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Home My WebLink AboutTR-10047 Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski,Vice President A. Route 25 � P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 20, 2023 Thomas C. Wolpert, P.E. Young Associates 400 Ostrander Avenue Riverhead, NY 11901 RE: GOMB BEACH, LLC 54205 C.R. 48, GREENPORT SCTM# 1000-52-1-3 Dear Mr. Wolpert: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, October 18, 2023: RESOLVED that the Southold Town Board of Trustees grants the One-Year Extension to Wetland Permit#10047, as issued on December 15, 2021. 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 Glom:,Goldsmith,President s*" th Town Hall Annex A.Nichias Krupski,Vice President 54375 Route 25 Eric Sepenoski o QL P.O. Box 1179 Liz Gillooly Southold,NY 11971 Elizabeth Peeples Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Z Completed in field by: ., Thomas Wolpert, P.E., on behalf of GOMB BEACH, LLC requests a One (1) Year Extension of Wetland Permit#10047, as issued on December 15, 2021. Located: 54205 C.R. 48, Greenport. SCTM#: 1000-52-1-3 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Y Sound Bay Part of Town Code proposed work falls under: n' Chapt.275 Chapt. 111 other Type of Application: _Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: 'o Y�4e �r C YI 6 \j P b.?M LA4 , , A'z4 In 0 1 Present Were: G. Goldsmith N. Krupski E. Sepenoski _)C L. Gillooly E. Peeples YOUNG ASSOCIATES 631-727-2303 400 Ostrander Avenue, Riverhead, New York 11901 admin@youngengineering.com HOWARD W. YOUNG, Land Surveyor THOMAS C. WOLPERT,Professional Engineer DOUGLAS E. ADAMS, Professional Engineer& Geologists DANIEL A. WEAVER, Land Surveyor 0 September 8, 2023 Town of Southold Board of Trustees Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 RE: Single Family Residence GOMB BEACH, LLC 54205 North Road (C.R. 27) at Arshamomaque, T/0 Southold, NY (20-0075) SCTM No.: 1000-52-01-3 Dear Members of the Board: Enclosed are the following items: 1. renewal fee — Michael Holevas check no. 3515 payable to 'Town of Southold' in the amount of One Hundred Dollars ($100.00), and 2. one (1) copy— Board of Southold Town Trustees Permit No. 10047 issued December 15, 2021, due to expire on or about December 15, 2023. Kindly consider this request to approve a one (1) year extension of this Wetland Permit, as we intend to commence construction in the Spring, 2024. Thank you for your assistance. If you have any questions, please contact us. Planning Engineering Land Surveying Page 2 of 2 September 8, 2023 Very truly yours, Thomas C. Wolpert TCW/cw Encl. cc. GOMB Beach, LLC Attn: Mr. Michael Holevas + encl. Glenn Goldsmith, President �Qf SO(/Ty Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 O l0 P.O. Box 1 John M. Bredemeyer III Southold,New York 11971 Michael J. Domino G Q Telephone(631) 765-1892 Greg Williams �' �� Fax(631) 765-6641 ol�Cou 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 Pre-constipp ion,,hayt=kale ling/ iff`b omYsilt curtain. r 1 sc day of-co uction - _ constructed When project complete, Call for compliance inspection; BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 10047 DATE: DECEMBER 15,2021 ISSUED TO: GOMB BEACH,LLC PROPERTY ADDRESS: 54205 C.R. 48, GREENPORT SCTM#: 1000-52-1-3 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and i accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 15, 2021, and in consideration of application fee in the sum of$250.00 paid by Gomb Beach, LLC and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: -story frame house and garage(1,532sq.ft. footprint),front Wetland Permit to construct a new 2 porch (51sq.ft.), rear deck(105sq.ft.) and elevated pool/spa (231sq.ft.),stone driveway (2,001sq.ft.), public water service connection, new sanitary system,i.e. one(1)700 gallon wastewater treatment unit and two(2) 8' dia. by 8' effect.depth sanitary leaching pools (IAOWTS),and new storm water control structures for roof runoff and driveway runoff,i.e. % DW#1—(1) 8'dia by8' effect. depth drainage leaching pool and DW#2—(1) 8' dia by 7' effect. depth drainage leaching pool; establish and perpetually maintain a 10' wide non-disturbance buffer landward of top of bluff, and as depicted on the survey prepared by Howard M.Young, Land Surveyor last dated November 29,2021,and stamped approved on December 15,2021. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these a presents to be subscribed by a majority of the said Board as of the 15th day of December,202 1. '�410�/ 13F F0Z co co 1Z Greg Williams Avsent TERMS AND CONDITIONS The Permittee, Gomb Beach, LLC, residing at 54205 CR 48, GreenportNew 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. 11. 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 SUUrTown Hall Annex A. Nicholas Krupski,Vice President ,`O� �� 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J.Domino CA) G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 �yCMNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 20, 2021 ,Thomas C. Wolpert, P.E. Young & Young 400 Ostrander Avenue Riverhead, NY 11901 RE: GOMB BEACH, LLC 154205 C.R. 48, GREENPORT SCTM# 1000-52-T-3 Dear-Mr. Wolpert: The Board of Towri-Trustees took,'the"following action during its regular meeting held on- Wednesday;,December 15, 2021- regarding the above matter: W,HEREAS,`Thomas' Wolpert, P.E.; on behalf'of GOMB BEACH, LLC applied to the ' Southold Town Trustees for a permit";under•-the provisions of Chapter-2,75 of the Southold Town Code, the�WetI' Ordinance of the Town of-Southold, application dated January 6; 2021,'arid, - 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 Policies of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: "bluff' is actually a bank; pool brought further landward to meet pier line; 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, 2 i i WHEREAS, the Board has considered all the testimony and documentation-submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and generalwelfare 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 GOMB BEACH, LLC to construct a new 2-story frame house and garage (1,532sq.ft. footprint), front porch (51sq.ft.), rear deck (105sq.ft.) and elevated,pool/spa (231sq.ft.), stone driveway (2,001sq.ft.), public water service connection, new sanitary system; i.e. one (,1) 700 gallon wastewater treatment unit and two (2) 8' dia. by 8'-effect. depth sanitary leaching pools (IAOWTS), andInew storm water control structures for roof runoff and driveway runoff, i.e. DW#1 = (1) 8'dia by8' effect. depth drainage.leaching pool"and. DU#2 =(1) _ .8' dia by 7.-effect. depth drain'age_leaching-pool; 'i'tablish:and perpetaelly`maintain=a 10'wide non-disturbance buffer landward`of,top of bluff; a"nd:as,depicted on #he}survey,, . :prepared by Howard.°M: Young;;tarid Surveyor lasf;tlated_NbvemberL29, 2021" "and sfamped approved or `;Decemb' 15,,2021": - - _ 'P6rmit_:to coftlruct-and"complete-'project=Will expire twotyeers from theedate the-perrnit= is`signed. Fees"must`be paid, if,applicable, and permit issued within six months=of tlie" " date of this notification. Inspections are required'at"a fee of$50.00 per inspection. (See attached schedule.), Fees: $50.00 Very truly yours, v Glenn Goldsmith President, Board of Trustees GG/dd I { (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NO'TO BE USED TO ESTARUSH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. 4 CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR*MOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIONEES OF THE LENDING INSTITUTION.CEPTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)&CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS N TEST HOLE 400 Ostrander Avenue, Riverhead, New York I1401 BY McDONALD GEOSCIENCE tel. 651.727.2505 fax. 651.727.0144 DATE:07/09/20 admiinn@youngengineering.com EL=17.4 0.0' \ MIXED SAND 4u "c \ LOAM GRAVEL J c� \ � � \ 2.0' Howard W. Young, Land Surveyor BROWN Thomas G. Wolpert, Professional Engineer }( Douglas E. Adams, Professional Engineer w E \\ \\ SILTY J1 9.01Robert G, Tost, Archltect 'z PALE BROWN Robert 5tromskl, Architect i \ \ FINE SAND ' (SP) 13.0' Ql°�°�� BROWN HEALTH DEPARTMENT USE P 0�� ' \ \ S O 0�6 PQE \ \ SILTY SAND GW EL=1.3 16.1' I ' WATER IN BROWN I SILTY D &SANDY4` SILTY DEC - 8 2021 `VO� o0�L � , \ Q° \ \ G 22.0' ,....-. _ p VE . JY0, WATER IN t 5.40 �OFaPLP \ oPn BROWN FINE !__ _.__. _. - s BOARD 0E I RUSTEES SAND p / f 11.79 �Yc1�0°� \\ \\ J (SP, _... . TOWN V ti �� I rjl�LD �s � w h�� OP��P�PQtio \ \ 28.0' hti4' HIGHEST EXPECTED DAX E 18.82 GROUND WATER EL=1 j � .3\ \ I 4 o Da�O A 'GMF 5.60 ,' .tib/ ,�' ,�' ®'r O� /C31 \ \ rO ,,11.78' ,iib ,$.',/Y� 0 .' 0 18.9 /OQ 6�� ENGINEER'S CERTIFICATION \ 5.76 i' !/ / / ♦♦ Ox 4 \ \ 17.68� ) ♦,/ / ♦ AGE P \ \ on>}KlajoRrc9 ;®® y-<J��P �s PROPOSED ✓ / 'I I HEREBY CERTIFY THAT THE WATER SUPPLY(5)AND/OR SEWAGE DISPOSAL \\ 5.60 ,< '� , 1 ELECTRIC SERVICE \ \ SYSTEM(5)FOR THIS PROJECT WERE DESIGNED BY ME OR UNDER MY �' !r0 `/ %a°`�F�� oy``° °n \ \ DIRECTION.BASED UPON A CAREFUL AND THOROUGH STUD'S OF W-SOIL, \ 1..80 '/ , oF�� 48 87 ®' MJF eQ0?0 5 P SITE AND GROUNDWATER CONDITIONS,ALL FACSDA 5,A'S PROPOSED,., , 3 / Ev °J �c PROPOSED LOCATION >� o `m, °,� Qo ,°� rA \ CONFORM TO THE SUFFOLK COUNTY DEPARTMENTALTH SERVICES' \ '�y ��1 2 ay �p OF 2 STORY FRAME \ , CONSTRUCTION STANDARDS IN EFFECT AS OF l} TE II t�• ' \ �Fsr< oo °tiy¢j O 20.84+ ZEA o, ✓� HOUSE&GARAGE 6 •0• 2\0 °�0( - 9.80 (5 BEDROOMS) ` ° FFEL=30.7 �' cMF \ o.za`,.A �� .o. GFEL=19.2 ekef t i O + / O 1 m 0 VENT \ Q 41 1` 1 20.52 ( ^1 CONTROL PANEL r J �o '3 .' 3g3 1� I Ii 6' BLOWER HOWARD W.YOUNG,N.Y.S.L.S.NO.45893n \\ G O 0 1 i THOMAS C.WOLPERT,N.Y.S.P.E.NO.61483 0y &o \\ I 1 PROPOSED / DOUGLAS E.ADAMS,N.Y.S.P.E.NO.80897 DRAINAGE CALCULATIONS \ N '��a N 194 1 d o° F SANITARY SYSTEM , 5 �. (;r O lg. o, }`0 1 3 2 700 GAL OWTS ' n �- \ CMF /�� Q hi'i o s l D t/ LE B DRIVEWAY AREA REQUIRED �� ♦ .o NS ! m,L' (2,s'DIA.x6'E.D.POOLS SURVEYORS CERTIFICATION-- , Q G 20.78 N LIQUID LEVEL-14.61 p rn Ni, Cy. '//• r 'a N 20�' onn(rd-g 4 ✓1 1,917 SF x 2/12 x 1.0 = 320 CF % \ % 'O - 19.95 ' ' t, / �o r y WE HEREBY CERTIFY TO G D M B BEACH, L01j,THAT IS SU PROVIDED �`' \ o .y r'rp 9� °e / WAS PREPARED IN ACCORDANCE WITH THE CODE QQE�F PRACTf6&FOR LAND)� 81 USE NEW DW#1 SA \ e✓ G �o '�, I , SURVEYS ADOPTED BY THE NEW YORK STATE AS OCATIbfJ OF N 8' DIA.x8' DEEP DRYWELL = 338 CF GMF G6 \ p Zr �/ ldm F 19.26 , PROFESSIONAL LAND SURVEYORS. N E� 4" __ �Z 18.65 PROPOSED ROOF AREA REQUIRED ox \ - WATER 1,671 SF x 2/12 x 1.0 = 279 CF low \ RETAINING WALL SERVICE \ (� NOT CONTAINING 19.27 / H ;'\ P PROVIDED SEWAGE) w Vis. �' 21 USE NEW DW#2 �� Ez f + 0' 17.44 O �`V" 8' DIA.x7' DEEP DRYWELL = 296 CF \ 191a 1z° h� N.V. 3 \ . + � \ Eo HOWARD W.YOUNG, L.S.NO. 893 18.01 ��0 GRA 5P„ 14 r9��beob\`c -- \\ s' 14„ \� + ) P� Noe, � SURVEY FOR WMR / c G�..•II 18.18 1pJ OE / WV _ .. / 14" LEGEND \\ 5.55 1, h P Roo, ',P�°0� N m"Alam \ �.30`� `16.0 6.16 ,b �/ (�" QP�SSO°tl I C70MB BEACH LLC CMF -CONCRETE MONUMENT FOUND \ 0--) J�JROFS F°RF . ` E CMS =CONCRETE MONUMENT SET EOP =EDGE OF PAVEMENT Qq_Q!'�041 ��/ \ �� \ at Arshamomaque, Town of Southold FE = FUTURE EXPANSION +16.46 1 / •� Suffolk County, New York LP =LEACHING POOL �- cMF WSF WOOD STAKE FOUND E`1'1 o,��c> \ O \ PRF =POST&RAIL FENCE PJ�� b\�c� ` Q� Q BUILDING PERMIT SURVEY s = � o WSS =WOOD STAKE SET O�N� �N;\r9 \ =TREE&TREE SIZE .�Q 0 / l�v� i `� County Tax Map District 1000 Section 52 Block 01 Lot 3 0 13'13. � I o / \ FIELD SURVEY COMPLETED JULY 16,2020 MAP PREPARED AUG.10,2020 - ; Record of Revisions REVISION DATE / Qob\�o� ADDRESSED SCDHS NOICA#1 SEPT 21 2020 R�t LOT G01( G� ADDRESSED SCDHS_NOICA#2 DEC,18 2020 `N`�� SITE DATA BUILDABLE LAND AREA = cl,625 SFi LOT COVERAGE F B. 22,2021 i BLDG.PERMIT DATA AUG, 20 2021 •°"'"`°�" � ALLOWABLE LOT GO\IERAGE = q,625 SF x 0.20 = I,Q25 SF I CONTOURS A G.22.2021 AREA = 16,442 SQ. FT. RELOCATED ADJACENT WATER METER OCT.01,2021 ADDRESSED SCDH5 NOICA#5 NOV 01 2021 * VERTICAL DATUM =NAVD(1988) PROPOSED TRUSTEES SITE INSPECTION 11/9/21 NOV 0 2021 2 STCRY FRAME HOUSE GARAGE = 1,552 5F FOOL NOV 29.2021 *SUBJECT PARCEL LOCATED IN ZONE X-SEE FLOOD INSURANCE RATE MAP FRONS PORCH = 51 5F DO PANEL NO.3610300158 H LAST DATED SEPT.25,2009. REAR DECK = 105 SF 30 0 15 30 60 90ELEVATED POOL/SPA = 231 SF *FINISHED FLOOR ELEVATION(5)SHALL BE VERIFIED BY THE ARCHITECT. TOTAL LOT COVERAGE = I,QIQ 5F Scale: 1° = 30' JOB NO. 2020-0075 G.2020_0075_bp 1 OF 2 (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY UNES TO EKISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT T)BE USED TO ESTABLISH PROPERTY UNES OR FOR ERECTION OF FENCES.(J)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIECATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR S1BSEOUENT OWNERS (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)$CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND DR DATA OBTAINED FROM OTHERS. 2 STORY FRAME HOUSE 400 Ostrander Avenue, Riverhead, New York IIci01 (5 BEDROOMS) tel, 631.72?.2303 fax. 631.727.0144 FFEL=30.'7 odmin®youngengineering.com Howard W. Young, Land Surveyor Thomas G. Wolpert, Professional Engineer Douglas E. Adams, Professional Engineer Robert G. Tost, Architect SWEET AIR VENT GAP Robert 5tromski, Architect MFG BY TUF-TITS (3' MIN FROM ANY DOOR OR WINDOW) 12' s' — 24' HEALTH DEPARTMENT USE Hmnn�4fim"HO 4" PVC PIPE 411 PVC PIPE 411 PVC FIFE 0 2.0096 MIN. ® 1.00% MIN. cn 1.0096 MIN. TRAFFIC �._7 e_ g PROVIDE GLEAN TRAFFIC BEARING BEARING OUT AT FACE OF HEAVY DUTY SLAB HEAVY DUTY SLAB BUILDING LOOKING TRAFFIC, C EL=1a.2 LOCKING CASTING5 EL=18 7 CASTING BEARING EL=18.3 SLAB EL 15.4 DEC - 8 2021 -- -_ o.s3' IE=14.85 IE=15.41 ____-----I AIR LING----P IE=15.1'7 �3' VENT HOLE IE=15.00 IE=14.x5 0.50' IE-- 4.00' 18.30 I IE=14.61 — AIR LINE TO BLOWER SEE DETAIL FOR I CONNECT 3" PVC VENT LINE OA75 COMPONENTS 4' DIA. DISTRIBUTION BOX f� —3.0'-- TO VENT HOLE IN OW5T PROVIDE END GAP LEVELING DEVICE MDL#SL-4 MFG BY TUF-TITS I - - - ,_...._._.__._........ .._____.. ENGINEER'S CERTIFICATION OR APPROVED EQUAL FOR ALL p _on�„"K� "700 GAL. I/A OWTS DISTRIBUTION BOX OULET PIPES 4 LP2 "I HEREBY CERTIFY THAT THE WATER SUPPLY(S)AND/OR SEWAGE DISPOSAL MDL. GEN-7 MFG. BY FUJIGLEAN USA ( 'D O SYSTEM(5)FOR THIS PROJECT WERE DESIGNED BY ME OR UNDER MY DIRECTION.BASED UPON A CAREFUL AND THOROUGH 5 Y77F TFIi:SOIL, HYDRAULIC, PROFILE SITE AND GROUNDWATER CONDITIONS,ALL FACILI S,AS PROPOSED, SCALE: NT5 w CONFORM TO THE SUFFOLK COUNTY DEPARTMENT HEALTH SERVICES"- LU R EL=8.61 CONSTRUCTION STANDARDS IN EFFECT AS OF 5 DATE" _. ,. ..- 5.00 LEACHING POOL TOTAL OF (2) POOL5 = 300 SF5A HIGE HST EXPECTED M W GROUNDWATER EL=1.3 1 � w',•41T'v.l..^.. 4'�n N�.�A<. ,. r4.a 6 MINIMUM PENETRATION HOWARD W.YOUNG,N.Y.S.L.S.NO.45893n ,,.,f s• 9 THOMAS C. WOLPERT,N.Y.S.P.E.NO.61483 INTO SAND k I GRAVE STRATA OF DOUGLAS E.ADAMS,N.Y.S.P.E.N0.80897 o 0 " CERTIFICATION—,#4 BARS ® 12" EACH WAY SURVEYOR'S CERTIFICATION—, � ;.T BACKFILL WITH GLEAN SAND 4 *WE HEREBY CERTIFY TO G O M B B EAC H, L�.C`-THAT THIS'SURV 10 GRAVEL WAS PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND- $ SURVEYS ADOPTED BY THE NEW YO RK STATE ASSOGCT tA.IONOF ' PROFESSIONAL LAND SURVEYORS. o #6 BARS ® 6" EACH WAY "T TRAFFIC, BE,4RING SLAB SECTION k ° SCALE: NTS HOWARD W.YOUNG,N. . .L.S.NO.45893 0. SURVEY FOR Cl� Nv C70MB BEACH, LLC aat Arshomomoque, Town of Southold 1 I Suffolk County, New York 24" ( .) I BUILDING PERMIT PERMIT SURVEY 1 CEN-7 TANK I 1 I County Tax Mop District 1000 Section 52 Block 01 Lot 3 0 1 I FIELD SURVEY COMPLETED JULY 16,2020 a MAP PREPARED AUG.10,2020 L — — � Record of Revisions — — — — — — — — — REVISION DATE 95.7" ADDRESSED SCDHS NOICA#1 SEPT. 21 2020 ADDRESSED SCDHS NOICA#2 DEC,18 2020 BLDG.PERMIT DATA AUG,20,2021 CONTOURS A 22 2021 RELOCATED ADJACENT WATER METER OCT 01 2021 ADDRESSED SCDHS NOICA#5 NOV 01 2021 TRUSTEES SITE INSPECTION 11/9/21 NOV 10 2021 POOL _ NOV.29.2021 a 143.7" #4 BARS (TOP) AND #6 BARS (BOTTOM) N } WFm F TRAFF I G BEARING SLAB (H2O LOADING) TYP I CAL RE I NFORG I NG FOR ACCESS HOLES 50ALE: NT5 SCALE: NT5 JOB NO.2020-0075 DWG. 2020_0075_bp 2 OF 2 SlaFFO4�O Glenn Goldsmith, President ��o G�� Town Hall Annex A Nicholas Krupski, Vice-President y x 54375 Route 25 John M. Bredemeyer, III o o P.O. Box 1179 Michael J. Domino y�jo ao� Southold, NY 11971 Greg Williams �' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: GOMB BEACH, LLC c/o YOUNG &YOUNG Please be advised that your application dated January 6, 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) 1St Day of Construction ($50.00) %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 I �2,22 BY: Glenn Goldsmith, President Board of Trustees 10 t Gomb Beach,LLC 54205 CR 48,Greenport SCTM#: 1000-52-1-3 11/9/21 w , 4 YOUNG &YOUNG Telephone (631) 727-2303 400 Ostrander Avenue Facsimile (631) 727-0144 Riverhead,New York 11901 i admin@youngengineering.com HOWARD W. YOUNG, Land Surveyor THOMAS C.WOLPERT,Professional Engineer DOUGLAS ADAMS,Professional Engineer/Geologist ROBERT C. TAST,Architect ROBERT STROMSKI,Architect ' I January 6, 2022 Attn: Ms. Elizabeth Cantrell Town of Southold Board of Trustees Town Hall Annex _---__- 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 RE: Single Family Residence GOMB BEACH, LLC Southold Town ®oard of Trustees at Arshamomaque, T/0 Southold, NY (20-0075) SCTM No.: 1000-52-01-3 Dear Ms. Cantrell: Enclosed are the following items: 1. final inspection fee — Gomb Beach, LLC check no.1016 payable to 'Town of Southold' in the amount of Fifty Dollars ($50.00),'and 2. one (1) copy— Board of Town Trustees Final Inspection Fee Payment Request. We understand that submission of the final inspection fee enables-you to issue the permit so that we may prepare and record the non-turf buffer covenant. Thank you for your assistance. If you have any questions, please contact us. Planning Engineering Land Surveying Page 2 of 2 January 6, 2022 Very truly yours, Thomas C. Wolpert TCW/cw Encl. cc. GOMB Beach, LLC Attn: Mr. Michael Holevas + encl. via email Patricia C. Moore, Esq. + encl. via email 4L YOUNG &YOUNG Telephone (631) 727-2303 400 Ostrander Avenue Facsimile (631) 727-0144 Riverhead, New York 11901 admin@youngengineering.com HOWARD W. YOUNG,Land Surveyor THOMAS C. WOLPERT,Professional Engineer DOUGLAS ADAMS,Professional Engineer/Geologist ROBERT C. TAST,Architect ROBERT STROMSKI,Architect December 6, 2021C .� =4 Attn: Ms. Elizabeth Cantrell ��4 I DEC _ 8 2021 I Town of Southold Board of Trustees ; Town Hall Annex Soot?old ToWn 54375 Main Road Bozrci oT Tr�steos P.O. Box 1179 Southold, New York 11971-0959 RE: Single Family Residence GOMB BEACH, LLC at Arshamomaque, T/O Southold, NY (20-0075) SCTM No.: 1000-52-01-3 Dear Ms. Cantrell: Enclosed are the following items: 1. four (4) copies - Attachment to Board of Trustees Application last dated December 6, 2021, and 2. four (4) prints - Building Permit Survey (Sheets 1-2 of 2) last dated November 29, 2021 amended to eliminate the proposed in ground pool and to indicate a proposed elevated pool/spa adjacent to the house. Please note that the plans have been revised to mitigate the concerns of the Board. In particular, the revised plans indicate: 1. the distance from the top of bluff to the nearest corner of the proposed elevated pool/spa is 40.0' (the previous plan distance from top of bluff to in ground pool was 27.6', and Planning Engineenng Land Surveying Page 2of2 December 6, 2021 s - 2. elevating the pool/spa minimizes the depth of the excavation required for construction. Thank you for your consideration and review of these revised plans. If you have any questions, please contact us. Very truly? yours,, 11 IN I fl Thomas C. Wolpert DEC - 8 2021 I`� TCW/cw Souilr%�To4�i�n J Encl. Burd of Trustczs cc. GOMB Beach, LLC Attn: Mr. Michael Holevas + encl. + 1 print via email September 13, 2021 Revised November 12, 2021 Revised December 6, 2021 ATTACHMENTTO BOARD OF TRUSTEES APPLICATION prepared for GOMB Beach, LLC at Arshamomaque, T/O Southold, New York Project Description The project consists of constructing a new 2 story frame house & garage (1,532 sf footprint), front porch (51 sf), rear deck (105 sf) and elevated pool/spa (231 sf), stone driveway (2,001 sf), public water service connection, new sanitary system, ie. one (1) 700 gal. wastewater treatment unit and two (2) 8' dia. by 8' effect. depth sanitary leaching pools (IAOWTS), and new storm water control structures for roof runoff and driveway runoff, ie. DW # 1 — (1) 8'dia. by 8' effect. depth drainage leaching pool and DW # 2 — (1) 8'dia. by 7' effect. depth drainage leaching pool. A 10' wide non-disturbance buffer will be maintained landward of the top of bluff. D EC - 8 2021 Southold To vn Board of Trntoes (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EMSTING STRUCTURES ARE FOR A SPECIFIC PURPOSE:AND ARE IOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT SE CONSIDERED TO BE A VALID TRUE COPY. (4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSK)NEES OF THE LENDING INSTITUTION :ERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)k CESSPOOLS(cP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. NTEST HOLE 400 Ostrander Avenue, Riverhead, New York IIci01 BY McDONALD GEOSCIENCE tel. 651.727.2305 fax. 651.727.0144 DATE:07/09/20 admin®youngenglneering.com \ EL=17.4 0.0' MIXED SAND C� LOAM GRAVEL �J \ 2.0' Howard W. Young, Land Surveyor Air \ \ ` BSNThomas G. Wolpert, Professional EngineerSITYD Douglas E. Adams, Professional Engineer A (SM) 9.0, Robert G. Tost, Architect ' \ \ PALE BROWN Robert 5tromskl, Architect FINE SAND (SP) 13.0' S 6 pQ�O� ' \ \ BROWN HEALTH DEPARTMENT USE SILTSND M)0. omu�LRomn ��P 23 \\\ \\ a� GW EL=1.3 16.1' 't�'• \ \ Pte. WATER IN BROWN SILTY SAND Leo ,' '�`.s A SANDY � `6.. SILTY DEC - 8 2021 ° 22.0' J d>� RWATER IN 5.40 �C°6�P0 \ OP BROWN FINE 11.79 yGPL0� \ \ ✓ SAND 0�; \ \ (SP) '� / G��Py�P PQ\ \ \ 28.0' 0626 '' ' °�`P� �',I4i• �� , �,' P \ \ HIGHEST EXPECTED ;-10 18.82 Q�0 \ ` GROUND WATER EL=1.3 Q / 2�dpG\\ 9tA� o' X00° ' � �6 GMF S 30 ,F` 9 <y ;- \�8 5.6 i0 /®o Ab S 1.78 p / /s O 18 \l& // ® , �® \\ \ 1 \\ \\ ENGINEER'S CERTIFICATION \ \\5.76 / ; /i' �i'17.68� ) //j®®` OP 0� / mnl0.-d+Iolmry // zo PROPOSED ✓ "I HEREBY CERTIFY THAT THE WATER SUPPLY(S)AND/OR SEWAGE DISPOSAL \ 5.60 �,<\ ' �, ,�' /"�o i,a°��°�� °yam° A� ELECTRIC SERVICE `\ `\ �, SYSTEM(S)FOR THIS PROJECT WERE DESIGNED BY ME OR UNDER MY \ e DIRECTION.BASED UPON A CAREFUL AND THOROUGH 5 DY"C7FTFIESOIL, at.ao,x\' o � �1sB� ®° // �� e�\°00 Iy��Q�P� f PROPOSED LOCATION \ y SITE AND GROUNDWATER CONDITIONS,ALL FACILI�S,AS PROPOSED, ` J Z ° ' CONFORM TO THE SUFFOLK COUNTY DEPARTMENT�'1F HEALTH SERVICES \ �FAOFO.♦ 0 a5° �� OF 2 STORY FRAME \ ' 1}{� \ y •jj<\ 20.84+ �$Q o• '.� HOUSE&GARAGE \ ' CONSTRUCTION STANDARDS IN EFFECT AS OF 5 DATE' °0" z�6 0( - 9.80 (5 BEDROOMS) FFEL=30.7 CMF \\ o.z f,` .o, o� Z ra o. \ GFEL=19.2 ® $ _ O tJCT� +20.52 1 01 m 0� VENT � 1 (` I CONTROL PANEL \\ G 0 ' S�° �\ I t` -VENT HOWARD W.YOUNG,N.Y.S.L.S.NO.45893n THOMAS C. WOLPERT,N.Y.S.P.E.NO.61483 i 4/ O �� `� 1 PROPOSED / DOUGLAS E.ADAMS,N.Y.S.P.E.NO.80897 DRAINAGE CALCULATIONS \ ?9 �° '�,d N �. SANITARY SYSTEM I �. O .,y. i p Q \ CMF �'rf Q / �' 700 GAL OWTS DRIVEWAY AREA REQUIRED P ��o zo.78 / D U LE LI) UDDLEVELD.460L5 _ yM1 6 „ Q SURVEYOR'S CERTIFICATION--. s 1,917 SF x 2/12 x 1.0 = 320 CF \ / oa zo" i �' l - ,c (3 i g 19.95 * PROVIDED �• ✓r, d y / WE HEREBY CERTIFY TO G D M B BEACH L1._. THA�',`f' IS SUR g USE NEW DW#i /x�o `\ o`er✓ G co` - i 9 ' og WAS PREPARED IN ACCORDANCE WITH THE CODE©F��PRACThCE FOR LAND -.�. R 8' DIA.x8' DEEP DRYWELL = 338 CF G6� O 2c ) \o y 19.26 , SURVEYS ADOPTED BY THE NEW YORK STATE A5 /OCIATON OF , o ��, \ % sy _ - 3 s �r GMF PROFESSIONAL LAND SURVEYORS. k`.'. N ROOF AREA REQUIRED o \ 'F ' 4° e2 18.65 PROPOSED T WATER 1,671 SF x 2/12 x 1.0 = 279 CF e✓ ` RETAINING WALL �, �Q+ i \'� SERVICE I fY rt NOTCONTAINING19.27,,/ d1 �r o r J PROVIDED SEWAGE) r��s e2�, TH USE NEW DW#2 +� •s. e'17.44 O \�� 8' DIA.x7' DEEP DRYWELL = 296 CF ` 19.14 '� + co,.. 12" 18.01 / ,peel HOWARD W.YOUNG,N .L.S.NO 4893 tit"r \\ �� '� \�c�p \ WM ^ / 14 /� G•' •i 18.16 �P\�0�� l°�0\\`n9 SURVEY FOR LEGEND \\ WY 14"5.55 ` °%05 ��oFFZN51 .' A .16 6.16 �/` N5S° ON�vS/ 2 .��. 70MB BEACH LLC CMF =CONCRETE MONUMENT FOUND 1k�' E CMS =CONCRETE MONUMENT SET \ / 5� P R�Pia� OQ0 N EOP =EDGE OF PAVEMENT \ / QR SJE MP? \ \ at Arshamomaque, Town of Southold ° / �Q Suffolk County, New York I FE = FUTURE EXPANSION +16.46 \ \ n LP =LEACHING POOL \ PRF =POST&RAIL FENCEWSF J�NJE cMF c\�oteel \ a WSS -WOOD WOOD STAKE SEDT % / ,°b\� BUILDING PERMIT SURVEY OJT' \0 ev�r9 =TREE&TREE SIZE 3-�O/ County Tax Map District 1000 Section 52 Block 01 Lot 3 FIELD SURVEY COMPLETED JULY 16,2020 a MAP PREPARED/ AUG,10,2020 Record of Revisions REVISION DATE SITE DATA \`c t ADDRESSED SCDHS NOICA#1 / Qob LOT G01�1�G� SPT 21 020 �\><h i ADDRESSED SCpHS NOICA#2 DFr_ 1R 2020 �„,,,, BUILDABLE LAND AREA = cl,625 5F LOT COVERAGE \0t�9 i BLDG.PERMIT DATA FED-22 2021 / l°v+e\ ALLOWABLE LOT COVERAGE = q,625 SF x 0.20 = I,Q25 SF I A 1r 20,2021 AREA = 16,442 SQ. FT. CONTOURS A I 1r/ 22,2021 RELOCATED ADJACENT WATER METER OCT.Ol.2021 ADDRESSED SCDHS NOICA#5 NOV 01 2021 VERTICAL DATUM =NAVD(1988) 2 SOQY DRAMS HOUSE GARAGE = 1,532 5F TRUSTEES SITE INSPECTION 11/9/21 NOV 101 N / FRONT PORCHPOOL NOV 29 2021 *SUBJECT PARCEL LOCATED IN ZONE X-SEE FLOOD INSURANCE RATE MAPGO = 51 SF PANEL NO.36103CO158 H LAST DATED SEPT.25,2009. REAR DECK = 105 51' 30 0 15 30 60 90 ELEVATED POOL/SPA = 251 5F J *FINISHED FLOOR ELEVATION(5)SHALL BE VERIFIED BY THE ARCHITECT. TOTAL LOT COVERAGE = I,QIq 5F Scale: V = 30' JOB NO.2020-0075 DWG.2020_0075-bp 1 OF 2 (t)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY UNES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE ANDARE NOT TO BE USED TO ESTABLISH PROPERTY UNES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CON913ERED TO BE A VAUD TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUOON CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)&CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. 2 STORY FRAME HOUSE 400 Ostrander Avenue, Riverhead, Naw York 111101 tel. 631.727.2303 fox. 631.727.0144 (5 BEDROOMS) FFEL-307 admin®youngengineering.com Howard W. Young, Land Surveyor Thomas G. Woll ert, Professional Engineer Douglas E. Adams, Professional Engineer Robert G. Tost, Architect SWEET AIR VENT GAP Robert Stromski, Architect MFG BY TUF-TITE (5' MIN FROM ANY DOOR OR WINDOW) ' 211' _ HEALTH DEPARTMENT USE 12' s 4" PVC PIPE 4" PVC PIPE 4" PVC PIPE o 2.0091. MIN. @ 1.0091. MIN. @ 1.00% MIN. TRAFFIC -` z TRAFFIC BEARING PROVIDE GLEAN _ .._..._._.._..._-....__ 2 BEARING SLAB OUT AT FACE OFHEAVY DUTY SLAB HEAVY DUTY BUILDING LOCKING TRAFFIC I EL=1112 LOCKING CASTING5 GA5TIN6 BEARING FIs k' EL=15.7 EL 15.5 SLAB EL=18.4 ! DEC - 8 2021 1 o.b-r A_.....^w .... I I .• �— •�-:. ••"- '-� a ':• .'r . . 0.61' -- ---AIR LINE------ IE=14.55 IE=15.41 - ------- IE=15.17 �3" VENT HOLE IE=15.00 IE=14.115 0.50, IE=14.61 VIE=15.50 4.00' CONNECT 3" PVC VENT LINE AIR LINE TO BLOWER SEE DETAIL FOR W DIA. D15TRIBUTION BOX OWTS COMPONENTS 3.0' TO VENT HOLE IN OW5T PROVIDE END GAP LEVELING ENGINEER'S CERTIFICATION DEVICE MDL#SL-4 MFG BY TUF-TITS J I � J OR APPROVED EQUAL FOR ALL O b 700 GAL. I/A OWT5 DISTRIBUTION BOX OULET PIPES 4 LP2 "I HEREBY CERTIFY THAT THE WATER SUPPLY(S)AND/OR SEWAGE DISPOSAL MDL. GEN-7 MF6. BY FUJIGLEAN USA m SYSTEM(S)FOR THIS PROJECT WERE DESIGNED BY ME OR UNDER MY O O DIRECTION.BASED UPON A CAREFUL AND THOROUGH ST„iJDOF;TF1E-SOIL, HYDRAULIC PROFILE I SITE AND GROUNDWATER CONDITIONS,ALL FACILIyiS,-AS PROPOSED, SCALE: NTS lu EL=S 61 w CONFORM TO THE SUFFOLK COUNTY DEPARTMENT D TH SERVICE a S CONSTRUCTION STANDARDS IN EFFECT AS OF � ��-- 8.00' »-� � :c,� '•. '�,-,�, LEACHING POOL TOTAL OF (2) POOLS = 300 5F5WA HIGHEST EXPECTED �`•'0''4,,.•;'�"'y',s".".� �. t�'°`�f�I�.:,�.q.,�,,a�,•.s ?`_ ..... -• I ,. GROUNDWATER EL=1.3 6 MINIMUM PENETRATION HOWARD W.YOUNG,N.Y.S.L.S.NO.45893n INTO A VIRGIN STRATA OF THOMAS C.WOLPERT,N.Y.S.P.E.NO.61483 rt SAND 8 GRAVEL DOUGLAS E.ADAMS,N.Y.S.P.E.NO.80897 `1 o — o #4 BARS ® 12" EACH WAY v . SURVEYOR'S CERTIFICATION:--,,, i BACKFILL WITH , GLEAN SAND $ *WE HEREBY CERTIFY TO G O M B B EAC H, L�C`THAT THIS SUR N GRAVEL WAS PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR CAND.`..�, S �— SURVEYS ADOPTED BY THE NEW YORK STATE A5S6OCIATO IN'OF C"! PROFESSIONAL LAND SURVEYORS. e A^t #6 BARS ® 6" EACH WAY Ito i � L`•� i'' to •) TRAFFIC SEARING SLAB SECTION "Of SCALE: NTS HOWARD W.YOUNG,N.Y. .L.S.NO.4V893 ` "��^ "' ` <^' SURVEY FOR N GOMB BEACH, LLC — — — — — — — — — — — at Arshamomoque, Town of Southold I I Suffolk County, New York 24" > I I BUILDING PERMIT SURVEY a I CEN-7 TANK a I ICounty Tax Map District 1000 Section 52 Block 01 Lot 3 C3 I- FIELD SURVEY COMPLETED JULY 16,2020 2 I I �0MAP PREPARED AUG.10,2020 L — — — — — — — — — — — — Record of Revisions REVISION DATE ADDRESSED SCDHS NOICA#1 SEPT. 21-2020 95'7" ADDRESSED SCDHS NOICA#2 C_1A_2020 BLDG-PERMIT DATA AUG. 20 2021 CONTOURS AUG. 22 2021 RELOCATED ADJACENT WATER METER OCT.01,2021 ADDRESSED SCDHS NOICA#5 NOV.01,2021 TRUSTEES SITE INSPECTION 11/9/21 NOV.10 2021 POOL NOV.29,2021 a 143.7" #4 BAR5 (TOP) AND #6 BARS (BOTTOM) m TRAFF I G SEARING SLAB (H2O LOADING) TYF I GAL RE I NFORG I NG FOR ACCESS HOLES SCALE: NT5 SCALE: NTS JOB 075 DWG..2020LOO7_0075_bp 2 OF 2 {b YOUNG &YOUNG Telephone (631) 727-2303 400 Ostrander Avenue Facsimile (631) 727-0144 Riverhead,New York 11901 admin@youngengineering.com HOWARD W. YOUNG, Land Surveyor THOMAS C. WOLPERT, Professional Engineer DOUGLAS ADAMS Pro essional En ineer Geolo "st ROBERT C. TAST,Architect ROBERT STROMSKL Architect November 12, 2021 Attn: Ms. Elizabeth Cantrell ' Town of Southold Board of Trustees ill l5 2021 Town Hall Annex 54375 Main Road L... ...... _ ...... P.O. Box 1179 e. . _ :. _ ....e. Southold, New York 11971-0959 RE: Single Family Residence GOMB BEACH, LLC at Arshamomaque, T/0 Southold, NY (20-0075) SCTM No.: 1000-52-01-3 Dear Ms. Cantrell: Enclosed are the following items: 1. four (4) copies - Attachment to Board of Trustees Application last dated November 12, 2021, and 2. four (4) prints - Building Permit Survey (Sheets 1-2 of 2) last dated November 10, 2021 amended to indicate the proposed Innovative Alternative Onsite Wastewater Treatment System (IAOWTS), maximum pool depth, storm water drainage plan & drainage calculations, distances to nearest proposed structures from top of bluff, and proposed 10' wide non-disturbance buffer landward of the top of bluff Please note that the sign has been posted and the 3 neighboring property owners have been notified by certified mail. Planning Engmeenng Land Surveying Page 2 of 2 November 12, 2021 The original white & green certified return receipt mail receipts, USPS tracking documents, and the completed original Proof of Mailing Form will be delivered to the Trustees Office by or no later than 12:00 pm on Tuesday November 16, 2021. The original Affidavit of Posting Form will be delivered to the Trustees Office by or no later than 12:00 pm on Wednesday November 17, 2021. We understand that all green signature cards returned to our office will be dropped off in the Trustee Drop Box or mailed to your office whenever we receive them and these cards are not required prior to the Public Hearing. If you have any questions, please contact us. _... Very trulyours, Y OV 1 5 20th Thomas C. Wolpert TCW/cw ._ . Encl. cc. GOMB Beach, LLC Attn: Mr. Michael Holevas + encl. + 1 print via email September 13, 2021 Revised November 12, 2021 ATTACHMENT TO BOARD OF TRUSTEES APPLICATION prepared for GOMB Beach, LLC at Arshamomaque, T/0 Southold, New York Proiect Description The project consists of constructing a new 2 story frame house & garage (1,532 sf footprint), front porch (51 sf), rear deck (435 sf) and stairs (50 sf), side porch (120 sf) and stairs (30 sf), rear porch (123 sf) in ground pool (216 sf), stone driveway (2,001 sf), public water service connection, new sanitary system, ie. one (1) 700 gal. wastewater treatment unit and two (2) 8' dia. by 8' effect. depth sanitary leaching pools (IAOWTS), and new storm water control structures for roof runoff and driveway runoff, ie. DW # 1 — (1) 8'dia. by 8' effect. depth drainage leaching pool and DW # 2 — (1) 8'dia. by 7' effect. depth drainage leaching pool. A 10' wide non-disturbance buffer will be maintained landward of the top of bluff. � E ; V E L NOV 1 5 2021 Southold TOM _Board o1, rum'os (I)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EMSTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AID ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATIM _ INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)@ CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. TEST HOLE 400 Ostrander Avenue, Riverhead, Naw York 114101 N BY McDONALD GEOSCIENCE tel. 651.727.2305 fax. 631.72'7.0144 DATE:07/09/20 admin®youngengineering.com EL=17.4 0.0' � \\\ MIXED SAND LOAM GRAVEL \ 2.0' Howard W. Young, Land Surveyor BROWN Thomas G. Wolpert, Professional Engineer E \ \ SILTY SAND Douglas E. Adams, Professional Engineer \ \ WITH GRAVEL / \ \ 9.0' Robert 0. Tost, Architect PALE BROWN Robert St mski, Architect FINE SAND (SP) J 0�5� \� \ 13.0' BROWN o HEALTH DEPARTMENT USE S Q D Pel \ SILTY SAND on ut gorctt9 (SM) GW EL=1.3 16.1' '�S6 WATER�� \` \\ P'S IN BROWN y , SILTY SAND 6 SANDY O_ SILTY r1�` \ O \ i• 22.0' V , �� t1 J �y WATER IN o�� ,i' W 0 FQO (P�° \ \ OX BROWN FINE JJ 5.40 �O j P P1 Lro, 11.79 �yCP0 \li� \ `\ ✓ (SP) NOV 1 5 2021 I PQ 28.0'HIGHEST i EXPECTED ,'�/'' 2J \\ \` GROUND WATER EL 1.3 ___ I•,.I) .- �S'�' � �P° ,'/,'//, ,'7h 18.82 t d� q'9 O�Z \ °° �' 4966 ,, /> GMF uw �,5.60 ,' .tia/ �� ,� tio•O O www ,j,� 110 C \\5.76 , ,, ;' ��;®® °P� q� \ \ ENGINEER'S CERTIFICATION ,,1768 .umin�d-gmm4 SS\` �'� / ' �r� �/ ® y��OP `'s. PROPOSED ✓ \ / "I HEREBY CERTIFY THAT THE WATER SUPPLY(S)AND/OR SEWAGE DISPOSAL ` �1, ELECTRIC SERVICE \ \\ w SY5TEM(5)FOR THIS PROJECT WERE DESIGNED BY ME OR UNDER MY \ 5.60 ,<` ' ,, ,' f `roe/ ; a°FF�� 05�°,� Aon \ DIRECTION.BASED UPON A CAREFUL AND THOROUGH STUDY-OF.THE 50iL, \ 1.80 x ' c� / .4 Nm� V \o+ P( SITE AND GROUNDWATER CONDITIONS,ALL FACILI �S; '5 PROPOSED, �� oo.d �18.a7/® Q oo��9 PROPOSED LOCATION \ '1r w ,20' d° oaf �� OF 2 STORY FRAME \ CONFORM TO THE SUFFOLK COUNTY DEPARTMENTS"HEA t'H1✓RVCES \ 75ro�S`< o o�o•s� + ' CONSTRUCTION STANDARDS IN EFFECT AS OF THIS D�Tfn'. t` ;?'' k \ F01�,� oo°� z w� zo.ea O �. HOUSE&GARAGE \ d z\d° �c� 9-80 (5 BEDROOMS) \a. ro. a� o -� FFEL-30.7 CMF \\ lS\. � w:6' • . �� , aLav-1 s GFEL=19.2 >.r a - o.za Ea ® ! 0 VENT \ + / o L t � 20.52 1 F ,� q , 01� 1 1 i CONTROL PANEL / \';> 4e j) BLOWER w HOWARD W.YOUNG,N.Y.S.L.S.NO.45893n V <sye \\ G O� I THOMAS C.WOLPERT,N.Y.S.P.E.NO.61483 q �z N 1f / DOUGLAS E.ADAMS,N.Y.S.P.E.NO.80897 o� �o N 1 � PROPOSED ._....___._• Lo DRAINAGE CALCULATIONS \ 9��o , ' s o SANITARY SYSTEM 2 700 GAL OWTS s SMF D U .E c2)9'DIA.xb'E.D.POOLS® w SURVEYORS CERTIFICATION DRIVEWAY AREA REQUIRE --. 20.78m LIQUID LEVEL=14.61 1,917 SF x 2/12 x 1.0 = 320 CF s� J , ° h f 19.95 ' *WE HEREBY CERTIFY TO G O M B B EAC H, F-F C� AT'1` 15 SU�2V PROVIDED \ o .y r'c1, 9� oe / WAS PREPARED IN ACCORDANCE WITH THE CODE Rf�AC C�- ORL;(NDUSE NEW DW#1 � \ Ph I �" , SURVEYS ADOPTED BY THE NEW YORK STATE ASSA •N OF . l o -� •L' O G 19.26 0 8' DIA.x8' DEEP DRYWELL = 338 CF G6 \ q Z i� m GMF PROFESSIONAL LAND SURVEYORS. � P 1� 1�4" __ Qz 18.65 PROPOSED a �'.`.. :- d t ROOF AREA REQUIRED o ` T - WATER 1,671 SF x 2/12x 1.0 = 279 CF P✓ \ RETAINING WALL SERVICES (NOT CONTAINING �i, 19.27 / " PROVIDED \ SEWAGE) s� Vis. ,' 2., TH O .�� fe Z -b, J � USE NEW DW#2 + \e'n.aa s cb Un a \ 19.14 + I0 \ Eoe HOWARD W.YOUNG,N.Y.S.L.S.NO.45893 F 8' DIA.x7' DEEP DRYWELL = 296 CF \ \ / eel ��. G \\ °M' 14" 11 18.18 ��P� SURVEY FOR LEGEND \\ WV 5.55 h Q`� °�'O' `16. 6.16 \6 PNyz°00\35` C70MB BEACH, LLC �g'( 412 � � ��,Q yQE�'Cv �/ !/ �� CMF =CONCRETE MONUMENT FOUND 1 1� e N �� R F CMS =CONCRETE MONUMENT SET \ 5� P�j�� Q�OQO JPS ``�N 001�`o� \ �� \ at Arshamomaque, Town of Southold EOP =EDGE OF PAVEMENT \ /a+ d�SJ o,P `` \ FE = FUTURE EXPANSION +16.46 \ Suffolk County, New York N LP =LEACHING POOL JE cMF o,��tl O \ PRF =POST&RAIL FENCE P\l�� BUILDING PERMIT SURVEY U WSF =WOOD STAKE FOUND �E`� /�\,�rQ ` z WSS =WOOD STAKE SET y0��0 , ��r9 \ \ 133/�/ / l i County Tax Map District 1000 Section 52 Block Ol Lot 3 o =TREE&TREE sizE o / \ FIELD SURVEY COMPLETED JULY 16,2020 MAP PREPARED AUG.10,2020 ' Record of Revisions o ecl ` REVISION DATE ADDRESSED SCDHS NOICA#1 SEPT 21 2020 / Q LOT 00VE1;ZAGF I ADDRESSED SCDHS NOICA#2 DEC.18-2020 SITE DATA `N`�� BUILDABLE LAND AREA = 41,625 SF LOT COVERAGE FEB.22,2021 ,„, „„ �At�9 I BLDG.PERMIT DATA AUG- 20 2021 10�t�� ALLOWABLE LOT COVERAGE = 41,625 SF x 0.20 = 1,4125 5F I CONTOURS AUG 22 2021 AREA = 16,442 5Q. FT. RELOCATED ADJACENT WATER METER OCT.01,2021 / PROPOSED ADDRESSED SCDHS NOICA#5 NOV,01,2021 * VERTICAL DATUM =NAVD(1988) 2 STORY FRAME HOUSE B GARAGE = 1,532 SF TRUSTEES SITE INSPECTION 11/9/21 NOV,10 2021 o 'RONT PORCH = 51 SF *SUBJECT PARCEL LOCATED IN ZONE X-SEE FLOOD INSURANCE RATE MAP ?EAR DECK = 123 Sr PANEL NO.36103CO158 H LAST DATED SEPT.25,2009. 30 0 15 30 60 90 INGROUND POOL = 216 SF TOTAL LOT COVERAGE = 1,4122 SF Scale: 1° = 30' *FINISHED FLOOR ELEVATION(5)SHALL BE VERIFIED BY THE ARCHITECT. JOB NO.2020-0075 DWG. 2020_0075_bp 1 OF 2 (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOTTO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)!CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS, 2 5TORY FRAME HOUSE 400 Ostrander Avenue, Riverhead, New York 11101 (5 BEDROOMS) tel. 631.727.2303 fax. 631.'727.0144 FEL= 0.7 admin®youngengineering.com Howard W. Young, Land Surveyor Thomas G. Wolpert, Professional Engineer Douglas E. Adams, Professional Engineer Robert G. Tost, Architect SWEET AIR VENT GAP MFG BY TUF-TI TE Robert 5trom5ki, Architect (5' MIN FROM ANY DOOR OR WINDOW) 12' 5' 24' HEALTH DEPARTMENT USE T 4" PVG PIPE 4" PVC PIPE 4" PVC PIPE o„ ontt T @ .2.0091. MIN. © 1.00% MIN. @ 1.00%MIN, TRAFFIC z TRAFFIC BEARING g PROVIDE GLEAN BEARING SLAB OUT AT FACE OF HEAVY HEAVY DUTY BUILDING LOCKING DUTY SLAB LOCKING TRAFFIC EL=11.2 GA5TING BEARING EL=18.7 EL=18.3 SLAB EL 15.4 I Ll I � I I 0.67' 7CAT5 0.67IE=15.41NE----gyp 0.33' . I NT IE=15.00 IE=14.15o.so", IE=14.61 AIR LINE TO BLOWERAIL FOR CONNECT N HO VENT LINE PONENTS 4' DIA. D15TRIBUTION BOX 3.0' — TO VENT HOLE IN OWST PROVIDE END GAP LEVELING DEVICE MDL#5L-4 MFG BY TUF-TITS OR APPROVED EQUAL FOR ALL p ENGINEER,S CERTIFICATION nry aLgNmq '700 GAL. I/A OATS D15TRIBUTION BOX OULET PIPES 4 on LP2 to "I HEREBY CERTIFY THAT THE WATER SUPPLY(S)AND/OR SEWAGE DISPOSAL MDL. GEN-7 MFG. BY FUJIGLEAN U5A d1 0 O M SYSTES)FOR THIS PROJECT WERE DESIGNED BY ME OR UNDER MY HYDRAULIC, PROFILE— DIRECTION.BASED UPON A CAREFUL AND THOROUGH STUDY'OFTHE•SOIL, SCALE: NT5 w I I SITE AND GROUNDWATER CONDITIONS,ALL FACILITrCs,2AS.PR6oOSED, 2 EL=8.61 CONFORM TO THE SUFFOLK COUNTY DEPARTMENT�F HEALTH 50AV>CES CONSTRUCTION STANDARDS IN EFFECT AS OF THIS OATE.''�L. 8.00' LEAGHIN6 POOL TOTAL OF (2) POOLS = 500 5F5WA HIGHEST EXPECTED -"" �' «�° "✓d.° y t',. GROUNDWATER EL=1.3 I p 6 MINIMUM PENETRATION HOWARD W.YOUNG,N.Y.S.L.S.NO.45893n s INTO A VIRGIN STRATA OF THOMAS G.WOLPERT,N.Y.S.P.E.N0.61483 ( i 5AND 8 GRAVELDOUGLAS E �.. i .ADAMS,N.Y.S.P.E.NO.80897 � ' of `- i #4 BARS 0 12" EACH WAY -j ` SURVEYOR'S CERTIFICATION BACKFILL WITH GLEAN 5AND $ *WE HEREBY CERTIFY TO G O M B BEACH, LLf:THAT THIS SURV o GRAVEL WAS PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND N SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF 6 BARS ® 6" EACH WAY PROFESSIONAL LAND SURVEYORS. f e TRAFF I G BEARING SLS SECTION SCALE: NT5 0 HOWARD W.YOUNG, L.S.N 5893 SURVEY FOR Nv GOMB BEACH, LLC at Arshamomoque, Town of Southold I I Suffolk County, New or 24" N c •> I IIN BUILDING PERMIT SURVEY z I CEN-7 TANK 0 I County Tax Map District 1000 Section 52 Block 01 Lot 3 FIELD SURVEY COMPLETED JULY 16,2020 D MAP PREPARED AUG.10,2020 Record of Revisions — — — — — — — — — — REVISION DATE 95.7" ADDRESSED SCDHS NOICA#1 PT 21 2020 ADDRESSED SCDH5 NOICA#2 D C 18 2020 BLDG,PERMIT DATA A G 20 2021 CONTOURS AVG.22,2021 RELOCATED ANACENT WATER METER OCT.01,2021 ADDRESSE0 TRUSTEES SITE IN PECTION5021 11/9/21 NOV 10 2 0 2021 J O 0 143.7" #4 BARS (TOP) AND #6 BARS (BOTTOM) Om R TRAFF I G BEARING SLAB (H2O LOADING) TYF I CAL RE I NFORG I NG FOR ACCE55 HOLES SCALE: N75 50ALE: NTS JOB NO. 2020-0075 DWG. 2020_0075_bp 2 OF 2 Glenn Goldsmith, Pre! t Town Hall Annex A.Nicholas Krupski,Vice President ,., 'T 54375 Route 25 John M. Bredemeyer III P.O.Box 1179 Michael J. Domino r7lSouthold,NY 11971 Greg Williams Telephone(631)765-1892 4 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SUT OLD Date/Time: X2_ Completed in field by: Young & Young on behalf of GOMB BEACH, LLC requests a Wetland Permit to construct a new two- story dwelling and garage with a 1,532sq.ft. footprint; proposed 51sq.ft. front porch; proposed 435sq.ft. rear deck and 50sq.ft. of stairs; a proposed 120sq.ft. side porch and 30sq.ft. of stairs; a proposed 123sq.ft. rear porch; proposed 216sq.ft. pool; proposed 2,001sq.ft. driveway; install public water service connection; install new sanitary system (i.e. one (1) 1,250 gal. septic tank and two (2) 8' diameter by 8' effect. depth sanitary leaching pools); and install new storm water control structure (i.e. LF 1 - (1) 8' diameter by 8' effect. depth drainage leaching pool). Located: 54205 County Road 48, Greenport. SCTM# 1000-52-1-3 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet Ah 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 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: .1// / / v / I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: /J. Bredemeyer M. Domino G. Goldsmith / N. Krupski _,,00' G. Williams Other (I)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EASTINO STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TOBE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(J)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A V AUD ARAE COPY.(4) INDICATED HEREON SMALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TIRE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTIONCERTIFlfATI0N5 ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (S)THE LOCATION OF WCLLS(W),SEPTIC TANKS(ST)6 CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROMOM OTHERS. N TEST HOLE 400 Ostrander Avenue, Riverhead, New York 11401 BY McDONALD GEOSCIENCE tel. 631.727.2303 fox. 631.727.0144 DATE:07/09/20 admin®youngengineering.com EL=17.4 0.0' \ MIXED SAND { a fitr \ LOAM GRAVEL 2.0' Howard W. Young, Land 5urveyor BROWN Thomas G. Wolpert, Professional Engineer SILTY SAND WITH GRAVEL Douglas E. Adams, Professional Engineer g \ \ (SM) 9.01 Robert G. Tost, Architect PALE BROWN Robert 5tromskl, Architect \ \ FINE SAND (SP) OV ° o�� / \ 13.0' G, QQ a \ \ BROWN HEALTH DEPARTMENT USE S �D 07 \ \ SILTY SAND muI}t eym ig P (SM) Q �P \ \ 4P GW EL=1.3WATER IN BROWN SILTY SAND &SANDY X10 SILTY °rpt \\ G6r 22.0' \' i O% 0� �O J WATER IN �`JS 5.40 P�Oa�P1P \\ \\ °P� BROWN FINE "/11.79 �y°yy0 \ \ I (SP) 28.0' h 0 ��'3k"'ol Z �,�'� �.' V9- \ \ HIGHEST EXPECTED Z \ GROUND WATER EL=1.3 ��/' Pp i' / 18.82 ♦P Q Oh O� \\ \ 000 �� i i A9.66 GMF $ -r�J ' � /ICS. \ \ 5.60 �//.tia/ i�'/ �'//�/ICS. � X 7 0 \ \ i i /ti ♦ \ 1O� 28.9�1g�0 des t �G�Q0��jlo \ \ /e° / 6 \ \\5.76 i ,i i'17.68�`) \ 5.60 i< \ / i 1.8o ' /� pI31 .4 7 PROPOSED LOCATION \ •� ,20' O '� OF 2 STORY FRAME \ \\ F`sjK oo p`�� `! 20.84+ p HOUSE&GARAGE \ \ \� �,i:(,' Qa°•e0°+ \, c°J / ti9.80 .80 5 BEDROOMS) p - ic MF 1" s GFEL19.2 DRAINAGE VF-51,65N CRITERIA /20.24\ 1ca •O, , ® +4 0ALGULATION5 20.52 1 o PROPOSED q�o ELECTRIC SERVICE , V = ARG \ o PROPOSED A = AREA OF TRIBUTARY � (5.F) \ a� q \ ib i R = RAINFALL (FT.) \ P-• o.S 9$ \h� �x SANITARY SYSTEM / G = COEFFICIENT OF RUNOFF LF #1 \ cMF �� Q O'S / °" // PROPOSED 0 REQUIRED a ♦ 8x DRIVEWAY / SURVEYORS CERTIFICATIO . .. Pi. `a Phi' N� 20.78 >r 20 DOU ..! 1 20 i ROOF 1,611 sr X 2/12 X 1.0 = 2141 OF / \,0 :01 ?° °� 1 GPS P L 19.95 *WE HEREBY CERTIFY TO G O M B B EA C H, L �� UR e'DIA.DRYNIELL NiITH A CAPACITY OF 42.24 GF/VF �� \\ °XP ��', \h� a� lie�o� / WAS PREPARED IN ACCORDANCE WITH THE CODE FPRA .IJCE AOR 0 211 GF/42.24 GF/VF - 6.6 VF REQUIRED o 'G O uL I b \� 1926 / SURVEYS ADOPTED BY THE NEW YORK STATE AS QG�'A'f ON QFr, OG 0 PROVIDED G6/• \ �� _ '/ s 2 �� BMF ' e i use(U-s'alA.x e'DEEP DRYWELL = 338 GF �4 7 Lr___ _yQ 18.65 PROPOSED PROFESSIONAL LAND SURVEYORS. /' �J 0 o \ - WATER e✓ \ RETAINING WALL6 `Q+ SERVICE n 'Lt p (NOTCONTAINING /\ TH SEWAGE) 19.27 i 'V q o \ 19.14 i\ + S. Q OP/ 's, \. ,� _ N, 3 b' ` \ E HOWARD W.YOUNG,N.Y. L.S.N0.45893 `SFO cv' 17.44 12" �18.01/� ' eel 14" LEGEND 24" Q 2 + P� ��' SURVEY FOR WM /N w `'SII 18.18 ��EO / 14" aSCP ySpE CMF =CONCRETE MONUMENT FOUND \ wv ,/ AQ ` •O �oFFia / A CM5 =CONCRETE MONUMENT SET \ 5.55 ( 5 f` QQEp u EOP _EDGE OF PAVEMENT \ ,3016 6.16 \b ` ��,E EXPANSION ��QPQ� J�vS� \\ �.�/ _ \\ ®MB BEAC` f , LLC E LP - FUTUEACHING POOL \\ ''5b1� 1�' P R�PSN� �0"�0 Al\ l�.7A / / `� at Arshamomaque, Town of Southold PRF =POST&RAIL FENCE Suffolk County WSF = WOOD STAKE FOUND / New York ' WSS =WOOD STAKE SET N�� cMF +16.46 p��cl \\ O C40 A =TREE&TREE SIZE P�� QJb��G� \ , BUILDING PERMIT SURVEY r O��D o '5 / / L�� 1 ♦ Count Tax Ma District 1000 Section 3�o/ / 1 y p 52 EIDcI< Ol Lot 3 FIELD SURVEY COMPLETED JULY 16,2020 MAP PREPARED AUG.10,2020 1 � Record of Revisions REVISION DATE J ADDRESSED 5CDHS NOICA#1 SEPT,21,2020 LOT OOVERAGE 1 ADDRESSED SCDHS NOICA#2 DEC,18 20 SITE DATABUILDABLE LAND AREA = 4,625 5F LOT COVERAGE F B 22,2021 1 i ALLOWABLE LOT GOYERAGE = 4,625 5F x 0.20 = 1,425 5F BLDG.PERMIT DATA AUG, 20 2021 AUG 22,2021 AREA = 16,442 5Q. FT. /.' 10ts J� �� I , C E � V E CONTOURS A AC T T ETER OCT 01 2021 * VERTICAL DATUM =NAVD(1988) ( PROPOSED E Z� (P 2 5TORY FRAME HOU5E 8 GARAGE = 1,532 5F ---- ° FRONT PORCH = 51 5F *SUBJECT PARCEL LOCATED IN ZONE X-SEE FLOOD INSURANCE RATE MAPED REAR GEGK = 123 5F PANEL NO.36103CO158 H LAST DATED SEPT.25,2009. --- - INGROUM:D POOL = 216 5F OCT 12 20 _ 0 15 30 60 90 9 p��Gj�J l `'T TOTAL LOT COVERAGE = 1,422 5FScale: 1° = 30' *FINISHED FLOOR ELEVATION(5)SHALL BE VERIFIED BY THE ARCHITECT. �J Southold Tov� JOB N .2020-0075 � Gw Board of Trust . ^�wr- 020_0075_bp i OF 2 (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW (2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSF AND ARE NOT TA BE USED TO ESTABU94 PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFCATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)@ CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND DR DATA OBTAINED FROM OTHERS- TEST THERSTEST HOLE 400 Ostrander Avenue, Riverhead, New York I1a01 BY McDONALD GEOSCIENCE tel. 631.727.2303 fax. 631.72'7.0144 DATE:07/09/20 adminayoungengineering.com EL=17.4 0.0' m 4 MIXED SAND �1 LOAM GRAVEL JJ 2.0' Howard W. Young, Land Surveyor BROWN Thomas G. kNolpert, Professional Engineer SILTY SAND Douglas E. Adams, Professional Engineer WITH GRAVEL (SM) 9.0' Robert G. Tost, Architect PALE BROWN Robert Stromski, Architect FINE SAND (SP) 13.0' BROWN HEALTH DEPARTMENT USE SILTY SAND (SM) GW EL=1,3 16.1' WATER IN BROWN SILTY SAND A SANDY SILTY 22.0' WATER IN BROWN FINE SAND (SP) 28.0' HIGHEST EXPECTED GROUND WATER EL=1.3 2 5TORY FRAME HOUSE (5 BEDROOMS) FFEL=30.7 13' 17' 12 4" PVC PIPE 4" PVC PIPE 4" PVC PIPE @ 2.00% M!N. ® 1.00% MIN. @ 1.00% MIN. PROVIDE GLEAN N� OUT AT FACE OF BUILDING of EL=111.2 C. EL 15.7 EL 15.4 I SURVEYOR'S CERTIFICATION— -z 3 EL=18.0 oP,w.�-n�RT, �.%� �.., WE HEREBY CERTIFY TO G O M B BEACH, LG`.FIATa k1S�5URV 1( WAS PREPARED IN ACCORDANCE WITH THE COD �C�F(P ACTICE`t0 Z ICI' SURVEYS ADOPTED BY THE NEW YORK STATE A S GTPA,- '6N OF, � N PROFESSIONAL LAND SURVEYORS. f ,r ,Y 1 j G N IE=15.400.33' IE=14.31 r „w , k i;r,Y Fj I E=15.14 1.6 r' t O.A �I.00' IE=14.64 IE=14.41 Oso' 0 4.00' I I HOWARD W.YOUNG,N.Y.S.L.S.NO.45893 c� 0.33' o Ni) 0.6,T, t--3.0' BAFFLE 4' DIA. MANHOLE o I I o SURVEY FOR 0.50 U1 g N D.001 o o GOMB BEACH, LLC 1,250 GAL. SEPTIC TANK w I > EL=8.23 a at Arshamomoque, Town of Southold ��- a.00' Suffolk County, New York I z HYDRAULIC, PROFILE I TOTAL OF (2) POOLS O 300 SF5WA I BUILDING PERMIT SURVEY s SCALE: NT5 HIGHE5T EXPECTED 0 GROUNDWATER EL=1.3 6MINIMUM PENETRATION County Tax Map District 1000 Section 52 Block 01 Lot 3 INTO A VIRGIN STRATA OF 5AND $ GRAVELFIELD SURVEY JULY 16 2020 a MAP PREPAREDCOMPLETED AUG.10,2020 Record of Revisions BACKFILL WITH REVISION DATE GLEAN 5AND 4J ADDRESSED SCDH5 NOICA#1 SEPT. 21 2020 GRAVEL ADDRESSED SCDH5 NOICA#2 D EC,18 2020 BLDG.PERMIT DATA A 20,2021 CONTOURS AUG. 22,2021 RELOCATED ADJACENT WATER METER OCT 01 2021 m 0 J O O } O] O 9 0 CT 12 2021 a JOB NO. 2020-0075 DWG. 2020_0075_bp Southold Town 2 OF 2 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Water,Bureau of Flood Protection and Dam Safety 625 Broadway,Albany,New York 12233-3504 P:(518)402-81851 F:(518)402-9029 P E& E IV ED www dec riy.gov September 24,2021 SEP 2 7 gRI Michael Holevas Southold Tovan B and of Trustees 58-25 229 St. Bayside NY 11364 RE: CEHA Designation Appeal for property 54205 County Rd 48, Southold NY 11971 Dear Mr. Holevas: The New York State Department of Environmental Conservation(Department)has received and reviewed your Coastal Erosion Hazard Area(CEHA)Designation Appeal Form and associated materials, dated April 16,2021,for the property at 54205 County Road 48 in the Town of Southold. Section 505.10 of the Department's Coastal Erosion Management regulations(6 NYCRR Part 505) lists the basis for an appeal of an erosion hazard area designation. As stated in Subdivision 505.10(e): The sole acceptable basis for an erosion hazard area designation appeal is technical information indicating that: 1, the long-term average annual rate ofshoreline recession was incorrectly established;or 2. the subject area was erroneously identified as a natural protective feature area. Your letter indicates that you are appealing the designation of the Coastal Erosion Hazard Area based on 505.10 (e)(2),claiming the subject area was erroneously identified as a Natural Protective Feature Area (NPFA).The current CEHA map for the area is CEHA Map Sheet 11 of 49 for the Town of Southold,which was certified by the Department on August 29, 1988 and shows,the location of the NPFA at the subject property. The landward limit of the NPFA line on the Map indicates the landward extent of the CEHA jurisdiction. The location of this line would have been established through interpretation of aerial imagery available at that time. It appears that the most landward Natural Protective Feature,which determines the location of the NPFA line on the property,was identified as a bluff during the development of the Map. A"Natural Protective Feature Area" is defined in Section 505.2 (z)of the Department's Coastal Erosion Management Regulations as: A land and/or water area containing natural protective features, the alteration of which might reduce or destroy the protection afforded other lands against erosion or high water, or lower the reserves of sand or other natural materials available to replenish storm losses through natural processes.All natural protective feature areas are delineated as such on coastal erosion hazard area maps. Pursuant to 6 NYCRR Section 505.2(y),a"Natural protective feature"is defined as: NEW YORK I Department of STATE OPPORTT UNITY Environmental Conservation a nearshore area, beach, bluff,primary dune, secondary dune, or wetland, and the vegetation thereon.. In Section 505.2(d),a bluff is defined as: Any bank or cliff with a precipitous or steeply sloped face adjoining a beach or a body of water. The seaward limit of a bluff is the landward limit of its seaward natural protective feature. Where no beach is present the seaward limit of a bluff is mean low water. The landward limit is 25 feet landward of the bluff's receding edge, or in those cases where there is no discernable line of active erosion to identify the receding edge, 25 feet landward of the point of inflection on the top of the bluff. The point of inflection is that point along the top of the bluff where the trend of the land slop changes to begin its descent to the shoreline. In considering this CEHA designation appeal,Department staff reviewed the information provided with the CEHA designation appeal, including the Gomb Beach Survey dated 9/21/2020,along with historical imagery from 1983 that was available at the time the applicable CEHA map was developed. The NPFA is mapped to include all-natural protective features at a given site.At the subject property, the natural protective features include a beach,bluff,and nearshore area. In order to include all of these natural protective features within the NPFA during map development,the most landward feature would have been used to delineate the location of the NPFA. In reviewing the historic imagery,the Department determined that the most landward natural protective feature at the property during map development was properly identified as a bluff,and that the NPFA was properly mapped. After reviewing all the submitted and available information regarding the subject area,the Department has determined that the subject area was not erroneously identified as a natural protective feature area established in 1988.Therefore,your CEHA Designation Appeal is hereby denied. If you have any questions regarding this letter or about coastal erosion management in general, please contact Matt Chlebus at matthcw.chlebus@dec.ny.gov or(518)402-8185. Sincerely, Kenneth Kosinski, P.E. Director Bureau of Flood Protection and Dam Safety cc: E. Cantrell,Town of Southold M. Chlebus,PE,NYSDEC T.Eidle,Esq,NYSDEC D E C E � U�p� E E. Star,NYSDEC SEP 2 7 2021 Southold Town Boar f Tru to s i,I�t ti ..t y e•'il f �? � �' ti4 �.r ✓ j• a +. .la `rh 1'. 7C :!I.:`�(r -l. 1"i 1,�:�,,,fi:°A. 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( Ate\ I o ' sn.,o �mwNossouq,oin - � '`4' e' ,' 1°A"p 05 \ \� 2 r Pecawcwo,rErsrEr _ �t ,D \ BI. o m • m 3O12 2a \ 2- 8 \\ 1?A :s MRROL �� 1 -o. P ,a„ SEE SEC. ' Fln rw. 5F£SEC. pYa — • to psec i 058-Ot-011.1, ®atm \ . _ --------- _.— _----------- IDE MAtt71 :. UNE R �_ MATON SEE SEC.NO.mE Eff Mr-"a am �N M><NAR �. - ---- -- -- ww - - NOTICE 9 c°o 3 COUNTY OF SUFFOLK © E 1. 01 O16 ° SOUTHOLD sECnaiNo E �m...e� �— °-^*- R1) ..� O2 "" xrtwvcEN_iFMtioN.NEa, Real Property Tax Service Agency r ,: ons E �— --- a.'." wrFouncw.nrA.w':twm,.0 w..1r.a.Nr nw, M os 05'1 N ___ . ' °y w low PPROPERTY MAP p �w n OFFICE LOCATION: w MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 �� " � Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) r Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov PLANNING BOARD OFFICE- TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: November 16, 2021 Re: LWRP Coastal Consistency Review for GOMB BEACH, LLC SCTM# 1000-52-1-3 Young &Young on behalf of GOMB BEACH, LLC requests a Wetland Permit to construct a new two-story dwelling and garage with a 1,532sq.ft. footprint; proposed 51sq.ft. front porch; proposed 435sq.ft. rear deck and 50sq.ft. of stairs; a proposed 120sq.ft. side porch and 30sq.ft. of stairs; a proposed 123sq.ft. rear porch; proposed 216sq.ft. pool; proposed 2,001 sq.ft. driveway; install public water service connection; install new sanitary system (i.e. one (1) 1,250 gal. septic tank and two (2) 8' diameter by 8' effect. depth sanitary leaching pools); and install new storm water control structure (i.e. LF 1 -(1) 8' diameter by 8' effect. depth drainage leaching pool). Located: 54205 County Road 48, Greenport. SCTM# 1000-52-1-3 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 and therefore INCONSISTENT with the LWRP. 1. The natural feature(bluff) line may be incorrect. The top of slope appears to be at the 20' contour line. 2. The pool setback of 27.6' to the"top of bluff' is insufficient and inconsistent with Policies 4 and 6. It is recommended that the Board relocate the pool to meet required setbacks. 3. The 2-story frame house and garage are close to the top of bluff(less than 43') and coastal erosion hazard line. Structures located within these areas are subject to damage and loss over time from the erosive forces of the Long Island Sound and storms, including hurricanes. The location of the structure is not consistent with Policy 4. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney Glenn Goldsmith,Pres,u�;tQF SUS i J -Town Hall Annex V"� rye 54375 Route 25 A.Nicholas Krupski,Vice President P.O. Box 1179 John M. Bredemeyer III l Southold, New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 ol�cou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS 52-I - 3 Property Owner Name: Date Sent to Bldo. Dept: •ZI'Z( The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning=Board of Appeals? _ Will any part of this application be considered;a Demolition. as described under Town Code? COMMENTS: Fro I de&L V- S (LS " I �ur.v a - WtlVis.. - atm 14 ed v e, I S -4 Signature of Reviewer Date YOUNG &YOUNG Telephone (631) 727-2303 400 Ostrander Avenue Facsimile (631) 727-0144 Riverhead,New York 11901 admin@youngengineering.com HOWARD W. YOUNG, Land Surveyor THOMAS C.WOLPERT,Professional Engineer DOUGLAS ADAMS, Professional Engineer/Geologist ROBERT C. TAST,Architect ROBERT STROMSKL Architect October 6, 2021 OCT 12 2021 Southold Town Attn: Ms. Diane DiSalvo I Board of Trustees Town of Southold Board of Trustees Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 RE: Single Family Residence GOMB BEACH, LLC at Arshamomaque, T/0 Southold, NY (20-0075) SCTM No.: 1000-52-01-3 Dear Ms. DiSalvo: Enclosed are four (4) prints of the Building Permit Survey (Sheets 1-2 of 2) last dated October 1, 2021 amended to indicate the elevation contours, for your use Very truly yours, Thomas C. Wolpert TCW/cw Encl. cc. GOMB Beach, LLC Attn: Mr. Michael Holevas + 1 print Planning Engineering Land Surveying DiSalvo, Diane From: Tom Wolpert <TCW@youngengineen,ng.com> Sent: Tuesday, September 21, 2021 2:42 PM To: DiSalvo, Diane Cc: Doug Adams; Doris Connolly Subject: FW: Gomb Beach, LLC P- Diane, We will amend he Building Permit Survey to indicate the elevation contours. Tom Tom Wolpert Young&Young 400 Ostrander Avenue Riverhead,NY 11901 631.727.2303 F tcw@youngengmeering.com From: Doris Connolly Sent:Tuesday, September 21, 202112:50 PM To:Tom Wolpert<TCW@youngengineering.com> Subject: FW: Gomb Beach, LLC Doris Connolly Administrative Assistant Young&Young 400 Ostrander Avenue Riverhead,NY 11901 631.727.2303 dac ftoungen ineering.com From: DiSalvo, Diane [mailto:diane.disalvo@town.southold.nv.us] Sent:Tuesday, September 21, 202111:12 AM To: Doris Connolly<DAC@youngengineering.com> Subject: Gomb Beach, LLC Tom Wolpert: Receipt is acknowledged of your letter dated September 13, 2021 which included survey last dated August 20, 2021. Trustees would like you to include the elevation contours on the survey. 1 Peter Young,Chairman 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., March 10, 2021 the following recommendation was made: Moved by John Stein, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of COMB BEACH, LLC to construct a new two- story frame house and garage, together with the associated site improvements including pool, deck, electric service, public water service, and sewage disposal system, and driveway. Located: 54205 North Rd., Southold. SCTM#52-1-3 Inspected by: John Stein, Caroline Burghardt The CAC Supports the application and recommends an I/A sanitary system. Vote of Council: Ayes: All Motion Carried i ® YOUNG &YOUNG Telephone (631) 727-2303 400 Ostrander Avenue Facsimile (631) 727-0144 Riverhead, New York 11901 admin@youngengineering.com HOWARD W. YOUNG, Land Surveyor THOMAS C. WOLPERT,Professional Engineer DOUGLAS ADAMS,Professional Engineer/Geologist ROBERT C. TAST,Architect ROBERT STROMSKI,Architect September 13, 2021 a 0 V Town of Southold Board of Trustees SEP 2 0 2021 Town Hall Annex 54375 Main Road Southold Town P.O. Box 1179 Boar of Trustees Southold, New York 11971-0959 RE: Single Family Residence COMB BEACH, LLC at Arshamomaque, T/0 Southold, NY (20-0075) SCTM No.: 1000-52-01-3 Dear Members of the Board: Enclosed are the following items: 1. four (4) copies— IRS Form SS-4 dated May 22, 2020 identifying Michael Holevas as a Member of Gomb Beach, LLC, 2. four (4) copies—Attachment to Trustees Application dated September 13, 2021 - Detailed Project Description and, 3. four (4) prints— Building Permit Survey (Sheets 1-2 of 2) last dated August 20, 2021 depicting the existing conditions and proposed improvements. Please note that: 1. as defined in the Southold Town Code Chapter 275-2. Definitions, there is no bluff on the subject property, and 2. the Building Permit Survey has been amended to indicate the allowable lot coverage calculation based on the buildable land area. Planning Engincenng Land Surveying Page 2 of 2 September 13, 2021 We understand that submission of these documents enables you to continue your review of this application. If you have any questions or require any additional information, please contact US. Very truly yours, Thomas C. Wolpert TCW/cw � � � � � �� Encl. rc � � SEP 2 0 2021 cc. GOMB Beach, LLC � TON Attn: Mr. Michael Holevas + encl. SOJ',FoId �OJfQQL—Iru `�qs_ September 13, 2021 ATTACHMENT TO BOARD OF TRUSTEES APPLICATION prepared for GOMB Beach, LLC at Arshamomaque, T/0 Southold, New York Project Description The project consists of constructing a new 2 story frame house & garage (1,532 sf footprint), front porch (51 sf), rear deck (435 sf) and stairs (50 sf), side porch (120 sf) and stairs (30 sf), rear porch (123 sf) in ground pool (216 sf), stone driveway (2,001 sf), public water service connection, new sanitary system, ie. one (1) 1,250 gal. septic tank and two (2) 8' dia. by 8' effect. depth sanitary leaching pools, and new storm water control structure, ie. LF 1 — (1) 8'dia. by 8' effect. depth drainage leaching pool. E � e; ',F --� } SEP 2 0 2021 E SoTown Boars of lrustee r j . r Glenn Goldsmith, President S00,P Town Hall Annex Michael J.Domino,Vice-President �O �l® 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III - Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Greg Williams �O YO Fax(631) 765-6641 ut , BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application 2 C v1 Wetland Permit Application ® t5 Administrative Permit Amendment/Transfer/Extension � ; Received Application:. I• •21 Received Fee:,$ 290.00 Completed Application: 1,20.2-1 Southold Town Incomplete:- Board of Trustees SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): �LWRP Consistency Assessm nt Form Sent:_ �O�� AC Referral Sent: � ✓ Date of Inspection: 3 / •2 I Receipt of CAC Report: Technical Review: —7rPublic Hearing Held: ZI Resolution: Owner(s) Legal Name of Property (as shown on Deed): 60mb L-LG Mailing Address: 550--.�2_6 a29 4i Sfned 60U5'cQ� Phone Number: 317-• '336— Suffolk 35 Suffolk County Tax Map Number: 1000 - 5 2 — O/-- 3 Property Location: 54-905 Nor lin load (C, R , a-7 North Side- op Afore Road (C-R, 27) OPFF-Ox, Ij 373 ' ecsf a¢'.50L nd Vieml'-4✓e. a-k- Ar-shc7moma ue T/,0 Soctffhold MY (If necessary,provide LI CO Pole#, distance to cross streets, and location) AGENT (If applicable): YOUnQ f- YOunq A-YO a YAOM05 C WQl� f -pe Mailing Address: 4-00 675fi-ander AV�nyU�hdNY 11901 ' Phone Number: 31— -72.7— 2_30 a I J -rc.Wa) you ifo-6a61066121 AfCro Ctrl C O Board of Trustees Applin ;ion GENERAL DATA Land Area(in square feet):- Area Zoning: _ Re-5 i denff a t Previous use of property: �/ctcanf �Jct/�-ch-caceece Intended use of property: sl'nelr_ /`fir Rei dennce- Covenants and Restrictions on property? Yes ✓ No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? ✓ Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ✓ No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure (s) on property have a valid Certificate of Occupancy? Yes No NIA Prior permits/approvals for site improvements: Agency Date ✓ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓ No Yes If yes, provide explanation: Project Description (use attachments if necessary):_ ConsfY,rc-F a n-e t U 2 5 ►ti ��rn� f1 oLcs,f_-_ d- gceras3e_ cc-.950ci c cd fi4c [yY)p�VeM&,n715_ L'rl of u c��l� �o o l, cQec� e/�cf�l'c Ser�ytce -�u l0 L tG W a� ServTc�J r A Board of Trustees Appli :ion WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations:. 7 1x_- n PW 1 (afrd Si l-r_ ol-) yacatf (allcl. Area of wetlands on lot: (0 square feet Percent coverage of lot: 17. 9 % ( 4 pProx. Closest distance between nearest existing structure and upland edge of wetlands:_ 56 feet ( -From high (1vaf-cr en ark ¢o exi sf n5 wood 1pu4kkeacl) Closest distance between nearest proposed structure and upland edge of wetlands: 106- feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? I Q cubic yards How much material will be filled? ;7- f ® cubic yards Depth of which material will be removed or deposited: .2. e� feet Proposed slope throughout the area of operations: Approx., I— 2 Flo Manner in which material will be removed or deposited: -A n ,e-xeayc4cr- will bc (ter S-ecl Jv rermoue- and d@epos4 mcrfer-ia( w4hin area of o o�enc?,H on s 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): The-re- wi(( lb--_- no -e-FF64 on �-e_- tvct(c?,,�5 and *1,aPC( waleV5 o-K TO-Wo Cps -M-I--pm2osed C.Per aHon !S . 61 Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Project: &a-n� E 6241 LL-C Project Location(describe,and attach a location map): 505 Aorfh 9Oced ( c, R, '1-7) Gf i4rT5 arA0enC1e— T/OSocrfholcf Brief Description of Proposed Action: Cods Ta r-,P a n 2Lv 2 sir y -q-crro c- h a.e se— �e79�h-ems wi-f� ��-e c�5soer'crf�c� 5'i� ins pa-over�/� /n eludm_5 pool) deck-) e l-ec-6v (� s�rvi c�� Fu/!tc t val-er' Se rvi ce, Sew aoe cQ(.Sp osce I Scy—<-(z!rM (gn�;/ cInve way Name of Applicant or Sponsor: Telephone: 6'Omib Oea,=A L L C E-Mail: Mhotevus 0- affa n e f Address: 516-a5 229 , 5�� City/PO: State: Zip Code: 80sid,:f_ I Newyork 1 11364- 1. !364- 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? ° If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that I ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and ppermit or approval: of JV© J—u��rc fi�1 /VY5pc_c— Ticta( We� , )a, PenYiif' a, 5cvHS - WaravSuo/�ly �- Serva Drgl'c�sal [qE 770 SOLn?)O(CP �uilcPr,t1 I�uilcBill 'Mi¢ _ 3.a.Total acreage of the site of the proposed action? d. 3 S acres b.Total acreage to be physically disturbed? 06 23 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? �a_30 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial [residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? Cl ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural -NO YES landscape? ❑' 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO --,YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO J'YES I b.Are public transportation service(s)available at or near the site of the proposed action? J;1' ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ,:❑ ,❑ ; 9.Does the proposed action meet or exceed the state energy code requirements? NO i YES If the proposed action will exceed requirements,describe design features and technologies: l 10. Will the proposed action connect to an existing public/private water supply? NO '; YES If No,describe method for providing potable water: _ — ❑ i 11.Will the proposed action connect to existing wastewater utilities? NO YES_ If No,describe method for providing wastewater treatment: 7"h-e-_ O'ech inc6udea. c❑ El r>+ru a6 on e-F � AV--w S'e bU05-e ce i? s a s�, �rv1 , 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? © ❑ b.Is the proposed action located in an archeological sensitive area? ❑ EL. 13.a.Does any portion of the site of the proposed action,or lands adjoining theproposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? } ,� b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? `❑ n If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply:- Shoreline pply:Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban 0 Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑✓ NO DYES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: [:]NO [DYES '5�fo,-m WcrFe�- W111 drrecf,�c(� ort—si(,� dral es 1 ec-tchina, Rook, cmid &n/We-J/5. Page 2 of 4 & Does the proposed actior construction of ottler acid vities that result the of NO YES water or other iquicls(e.g.reienficin :)on(!.waste -agoon,dam"9 If Yes,exp-ain purpose and s=ze-, 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES 1 1 solid waste management facility? If Yes,describe: [a Eli 40.Bas the site of the proposed action or an adjoining property been the subject offremediation(ongoing or NO YES completed)for hazardous waste? if Yes,describe: AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATTE TO HE BEST OF MY KNOWJuEDGE Aft) , T7-�ol,)os. C, Llixv pp Date: ec 2_0 2_0 Part 2- Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part'-) 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"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate sell to large impact impact may may occur hoccur reglae proposed?poed action cmin create a aterial coflictvilh an adopted land plan zoning �;iosi� 2 intensity of use of land? Will the proposed action result in a change in the use or r b/ 3- Will the Proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result In an adverse change in the existing level of traffic or affect existing infrastructure for mass transit, biking or walkway? ET El . ____1 6. Will the proposed action cause an increase in the use of energy and it fails To incorporate r I real available energy conservation or reinewable enervy opportunities? Llsoot 0 Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? & Will the proposed action impair the character or quality of important historic,archaeologi architectural or aesthetic resources? 9 Will the r.t7 S daction reSU]' ian ase change to natural resources(e g.,wet'ands,n dvel M/ El waterbomes,groundwa-e,-,air quality,flora and "aunal" age 3 of 4 No,or Moderate small to large impact impact may may occur occur L-!Li O. Win the proposed action result In an increase in the potential for erosion,flooding or drainage I r p,oh ll. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significarim The Lead Agency is responsible for the completion of Part 3. For every ciuesfiori m Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will,not result in a significant adverse environmental impact,please complete Part 3 Part 3 should, in suffident detail,identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact -nay or will not be signifi I of occurring, cant.Elac; potential impact should be assessed considering its setting,probability Fadi duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ECheck this-box if you have determined. based on the information and analysis above,and any supporting docurnentation l that the proposed action may result in one or more potentially large or significant adverse impacts and an OJenvironmental impact statement is required. Check this box iflyou have determined,based on the information and analysis above,and any supporting documentation that the proposed action will not result in any significant adverse environmental impacts. Town of Sowhold-Board of TT.siees Name of Lead Agency Date President Print lypr Name of ResponsiNe Officer in Lead Agency Title of Responsible Officer Signature elf Responsible Officer in Lead Agency Signature of Preparer of different from Responsible Officer) PRINT Page 4 of 4 4 Board of Trustees Applin ;ion AUTHORIZATION (Where the applicant is not the owner) I/We, t L6, .,. owners of the property identified as SCTM# 1000- 52— 0/-- 3- in the town of 30u/-6 of CP New York,hereby authorizes AHn V Therma s C', Wol ep-1- RE. . - . to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. �PArojp;ertiy�� wner's Signature Property Owner's Signature SWORN TO BEFORE MB THIS, ` DAY OF �' _ ,20 Notary Public OLGA HOLEVAS Notary-Public, State of New York Registration 001 H06233414 Qualified In Queens County ° Commission Expires pec.272o2 Board of Trustees Applic'_ ,'ion AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE 19 THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES, THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND.FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. v Signature of Property Owner Signature of Property Owner SWORN TO BEFORE NIE THIS l � � DAY OF yA�► Notary Public OLGA HOLEVAS Notary-Public' State of New York- Registration 101 H062334'14 - Quelified In Queens County Commission,Expiies pec.2,7,1022-" ; v � ' APPLICANVAGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM ' • hf this form is to provide information which cant alert the town of possible t�icis of intereat and allow it t take whatever action is nrrr mIQ avoid same. YOUR NAME: nm� -c (Last name,fust ;,tp�iddle initial,unless you are applying the name of someone else or other entity,such as a company-If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map W, � . Planning Other (If"Other",name the activity.) — � Do you personally for through your company,spouse,sibling,parent,or chlld)have a relationship with any of#icer.or employee of the Town of Southold? "Relatioiiship"includes by blood,marriage,oc business interr5t 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 corpor`afion in which the town officer or employee owns more than 5%of-the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of perspn employed by the Town of Southold Title or position of that person I - Describe the relationship betweenyourself(the applicantlagont/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,dr-child is(check all that apply): A)the owner of greater than Sala offt shares of the corporate stock of the appiioeat (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a Iron-corporate entity(when the applicant is not a corlioration); C)an officer,director,panne'r,or employee of the applicant;or Dj the actual applicant, DESCRIPTION OF RELATIONSHIP r ' Submitted th' ��day of 1'""v__.2d 2— Signattare X Print Natie e r'"-1A;:F>— Form TS 1 i Glenn Goldsmith,President O�OSUFFD(,f-CDG Town Hall Annex A.Nicholas Krupski,Vice President ,�� y54375 Route 25 John M.Bredemeyer III ro a P.O.Box 1179 Michael J.Domino 0 Southold,NY ,11971 Greg Williams 'y p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 4, 2021 Tom Wolpert Young &Young 400 Ostrander Avenue Riverhead, NY 11901 Re: Board of Trustees Application of Gomb Beach, LLC 54202 County Road 48, Greenport SCTM# 1000-52-1-3 i 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. V ry Truly Yours, Glenn Goldsmith, President Board of Trustees �O��gUFFO(,�-COG Town Hall Annex Glenn Goldsmith President A.Nicholas Krupski,Vice President y� t 54375 Route 25 John M.Bredemeyer III y ,277 P.O.Box 1179 Michael J.Domino oy ® �� Southold,NY 11971 Greg Williams '�0� �`a� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESDAY, 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.disalvo@town.southold.ny.us. Said comments will be considered at the public hearing provided that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing. The public will have access to view and listen to the meeting as it is happening via Zoom. If you do not have access to a computer or smartphone, there is an option to listen in via telephone. Further details about how to tune in to the meeting are on the Town's website at https://www.southoldtownny.gov/calendar or call the Board of Trustees office at (631) 765-1892 Monday through Friday between the hours of 8:OOAM —4:OOPM. Options for public attendance: • Online at the website zoom.us, click on "join a meeting" and enter the information below. Zoom Meeting ID: 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 �Q�fF�1'�`CO Town Hall Annex A.Nicholas Krupski,Vice President �� Gym 54375 Route 25 } John M.Bredemeyer III coP.O.Box 1179 Michael J.Domino Southold,NY 11971 Greg Williams ?� ® pl,rj� 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 Appli :ion PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SC NAME: _ ; ; ,a OF - .� • . -- _ j - _ ' ,- - 1, -. - -. . _ 7' :r .Y, ,,] ,J +t- ?� °'gte ti, wi: r C vp Ut-.F al. 4i :a - _ 771 residing;at - _ being'duly sworn, deposes and,,a*,that on the day of , 20 , deponent mailed a true copy ofthe Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this - - Day of - )-20-- Notary -20-Notary Public Glenn Goldsmith, President max Town Hall Annex A.Nicholas Krupski, Vice President �pSs3FF0j'fell 54375 Route 25 John M.Bredemeyer III ,�� Gam„ P.O.Box 1179 Michael J.Domino ' c„ 1§ Southold,NY 11971 Greg Williams oy v l� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of GOMB BEACH, LLC COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE- COMPLETE THIS FORM ONEIGTH DAY OR LATER I, Thomas 02, i VC?1004 , residing at/dba j Df- YbunQ 400 Q-: mnder 14vee ae-- WiVe-1-6-ead j /SOY !l ya( being duly sworn, depose and say: That on the 9A day of Movern b-e-r- , 202( , I personally posted the property known as G��yt(� 3�ach, LLG 5�20� l�lor�G� i�o-ercP �c,r� ��) c� �lrshctmornG�� by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,November 17, 2021. Dated: i�o vearl lour 1-7, 20..,7-1 �!✓��7'�,,1� l�, Lam°��%z'c-L,� (signature) worn tobeforeme this day o6,.20 o1 1 ELIZABETH AYALLON Notary Public,State of New York ho.01IA5069367 Qualified in Suffolk County - Notary Public Commission Expires November 25,20M Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: bl NAME: ADDRESS: © Yoc?nno, TO, BOX 1 4-�-7 5cc,W4)o(c�� v r-oal"rl �� A/X' lG Za-- 54-2�95 Som,o(cfl A/ STATE OF NEW-YOl - :COUNTY'OF`SUFFOLk l residing at, YD1,rnc;-'-YoY6!!.! 400 Al Y G G o( ,being-duly sworn, deposes and says that on the _day of Axvem0e;— , 20 21 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at FKAlee uad , AJY /I 9©( , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. 0, S�� Signature Sworn to before me this %homa S 01 . 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November 9, 2021, 8:25 pm Arrived at USPS Regional Facility MID NY DISTRIBUTION CENTER i - NOTICE OF 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: GOMB BEACH, LLC SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a,new two-story dwelling and garage with a 1,532sq.ft. footprint; proposed 51sq.ft. front porch; proposed 435sq.ft. rear deck and 50sq.ft. of stairs; a proposed 120sq.ft. side porch and 30sq.ft. of stairs; a proposed 123sq.ft. rear porch; proposed 216sq.ft. pool; proposed 2,001sq.ft. driveway; install public water service connection; install new sanitary system (ie. one (1) 1,250 gal. septic tank and two (2) 8' diameter by 8' effect. depth sanitary leaching pools); and install new storm water control structure (ie. LF 1 - (1) 8' diameter by 8' effect. depth drainage leaching pool). Located: 54205 County Road 48, Greenport. SCTM# 1000-52-1-3 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. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold 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 41s. sf cant_ beneficial,and adverse-effects-upon the coastal area.(,Aich includes all of Southold"romp 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 ch • review law. Thus, ea ,9gM must be Mplain6d.in detail, listing,bothk supporting, and mon 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# /000--- 5;2- - C1 I _ 3 PROJECT NAME Go mho j5ecxch LL-G The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate`response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: Geon s rL 4 a n c-L v 2- Sfvr,,- -�,irrm� oc ase 9a`�S� wife, A-e 51(f fMAroyem,:5,-11�5 inck.rci� poo/ r��cfr eFeG-Ftir1� Seryrc� pulolr� u�crF�o ser✓�r� Seu/�cl� cQiS pow Sys-�v� artcP cPriyer�/�> Location of action: / c?rn� �?Oad (C, R, a72 Grf /}rshorr Orng 1{t:. Site acreage: U. :3b a c re- or- U *42 S'C Present land use: Vo can+ b u(IT 11-e0 fed Present zoning classification: f-e Si denfi'a 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: 6orm(o 13eac>') , LA,G A#ri , el i cA ae( l -a lava 5 (b) Mailing address: 558-;2- (c) (c) Telephone number: Area Code ( 9/7- 526 ,2 (d) Application number,if any: Nl _ Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 0 No❑ If yes, which state or federal agency? NYS®CG - �icQcr( (NetCOnd or Le bf--� /'Vo C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. ®Yes ❑, No ❑ Not Applicable Cons d- 'Z' eo- wrY) - �-� assocl af�cp silo: irn�ro��erir`S ins c.rdlMc Dov cGrcft' �e(�ec'/Yi Se,ryrc� lrc wafer sed Vrc� �rtJ�� - �i 5r osce( s�..s-Eery, cel c�riVer,Uol. . 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 2 Not Applicable e Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria 0 Yes ❑ No ❑ Not Applicable -fio P0 It nse- _ 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 S through 16 for evaluation criteria ❑ Yes ❑ No ❑ Not Applicable The eLc se-d CnoLese— will 6� ulr�cP efoo e%vcpfi�n , -pct F:- " 4 . -En cPcPc�rha, , cp�l p��se�P onn Q/--VAP a s cr�cP av��wa c� �-PLe �x�`5hv�c wood! celkA" Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LNVRP Section III —Policies Pages 16 through 21 for evaluation criteria 0 Yes EJ No ❑Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LVW Section III — Policies Pages 32 through 34 for evaluation criteria. FlYes ❑ No[Ej Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LVW Section III—Policies; Pages 34 through 38 for evaluation criteria. 0 Yes '❑ No 0 Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWl2P Section III—Policies; Pages 38 through 46 for evaluation criteria. 0 WE] No Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable Iocations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑" Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP` Section III-Policies; Pages 57 through 62 for evaluation criteria. Yes ❑ No ❑ Not Applicable ` 4-a Poli cy l i�,es;rvA !&t-- Attach 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 0 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 PREPARED BY rh OM a 5 C'. V 1/O/pe�/�, C. TITLE ATer?�- -Fay DATE 12-28-Z0 �j�ll`ccF�7� r YOUNG &YOUNG Telephone (631) 727-2303 400 Ostrander Avenue Facsimile (631) 727-0144 Riverhead,New York 11901 admin@youngengineering.com HOWARD W. YOUNG,Land Surveyor THOMAS C.WOLPERT,Professional Engineer DOUGLAS ADAMS,Professional Engineer/Geologist ROBERT C. TAST,Architect ROBERT STROMSKI,Architect December 28, 2020 Town of Southold Board of Trustees Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 D E E 0 V 2 RE: Single Family Residence JAN "6201H GOMB BEACH, LLC at Arshamomaque, T/0 Southold, NY Southold Town (20-0075) Board of Trustees SCTM No.: 1000-52-01-3 Dear Members of the Board: Enclosed are the following items: 1. application fee — Gomb Beach, LLC check no. 1007 payable to 'Town of Southold' in the amount of Two Hundred Fifty Dollars ($250.00), 2. one (1) original & three (3) copies—Wetland Permit Application, 3. one (1) original & three (3) copies—Short Environmental Assessment Form, 4. one (1) original & three (3) copies—Authorization Form, S. one (1) original & three (3) copies—Affidavit, 6. one (1) original & three (3) copies—Applicant Transactional Disclosure Form, 7. one (1) original & three (3) copies— LWRP Consistency Assessment Form, 8. three (3) color copies— Photograph Nos. 1-7, and 9. three (3) prints — Building Permit Survey (Sheets 1-2 of 2) last dated December 18, 2020 depicting the existing conditions and proposed improvements. Planning Engineering Land Surveying Page 2 of 2 December 28, 2020 We understand that submission of these documents enables you to commence your review of this application. If you have any questions or require any additional information, please contact US. Very truly yours, Thomas C. Wolpert TCW/cw Encl. cc. GOMB Beach, LLC Attn: Mr. Michael Holevas + encl. + 1 print