 14 6/7' SHEET NUMBER: 3/11 /2021 (FLOOD ZONES ADDED) si ................................................... _.. .. �_ ....... ......... I 1,OmwrFl!arcaMW010Mw firrwllnll wVWwo nndl warvnYvuaAlueu QX'Vw...pr-VmG:14CrI cell.R ceE,aauase�.w.�ra nranrrmcl::a:'c uaa wa„r au�,rrvrau ror nha�ayn�ma„ F p 111 rp V i Yf�'tl Y W SFV a#PAI 9fl ii ✓ ha rV'�wi¢ aun rw e,ry B a l it r-. e +avw . rr' "'A n ;m.,rr __.�.,.. a V,It.lawm w«,.r r a„,^ a,.mrn ual u^ ad.I aros'Fra dx ry - '�_.. . .—.....� N1 LCCOON GCtP'dF:( �.."r-."� _, _ .. M Al: :Vt IS v r r li w aprMvr ��II .. gyral r na an u"a �. Vv ih� M -• a ri„elus Yx"w;w P'7i'Cfn4 G Ar"4'„'. —"`a ..,.�� l r J 4.,, 1 r ',., ,+' h... „ „I + M II M a+ u u rr a'al cr.,w wrra ” rra r'...� N T. ' _ a r ww rr nr,r.wr r.:.......�� ,,,, u �...�. r Wa �....,.... GMP„mC�bB GU!'6�.E Y'p Va )'d' LfdIYT �✓Br �Vt ¢ro ev a ��„ � I a"a m. r re r 1 FH1 pJNt7EFftJRAfN r .... M, a^LIB' Y11.IrH1:11 ^uMV'fr r4 M a na m^ HYN 9 � 'd ''ND 1P?I`vtltV, 1111,1 tY ...... r[•••yY y !n'M�YIIAP� p. �l--G ....... 1 IIVN�MI'H'l NVf,tid ��� *,�f II VMI d' il� /// Fri r iw r�saPaR. rv�i:: P— _ ­11,00r Y w a 1 S V1111,I LU n::, '. iii C71_.(Ly G) E3C1 0::}I�1AlV...� ,_, ar num . H I� VIII M , ,r L w,n,Bw�„ nrn ,.�. ,,,, t H - f c x.. ._I;—�, .�.a (f� �w ”" IVCm u)".tt' a�f++tlW m"kxM,w(nnCw.rYire;m mtil dnmm M1,sr✓r,mnl.wlma:mh rv�^m x:4 w4 wrnrslY'uUx .3 C I I AN OU I D I A I I N f «. u c N ._- .........._ „PP.�. 0 Ir. I L I [.IN C,N w or, M l 1 Will fol 'M d 1 Z I a V Y r(I M I d I YY 1 'u:mI LR 14J'a`�a^VW C:1f....I.) mpadrryWrrpct. �tln M U) ')�5f UE ]AD ......— --- m ISI I it ISI>' M c rl w rM r, mw. TM i •� r I c I r; lo IL II � I,`� l <_ .VM( VIII f H 4: IVY—,a, wwr e ( { l /'w , ti �. rcl orrcronu �'J uruM.w p T. I 5 —z- rrr .. I'2 0' Iy ��.���- I III„IlVlnll dll;I”I:IP: ;•q [:14ri "11 s*�-+�:. a.� R W IA I I.-:::R - - � v Lli B �. � E.rrrum � EY-0r:r . �.� — Z �I r,- r, �� .` 1'.) � II'� I ���. r / _ /._ 1 �„ li SANIIS " _ ,... r 2 Z ui .,....�" E�'.at f,,,..,. �-`•' q `.'I FmI,I„1II�"7 th,y '.... 1 (a :.1 �`�1^r 1f Ir<ur _ 410-.a N'.9r,- 4 crt ui en.«rru:r cLwnlux>a ry �.., r w. a, "", ,,,,,,.,.,.L .. .._ _. .�., e, �,... �.: a- u �I. �, ,I -k. T. .�.;a6 _,,_.._.m (_... �__.....— /A�==NYDF�CJAC;1IC71 AN�00 w: Fi6C pcl LL �� u� r lij a _ Vit,. - ",j _._ r AeHING ur ,? BILL OF MATERIALS [2] _[F(FiIIVC '001_ 8' DIA } F3' C3F.EF' uJ a�. S° p cry �; r�-a 1 �,-~✓ I IN rY � [1] EXPANSION PC)(?I_ 8” DIA X �S" DEEP ._. Ic. ( ... ,� ry ,pYAI%�l] T�4AYk W9d x94 W14 XR9J1pW l4F91M1 r, „ �...� -.„ „'Y ..� q N rrwn�anwmM onmuw xaa¢©�sa wwtmpa�nronn�Bar �, Y ta�urBM '.w a nvurr Q 4 OC 191a�6k8 & �9iP f�'LC C q A f 4..Y�...J'�V_.&F..d:WW W fi _ yK. N — vk ;. w. 'I,� _ F ��r�a�.,,. V 1;�C&WESTREEN AVE xNaarau rr ermme�Ba wY wa�.naraMwrm�iaruarae c r I_ ,. a I4 ,..:�.,4 d L ae:c �c�u"Sn,B. r;c . til �, y !gar _ CU�'TCHOC:�VM E, NY 1�1X335 P r Y T. __ ....._ p u .. ,.... SM.r I M9f° 1000--103-13-09 � u C I V I�Y WHIR ........T _ --...... _ �I a ul t sl.I.rl r, AREA FOR HEALTH n I. [ b �. _— n., �. DEPARTMENT APPROVAL STAMP r�IIIh�W'� II I1W1�1�1�I 1„.�I M Inl hr�.l I...�.., II:. In:: ...r ., fillk:ll I f ........ ............. .... �.I�ul CIM tI UYA �rl.r _,F 1 y WB�'v � am w a � �n+ ��, i r 7Y Mrl r� JI n661 o.aiY'1(.2G1'1 `r ., I her e„I^ararrra n a„ A. 4 I EL _ II - .. „. Glenn Golds i, President � f f Town Hall Annex A.Nicholas KrupsK', Vice Presidenty 54375 Route 25 John M. Bredemeyer III P.O.Box 1179 Michael J. Domino , Southold,NY 11971 Greg Williams Telephone(631)765-1892 = Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 11/ Completed infield by: Suffolk Environmental Consulting, Inc. on behalf of ROGER D. TODEBUSH requests a Wetland Permit to construct a two-story, single family dwelling (1,180sq.ft. footprint) with attached 192.Osq.ft. seaward screened in porch; construct an outdoor shower; install a 240.Osq.ft. at grade seaward patio; install an IA/OWTS septic system; and install a pervious gravel driveway. Located: 1130 West Creek Avenue, Cutchogue. SCTM# 1000-103-13-9 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 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: i'°i-D 6 6r- have read & acknowledged the of r s comments: Agent/Owner: - Present were: ✓/ J. Bredemeyer ✓. Domino ✓ G. Goldsmith �. Krupski G. Williams Other REVISIONS: 04/07/21 04/08/21 04/12/21 04/14/21 04/20/21 04/23/21 04/30/21 05/05/21 05/20/21 05/24/21 05/25/21 06/01/21 06/10/21 06/14/21 06%25/21 07/08/21 08/06/21 08/25/21 09/22/21 OLD PASTURE ROAD W W DWELLING PUBLIC WATER V1 rT1 SQUARE FOOTAGE N/O/F CHRISTOPHER M GROOCOK GLORIA G GROOCOK C FIRST FLOOR 1180 SQ. FT. \ DWELLING G SECOND FLOOR 1180 SQ. FT. � PUBLIC WATER m DWELLING TOTAL INTERIOR 2360 SQ. FT. 2 STORY \ W PUBLIC WATER SCREENED PORCH 192 SQ. FT. FRAME HOUSE \ COVERED PORCH 48 SQ. FT. z UPPER DECK 90 SQ. FT. WICKHA�A WELL m v ^ 150'FROM EXISTING WOOD DECK 150 SQ. FT. con � - H \ rn FLUSH MASONRY PATIO 240 SQ. FT. C p g 43' LOT COVERAGE 1570 SQ. FT. or 14.9% O v 1 GRAVELDRNEWAY 19 C gLUESTONE$BCURB LOT AREA = 10 553 SQ. FT. TO TIE LINE u W � c rn Z\ 8'dia,B'deepO 8, 1 LP �5. No �\ e C 1 N 2000ga1. m 1 " ST O O m TEST HOLE DATA TOP OF \ I `— OLE MCDONALD GEOSCIENCEBOTTOM BANK I t o 12/29/2020 I TIE LINE OF BANK ° 4o'�EI I DW ,16' 2 r {R f GAS 8 - 'dia B'deep -0 _ N t-< LP ' m O �' EL. 16.0 ri s DARK BROWN LOAM OL Itf �r m BROWN SANDY CLAY CL I 6' / f AZ 2 BROWN CLATEY SAND SP > > 3' 4' 6' I OPOSE P r� � U I �LG� % I ' I �' I gSONRYI O ,i d o x O I ° � � B ' PATIO � C � CTI / N Ln 1�F OM ETLANDS 1 62' M L_ =rte— O / � � � 0 o PALE BROWN FINE SAND SP W 5 �,o \ -�__ - "' 1 f n v _ cn I I I 1 _ 16' i I r [.�I"��[]ti�1]r��l, z - rn/� 0 J °� V' j 14' 1 N I U U OD DOCK XISTING 31.4' 1/ WICKHOM / EL. 0.8' 14' EXISTING I 197.81 WICKHAM WELL WOOD \ I � � � _Q 14' � I DECK T /u � NOTE:WATER ENCOUNTERED 15.2'BELOW / °08'40"W EXISTING ADJACENT T S84 HOUSE LINE , 0 N SURFACE 1 " 1 N 100'FROM �,, 0 O E -c 75'FROM WETLANDS DWELLING ; o ELEVATIONS REFERENCED TO NAVD 88 1 WETLANDS W WELLtv t4 s �$.•%'' `� LANDWARD LIMIT OF TIDAL WETLANDS AS APPROX. N/O/F LOCATION DETERMINED BY SUFFOLK ENVIRONMENTAL LOCATION OF GEKEE Y WICKHAM CONSULTING ON DECEMBER 20, 2026 WELL + � ��. w THOMAS WICKHAM 1 1 STORY DWELLING '` Q r 1 FRAME WELL IN BASEMENT ,rf u HOUSE �'� ` �' ', o 1 WELL � •� -. Q N N - - - - - - SCTM# 1000-103-13-09 U W E METES & BOUNDS FROM PROPOSED SITE PLAIN SURVEY BYPECONIC !` 1 P "- 20' SURVEYORS, P.C. L; t SEP 24 2021 \ PC DATED: Southofc 'Tums -DRAWN:NK DWELLING 2/9/2021 Board of Trust(--esGALE: V=20' PUBLIC WATER JOB#:TODEBUSH 2/24/2021 (WELL LOCATION) DATE:4/5/2021 SHEET NUMBER: 3/11 /2021 (FLOOD ZONES ADDED) si I/A OWTS General Requirements 1.Installer shall provide a certification of the Installation and construction(W.W.M.-73)from a PROFESSIONAL ENGINEER OR REGISTERED ARCHITECT for final approval of the system 2.The installer of I/A OWTS must hold a current Liquid Waste License pursuant to Chapter 563 Article VII(Septic Industry Businesses)and Endorsement J(Innovative and Alternative Treatment System Installer)through the Suffolk County CONCRETE COLLAR Department of Labor,Licensing and Consumer Affairs,pursuant to Suffolk County Code§563-79(11)(J).The Department 24" PROPOSED STOPPER END ELEC. ";' `! of Labor,Licensing,and Consumer Affairs maintains a list of licensed IIA OWTS Maintenance Providers. R PLUG G' PANEL 3.An executed Operation and Maintenance Contract between the Maintenance Provider and Property owner must be » submitted to the Department �� N POLYLOK 20 _. .� RISER & COVER DISTRIBUTION BOX 4.All installed IIA OWTS are required to have an initial 3-year warranty and operation/maintenance service contract. W/ LOCKING COVER FIBER JOINT -- - - 5.When an I/A OWTS requires a vent,the unit shall be vented to the roof of the residence being served.Vent pipes shall PACKING extend a minimum of 6 inches above the roofline and the top of the vent shall have a minimum horizontal separation of 12 20 AMP BREAKER FROM OWTS LOCKING COVER D ETA I L inches to the sloped portion of the roof.in cases where it is not practical to vent the system to the residence roof,a vent EXTERIOR RATED N , _ TO LEACHING FIELDS pipe may be piped to the exterior side of the residence and terminate a minimum of 18 inches above grade.These vent Cl SEWER PIPE pipes shall be located a minimum of 3 feet from any window or doorway and must terminate with a carbon filter device.All ]-, S , (TYPICAL) JUNCTION BOX BELOW vent pipes must have a minimum diameter of 2 inches. ,-- _. ` PVC PIPE D3034 GRADE IN �= Provide 2"vent pipe from the OWTS To the single-family dwelling and connect to the waste SDR 35 SPRINKLER BOX C/ 3� - - ,-' PROVIDE SPEED LEVELER REMOTE PLC CONTROL PANEL pipe venting system within the house.Pipe shall have a positive slope from the OWTS to the BEND - ON EACH OUTLET W/ HP80 COMPRESSOR house so liquid will drain toward the treatment unit FROM DWELLING TO STANK_ I K-12 AWG OF WIRE 12" THICK UNDERDRAIN 6.Garbage grinders shall not be permitted when an I/A OWTS is utilized as means of sewage disposal.In addition,water D/REXT BURIAL FILTER MATERIAL TYPE 1 _ _ softeners shall not discharge into and/A OWTS, uj LO 7J � M 7.Install I/A OWTS tanks according to manufacturer's recommendations.Alla applicable recommendations provided b the Q � Cl. 600 PVC WYE CI TO PVC g pp p y �- HOUSE ADAPTOR POLYLOK D - B O X DETAIL WITH 6X6610/06 WIRE-/ y manufacturer shall be implemented 8.The I/A OWTS tank shall be installed at level in all directions(with a maximum tolerance in any direction of+/one W Z PLC CONTROL PANEL quarter inch)on a minimum 3-inch thick bed of properly leveled and compacted sand(free from rocks)or pea grave W/HP80 COMPRESSOR AIR PUMP N . T. S. CONTROL PANEL & AIR PUMP ELEVATION v w 9.The top of the I/A OWTS tank shall not be located greater than 2.5 feet or less than one foot below final grade. n CLEAN OUT D ETAI LN .T. S . p w N .T. S . Electrical Requirementsry _ ELECTRIC RISER DIAGRAM 1.Control Panels / o a.All wiring and equipment are to be installed by the electrical contractor in accordance with the \ � :DNational Electric Code(NEC)and local codes. r- 0 N .T. S . b.The control panel box must be placed outside on a suitable pedestal near the structure that it serves. Alternatively,the panel box may be mounted on an outside wall of the structure(preferable a utility room,and not a living space). c.The control panel shall be placed at a comfortable height for access. d.The panel shall meet National Electrical Manufacturers Association(NEMA)4X specifications. e.The conduit must have appropriate seals to prevent gases and moisture from reaching the control panel or junction boxes. PAST URE R O A D f.Each system shall be equipped with a functioning warning system which will activate audible and OLDvisual alarms thatcan be readily seen and heard by the occupant's of the building served. 2.Pumps,Blowers,Level Sensors,and Controls a.The electrical junction box serving the pump motor and floats must be watertight and located outside the I/A OWTS tank chamber. DWELLING b.The Department shall observe the pump system operate through a normal operating cycle. PUBLIC WATER c.Inspection for leakage of the force main fittings will be made during the pump test procedure. ° '-' General Construction Notes 1.LOT AREA:10,553 SF OR 0.24 ACERS 0 2.SCTM#1000-103-13-09 1+ , 3.BOUNDARY AND TOPOGRAPHIC INFORMATION FROM A SURVEY BY PECONIC SURVEYORS,P.C.,Last Dated 2/9/2021.ELEVATIONS REFERENCED TO THE NAVD 88 DATUM 4.ALL MATERIALS AND METHODS OF CONSTRUCTION SHALL CONFORM TO THE STANDARDS AND SPECIFICATIONS�!:2 OF THE TOWN OF SOUTHOLD AND THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES AS REQUIRED "+► 5.THE CONTRACTOR SHALL FIELD VERIFY THE LOCATION AND DEPTH OF ALL UTILITIES PRIOR TO THE COMMENCEMENT OF WORK.THE CONTRACTOR IS ADVISED ALL SUBSURFACE INFORMATION SHOWN ON THESE PLANS IS CONCEPTUAL AND MUST BE CONFORMED ACCORDINGLY IN THE FIELD. ° 6.THE CONTRACTOR SHALL BE RESPONSIBLE FOR SECURING ALL NECESSARY PERMITS BEFORE COMMENCING o WORK. ALL COVERS ON TREATMENT PLC CONTROL PANEL 7.ALL UNSUITABLE MATERIAL AND DEBRIS SHALL BE DISPOSED OF IN ACCORDANCE WITH TOWN,COUNTY,STATE UNIT SHALL HAVE A SECONDARY / HP120 COMPRESSOR AND FEDERAL LAWS.CODES AND ORDINANCES.CONTRACTOR SHALL BE RESPONSIBLE FOR DISPOSING OFF ALL TEST HOLE DATA SAFETY LIDS/ DEVICES WILL ALL COVERS ON TREATMENT UNSUITABLE MATERIALS OFF SITE.DEBRIS SHALL NOT BE BURIED ON THE SITE. McDONALD GEOSCIENCE BE INSTALLED (KID CATCHER) E o UNIT SHALL HAVE A SECONDARY SAFETY LIDS/ DEVICES WILL DECEMBER 29, 2020 POLYLOK BE INSTALLED (KID CATCHER) 8.ALL PRECAST STRUCTURES SHALL BE APPROVED BY THE COUNTY AND COMPLY WITH THEIR REGULATIONS. N/❑/F LOCKING COVER POLYLOK ELEV. 16.0' 6 SECONDARY G` LOCKING COVER 9.ALL PRECAST STRUCTURES SHALL BE MANUFACTURED WITH 3,000 PSI 28 DAY STRENGTH CONCRETE. CHRISTOPHER M SAFETY COVER & SECONDARY OL DRLOAMWN -0.5• GR❑❑C OK SAFETY COVER 10.SANITARY PIPE TO BE SDR-35 PVC ORAS SPECIFIED ON PLANS BROWN GLORIA G G R❑❑C❑K 11.DURING CONSTRUCTION,EROSION AND SEDIMENT CONTROL MEASURES TO BE UTILIZED AS NECESSARY TO PREVENT THE TRANSPORT OF SEDIMENT TO OFF SITE AREAS,PONDS,DRAINAGE INLETS.THE METHODS AND CL SANDY DWELLING MATERIALS EMPLOYED IN THE INSTALLATION AND MAINTENANCE OF EROSION CONTROL MEASURES SHALL CLAY DWELLING CONFORM TO THE NEW YORK GUIDELINESFOR EROSION AND SEDIMENT CONTROL. BROWN -2 0 PUBLIC WATER PUBLIC WATER 12.ALL BACKFILL SHALL BE SELECT GRANULAR MATERIAL COMPACTED TO 95%MAXIMUM DENSITY AT THE OPTIMUM SP CLATEY SAND MOISTURE CONTENT AS DETERMINED BY STANDARD PROCTOR TEST. 13.ALL COVERS ON TREATMENT UNIT SHALL HAVE LOCKING COVERS PALE - 3.0 2 ST E ^ UJ BROWN l J B SP FINE FRAM � PROVIDE 2"VENT PIPE FROM THE OWTS TO THE SINGLE-FAMILY DWELLING AND CONNECT TO THEI WASTE PIPE VENTING SYSTEM WITHIN THE HOUSE.PIPE SHALL SAND Ha0SE I WILL DRAIN TOWARD THE TREATMENT UNIT.HAVE A POSITIVE SLOPE FROM THE OWTS TO THE HOUSE SO ANY LIQUID ELEV. 0.8' - 15.2' IJ HYDROACTION ' 1 Z AN600 A ELECTRICAL SANITARY SYSTEM DESIGN ~� W Q CONNECTION IN CONDUIT AIR �.\ -ice 17.0' r VENT LINE ^��� 18' S, ()I j �, J/ 7 Z 3X3 OR AIR PUMP L�,7� LINE �� '�-- D-BOX MIN( �/ PA I= �. H EGW ELEV = 1 .5 W z � � NOTES: AND CONTROLS 198 LP .� o T, \ D HIGHEST EXPECTED GROUND _ �� U J N WATER ELEVATION 1.5' 'E M ,z 6 BEDROOMS = 110gpd X BEDROOMS = 660aQd Q m TOP OF O x� ` OLE I \� Z r- BANK �'' \' DW I I PROPOS D O � BOTTOM 16' LP ( E� UNDERG OUND TIE LINE OF BAN 0 33.4Q" '-//; DW ii CLEAN E 5.0, E ELECTRI tSERVICE� L 591, -1W. I/A=H YD R 0 A C TI O N A N 6 0 0 = 6 6 0 g p d LL ��/ CD 14' 22 OUT I E tJ m i W X 0 ILL 0 16. 16. LEACHING o m 12' v ! I P OPOSED TEST ` 3 ;��� BILL OF MATERIALS [2] LEACHING POOLS 8' DIA X 8' DEEP W a 4' li I ST (� Z ti\ 6' i i N 6 Bri EDROOM HOLEE• C3 ; 8' LLING �' C7 ICL E Z / C ITEM PIN DESCRIPTION QTY: [1 ] EXPANSION POOL 8' DIA X 8' DEEP U) I 1 D E CGS LE / I HA-AN600 TANK,AN600 245 NITROGEN REDUCTION 1 1 1 iiilll 1 ETLANDS j F. = 18 5 '16 © / c N � j j I 52.1' FRC1Mt•\ j in E/E i A 180055 TANK,AN600 245 PRETREATMENT 1 O .,��p�(\^� �E� I TODEBUSH 1 j I 16' c ----'�� 1�I+ _ESE__E--ESE �s B 130002 SING STANDARD 2 TANK CONNECTING KIT 1 I \10' I �`� C1CID� E E E _�w�_w w w t C 100111 ASSEMBLY, RE-CIRCULATION 245 COMPLETE AN800 1 C11 - o a00 00 � 12' �:/ � -�w----w_-�._- i/ I D AN600-P AN600 W/PLATFORM COMPLETE 1 1130 WEST CREEK AVE ' - j ! w�v -- i E EC50-30-L120-PLC EC50-30-L-120-PLC i 0 Op DOCK XISTING 16' z v w 197.81" i EXISTING 1 14' , _ - I ! WOOD �i i / __--_- m (n PROPOSED I i I PECK i ! _�.1- - zh PROPOSED � UNDERGROUND CUTCHOGUE NY 11935 I � o� WATER ELECTRIC SERVICE W SCTM# 1000-103-13-09 S84 Og'40"W N 100' FROM SERVICE I DWELLING r" 5' FROM WETLANDS I TO BE CONNECTED (Tl WETLANDS TO PUBLIC WATER AREA FOR HEALTH 7, DEPARTMENT APPROVAL STAMP APPRO LOCATIO N/❑/F OF W L GEKEE Y WICKHAM " AN600 NITROGEN REDUCTION SYSTEM DRAWN BY: ADAMS THOMAS W I C K H A M APPROVED 8Yi SIGNATURE DATE: Rrv. �PART# 1 STORY DWELLING hydrpm16Rctiori 05/11in D HA-AN600 FRAME WELL IN BASEMENT HOUSE SCTM #I 1000-103-13-10 DRAWN BY: JF/JP F l5 U „ i T­17/ x ` AUGUST 7, 2021 SEP 2 4 2021 1 ice" . �f x SCALE: AS NOTED r 2" ;,,, t !d Town Soiso .Es .0� U F,a,rd of TrusteesN SHEET NO: W E DWELLING SITE PLAIN S PUBLIC WATER SCALE: 1" = 20' q S ""�oi� : - All t � f _ �1� ,}r g .� -�i a1 ," �� t r tit t� �� •' � ' '>� s 1 �`� t � tv H t l 1 rF v � � � ��,� �•t � a � t '� i � �1 t j�� • TODEB USH Property Situate: 1130 West Creek Avenue • Cutchogue,NY 11935 SCTM#: 1000— 103— 13—09 (Photographs taken on September 21St,2021) yr low r. R. h �� 4RW►- `mss"j�W�-' .. 1 t n Y. g � t ,F ■`` ,. "n ��3 4"��sKe9i'���,.ti,��.i�x'�tiit.} :.t -.i. "�°,�" 'y�,, s , r . r v r r � jMI � 4111'1 SO a The photograph above (taken facing east) depicts the landward limit of tidal wetlands south of the existing dock thereon. N M TODEBUSHPropen� Situate: 1130 West Creek Avenue • Cutchogue,NY 11935 SCTM#: 1000— 103— 13—09 (Photographs taken on September 21S`,202 1) ra � y Y O lip 441 •'. • ~� G• 0 9 �? �✓- ,,: � .awe.. �`.� 'iy�R�1" F S The photograph above (taken facing east) depicts the landward most portion of the existing dock assembly thereon. TODEB USH Property Situate: 1130 West Creek Avenue • Cutchogue,NY 11935 SCTM#: 1000— 103— 13—09 (Photographs taken on September 21",202 1) 9 is 1 � 71 M t 3< `�'[, d 1 t`+.' 4• ° tai . u p -17 r , aY a d' •� TAT ���.� � � �. � r _j �.,ji\ "'A k� •� y j 4`, t, r� Y 'a XV . a � ��P /•� '� k int.', 4 � t The photograph above (taken facing southeast) depicts the landward limit of tidal wetlands along the northerly side of the existing dock assembly. TODEB USH Properj�v Situate: 1130 West Creek Avenue • Cutchogue,NY 11935 SCTM#: 1000— 103— 13—09 (Photographs taken on September 21S`,202 1) • WL tlx 14 414 �+ +� i mkt �!v • -.. 3` • " '4� _-1�• .yam I F" The photograph above (taken facing south) depicts the landward limit ` of tidal wetlands located immediately south of the existing dock assembly thereon. TODEB USH Prop eri�v Situate: 1130 West Creek Avenue • Cutchogue,NY 11935 SCTM#: 1000— 103— 13—09 (Photographs taken on September 215`,202 1) f. RZA 'r� t tis,, � 1s�••.. t ''r `i sa. .. J � M� +�M, ""� h.f,r'� •ar 1 f" as r i y,,ra'E; a � , i. e �r �✓..r X3'1.x '"� -•�h.,�+�4* d"n"'`t`�'� p� Y Ji'_ } .t :�:�Ftd J• " �`' Ab .� g,er ry ms`s ~" r �' a 'gyp• 4 4 .. *0* ,/ .�` �.-.'�dta'r:. ,Sw.'.aie• >er te�'..�`y,.,. V_ �"a4�,�A�tK�.�,.a At The photograph above (taken facing west) depicts the proposed locations of the most easterly and southerly house and deck corners thereon. 40 40 TODEBUSHProper�y Situate: 1130 West Creek Avenue • Cutchogue,NY 11935 SCTM#: 1000— 103 — 13 —09 (Photographs taken on September 21s` 202 1) r } a . :x The photograph above (taken facing west) depicts the proposed locations of the northerly and seaward most house and deck corners. TODEB USCI Proper�v Situate: 1130 West Creek Avenue • Cutchogue,NY 11935 SCTM#: 1000— 103— 13—09 (Photographs taken on September 21S`,202 1) 9 71, l i" �A r _ r a i .7�� �7rd'a c i�`�r����ti 4fR4 a "9f t'yt `•T r• ..�' 'i A NP �tii�� .a #IF , r. w 5 �.,,� t�v1:�y�' „'°..`yF`r�i-,.. 3a�yYr ,�4q •,. � -_'z+.z�. �Q ,:p ''•fi-� `�4',t*`i• .�,91f �`y +�5+.''r,f� �'��` 'ter;? „���*,�'^ ,1• �4��-'*`,� �' . a. f The photograph above (taken facing west) depicts the proposed location of the southerly and landward most house corner. TODEB USH Prop er jY Situate: 1130 West Creek Avenue • Cutchogue,NY 11935 SCTM#: 1000— 103— 13 —09 (Photographs taken on September 215`,202 1) r f ... tom. ,.-,• a 1 \`*•�'• 'y�Je,• ,tom"' � 4� � '+F ti: v k The photograph above (taken facing west) depicts the proposed location of the northerly and landward most house corner. . .> F f 'e loci, 4r ..,,; "'^x'".�„y$ T .1':.•.r f. 3s°`�,. �.,a�.:'wH 3>y,�',1� a- g�,"�: f.L" .._ +.. .. f °�� Yya•��,p�,r•a.�s�s,.� ,�,yw'..+.w � '" r• TODEB USH Prop er�y Situate: 1130 West Creek Avenue • Cutchogue,NY 11935 SCTM#: 1000— 103 — 13 —09 • & • utrhoyue !J New Sdtolk �? a mod v ✓ T0.Pt s�Y ,,.y'� 2 L5 a'y�X°ja. p, Boa -, 1 :t}�w w t:' •:+t"' ager 4a, a�,q<�'a3s'1 x- vxa.+ra aat'X : •sEa e4" ,� �•`TRca aas,"§.z e+r .,,fwi x ig b K s "f - ai��l__ p qtr ( a s .� y, >i��e hr��S '��r ��' - �I/�°�. fg � Y w ' �g "• ``..- � :3 "3 � -� 1Iea'" 4 Y ' in rt i. rQ ,a.:.a.V, & F gX'.iw �4 3 -'kya �t, t 4 V � "yb' '" typ • �'o f�s ex` 5 ' a•\s.• s i3 c tit a ,b a4zy § �' 7 ,lz y? >T �� ra ., COD SUFFOLK 1,1r ....i.. ., —— a,s wr�..,q..a 703 I°'...---•--"' ..... OFFICE LOCATION: �' MAILING ADDRESS: Town Hall AnnexP.O. Box 1179 54375 State Route 25 � Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: October 15, 2021 Re: LWRP Coastal Consistency Review of ROGER D. TODEBUSH SCTM# 1000-103-13-9 Suffolk Environmental Consulting, Inc. on behalf of ROGER D. TODEBUSH requests a Wetland Permit to construct a two-story, single family dwelling (1,180sq.ft. footprint)with attached 192.Osq.ft. seaward screened in porch; construct an outdoor shower; install a 240.0sq.ft. at grade seaward patio; install an IA/OWTS septic system; and install a pervious gravel driveway. Located: 1130 West Creek Avenue, Cutchogue. SCTM# 1000-103-13-9 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 INCONSISTENT with the LWRP policies and therefore INCONSISTENT with the LWRP. 6.1 Protect and restore ecological quality throughout the Town of Southold. 8. Protect and restore ecological quality by adhering to the following measures. 1. Maintain values associated with natural ecological communities. Each natural ecological community has associated values which contribute to the ecological quality of the Town of Southold. These values should be assessed on a case-by-case basis. The trimming of vegetation to 3' height that functions as important habitat (including cover) adjacent to the tidal marsh is unsupported and would result in the functional loss of ecological components. Fringe habitat serve vital function and values to wetland systems. The proposed action would make the buffer less effective. A Wetlands Permit(9830A) issued to a parcel to the south (SCTM#1000-27- 4-9.6) required that the applicant not disturb the Eastern Red Cedar, Northern Bayberry, Marsh Elder and Groundsel Bush. The decision persevered the function of a wetland buffer. 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 John Stein,Chairperson 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 Wed., November 10, 2021 the following recommendation was made: ROGER D. TODEBUSH to construct a single-family dwelling with attached seaward screened-in porch, pervious gravel driveway, outdoor shower, at-grade level patio, and install an IA/OWTS septic system. Located: 1130 West Creek Ave., Cutchogue. SCTM#103-13-9 Inspected by: Maggie Merrill, Caroline Burghardt, John Stein The CAC was unable to make a fair assessment, therefore no recommendation at this time. The location of the I/A system was not on the site plan and the CAC questions the masonry patio and double decks 50' from the wetlands. Michael J.Domino,President Town Hall Annex 54875 Route 25 John M.Bredemeyer 111,Vice-President P.O.Box 1179 Charles J.Sanders s Az.I Southold,Now York 11971 Glenn Goldsmith Telephone(631) 765-1892 A. Nicholas Krups1d Pax(631) 765-6641 V BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only -Coastal Erosion Permit Application X -Wetland Pen-nit Application Administrative Permit Amendment/Transfer/Exten ' X/ Received Application:— / Received Fee:$ ZSO,00 5( -Completed Application: Incomplete: SEQRA Classification: E ME 0 Type l_Type ll Unlisted D Coordination:(date sent) /LWRP Consistency Assess ent Fjrm::q_5/a) SEP 2 4 x7 14, AC Referral Sent: �_) 2021 Date of Inspection: /I•' Cf I Z-1 Receipt of CAC Report: Southold Town Lead Agency Determination I Board of Trustees Technical Review: Public Hearing Held: - 17- -Resolution: Name of Applicant Roger D. Todebush Address 460 W. Barry Ave., Apt. 2W Chicago, IL - 60657 Phone Number: (773) 230 - 7862 Suffolk County Tax Map Number: 1000– 103 – 13 –09 Property Location: 1130 West Creek Avenue - Cutcho gue,NY - 11935 West side of West Creek Ave. 1111.0' south of Old Pasture Road (provide LILCO Pole#, distance to cross streets, and location) AGENT: Robert W. Anderson- Suffolk Environmental Consulting, Inc. (If applicable) Address: P.O. Box 2003; Bridgehampton,NY 11932 —Phone: (631)537–5160 cad '3 P-1 Board of Trustees Application GENERAL DATA Land Area(in square feet): 10,553 sq. ft. Previous use of property: Residential Vacant Intended use of property: Residential w./New Dwelling Covenants and Restrictions: Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals Yes X No If"Yes",please provide a 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? Yes X No Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description(use attachments if necessary): Applicant proposes improve upon the subject parcel in a residential manner by constructing a 2-story single family dwelling (1180 sq. ft.) with attached seaward screened in porch (192.0 sq. ft.), pervious gravel driveway, outdoor shower, at grade seaward patio (240.0 sq. ft.) and install an IA/OWTS Septic system thereon. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed operations: Provide the owners with a dwelling and related appurtenances Area of wetlands on lot: 600.0 square feet Percent coverage of lot: 5.0± % Closest distance between nearest existing structures and upland edge of wetlands: 0.0 feet (dock) Closest distance between nearest proposed structures and upland edge of wetlands: 52.1' feet Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? zL430 cu yds. How much material will be filled? N/A Depth of which material will be removed or deposited: 9.0 feet Proposed slope throughout the area of operations: none Manner in which material will be removed or deposited: Excavation to be preformed by back-hoe and front end loaders 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 further impact to the wetlands and tidal waters of the town, in that the subject shoreline is currentlyproved with many other similar dwellings. Consequently, further impact to wetlands anticipated than what currently exists. 617.20 Appeudix B Short Eiii,ii-oitiiiitittillfv.ves.viiieiiI Form instructions for Contl)leting Part I - Project Informationj The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Pan 1. You may also provide any additional information which you believe will be needed by or useffil to the lead agency;attach additional pages as necessary to supplement any item. Part 1 - Project and SponsorInformation Name of Action or Project: TODEBUSH Prop erty ' Project Location(describe,and attach a location map): 1130 West Creek Avenue Cutchogue,NY '11935' Brief Description of Proposed Action: t subject parcel in a residential manner b' constructing°a 2-Applicant"proposes improve upon the s, Ject' y story single family dwelling(1180'sq.,ft.),with attached'seaward screened in porch(192.0 sq".,ft.),- pervious gravel driveway, outdoor shower, at gra'&,seaward patio (240.0 sq.,ft.) and install an lA/0WTS Septic system thereon.. J ,Name of Applicant or Sponsor: Telephone: ;(631)537-5160 Robert W. Anderson@ Suffolk Environmental Consulting,Inc. —E-Mail: ------ -- !�R�rnentalxom' Address: P.O.Box 2003 C-ityipo: state: lip Code: Bfidgeira'mptbn NY X11932. 1.Does the proposed action only involve the legislative adoption of a plan,local law, ordinances NO YES administnitive rule,or regulationT If Yes,attach a narrative description of the intent of the proposed action and the environmental reSOLIrCeS that oEl may he affected in the municipality and proceed to Part 2. If no.continue to question 2. 1 Does the proposed action require a permit,approval or funding from any other governmental AgencA? NO YES If Ym list agency(s"},najne and permit or approval:,,, MV Southold T Wetland LA Lavi Town Pernut,Southold Town Board of Trustees Wetla-n' d Permit,NYSDEC Tidal We a Permit- 3,a.Total acreage of the site of the proposed action? 0.24' !acres b.'notal acreage to be physically disturbcdT t-<0'1- acres c.Total acreage(project site and any contiguoms properties)owne4 or controlled by the applicant or project sponsor` L,0.24--tacreS 4. Check all land uses that occur on,adjoining and near the proposed action] 1771 Urban [DRural(non-agricUltUre) 01ndustrial ElCommercial [BResidential,(suburban)..' 7 Or-orest OAgriculture MAquatic 0 Other(specify): ElParkland Page I of 4 18.Does the proposed action include construction or other activities that result in the impoundment of) NO Y c�'s water or other liquids(e.g.retention pond,waste lagoon,dam)'( If Yes,explain purpose and size: "n IM El 1 .Hits the sitemnt`th "pea sell ike kiti`o-h 6'ra-h'-- or—an-iiIjoining proper y n active'6'r-cli4o" NO YES solid waste management facility'l If'Yes.describe: El 13 2.ro, 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing orl NO YES completed)for ba7ardous waste'l If Yes.describe: 77 El El I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IST111 E,ANI)ACLU RATETO THE BEST OF MY KNOWLEDGE Applicant1sp;nsor obE! son @ Suffolk Environ._Consu11!M,Inc. Date, Signature,[ Part 2- Impact Assessment[ The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"I lave my responses been reasonable considering the scale and context of the proposed action?" No.or Moderate .small to large impact impact "lay may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoningl regulations'l EJ El- 2. Will the proposed action result in a change in the use or intensity of use of landl El E"] 3. Will the proposed action impair the character or quality of the existing community" El El 4. Will the proposed action have tin impact on the environmental characteristics that caused thA establishment of a Critical Environmental Area(CF.A)J El S. Will the proposed action result in an adverse change in the existing level of traffic 04 affect existing infrastructure for mass transit,biking or walkwayf E3 mi G. Will the proposed action cause an increase in the use of energy and it fails to incorporatel A reasonably available energy conservation or renewable energy opportunities-il EJ 7. Will the proposed action impact existing a.public I private water supplies? El L,"J b. public I private wastewater treatment utilities! Ew',] El S. Will the proposed action impair the character or quality of important historic.archaeological) E1`1� 5 I? A-141, architectural or aesthetic resourcesl J El 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetland~ waterbodies,groundwater,air quality, flora and fauna)' El EJ Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action resultinan increase in the potential for erosion.flooding ordrainagel F-1 El problenisl 11. Will the proposed action create a hazard to environmental resources or human health't fart 3- Determination of sign i ficaticel Tito Load Agoiicy is r",pons4ble 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 environritental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included byl the project sponsor to avoid or reduce impactsl Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Mach potential impact should be assessed considering its setting,probability or occurring) duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term andl cumulative impactsl Check this bex 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 significantadverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above, arid any supporting documentation, that the proposed action will not result in any significant adverse environmental impact,,,. Name of Lead Agency Daae o-f—Responsible 0fflcer 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 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) We, Roger Todebush residing at 460 W BM Avenue, Apt. 2W Chicago,IL 60657 do hereby authorize Suffolk Environmental Consulting, Inc. To apply for permit(s) from the Southold Board of Town Trustees on our behalf. Roger Todeb sh Board of Trustees Application County of Suffolk State of New York Roger Todebush BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL' BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. 1` Signature SWORN TO BEFORE ME THIS 0 — DAY OF ,20,>_1 LARAINE C RICHARDS Official Seal Notary Public-State of Illinois My Commission Expires Jul 10, 2022 Notary ub i c APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORINT The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of the town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Roger Todebush (Last name, first name,middle initial, unless you are applying in the name of someone else of other entity, such as a company. If so, indicate the other person's or company's name.) NATURE OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,"name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%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 Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater then 5% of the shares of the corporate stock of the applicant (when the applicant is a'corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director,partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this -O44 A AQ 2021 Signature Print name RogIr Todebush APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of the town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Robert W. Anderson-Suffolk Environmental Consulting, Inc. (Last name,first name,middle initial,unless you are applying in the name of someone else of other entity, such as a company.If so, indicate the other person's or company's name.) J NATURE OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,"name the activity.) Do you personally(or through your company, spouse,sibling,parent, or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%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 Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse, sibling,parent, or child is (check all that apply): A) the owner of greater then 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director,partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP ok Submitted this �y ���/,. �- 2021 Signature Print name Robert W. Anderson 1 Glenn Goldsmith,President ��$OfFOj,YCO Town Hall Annex A.Nicholas Krupski,,Vice President ,��� G�� 54375 Route 25 John M.Bredemeyer III a P.O.Box 1179 Michael J.Domino 0 Southold,NY 11971 Greg Williams '� p! r Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD c November 3, 2021 Robert W. Anderson Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932 Re: Board of Trustees Application of Roger D. Todebush 1130 West Creek Avenue, Cutchogue SCTM# 1000-103-13-9 To Whom It May'Concern: You are receiving this letter as notice that 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, November 17, 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. Very Truly Yours, 4- 4 a_t�A Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President ��OFFU(,�COG Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 John M.Bredemeyer III y ,? P.O.Box 1179 Michael J.Domino oy �� Southold,NY 11971 Greg Williams 'h0� �`�� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESDAY, NOVEMBER 17, 2021 at 5:OOPM & 5:30PM TOWN HALL MAIN MEETING HALL AND VIA ZOOM ONLINE PLATFORM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, November 17. 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 required for those who are not vaccinated at all times when inside any of the Town Buildings. Written comments may also be submitted via email to the Trustees Clerks at elizabethc@southoldtownny.gov and-diane.di-salvo@town.south old.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 howto.tune in to the meeting are on the Town's website,at https:%/www.southoldtownny.Oov/calendar or call the Boatd,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: 864 6066 8183 Password: 470704 • 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.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. Glenn Goldsmith,President o�pFFO('�Co , Town Hall Annex A.Nicholas Krupski,Vice President a� Gym , 54375 Route 25 John M. Bredemeyer III o z P.O.Box 1179 Michael J.Domino w0 r Southold,NY 11971 Greg Williams ?� p! '� 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 App=`- kation PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & :�ToQ•, JJ ~� NAME: , J�f'1 T / i''o 1 /p3_� /03 TT. TL 1�' -0�'° E Rte'_ _ 01- �-c J _ U f - - iF _ 7 77 - ,re,S1Cht1g,at being-duly sworn, deposes.and:s4ys,1h 't,on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite 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 ---- - - ---------- ay o - ) 20 -- - - --- - Notary Public l' Suffolk Environmental Consulting, Inc. Newman Village ® Suite E © 2310 MainStreet PO Box 2003 ® Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED November 17, 2021 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 RE: TODEBUSH Property—Affidavit of Posting Situate: 1130 West Creek Dr. • Cutchogue, NY • 11935 SCTM#: 1000—103—13 -09 Dear Members of the Board, As per Southold Town Code §55-1, please find the Affidavit of Posting for the subject parcel attached herewith. Thank you for your time and consideration regarding this application. Should you have any questions or concerns please feel free to reach out to this Office at any time. Yours Truly, Robert W. Anderson (enc.) Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski,Vice President s;V' FO(kco r 51375 Route 25 John M.Bredemeyer III m t� P.O.Box 1179 'Michael J.Domino ti = Southold,NY 11971 Gree Williams _ oy � ��af` 'Telephone(63 I)765-1892 ?101 �"� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of a ROGER D.TODEBUSH COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED I1V PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DA 7f- COMPLETE THIS FORM ON EI GTH DA Y OR LA TER I, Robert W. Anderson , residing at/dba Suffolk Environmental Consulting, Inc. P.O. Box 2003 - Bridgehampton, NY - 11932 being duly sworn, depose and say: That on the 611 day of November , 2021 , I personally posted the property known as 1130 West Creek Avenue - Cutchogue, NY - 11935 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 frill seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, November 17,2021. Dated: �jov 17, 70 2k (signature) Nvorn to before me this ' 'day of 4bv•20 91 MATTHEW D. IVANS _ NOTARY pUBLIC-STATE OF NEW YORK No 01 V605 859 Notar Pub is Qualified in Suf i°es 01u22 3 My Commission Exp L Suffolk Environmental Consulting, Inc. Newman Village ® Suite E 2310 Main Street o PO Box 2003 o Bridgehampton NY 11932-2003 t 631.537.5160 - f 631.537.5291 Bruce Anderson,M.S.,President --- -- ' HAND DELIVERED November 8, 2021 u. Board of Trustees U ;L NOV 9 2021 Town of Southold Tow P.O. Box 1179 Pn�oird oflTr steps Southold, NY 11971 RE: TODEBUSH Property—Affidavit of Mailing Situate: 1130 West Creek Dr. • Cutchogue, NY • 11935 SCTM#: 1000—103— 13 -09 Dear Members of the Board, As per Southold Town Code §55-1, please find the Affidavit of Mailing for the subject parcel attached herewith. Thank you for your time and consideration regarding this application. Should you have any questions or concerns please feel free to reach out to this Office at any time. Yours Truly,,,f� i Robert W. Anderson (enc.) ® ® ® © ■ m Ln ® ® G D ■ ■ M ® t_r} M . ° Q Lo r©n e r IL�6 L I °� � CuTptuh IPI 1t Certified Mall Fee Certified Mad Fee X3.7° (P`ES 17=1rq $ X3.7517=1 Gj832 4 rq Extra Services&Fees(cheekbox,add fee ' V Extra Services&Fees(check box,add pate) rU ❑Retum Recelpt(hardcopy) $ l ru ❑Return Receipt(hardcopy) $ `� ❑Return Receipt(electronic) $ Postmark, Q ❑Return Receipt(electronlc) $ Postmark G _ _ Q ❑Certif ed Ma l Restdded Delivery $ Here �r1 Q ❑Ceded Mail Restricted Delivery $ 0 �oBfO Q ❑Adult Signature Required $ Q Adult Signature Required $ Adult Signature Restricted Delivery$ ® °�8 El Adult Signature Restricted Delivery$ Postage �© �J ®GO r � Postage $0.58 � I�. Er $ 11I p_' $ 11 lCl��2�l 1 Q Total Postage and Fees Q Total Postage and Fees $ 7. °v $ � � Sent To ` At<1,n:WcckMw►sf�tk�arrn -- -_ -- o S$cooks�olleu►0_ _ ad ijvsy 53c4 Q --- -- ------ ----------+ s t_____________ _ __ $4r tandA t No.,or Pb Box No. StOre� dgpt o. or box N �O X Gt� - ------ -AVC------------------------ ---------------- _ - � ------------------------- C� StaleZIP+4�--- �_g V Q;y'Stat@,ZIP+4�• X (►6l(7 (�J I :.e e e e e e e :11 1 111•I -_ ■ ru 0 ® 0 ® ■ Ln V") ru B r M ° Ul °�Utt o P �4Y 119� z ° frl ° Q - ( lr o Cut,4 trOgue rc-NY 1 :, c, Certified Mad Fee 117=1 $3.75 Oj 19 2' ` a Certified Mail Fee $ , - $3.75 0932 Extra Services&Fees(checkbox,add fee a a a e I-}�� rq $ �S PoS I32 ❑Return Receipt(hardcopy) $ III G Extra Services&Fees(check box,add fee e�pr ' tel, Tq (1.1 ,� ❑Return Receipt(hardcopy) $ ��. 1"' Q ❑Return Receipt(electronic} $ Postmark n is Q ❑Certified Mall Restricted Delivery $ Q Return Receipt(electronic) $ PoS rk Q ❑Adult Signature Required $ ®v 8 '2029 Q ❑Certified Mall Restricted Delivery $ Here �L ❑Adult Signature Restricted Delivery$ Q ❑Adult Signature Required $ _- Q • ' ]Adult Signature Restricted Delivery$ � (7 Postage I I Q�V ��/ L Postage I I,�a ) �,� Z�29 p Total Postage and Fees$7.33 l ,yR�� 0 $ 11/118/2u21 Total Postage and Fiag�s�Q $ $ x/.68 ry Sent To 0 1:3 lChll[ S6]o Atl Gtorife G-GI'00(�OG ru Sent To �, V rU _ --------- -------- ------ w G Sireei and Arpt.No. or PO Box r ro. Q ---------------- - - - ----------- - ------ C- 10 so k� f�1; /� G`wC Stnse and Apt No.,or PO Box o. `�J�R O� fn ------------------------------------- Q_$'Sa,�ZG =_ - City,State,ZIP+4a A� Q �+lJ Ut i r"Y (' `�s 04y Stallte,{Z�IP�+�41s /,�J1v7 `/ Coo ikoove /-y I gt'6 v "O ru M Mill 1 Ln Lf) m Cuirox. .Y i= Ids m Ln s: L Eirrn , Certified Mall FeeCertified Mad Fee I ES _I 111931 � - $3.7Ig31 $3.75 �P Extra Services&Fees(checkbox,add fee ,p" tai, �s P�STqs ( - Extra Services&Fees(check box,add fee s^ _ X rU El Return Receipt(hardcopy) $ - q ` IL ❑Return Receipt(hardcopy) $ N 0 E]Return Receipt(electronic) $ POS s� 13 ❑Return Receipt(electronic) $ Postmark (_3 ❑Certified Mail Restricted Delivery $ 1 Here O ❑CertifiedMall Restricted Delivery $ Here EZI ❑Adult Signature Required $ .tom— I O []Adult Signature Required $ V ❑Adult Signature Restricted Delivery$ ❑Adult Signature Restricted Delivery$ ® � °9 0Ln Postage 1142021 en Ln Postage cp Er Total Postage and F s 11/08/2021 p Total Postage and Fees J .3° ry $ $7.38 �� 1 SentTo, �� Sent To C3 - �c TrV - ------- Ai o ®_ Ts -_ Stree d pt No.,or PO Box o. Street and pt o.or PO Box R rPTOR`� rye Q T ros '1le 7 - 'fit,f+Vr-------------------- --- - -- ------ -- --------- - C� ,Sta ZIP+4® Ciry;Stato,ZIP+4® ty �a Gulc�au� PY I1435" ' :I I 1 e 1 111•1 :11 1 °1 111•° — o ® k G . s Ln I• 0 _ I � Lrl . m ° o CU r3 lY 1O3.1 P Certified Mad Fee 7 7 c $ `'• 1 Extra Services&Fees(check box,add f ate) IU El Return Receipt(hardcopy) $ 1 �• p ❑Return Receipt(electronic) $ Postmark Q O Certified Mal Restricted Delivery $ _ m 20OrO m � E]Adult Signature Required $ L ❑Adult Signature Restricted Delivery$ - Postage � $ 11. 8 ry p Total Postage and Fees i i u/ ie� $ $7.38 nj Sent To o !15_x_ :Wcc- ----F+.Afs----- -- t[r t0. ?: a,or-Pb Box No. ®. � 428 Ci��jj State,ZIP+4• ��yy y Wb4.1rL� 6d�i,y J"f �1�'1i�6 :11 1 11 111•° ® k ID . ■ ru Lr) I Lr) M C3 CUUC fqep� U" }bpi _�. Certifies Mail Fee $3.75 t r9 $ Extra Services&Fees(checkbox,add fee a a^ ate 0 IU ElReturn Receipt(hardcopy) $ ° I f► G I C:3 ❑Return Receipt(electronic) $�d�`�_I ill Postmark 0 Q (3 []Certified Mall Restricted Delivery $ :µ�:OV 8'2021 r[1 M [:]Adult Signature Required $ '•• Br )f ' ❑Adult Signature Restricted Delivery$ i Page r oma) $ $i_1.58 �ry C3 Total Postage and Fees $ $7.33 �Y4 Il Sent To( o r�G6fv,G:�10oGOC C3 tan ---- ----- ,&----------------------- � $Treat and Apt IVo. or PC7 Boz No. ---- , 1030 �l Creek A-ewe ' city,State,ZIP+4•------------------------------------------------------------------- Gu e., NY t►43s v ___ :11 1 111•I PROOF OF MAILING OF NOTICE ATTACK CERTIFIED MAIL RECEIPTS Name: Address: Christopher& Gloria G. Groocock 1030 W Creek Avenue - Cutchogue,NY • 11935 Thomas & Gekee Wickham P.O. Box 928 - Cutchogue,NY - 11935 Attn: Wickham's Fruit Farm Brooks DJ Dee of Trust 917 S Catherine Ave. - LaGrange, IL - 60525 Brooks Colleen O Dec of Trust West Creek Ave Trust P.O. Box 265 • Cutchogue,NY • 11935 STATE OF NEW YORK COUNTY OF SUFFOLK Robert W. Anderson, residing at Suffolk Environmental Consulting, Inc, P. O. Box 2003, Brid eg_hampton, NY 11932, being duly sworn, deposes and says that on the 27th day of July, 2021, 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 at Bridgehampton, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. �— RR/ -=--tea Sworn to b ore me this Day of Co v� ice-, 20 Z 1 MATTHEW D. IVANS otary Public NOUBLIC-STATE OF NEW YORK No.01 IV6053859 Qualified in Suffolk County My Commission Expires 01-22 ��Z 3 NOTICE F HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees both in-person and via the online Zoom platform. OWNER(S) OF RECORD: ROGER D. TODEBUSH SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a two-story, single family dwelling (1,180sq.ft. footprint) with attached 192.0sq.ft. seaward screened in porch; construct an outdoor shower; install a 240.Osq.ft. at grade seaward patio; install an IA/OWTS septic system; and install a pervious gravel driveway. Located: 1130 West Creek Avenue, Cutchogue. SCTM# 1000-103-13-9 TIME & DATE OF PUBLIC HEARING: Wednesday, November 17, 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. 21"; 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 Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C,the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered"yes"or"no",then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus,each answer must be explained in detail,listing both supporting and non- supporting facts.. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 103 - 13 - 09 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees ® ZBA ❑ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction,planning activity, agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) ❑ (c) Permit, approval, license, certification: Nature and extent of action: Applicant proposes improve upon the subject parcel in a residential manner by constructing a 2-story single family dwelling (1180 sq. ft.) with attached seaward screened in porch(192.0 sq. ft.), pervious gravel driveway, outdoor shower, at grade seaward patio (240.0 sq. ft.) and install an IA/OWTS Septic system thereon. Location of action: 1130 West Creek Ave • Cutchogue,NY • 11935 Site acreage: 0.24 acres Present land use: Vacant Present zoning classification: R-40 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: Roger D. Todebush (b) Mailing address: 460 W.Barry Ave.,Apt 2W • Chicago,IL • 60657 (c) Telephone number: Area Code (773) 230—7862 (d) Application number, if any: N/A Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ® No ❑ If yes,which state or federal agency? NYSDEC DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ® Yes ❑ No ❑ Not Applicable This project is consistent with the above policy in that,the surrounding neighborhood consists of parcels improved in a similar manner to that which is currently proposed. 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 ® Not Applicable This policy is not applicable to the subject project 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 5 through 7 for evaluation criteria ❑ Yes ❑ No ® Not Applicable This policy is not applicable to the subject project 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 This policy is not applicable to the subject project. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section HI -Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ® Not Applicable This policy is not applicable to the proposed project. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section-III—Policies; Pages 22 through 32 for evaluation criteria ❑ Yes ❑ No ® Not Applicable This policy is not applicable to the subject project 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 ® Not Applicable Not Applicable Attach additional sheets if necessary l Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Not Applicable Attach additional sheets if necessary PUBLIC COAST POLICIES Policy 9. Provide for public access to,and recreational use of,coastal waters,public lands,and public resources of the Town of Southold. See LWRP Section III—Policies;Pages 38 through 46 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound,the Peconic Estuary and Town Waters. See LWRP Section III—Policies;Pages 57 through 62 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Not Applicable Attach additional sheets if necessary Policy 12 Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable 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 Not Applicable Attach additional sheets if necessary Suffolk Environmental Consulting, Inc. Newman Village o Suite E 2310 Main Street PO Box 2003 a Bridgehampton NY 11932-2003 t 631.537.5160 © f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED pn September 24t". 2021 E � E 0 U Board of Trustees SEP 2 4 2021 E Town of Southold P.O. Box 1179 Southold Town Southold, NY Board of Trustees 11971 RE: TODEBUSH Property—Proposed New Construction Situate: 1130 West Creek Avenue • Cutchogue, NY • 11935 SCTM#: 1000—103— 13—09 Dear members of the Board, This Firm represents the Owners of the above referenced property,who are seeking all required regulatory approvals to construct a new single-family residence with related appurtenances thereon. Consequently, attached herewith, please find the following: 1. Board of Trustees Wetland Permit Application, (one original and three [3] copies); 2. Certified Deed, establishing the current owner of the subject parcel, (one certified copy and three copies); 3. Owners Authorization, (one original and three [3] copies); 4. Owner's Affirmation, (one original and three [3] copies); 5. Owner's Open Government Disclosure Form, (one original and three [3] copies); 6. Agent's Open Government Disclosure Form, (one original and three [3] copies); 7. SEQRA Short Environmental Assessment Form, (one original and three copies); 8. Photographs of the subject property and current conditions thereon, (four [4] sets); 9. Location Map, (four [4] sets); (J 10. Site Plan prepared by MARK SCHWARTZ &ASSOCIATES ARCHITECTS last dated September 22nd,2021, (four [4] sets); 11. Sanitary Plans,prepared by JOSEPH FISCHETTI, P.E. last dated August 7d', 2021, (four [4] sets); 12. Check made payable to Town of Southold in the amount of two-hundred and fifty dollars ($250.00) in satisfaction of the requisite application fee. Thank you for your time and consideration regarding this matter. Should you have any questions or concerns pertaining to this matter, please feel free to contact this Office at any time. Yours Truly, Robert W. Anderson C.c. R. Todebush