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HomeMy WebLinkAboutTR-10431 Glenn Goldsmith, President ®���Q� ����� Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179. Eric Sepenoski S Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ® y® Fax(631) 765-6641 COUNTi 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-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed When project complete, call for compliance inspection; FIN 7',RM BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK � PERMIT NO. 10431 DATE: JULY 19,2023 ISSUED TO: JOSEPH M. &JOANNE MASCIA A PROPERTY ADDRESS: 1600 DEEP HOLE DRIVE,MATTITUCK SCTM# 1000-115-12-22 AUTHORIZATION Z" Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 19, 2D23, and in I-; consideration of application fee in the sum of$1250.00 paid by Joseph A & Joanne Mascia and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: A Wetland Permit for the existing 1,183sq.ft. one-story dwelling with a 17sq.ft. roof-over side entry and 48sq.ft. rear landing and stairs; on the landward side of the dwelling, remove existing 29sq.ft. roof-over brick front entry and construct a proposed 440sq.ft. one-story addition with a loft, a 55sq.ft. covered front porch; abandon existing sewage V411 disposal system and install a new All OWTS system landward of dwelling consisting of one (1) 450 gallon treatment unit, one (1) 4' diameter distribution manhole, and three (3) 8.5'Lx4'Wx4'E.D. leaching galleys; install gutters to leaders to two drywells to contain roof runoff, install a 379sq.ft. stone driveway; and for the existing 99sq.ft. shed to rema in; with the condition to establish and perpetually maintain a 10' wide vegetated non-turf buffer along the seaward edge of the property; and as depicted on the survey/site plan prepared by Howard M. Young, Licensed Land Surveyor & 4R t Thomas C. Wolpert, PE, last dated July 21,2023, and stamped approved on July 31, 2023. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these g presents to be subscribed by a majority of the said Board as of the day and year first above written. R 7-,7t-- ON ON a TERMS AND CONDITIONS The Permittee Joseph M & Joanne Mascia residing at 1600 Deep Hole Drive, Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 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. i 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 ®� SO' Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski S 6 Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 11ou !►,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 31, 2023 Thomas C. Wolpert Young & Young 400 Ostrander Avenue Riverhead, NY 11901 RE: JOSEPH M. &JOANNE MASCIA 1600 DEEP HOLE DRIVE, MATTITUCK SCTM# 1000-115-12-22 Dear Mr. Wolpert: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 19, 2023 regarding the above matter: WHEREAS, Thomas Wolpert P.E., on behalf of JOSEPH M. &JOANNE MASCIA applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated May 9, 2023, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 19, 2023, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JOSEPH M. & JOANNE MASCIA for the existing 1,183sq.ft. one-story dwelling with a 17sq.ft. roof-over side entry and 48sq:ft. rear landing and stairs; on the landward side of the dwelling, remove existing 29sq.ft. roof-over brick front entry and construct a proposed 440sq.ft. one-story addition with a loft, a 55sq.ft. covered front porch; abandon existing sewage disposal system and install a new A/I OWTS system landward of dwelling consisting of one (1) 450 gallon treatment unit, one (1) 4' diameter distribution manhole, and three (3) 8.5'Lx4'Wx4'E.D. leaching galleys; install gutters to leaders to two drywells to contain roof runoff; install a 379sq.ft. stone driveway; and for the existing 99sq.ft. shed to remain; with the condition to establish and perpetually maintain a 10' wide vegetated,non-turf buffer along the seaward edge of the property; and as depicted on the survey/site plan prepared by Howard M. Young, Licensed Land Surveyor& Thomas C. Wolpert, PE, last dated July 21, 2023, and stamped approved on July 31, 2023. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Glenn Goldsm President, Board of Trustees GG/dd i 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 n� DOUGLAS E.ADAMS,Professional Engineer& Geologist ® E U DANIEL A. WEAVER,Land Surveyor JUL 2 8 2023 July 21, 2023 Southold Town Attn: Ms. Elizabeth Cantrell, Senior Office Assistant 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: JOSEPH M. MASCIA &JOANNE MASCIA 1600 Deep Hole Drive at Mattituck, T/O Southold, NY (22-0026) SCTM No.: 1000-115-12-22 Dear Ms. Cantrell: Enclosed are the following items: 1. final inspection fee — our check no. 1443 payable to 'Town of Southold' in the amount of Fifty Dollars ($50.00), and 2. two (2) prints— Building Permit Survey (Sheets 1-2 of 2) last dated July 21, 2023 amended to indicate the requested 10' wide vegetated non-turf buffer along the landward limit of the tidal wetland. We understand that submission of these documents enables you to complete your review of this application and to issue the wetlands permit. Thank you for your assistance. If you have any questions, please contact us. Planning Engineering Land Surveying Page 2 of 2 July 21, 2023 Very truly yours Thomas C. Wolpert TCW/cw Encl. CC. Mr. & Mrs. Joseph Mascia + encl. + 1 print E Cff V E FRDU FL 2 S 2023 Southold Town Board of Trustees ®g11FF0(qco Glenn Goldsmith, President Town Trustees A Nicholas Krupski, Vice-President CO $ 54375 Route 25 Eric Sepenoskio ^* P.O. Box 1179 Liz Gillooly '�.fj® ao�� Southold, NY 11971 Elizabeth Peeples Ol Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JOSEPH M. & JOANNE MASCIA c/o THOMAS WOLPERT, P.E. Please be advised that your application dated May 9, 2023 has been reviewed by this Board at the regular meeting of July 19, 2023 and your application has been approved pending the completion of the following items checked off below. xx Revised Plans for proposed project— SILT FENCE 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 BY: Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President 5� _kea Town Hall Annex A.Nicholas Krupski,Vice President �� y< 54375 Route 25 Eric Sepenoski y ,? P.O.Box 1179 Liz Gillooly �A • 0�`r�a Southold,NY 11971 Elizabeth Peeples � XtTelephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 71)212.3 Completed infield by: Thomas Wolpert, P.E. on behalf of JOSEPH M. & JOANNE MASCIA requests a Wetland Permit for the existing 1,183sq.ft. one-story dwelling with a 17sq.ft. roof-over side entry and 48sq.ft. rear landing and stairs; on the landward side of the dwelling, remove existing 29sq.ft. roof-over brick front entry and construct a,proposed 440sq.ft. one-story addition with a loft, a 55sq.ft. covered front porch; abandon existing sewage disposal system and install a new A/I OWTS system landward of dwelling consisting of one (1) 450 gallon treatment unit, one (1) 4' diameter distribution manhole, and three (3) 8.5'Lx4'Wx4'E.D. leaching galleys; install gutters to leaders to two drywells to contain roof runoff; install a 379sq.ft. stone driveway; and for the existing 99sq.ft. shed to remain. Located: 1600 Deep Hole Drive, Mattituck. SCTM# 1000-115-12-22 Typ of area to be impacted: of Wetland Freshwater Wetland Sound ✓Bay Part of Town Code proposed work falls under: ✓ 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 r Info needed/Modifications/Conditions/Etc.: to., �,�� � � 61AeF Present Were: -/G Idsmith v1 N. Kr ski /E. Sepenoski L. Gillooly E. Peeples (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY 15 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 SPECIAC PURPOSE AND 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)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE RILE 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 LOCATIrN OF WELLS(W)•SEPTIC TANKS(ST)k CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. HEALTH DEPARTMENT USE \ -°WW4�1"4 t P 400 Ostrander Avenue, Riverhead, Naw York IIci01 tel. 631,727.2303 fax. 631.721.0144 CMF \ o _ _ - - admin®youngengineering.com Howard W. Young, Land Surveyor Thomos 0. er> \ \\ Dou loss E. Ad ms, Professional Engineer �`thQ�b \ 9 9 l��e\CIr9 cMF Robert G. Tost, Archltect Robert 5tromski, Architect / � � r•• �uN ,nr,. SITE DATA APPROVED BYo - AREA = 10,986 SQ. FT. BOARD OF 1 RUSTEES \\ Gtr w• R5 7 DATUM = NGVD 1988 TOWN OF SOUTHOL.D ° \ �✓ * HIGHEST EXPECTED GROUND WATER ELEVATION = 1.0 NOTES DATE xjkq 3i ' zoZ:5 \ S * NUMBER OF BEDROOMS(DESIGN EQUIVALENT) =4 I. THE OWTS SHALL BE MODEL GEN-5 MANUFACTURED BY FUJIGLEAN USA. \ \ * MINIMUM REQUIRED I/A OWTS CAPACITY =440 GAL 2. THE PE5I6N ENGINEER, FUJIGLEAN USA REPRE5ENTATIVE, AND 5GDH5 �,� . \\ \\ * PROVIDED I/A OWTS CAPACITY = 500 GAL THE INSTALLATION OF THE OWT5 AND `� ��- REPRESCNTATI VES SHALL OBSERVE H L __ \ \ /' * LEACHING SYSTEM REQUIRED = 300 SFSWA LEACHING 5Y5TEM. APPROVAL FROM ALL THREE PRIOR TO BACKFILL. �v \ * LEACHING SYSTEM PROVIDED = 318 SFSWA 5. THE SYSTEM START UP WILL BE COMPLETED UNDER THE DIRECT SUPERVISION OF A FUJIGLEAN USA REPRESENTATIVE. 4. AN EXECUTED OPERATION AND MAINTENANCE CONTRACT BETWEEN THE MAINTENANCE PROVIDER AND PROPERTY OWNER MUST BE 5UBMITTED TO 12Q� � / ENGINEER'S CERTIFICATION THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES (5CDH5) PRIOR A .15 r, TO APPROVAL OF THE I/A OWT5 REGISTRATION BY THE 5GDH5 IN o T 11.89 'z i ACCORDANCE WITH ARTICLE I� OF THE SUFFOLK COUNTY SANITARY CODE. �2�\� F� 7 y "I HEREBY CERTIFY THAT THE WATER SUPPLY(S)AND/OR SEWAGE DISPOSAL �pf (t\Qr PROPOSED SANITARY SYSTEM3��\ SYSTEM(S)FOR THIS PROJECT WERE DESIGNED BY ME OR UNDER MY pC pd` o•,� A 2 O DIRECTION.BASED UPON A CAREFUL AND THOROUGH S ESOIL, 5. ARCHITECT TO VERIFY FINISHED FLOOR ELEVATION(5). G A YA ' ` 1,, p� �' BLOWER °' y �T .A �' SITE AND GROUNDWATER CONDITIONS,ALL FACILI S,k! �IDOPOSE�, ADJACENT AREA LOT COVERAGE Qr\\\Q �f�� �2 VENT X02 'r0 \` CONFORM TO THE SUFFOLK COUNTY DEPARTMENT �tiEAL:r -SERVICES pC� Gp� eel �`• 01 �1 s J Q CONSTRUCTION STANDARDS IN EFFECT AS OF $,DATE?' 3�' ADJACENT AREA=10,986 SQ.FT. �� �o" CONTROL Fti�S EXISTING r00 Q J4�G O PANEL t0 ss �oS. �•� 00. 0, m �► '' 1 ��,t P ,� �'( 1 STORY FRAME HOUSE =1,183 SQ.FT. = 10.8% ��'� �S�P Qyc� g c� �F,. �F°� sem- r t- ROOF OVER =46 SQ.FT. =0.4% \C�r9 Pay�Gpe 3 rs �� C? �� `�;, c �� 13.48 )1 o FRAME SHED =99 SQ.FT. =0.9% `off SPas tiN'oP�° �� r" 0 10.64 (;,.¢; �G� 13.15 \ � d� ' �. 6/ ' ✓ i e aG ?.3 \r�, �O 9. � a'Q 5 \ (S O 5 \'o TH TOTAL- 1,328 S FT. = I2.1% PsPNy°�s � 8.46 rr �' A \ \ HOWARD W.YOUNG,N.Y.S.L.S.NO.45893n Q g-y.�� r oG �� r�,0 s. y r�10.79 0 9�T �ti�� THOMAS C.WOLPERT,N.Y.S.P.E.NO.61483 PROPOSED a,� 1 STORY FRAME HOUSE = 1,183 SQ.FT. = 10.8% ` tib° ��F s. ��31 \�� \\ A6 DOUGLAS E.ADAMS,N.Y.S.P.E.NO.80897 ` ROOF OVER =46 SQ.FT. =0.4% 9' Ao. 11.52 �- 23ti 11.55 EXISTING ° LANDWARD LIMIT OF TID' 29 T g� FfL FRAME SHED =99 SQ.FT. =0.9/ d SURVEYOR'S CERTIFICATION ° WETLANDS AS DELINEATED BY 8•'F J G BOJ O r SERVICE \ COVERED FRONT PORCH = 55 SQ.FT. =0.5% US ON 05/10/2022 of �y coNc. m o \ P Bow ,r'� r.()� ;�° COVER '� �P� .SGS' O PROPOSED \ \ `� 1 STORY A DDITION =440 SQ.FT. =4.0% T ��E� ti�'�4F �m��O 8 tib? Q� STONEBLEND WE HEREBY CERTIFY TO JOSEPH M. MASCIA S� JOANNE s CONC. �° O�``�� o p; DRIVEWAY \ \ MAS C IA THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE g TOTAL= 1,823 SQ.FT, = 16.6% elr -'COVER m tib o°�` ZOO`? PROPOSED 1 STORY \ \ CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE NI �A� 7.�3© r 3ti F a ADDITION WITH A LOFT \ \ ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. N TEST HOLE ,N P� 6- -- rn BY McDONALD GEOSERVICES TIE LINE ALONG APPROXIMATE 9°�� Fy1.E° DW O \ TC ` HIGH WATER MARK ON �� 6.65 rr PROPOSED COVERED DATE:03/25/2022 O DW �, 10 03/01/2022 c4' \ T Fs l% S EL=9.3 0.0' / ~ LF#1 FRONT PORCH C4l DARK BROWN �;��� rr +7-10 C14 SANDY LOAM LP N (OL) CMF 1 NO3 39 50 W 7.10 \`I Y ' J ?k'fir \ �L CO w d BROWN SILTY 5.755 SAND a - o � rptC`�P1 °`e f; rril )Qj Py0L.S.N . 893(SM) 34,5z IPF 3.0' N82°14'07°W ) 9HOWARD , . o � PALE BROWN °O01 FIN`S ND N61°39 '46"W ti57 sp, o�� GW=0.6 8.7' O 10' WIDE VEGETATED l L! JUL 2 P 2Q 14.50 r.O� SURVEY FOR NON-TURF BUFFER ��/ \ WATER IN PALE '-lo eco `L / �cl Gaut of i Fte JOSEPH M. MASCIA c� BROWN FINE ��CR oe���SP /' b °K E�o�rct of Trustees (S ��i(� ,- �,�re° JOANNE MASCIA at Mattituck, Town of Southold NOTES FOR Suffolk County, New York i7'° ABANDONMENT OF SANITARY STRUCTURES 7 HIGHEROUND WATER EL=I / ABANDONMENT IN-PLACE AKA BUILDING PERMIT SURVEY TED N GROUND WATER EL=1.0 N EXISTING SYSTEMS SHALL BE ABANDONED BY REMOVING ALL RESIDUAL SEWAGE LEGEND WASTES BY A LICENSED WASTE HAULER,REMOVING THE TOP OF THE STRUCTURE(S),BACKFILLING WITH SUITABLE SAND AND GRAVEL MATERIAL,AND County Tac Map District 1000 section 115 Block 12 Lot 22 o CE =CELLAR ENTRANCE DRAINAGE DESIGN PROPERLY COMPACTING. FIELD SURVEY COMPLETED MAR.01,2022 CH =CHIMNEY CRITERIA & CALCULATIONS LOT COVERAGE ABANDONMENT BY REMOVAL MAP PREPARED MAR.02,2022 CMF =CONCRETE MONUMENT FOUND EXISTING SYSTEMS MAY ALSO BE ABANDONED BY REMOVING ALL RESIDUAL Record of Revisions V = ARG EXISTING CMS =CONCRETE MONUMENT SET A = AREA OF TRIBUTARY (S.F.) SEWAGE WASTES BY A LICENSED HAULER,REMOVING THE ENTIRE STRUCTURE(S), CSW =CONCRETE SIDEWALK R = RAINFALL (FT.) 1 STORY FRAME HOUSE = 1,183 SQ.FT. = 10.4% BACKFILLING WITH SUITABLE SAND AND GRAVEL MATERIAL,AND PROPERLY REVISION DATE DI =DRAINAGE INLET G = COEFFICIENT OF RUNOFF ROOF OVER =46 SQ.FT. =0.9% COMPACTING. FRAME SHED = 99 SQ. =0.9% ADDED BUILDING PERMIT DATA MAY il.2022 EOP = EDGE OF PAVEMENT LF #1 LOT COVERAGE JULY 14 2022 IPF =IRON PIPE FOUND 1PE0u1ReD ABANDONMENT OF SEWER PIPING GENERAL AMENDMENTS JUNE 06 2023 OL =ON PROPERTY LINE ROOF = I6g5 SFX 2/12 X I.O = 282 cF ° THE ASSOCIATED SEWER PIPING SHALL BE CUT AND CAPPED AS A MEANS OF A�?I SCENT AREA LOT COVERAGE JUNE 15,2023 TOTAL= 1,328 SQ.FT. = 12.1/° ABANDONMENT.THE DEPARTMENT SHOULD BE CONTACTED FOR FURTHER ADDRESSED TRUSTEES COMMENTS JULY 21 2023 PVCF =PVC FENCE 8'DIA.DRYWELL w1TH A CAPACITY OF 42.24 CF/YF ABANDONMENT REQUIREMENTS,IF FUTURE CONSTRUCTION IS CONTEMPLATED RO =ROOF OVER 282 CF/42.24 GF/VF = 3.?1/F REQUIRED PROPOSED IN THE AREA OF THE ABANDONED SEPTIC SYSTEM. WIF =WIRE FENCE PROVIDED 1 STORY FRAME HOUSE = 1,183 SQ.FT, = 10.8% WDF = WOOD FENCE usE(2)-8'DIA.X 4'DEEP DRYWELLS 338 CF ROOF OVER =46 SQ. =0.4% CERTIFICATION REQUIRED WSF =WOOD STAKE FOUND FRAME SHED =99 SQ.FT. =0.9% THE ABANDONMENT OF EXISTING SEWAGE DISPOSAL SYSTEMS,EITHER WSS =WOOD STAKE SET COVERED FRONT PORCH = 55 SQ.FT. =0.5% IN-PLACE,OR BY REMOVAL,MUST BE CERTIFIED BY EITHER A LICENSED DESIGN 30 0 15 30 60 90 rQ, =UTILITY POLE 1 STORY ADDITION =440 SQ.FT. =4.0% PROFESSIONAL OR LICENSED CONTRACTOR AS INDICATED BY THE DEPARTMENT �� - , ao = FIRE HYDRANT ON THE PERMIT TO CONSTRUCT.FOR PROJECTS SERVED BY MUNICIPAL SEWER Scale: 1 - 30 • =END OF DIRECTION/DISTANCE DISTRICTS,THE APPROPRIATE MUNICIPAL AGENCY WITH JURISDICTION JOB NO. 2022-0026 TOTAL= 1,823 SQ.FT. = 16.6% SHOULD ALSO BE CONTACTED. DWG. 2022_0026_bp 1 OF 2 (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE FDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO RL USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY NAP 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'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. SWEET AIR VENT GAP MFG BY TUF-TITS (5' MIN FROM ANY DOOR OR WINDOW) 400 Ostrander Avenue, Riverhead, Naw York 11x01 11' S' 13' tel. 651.72?.2505 fax. 651.727.0144 I STORY 4" PVC ® 4" PVC ® 4" PVC ® admin@youngengineering.com FRAME HOUSE (5 BEDROOMS) 2,00% MIN. 1.00961 MIN. 1.00% MIN. /�} FEEL=11.52 RISERS 6 COVERST �1 fY� �y Y ♦� WITH SAFETY LIDS LOCKING Z MFG BY TUF-TITS OR CASTING TO Howard W. Young, Land Surveyor APPROVED EQUAL GRADE Thomas G. Wolpert, Professional Engineer 0O RIM=10.7 RIM=10.7 EL=11.5 Douglas E. Adams, Professional Engineer EL=10.7 Robert G. Tost, Archltect ( I POURED Robert Stromski, Architect I CONCRETE GONG. COVER ----------AIRLINE----�P INVER IE=8.17 5" VENT IE=7.78 CONNECT 5" PVC VENT LINE HOLE IE=7 5 IE=7.65 IE=7.50 HEALTH DEPARTMENT U5E TO VENT HOLE IN OW5T IE=7.95 PROVIDE: GLEAN OUT AT SEE DETAIL FOR 4' LEACHING GALLEY FACE OF BUILDING OWT5 COMPONENTS 4 DIA. DISTRIBUTION MANHOLE (LCI) AIR LINE TO BLOWER PROVIDE END GAP LEVELING DEVICE 007=4.0 NOTES: M7L#5L-4 MFG BY TUF-TITS OR APPROVED EQUAL FOR ALL 8'-6" 1. CONCRETE 4,000 P51 @ 28 DAYS 450 GAL. I/A OWTS DISTRIBUTION BOX OUTLET PIPES TOTAL OF (5) LEACHING I <') Z 2. REBAR TO BE A57M A-615 GRADE MDL. GEN-5 MFG. BY FUJIGLEAN USA GALLEYS (318 51`5114A0 60�* 3 WELDED WIRE FABRIC A5TM A-185 HIGHEST EXPECTED GW EL=1.0 4. DE516NED FOE AA5HTO H5-20 LOADING 5. TOP SLAB AND WALL ARE 7. 10., MONOLITHIC HYDRAULIC, PROFILE 6. THE: 51DF- ALL AREA SHALL BE 8' 10 EQUAL TO THE FULL EXTERNAL WALL 10" DIA. PIPE KNOCKOUT TOP VIEW HEIGHT OF THE PRECAST LEACHING iv (EACH SIDE) GALLEYS m 2 `t I — ®® ®®® F===q <z T7 ®®®®®®F===1 ®®® IZZ NOTE: ALL CONDUITS BETWEEN PANEL AND ®®®®®®® `* ®®® < v TREATMENT TANK MUST BE SEALED TO PREVENT ®®®®®®® < ®®® GAS LEAKAGE INTO PANEL. m ®®®®®®® < ®®® ®®®®® ® < ®®® FOR INIF1 COMMUNICATION DEVICE; 4:-1" USE USE ALARM/CONTROL PANEL MDL#1045040 " - 4'-9"� CONTROLLER "C" MFG BY SJE RHOMBUS SIDE VIEW LEACHING HOLE END VIEW ALARM/CONTROL (,n,P) PANEL MDL#1041972 CONTROLLER "A" ENG I NEER'5 CERTIFICATION 3 LEACHING GALLEY MFG BY 5JE RHOMBUS 2-1 NT5 O GN 4TROLPRESSURE UNTIED . I HEREBY CERTIFY THAT THE WATER SUPPLY(5) AND/OR SEWAGE TREATED WOOD POSTS DISPOSAL SY5TEM(5) FOR THIS PROJECT WERE DESIGNED BY ME 01 r OR UNDE'.R MY DIRECTION. BASED UPON A CAREFUL ROUGH STUDY OF THE SOIL, 51TE AND GROUNDWATER G ITIbS(�/�4 o -1/2' VENTILATION PIPE CHAMBER Vohune(gal) T SCUM BAFFLE B Ql Scdimcntation Chamber 277 FACILITIES, A5 PROPOSED, CONFORM TO THE F:�, N-l""O F -CbU -104 2 Anaerobic Filtration Chamber 27g z INSULATED DEPARTMENT OF HEALTH SERVICES GONSTRIYJId(STAN1f# 1 10 ! AIRWEATHER EFFECT AS OF THIS DATE. $ Q3 Aerobic Contact Filtration Chamber 127 BLOWER RESISTANT C7 �.`. , , N RECIRCULATION Storage Chamber 63 C0 BLOWER -ir - 1 U.] o �' N AIR LIFT PUMP f< ' r '`s N (3 Disinfection Chamber 4 I ENCLOSURE (- i_ A u� N ISINFECTION Total Volume 749 �) 4•• F,z_�'. t' ,. n © CYLINDER (OPTIONAL) -1 t' s•"/;.r•"`r '� � � I FIN. GRADE `'• ��-�� _rJ- L; 4' INLET PIP ' OUTLET PIPESPECII'1CATIONS ELECTRIC SUPPLY HOWARD W. YOUNG, N.Y.S. L.S. NO. 45895n ;;•) 61 a3 �� TO BLOWER THOMAS G. WOLPERT, N.Y.5. P.E. NO. 61485 ✓ "4�__-�' i�' A a A Anaerobic Media PP/PE Filling Rate 32'/0 9 4'-0 • �: DOUGLAS E. ADAMS, N.Y.5. P.E. NO. 80897 o © Board Type Aerobic Media PVC/PP/PE Filling Rate 16/o TO FUJIGLEAN Aerobic Media PP/PE Filling Rate 5T/o OWTS SPLICE BOX Blower 2.8 cfm AIR LINE TO IFFINLET BAFF OO AIR Tank FRP LEGTRIGAL SUPPLY FUJIGLEAN OWT5 SURVEY FOR O Piping PV c/PP/PE CONTROL PANEL SLOWER e A p Access Covers Plastic/Cast Iron JOSEPH M. MASCIA C,7( Disinfectant(Optional) Chlorine Tablets SCALE: NTS RECIRCULATION PIPE LOW BAFFLE 1/2' AIR INTAKE JOANNE MASCIA FLOW ❑PENING CTYP. (CLEANING OPENING) B PLAN VIEW at Mattituck, Town of Southold 4' MANHOLE Suffolk County, New York 0 18' MANHOLE (TYP 18' MANHOLE <TYP 24' MANHOLE CTYP ISINFECTION d CYLINDER (OPTIONAL) o LOW OPENING METER BUILbING PERMIT SURVEY n 2• BOARD TYPE INCOMING SERVICE CONTACT MEDIA County Tax Map District 1000 Section 115 Block 12 Lot 22 L= DEDICATED 15 AMP BREAKER FIELD SURVEY COMPLETED MAR.01,2022 :r © 0 MAP PREPARED MAR.02,2022 o_ 120V AC, 10, 60Hz, 15 AMP POWER SUPPLY Record of Revisions ® 5'-5' © 5'-5' ECIRCULATION MAIN #12-2 AWG WITH GND IN I" PVC CONDUIT REVISION DATE � 4'-4 2 ASSEMBLY SERVICE ADDED BUILDING PERMIT DATA MAY 11 2022 4'-3 4'-2 PANELELEC. LOT COVERAGE JULY 14 2022 ONT5 CONDUIT GENERAL AMENDMENTS JUNE 06 2023 WTB WIRING PER MFG. ADJACENT ARRA LOT COVERAGE JUNE 15 2023 ® 3 3 HARDWIRE ADDRESSED TRUSTEES COMMENTS JULY 21 2023 EROBIC MEDIA N Al O ERATION ASSEMBLY 0 c 0 SECTION A-A VIEW SECTION B-B VIEW GROUND 5JE RHOMBUS MACIOOR FUJICLEEAN CONTROL AIR BLOWER AERATOR PANEL Scale: N.T.S. JOB NO.2022-0026 I/A OWTS MDL. GEN-5 MFG. 5Y FUJIGLEAN USA ELECTRICAL ONE—LINE DIAGRAM DWG. 2022_0026_bp 2 OF 2 Y Afir 4 INN. Acc od, 40 Icy �1 1 \ .r,, �t 1 ��� 1 �•�e`yi � • 7 / 12 /2023 12 � 1 � t ,r: Glenn Goldsmith,President O��S� CO Town Hall Annex A.Nicholas Krupski,Vice President �� y<� 54375 Route 25 Eric Sepenoski CO P.O.Box 1179 Liz Gillooly �y • 0� Southold,NY 11971 Elizabeth PeeplesOK �w} Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: Thomas Wolpert, P.E. on behalf of JOSEPH M. & JOANNE MASCIA requests a Wetland Permit for the existing 1,183sq.ft. one-story dwelling with a 17sq.ft. roof-over side entry and 48sq.ft. rear landing and stairs; on the landward side of the dwelling, remove existing 29sq.ft. roof-over brick front entry and construct a,proposed 440sq.ft. one-story addition with a loft, a 55sq.ft. covered front porch; abandon existing sewage disposal.system and install a new A/I OWTS system landward of dwelling consisting of one (1) 450 gallon treatment unit, one (1) 4' diameter distribution manhole, and three (3) 8.5'Lx4'Wx4'E.D. leaching galleys; install gutters to leaders to two drywells to contain roof runoff; install a 379sq.ft. stone driveway; and for the existing 99sq.ft. shed to remain. Located: 1600 Deep Hole Drive, Mattituck. SCTM# 1000-115-12-22 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: 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.: Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples (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 NOT TORE 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)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON MS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON.AND TO THE ASSIONEES OF THE LENDING INSTITUTION CERTIFRATIONS ARE NOT TRANSFERABLE TO ADOITIONAL INSTITUTIONS OR SUBSEOUENT 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 HEALTHDEPARTMENT USE 400 Ostrander Avenue, Riverhead, Naw York I Ici01 tel. 631.727.2303 fax. 631.727.0144 AMF \ o _ _ -- admin®youngengineering.com ' Howard N. Young, Land Surveyor \pier) \ N Thomas G. Nolpert, Professional Engineer \ Douglas E. Adams, Professional Engineer F \ Robert G. Tost, Architect `pie\1(rg CM Robert Stromski, Architect SITE DATA / \ AREA = 10,986 SQ. FT. * DATUM = NGVD 1988 \ o \ PJ * HIGHEST EXPECTED GROUND WATER ELEVATION = 1.0 NOTES \\ S * NUMBER OF BEDROOMS(DESIGN EQUIVALENT) =4 * MINIMUM REQUIRED I/A OWTS CAPACITY =440 GAL I. THE 0N75 SHALL BE MODEL GEN-5 MANUFACTURED BY FUJIGLEAN USA. \ /' * PROVIDED I/A OWTS CAPACITY = 500 GAL 2. THE DESIGN ENGINEER, FUJIGLEAN USA REPRESENTATIVE, AND SGDH5 \ \ /'' * LEACHING SYSTEM REQUIRED = 300 SFSWA REPRESENTATIVES SHALL OBSERVE THE INSTALLATION OF THE ONT5 AND LEACHING 5Y5TEM. APPROVAL FROM ALL THREE PRIOR TO BACKFILL. \ * LEACHING SYSTEM PROVIDED =318 SFSWA 3, THE SYSTEM START UP WILL BE COMPLETED UNDER THE DIRECT 5UPERV1510N OF A FUJIGLEAN USA REPRESENTATIVE. GJ 4. AN EXECUTED OPERATION AND MAINTENANCE CONTRACT BETWEEN THE \ �� , MAINTENANCE PROVIDER AND PROPERTY ONNER MUST BE SUBMITTED TO 12.15 \ /`�(` ,/ ENGINEERS CERTIFICATION THE SUFFOLK COUNTY DEPARTMENT OF HEALTH 5ER\/I0E5 (SGDH5) PRIOR 11.ss 'LG °°" TO APPROVAL OF THE I/A ONT5 REGISTRATION BY THE 5GDH5 IN dki F� � "I HEREBY CERTIFY THAT THE WATER SUPPLY(S)AND/OR SEWAGE DISPOSAL ACCORDANCE KITH ARTICLE A OF THE SUFFOLK COUNTY SANITARY GORE. kof Orr PROPOSED SANITARY SYSTEM ��5 Q ���\��0- e DIRECTION.FOR BAS THIS P PROJECT WERE DESIGNED BY ME OR UNDER MY o Oo �� 0 E N. ED UPON CAREFUL AND THOROUGH S DY-0E-THE-SOIL, 5. ARCHITECT TO VERIFY FINISHED FLOOR ELEVATION(5). 1\01, R, \� BLOWER °' SITE AND GROUNDWATER CONDITIONS,ALL FACILITY -f15'PROPQSE9, >(2 VENT °2 'wp \ CONFORM TO THE SUFFOLK COUNTY DEPARTMENT P CALTH SERVIC51C� , A p A oGod ecl s. °1 CONSTRUCTION STANDARDS IN EFFECT AS OF 'S ATEa, T� 'nom •, .� DRAINACGE DIE CRITERIA ori �4\ CONTROL \G PANEL Air �� 11369 V� 4 CALCULATIONS r 0S �. o, `�► .46 V = A R G �\r9 O40 P \ \ FS r Q 13.48 \ Pµ1 a°R� ,� /s \ N' �7 r P P N + "14e, \ r �� b• ����� �f/�/� �, r,_ _.; "t li A = AREA OF TRIBUTARY (S.F.) � Nz aP Vo � � •,,. \ ,, �` �¢, r \ 4 Z ,--�'_....,.�";�:t; i�Y' ' X11 c,P S oP Q1 0 10.64 R = RAINFALL (FT.) ���oa�S�PN 23 \�o. TH c° 5'\ G = COEFFICIENT OF RUNOFF ZS�Pta°o�5 �oF \ HOWARD W.YOUNG,N.Y.5.L.5.NO.45893n ``��� 6LF #11.1�g ' REQUIRED e ti�v\y r A� 9.46r�o?s h r�10.79 o°Gq�� ';Av THOMAS C.WOLPERT,N.Y.S.P.E.NO.61483 �� T ROOF = 1,6015 sF x 2n2 X 1.0 =282 cF 2 tib op�>z .P•, �-//q3 \ \ G� DOUGLAS E.ADAMS,N.Y.S.P.E.NO.80897 9 CS ,LO. 8'DIA.DRYPELL WITH A CAPACITY OF !Y 42.24 CFF 29 7 Ao y� 11 2 232 C lt.i5 EXISTING 282 CF/42.24 CFAT - 3.7 YF REQUIRED Q L J WATER a Q REp6J GSURVEYOR'S CERTIFICATION of SERVICEPROVIDED CONC. �° o .O G9, COVER PROPOSED U5E(2)-e'DIA.X 4'DEEP 555 CF , < "; O pSTONEBLEND *WE HEREBY CERTIFY TOJOSEPH M. MASCIA & J O A N N E ".: coNc. --- y� °�ti� 8°1 1 Q� DRIVEWAY \ \ MAS C IA THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE LANDWARD LIMIT OF TIDAL TEST HOLE WETLANDS AS DELINEATED BY a1 r ' COVER i m °oti fit`' PROPOSED 1 STORY CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE N Us ON 05/10/2022 ��� �� 7.t3� Q ti' \ ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. o BY McDONALD GEOSERVICES �`DcO FQP o DW r.0 3 6. ADDITION WITH A LOFT \ \ DATE:03/25/2022 TIE LINE ALONG APPROXIMATE 9° o HIGH WATER MARK ON 6.65 / ° DW d). PROPOSED COVERED �� fff N EL=9.3 V�. 03/01/2022 /i' yCP \ \ i' n p Y ��� \ $ DARK BROWN \ , LF#1 FRONT PORCHf- �J SANDY LOAM // +7.10 ✓p'O [� ,Q :, G`�i cY 7 S }CMF i' LP BROWN ° ' " 1111 N033950W / ' 7.10 1\11.1 `i �o�` 1 \ \\ o� �- f1q,, �t o, r SAND SILTY - ' F Qc P.•, S "' . ..;^ae-, `�_.7 >"i 5.75 ,� ea (SM) , -- o pc k0 p 3.0' 34.52' / pyR4G, -.\. A 5Gj°1 o`N o< �,`b �o�ecl IPF _ ` 4 45 N82° RFs °��� r GrJ ip - �._ HOW D W.YOUNG, Y .L.S.N 5893 PALE BROWN I FINE SAND 4 07"�/�/ o Op r \reJ ` c� VO GW=0.6 8.7' N61039'46"W �op, 14.50 WNI 1 2 4 SURVEY FOR WATER IN BROWN FINES HO�e` Oe / DCPc1 --.s - - JOSEPH I I M. MASCIA (s)D Bmriri IafTnof>^.li - JOANNE MASCIA O�1e01119 at Mattituck, Town of Southold ' 17.0NOTES FOR N / Suffolk County, New York I HIGHEST EXPECTED ,' ABANDONMENT OF SANITARY STRUCTURES N GROUND WATER EL=1.0ABANDONMENTIN-PLACE BUILDING PEP-MIT SURVEY C EXISTING SYSTEMS SHALL BE ABANDONED BY REMOVING ALL RESIDUAL SEWAGE LEGEND WASTES BY A LICENSED WASTE HAULER,REMOVING THE TOP OF THE ft � LOT COVERAGE STRUCTURE(S),BACKFILLING WITH SUITABLE SAND AND GRAVEL MATERIAL,AND County Tax Map District 1000 Section 115 Block 12 Lot 22 PROPERLY COMPACTING. FIELD SURVEY COMPLETED MAR.01,2022 I- CE =CELLAR ENTRANCE ° CH =CHIMNEY EXISTING ABANDONMENT BY REMOVAL MAP PREPARED MAR.02,2022 CMF =CONCRETE MONUMENT FOUND 1 STORY FRAME HOUSE =1,183 SQ.FT. =10.8% EXISTING SYSTEMS MAY ALSO BE ABANDONED BY REMOVING ALL RESIDUAL Record of Revisions CM5 =CONCRETE MONUMENT SET ROOF OVER =46 SQ.FT. =0.4% SEWAGE WASTES BY A LICENSED HAULER,REMOVING THE ENTIRE STRUCTURE(S), CSW =CONCRETE SIDEWALK FRAME SHED =99 SQ.FT. =0.9% BACKFILLING WITH SUITABLE SAND AND GRAVEL MATERIAL,AND PROPERLY REVISION DATE DI =DRAINAGE INLET COMPACTING. ADDED BUILDING PERMIT DATA MAY 11 2022 EOP =EDGE OF PAVEMENT LOT COVERAGE JULY 14 2022 IPF =IRON PIPE FOUND TOTAL= 1,328 SQ.FT. = 12.1% ABANDONMENT OF SEWER PIPING GENERAL AMENDMENTS JUNE 06,2023 OL =ON PROPERTY LINE THE ASSOCIATED SEWER PIPING SHALL BE CUT AND CAPPED AS A MEANS OF PVCF =PVC FENCE PROPOSED ABANDONMENT.THE DEPARTMENT SHOULD BE CONTACTED FOR FURTHER RO =ROOF OVER 1 STORY FRAME HOUSE = 1,183 SQ.FT. = 10.8% ABANDONMENT REQUIREMENTS,IF FUTURE CONSTRUCTION IS CONTEMPLATED WIF =WIRE FENCE ROOF OVER =46 SQ.FT. =0.4% IN THE AREA OF THE ABANDONED SEPTIC SYSTEM. WDF =WOOD FENCE FRAME SHED =99 SQ.FT. =0.9% CERTIFICATION REQUIRED WSF =WOOD STAKE FOUND COVERED FRONT PORCH = 55 SQ.FT. =0.5% r THE ABANDONMENT OF EXISTING SEWAGE DISPOSAL SYSTEMS,EITHER 30 0 15 30 60 90 m W55 =WOOD STAKE SET 1 STORY ADDITION =440 SQ.FT. =4.0% IN-PLACE,OR BY REMOVAL,MUST BE CERTIFIED BY EITHER A LICENSED DESIGN ca.) =UTILITY POLE PROFESSIONAL OR LICENSED CONTRACTOR AS INDICATED BY THE DEPARTMENT a =FIRE HYDRANT ON THE PERMIT TO CONSTRUCT.FOR PROJECTS SERVED BY MUNICIPAL SEWER Scale: 1" = 3O� i =END OF DIRECTION/DISTANCE TOTAL= 1,823 SQ.FT. =16.6% DISTRICTS,THE APPROPRIATE MUNICIPAL AGENCY WITH JURISDICTION JOB N0.2022-0026 SHOULD ALSO BE CONTACTED. DWG.2022_0026_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 NIT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(S)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 SNAIL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION USTFD HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CRTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)!CESSPOOLS(CP)SHOWN HEREON ARE FROM FIEND OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. SWEET AIR VENT GAP MFG BY TUF-TITS (3' MIN FROM ANY DOOR OR WINDOW) 400 Ostrander Avenue, Riverhead, New YorkIIg01 11' 5' 13' tel. 631.727.2303 fax. 631.727.0144 I STORY 4" PVC @ 41I PVC a 4" PVC a admin®youngengineering.com FRAME HOUSE 2.00% MIN, 1.00% MIN. 1,00% MIN. (3 BEDROOMS) f� {y l A} �041�� FFEL=11.52T RISERS 8 COVERS Y � �y WITH SAFETY LIDS LOCKING Z MFG BY TUF-TITS OR CASTING TO Howard W. Young, Land Surveyor 2 APPROVED EQUAL GRADE Thomas G. Wolpert, Professional Engineer a0 RIM=10.7 RIM=10.7 EL=11.5 Douglas E. Adams, Professional Engineer EL=10.7 i _ _ _ I Robert G. Tost, Architect POUTRED Robert 5tromsl:i, Architect CONCRETE GONG. COVER — ----------AIRLINE----P INVERT IE=8.17 LHOLE II IE=CONNECT 3 PVG VENT LINE IE=7.50 HEALTH DEPARTMENT USE TO VENT HOLE IN OWST *�PROVIDE GLEAN OUT AT FOR LEACHING GALLEYFACE OF BUILDING NENTS 4' DIA. D15MBUTION MANHOLE (LG I) AIR LINE TO BLOWER PROVDE END GAP LEVELING DEVICE B0T=4.0 MDL_#5L-4 MFG BY TUF-TITS OR NOTES: APPROVED EQUAL FOR ALL 8'-6" —� DISTRIBUTION BOX OUTLET PIPES Z I. CONCRETE 4,000 P51 ® 28 DAYS 450 GAL. I/A OWTS TOTAL OF (3) LEACHING M 2. REBAR TO BE A5TM A-615 GRADE MDL. GEN-5 MFG. BY FUJIGLEAN USA GALLEYS (318 SFSWA) � 0060 3. WELDED WIRE FABRIC ASTM A-185 HIGHEST EXPECTED GW EL=1.0 0 4. DESIGNED FOE AA5HTO H5-20 LOADING 5. TOP 5LAB AND WALL ARE 7'-10" MONOLITHIC HYDRAULIC FROFILE 8'6" b. THE SIDEWALL AREA SHALL BE EQUAL TO THE FULL EXTERNAL WALL 10" DIA. PIPE KNOCKOUT TOP VIEW HEIGHT OF THE PRECA57 LEACHING iv (EACH SIDE) GALLEYS m = �2 � "�i' -11 ®® ® ®®®®® ®®® NOTE: ALL CONDUITS BETWEEN PANEL AND ®®®®®®® ®®® < TREATMENT TANK MUST BE SEALED TO PREVENT ®®®®®®® ®®® < GAS LEAKAGE INTO PANEL. ®®®®® ® ®®® FOR WIPI COMMUNICATION DEVICE; — ,__4,-9"�, , USEROLLS "C" MALARM/CONTROL PANEL MDL RHOMBUS 40 1 �I CONTROLLER "G" MFG BY 5JE RHOMBUS 8'-6"- 51DE VIEW LEACHING HOLE END VIEW (,�,P) ALARM/CONTROL PANEL MDL#1041872 CONTROLLER "A." ENGINEER'S CERTIFICATION LEACHING GALLEY MFG BY 5JE RHOMBUS CONTROL PANT-L MOUNTED 2I NTS O N 4"x4" PRE55URE I HEREBY CERTIFY THAT THE WATER SUPPLY(S) AND/OR SEWAGE 0 TREATED WOOD P05TS D15FI05AL 5Y5TEM(5) FOR TH15 PROJECT WERE DESIGNED BY ME NI STUDY OF THE SO L, 51TE AND5D UPON A CA 6R0 NDWATER GFUL {��o S LOUGH -1/2' VENTILATION PIPE CHAMBER Volume(gal) T SCUM BAFFLE B Ql Sedimentation Chamber 277 FACILITIES, AS PROPOSED, CONFORM TO THE??r- 1-11. 6L Gbl�hll>Y 0 © INSULATED DEPARTMENT OF HEALTH SERVICES GONSTR ti ' ANDf?ti''iD3 rtN i Anaerobic Filtration Chamber 278 K 8 EATHER '-10 '-7 -04 Q Aerobic Contact Filtration Chamber 127 BLOWER WE515TANT EFFECT A5 OF THIS DATE. �% �� F1 I ECIRCULATIDN ® Storage Chamber 63 BLOWER N AIR LIFT PUMP © Disinfection Chamber 4 ENCLOSURE i C) w aQ CISINFECTION Total Volume 7 49 r YLINDER (OPTIONAL) FIN. GRADE N.Y.S. L.5. NO. 458g3n 4' INLET PIP OUTLET PIPE HOWARD W. YOUNG, �C W SPECIFICATIONS ELECTRIC SUPPLY 61433 TO BLOWER THOMAS G. WOLPERT, N.Y.5. P.E. NO. 61483 ,� 3 a'-o A�.. 4 JA Anaerobic Media PP/PE Filling Rate 32% DOUGLAS E. ADAMS, N.Y.S. P.E. NO. 505g7 I nF._(_1 o © Board Type Aerobic Media PVC/PP/PE Filling Rate 16% TO FUJIGLEAN Aerobic Media PP/PE I Filling Rate 1 570/0 OWT5 SPLICE BOX Blower 2.8 efm AIR LINE TO OO AIRLLIFT TPUMP Tank FRP ELECTRICAL SUPPLY FUJIGLEAN OWT5 SURVEY FOR INLET BAFF �— © Piping PVC/PP/PE O P CONTROL PANEL BLOY�tER JOSEPH M. MASCIA do Access s Covers Plastic/Cast Iron Disinfectant(Optional) Chlorine Tablets SCALE: NTS RECIRCULATION PIPE LOW BAFFLE 1/2' AIR INTAKE JOANNE MAscIA FLOW OPENING (TYP. (CLEANING OPENING) B PLAN VIEW at Mattituck, Town of Southold rz 10 ISINFECTION 4' MANHOLE Suffolk County, New York 18' MANHOLE (TYP 18' MANHOLE (TYP 24' MANHOLE (TYP CYLINDER (OPTIONAL) LOW OPENING METERQUILLING PERMIT SURVEY C11BOARD TYPE INCOMING SERVICE _ CONTACT MEDIA County Tax Map District 1000 Section 115 Block 12 Lot 22 L 'C):L DEDICATED FIELD SURVEY COMPLETED MAR,01,2022 o © 15 AMP BREAKER MAP PREPARED MAR,02,2022 J o_ 120V AC, 10, 60HZ, 15 AMP POWER SUPPLY Record of Revisions © #12-2 AWG G WITH ND IN I" PVC CONDUIT REVISION DATE 5'-5' © Q 5'-5' ECIRCULATION MAIN 4'-46' O2 ASSEMBLY SERVICE ADDED BUILDING PERMIT DATA MAY 11 2022 4'-3 ' 4'-2 PANEL ELEC. CONDUIT LOT COVERAGE JULY 14,Z022 AMENDMENTS JUNE 06.2023 OWT5 WIRING PER MFG. Q HARDWIRE EROBIC MEDIA B n ERATION ASSEMBLY 0 c o SECTION A-A VIEW SECTION B-B VIEW GROUND 5JE RHOMBUS MAGIOOR FUJIGLEAN 00 CONTROL AIR BLOWER AERATOR Scale: N.T.S. PANEL a JOB NO. 2022-0026 I/A OWT5 MDL. GEN-5 MFG. BY FUJIGLEAN USA ELECTRICAL ONE—LINE DIAGRAM DWG.2022_0026_bp 2 OF 2 it - s -�,, � _ _ �.�• ''"� ! .<; �,t .fi�t,�i .t., M' .. !�. FTP a - r•�a r r � , .!1�` j, �,��' 11` ;.yP�> �"'��" _ ,' _ �''+iu I `� �� �`� ,� '} ^., � .>"• ���a�� •ice-. PHOTO • JOSEPH •A • 11 DEEP HOLE DRIVE AT MATTITUCK, • SOUTHOLD, MAY 3, 20231 : PM :4i r,' �'' � Ver �,'?I'�y•.• r �+� '�� i � �� i•�e�'f• � � f.� 'Yar •, ,id' s 1 ,�' ' �i �:, ',,; r j ,--� _�•�•' �` �•sir .I! _*— r �► •� It 1 i Y• =Y. -Y..� 4' PHOTO • JOSEPH •A • 11 DEEP HOLE DRIVE AT MATTITUCK, • SOUTHOLD, MAY 3, 20231 : PIVI . _ _ _ ��• +v � by t� -- � �� � .. "i,+ .r1�,.— ��,. eG..YI+#�AIO•�.ly��'A ; yyyy, '+ � .i� �, , r wj � +F r to �3f`� �`'� i J � � ,�-.,, h !�, • ��t� i 1�Tr •fM M .. yl � � .. !� t � r � •J $ PHOTO • JOSEPH • • & JOANNE • • • 11 DEEP HOLE DRIVE AT • • SOUTHOLD, MAY 1 1 : PM �^Plan - PHOTO NO. 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Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: July 13, 2023 Re: LWRP Coastal Consistency Review for JOSEPH M. &JOANNE MASCIA SCTM# 1000-115-12-22 Thomas Wolpert, P.E. on behalf of JOSEPH M. & JOANNE MASCIA requests a Wetland Permit for the existing 1,183sq.ft. one-story dwelling with a 17sq.ft. roof-over side entry and 48sq.ft. rear landing and stairs; on the landward side of the dwelling, remove existing 29sq.ft. roof-over brick front entry and construct a proposed 440sq.ft. one-story addition with a loft, a 55sq.ft. covered front porch; abandon existing sewage disposal system and install a new A/I OWTS system landward of dwelling consisting of one (1) 450 gallon treatment unit, one (1) 4' diameter distribution manhole, and three (3) 8.5'Lx4'Wx4'E.D. leaching galleys; install gutters to leaders to two drywells to contain roof runoff; install a 379sq.ft. stone driveway; and for the existing 99sq.ft. shed to remain. Located: 1600 Deep Hole Drive, Mattituck. SCTM# 1000-115-12-22 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the LWRP. It is recommended that: 1. A vegetative non-turf buffer be established that captures the existing vegetation adjacent to Deep Hole Creek. The structure is located outside of a mapped flood zone. 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: Honorable Lori Hulse, Attorney John G. Stein,Chairperson Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 + " Southold,NY 11971 Telephone(631)765-1889 W' Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Wed., July 12, 2023, the following recommendation was made: Moved by Carol Brown, seconded by Shannon Wright, it was RESOLVED to SUPPORT the application of JOSEPH M. MASCIA & JOANNE MASCIA to construct a one-story addition with a loft and covered porch to an existing one-story frame house. Abandon existing sanitary system. Construct new sewage disposal system (IAOWTS) and construct a new stone blend driveway. Located: 1600 Deep Hole Rd., Mattituck. SCTM#115-12-22 Inspected by: Carol Brown, Shannon Wright The CAC Supports the application with gutters, leaders and drywells. Vote of Council: Ayes: All Motion Carried YOUNG ASSOCIATES 631-727-2303 400 Ostrander Avenue, Riverhead,New York 11901 admin@youngengineering.coin HOWARD W. YOUNG,Land Surveyor THOMAS C. WOLPERT,Professional Engineer DOUGLAS E.ADAMS,Professional Engineer&Geologist DANIEL A. WEAVER,Land Surveyor pEC � June 7, 2023 ,SUNIE 023 Town of Southold Board of Trustees Town Hall Annex $0 hold Town Board of Tru:teos 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 RE: Proposed Addition JOSEPH M. MASCIA &JOANNE MASCIA 1600 Deep Hole Drive at Mattituck, T/0 Southold, NY (22-0026) SCTM No.: 1000-115-12-22 Dear Members of the Board: Enclosed are the following items: 1. four (4) copies—Attachment to Board of Trustees Application (including Detailed Project Description) dated June 6, 2023, and 2. four (4) prints — Building Permit Survey (Sheets 1-2 of 2) last dated June 6, 2023 depicting the existing conditions and proposed improvements. We understand that submission of these documents enables you to continue your review of this application. Thank you for your assistance. If you have any questions or require any additional information, please contact US. Planning Engineering Land Surveying Pae2of2 ruM9oldTown Page June 7, 2023 JUN Very truly yours, Board of Trustees Thomas C. Wolpert TCW/cw Encl. cc. Mr. & Mrs. Joseph Mascia + encl. + 1 print June 6, 2023 ATTACHMENT TO BOARD OF TRUSTEES APPLICATION prepared for Joseph M. Mascia & Joanne Mascia 1600 Deep Hole Drive at Mattituck, T/O Southold, New York SCTM # 1000-115-12-22 General Proiect Description The project consists of constructing a 1 story addition with a loft and a covered porch to an existing 1 story frame house. The project also includes abandoning an existing sewage disposal system, constructing a new sewage disposal system (IAOWTS), and new storm water control structures for roof runoff. The project also includes the demolition and removal of the existing roof over brick on the front of the house to facilitate construction of the 1 story addition with a loft. The project also includes construction of a new stone blend driveway and maintaining an existing shed. Detailed Proiect Description The subject property is occupied by the following structures: 1 Story Frame House 1,183 sf Front Roof Over 29 sf D E 0 E I E Side Roof Over 17 sf Frame Shed 99 sf JUN 1 2 2023 Rear Landing & Stairs 48 sf Southold Town 2 Existing Cesspools Board of Trustees A sem-' Page 2 of 2 June 6, 2023 The following improvements are proposed: 1 Story Addition with a Loft 440 sf New Covered Front Porch 55 sf New Stone Blend Driveway 379 sf Abandon 2 Existing Cesspools Construct 2 New Drywells (8' Dia. x 4' E.D.) for Roof Runoff 338 cf Construct New Sewage Disposal System (IAOWTS) consisting of one (1) 450 gallon treatment unit, one (1) 4' dia. distribution manhole, and three (3) — 8.51 x 4'W x 4' E.D. leaching galleys. The following structures will occupy the property upon completion of the proposed construction and site improvements: 1 Story Frame House 1,183 sf footprint Side Roof Over 17 sf Frame Shed 99 sf Covered Front Porch 55 sf E C E I V Rear Landing & Stairs 48 sf n JUN 1 2 2023 2 Drywells for Roof Runoff 338 cf Southold Town Board of Trustees New Stone Blend Driveway 379 sf Sewage Disposal System (IAOWTS) — one (1) 450 gallon treatment unit, one (1) 4' dia. distribution manhole, and three (3) 8.51 x 4'W x 4' E.D. leaching galleys. Town Hall Hall Annex Glenn Goldsmith,President SQ(lf `�_ `� `t` c� 54375 Route 25 A.Nicholas Krupski,Vice President P.O.Box 1179 Eric$epenoski t [ R Southold,New York 11971 Liz Gillooly �� C s t Telephone(631) 765-1892 Elizabeth Peeples x "cam f o i 1t Fax(631) 765-6641 cou�`_1�4,y BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application ✓ Wetland Permit Application f` Administrative Permit Amendment/Transfer/Extensior,L �F MAY - 9 2023 Received Application: $''7•Z� �' Received Fee: $ 1 Z90. 7LCompleted Application: $'� Board of rr,,s=.e_c_-� Incomplete: SEQRA Classification: Type I__ Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: _ Coordination:(date sent): �LWRP Consistency Asse sment Form Sent: .2b/A,3 �AC Referral Sent: a' Date of Inspection: 'Z Receipt of CAC Report: _ Technical Review: Public Hearing Held: 7.It? Resolution: Owner(s) Legal Name of Property (as shown on Deed): Joseph M. Mascia & Joanne Mascia Mailing Address: 88 Stebbins Avenue, Eastchester NY 10709 Phone Number: 914-497-2796 Suffolk County Tax Map Number: 1000- 115-12-22 Property Location: 1600 Deep Hole Road, Mattituck NY 11952 _ (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable):Young Associates Att: Thomas C. Wolpert, P.E. Mailing Address:400 Ostrander Avenue, Riverhead NY 11901 Phone Number: 631-727-2303 Email:tcw@youngengineering.com __ Board of Trustees Appli__-;ion GENERAL DATA Land Area(in square feet): 10,986 sf Area Zoning:Residential Previous use of property: Residential Intended use of property: Residential 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 _nNo 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. ✓ is project requ]I� 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 FI No Prior permits/approvals for site improvements: Agency Date ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_a No_a Yes If yes, provide explanation: Project Description(use attachments if necessary): Construct a 1 story building addition with a loft and covered porch to an existing 1 story frame house. Abandon existing sanitary system. Construct new sewage disposal system (IAOWTS). Construct a new stoneblend Driveway. Board of Trustees Appli.."on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Construct a 1 story addition and loft to an existing 1 story frame house. Abandon existing sewage disposal system. Construct new sewage disposal system (IAOWTS). Construct a new stoneblend driveway. Area of wetlands on lot: 0 square feet Percent coverage of lot: 16.6 Closest distance between nearest existing structure and upland edge of wetlands: 43' +/- feet Closest distance between nearest proposed structure and upland edge of wetlands: 117 +/- feet Does the project involve excavation or filling? ❑ No RI Yes If yes,how much material will be excavated? 20 cubic yards How much material will be filled? 20 cubic yards Depth of which material will be removed or deposited: 4 feet Proposed slope throughout the area of operations: 1 - 2% Manner in which material will be removed or deposited: An excavator will be used to remove and deposit material with the area of operation. 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): There will be no effect on the wetlands and tidal waters of the Town as a result of the proposed operations. a � , 61Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 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 l -Project and Sponsor Information Name of Action or Project: Joseph M. Mascia & Joanne Mascia Project Location(describe,and attach a location map): 1600 Deep Hole Road, Mattituck NY 11952 Brief Description of Proposed Action: Construct a 1 story building addition with a loft and covered porch to an existing 1 story frame house. Abandon existing sanitary system. Construct new sewage disposal system (IAOWTS). Construct a new stoneblend driveway. Name of Applicant or Sponsor: Telephone:631-727-2303 Young Associates Attn: Thomas C. Wolpert, P.E. E-Mail:tCW@youngengineering.com Address: 400 Ostrander Avenue City/PO: State: Zip Code: Riverhead I NY 111901 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: ❑ NYSDEC-Tidal Wetlands, SCDHS, T/O Southold Building Dept. 3.a.Total acreage of the site of the proposed action? 0.25 acres b.Total acreage to be physically disturbed? 008 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.25 acres 4. CheI land us at occur on,adjoining an ar the prop action. Urban Rural(non-agriculture) Industrial Commercial ❑✓Residential(suburban) Forest ❑Agriculture Aquatic [:]Other(specify): EParkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? KE fl b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO I YES landscape? TTIZ 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: Z ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? V 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: The project Includes RI ❑ construction of a new sewage disposal system (IA0WT8_ 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? V LL 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ✓ b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. ntify the typic bitat types that oc n,or are likely to be found on AMroject site. Check all that apply: Shoreline Forest Agricultural/grasslands Early mid-successional Wetland HUrban 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? INOLU If Yes, ZN ^ ❑ Z a. Will storm water discharges flow to adjacent properties?. ✓ O ES b.Will storm water discharges be directed to established conveyance systems ff anm drains)? If Yes, briefly describe: O ✓ ES Stormwater will be dirented to on- i ecl ar inaae Iia hiG nuc_poo s and drwve slsl . Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond, waste lagoon, dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponso name:Young Associates Att:Thomas Wol pert, Date: i� 2® —3 Signature:_ � �.. L� _,.(f( ✓��[il Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ❑ affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ El available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ El or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage [:] ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? El FI Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. ElCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 i Board of Trustees Applin ion AUTHORIZATION (Where the applicant is not the owner) I/We, Joseph M. Mascia &Joanne Mascia owners of the property identified as SCTM# 1000- 115 - 12-22 in the town of Southold ,New York,hereby authorizes Young Associates Attn: Thomas C. Wolpert, P.E. to act as my agent and handle all necessary work involved with the application process for permits)from the Southold Town Board of Trustees for this property. J�Z/ �% , �0� Propefty Owner's Signature Pr ertY Owner's Signature �77 SWORN TO BEFORE ME THIS _pC _DAY OF 20 04111—� Notary PAblic PATRICE PORTANOVA NOTARY PUBLIC,STATE OF NEW YORK Registration No.01P05166025 Qualified in WESTCHESTER County Commission Expires MAY 14,2027 Board of Trustees Appl:U ion AFFIDAVIT Joseph M. Mascia & Joanne Mascia BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE 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. Sin tore of Property Owner i azure of Property g p y o r S ope y Owner pp f -17 SWORN TO BEFORE ME THIS �(O DAY OF , 20 � ey-olz - Notary Public FPATRICE PORTANOVA TARY PUBLIC,STATE OF NEW]2027 Registration No.01P05166alified in WESTCHESTER Commission Expires MAY 14, APPLICANT/AGENT/REPRESENTAIM TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the cont oftown officers and employees.The numose of this foam is to Provide information which can Wart the town of possible conflicts of intemst and allow it to take whatever action is necessary to avoid same. YOUR NAME: Joseph M. Mascia &Joanne Mascia (Last name,hist name,Middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change ofZone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"Other",name the activity.) Do you personally(or through your company,spouse.sibling,parent or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest'means a business, including a partnership.in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%ofthe shams. YES NO R_ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title br position of that person Describe the relationship between yourself(the applicant/agendrepresentative)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 sponse,sibling,parents air child is(check all that apply): 12A)the owner of greater than S%ofthe shales of the corporate stock of the applicant = (when the applicant is a corporations B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); 14an C) officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this &IIII(P day/of4� .,� ,'l 20 7 J Signahrre h C �L� I J�'/'�� Print Name Joseph M.Mascia&Joanne Mascia Form IS I . Board of Trustees Applicz_—�n PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public Glenn Goldsmith,PresidentoG Town Hall Annex A.Nicholas Krupski,Vice President ,� y� 54375 Route 25 Eric Sepenoski N z P.O.Box 1179 Liz Gillooly p Southold,NY 11971 Elizabeth Peeples 'y?/Ol �.�O�,S 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 JOSEPH M. & JOANNE MASCIA COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM-UNTIL THE POSTING HAS REMAINED IN PLACE FOR A T LEAST SEVEN DA YS PRIOR TO THE PUBLIC HEARING DATE- COMPLETE-THIS FORM ON EIGHTH DAY OR LA TER- I, rhorncrs C, Wo&ev' , residing at/dba Yo64nq 4ss®c1 a{�s 400 OsAI-r-rnd/cf- Av o a e- being duly sworn, depose and say: That on the 119 day of fu 1,r , 20L3 , I personally posted the property known as ,T05eph t1, tMaSr-t q /600 .Deems by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,July 19,2023. Dated: (signature) Sum to before me this �c�r�t 7�0,� �P Iic-a'I s) \% day ofd,\.,20 C a Q ,,�c�� CL -✓ PATRICIAA.CLARK Notary Public Notary Public,State of New York No.01 CL5711005 Qualified in Suffolk coun.0, Commission Expires Sep r r , NOTICE OF HEARING Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS -r05"Ph rl• a- .TOanne' riasci q APPLICATION NAME & SCTM#: /oo0— /t 5— l Z—,22 NAME: ADDRESS: Philip B. Cammann &Catherine T. Cammann 1500 Deep Hole Drive PO Box 144 Mattituck, New York 11952 Kenneth Schulz& Mary Schulz 1710 Deep Hole Drive Mattituck, New York 11952 Lj Llewellyn,Jr. Family Trust 1625 Deep Hole Drive Mattituck, New York 11952 Michael W. Drumm PO Box 3 Mattituck, New York 11971 STATE OF NEW YORK COUNTY OF SUFFOLK Ci/b la YLOun9 ,Q s s ocfas 72)oenas C. Wo/'oe,�f , residing at .�{a0 Ds1�c�n�ei'Avg, F PV��eced /\-/Y /1201 , being duly sworn, deposes and says that on the /(0-{1-1 day of TU , 20 23 , 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 12/0 Wifsf Mc?M 5�-, RiVer-6eced A/Y ll9 , that said Notices were mailed to each of said persons by CERTIFIED MAILIRETURN RECEIPT. Sworn to before me this Signature I hom C2 5 C Day of 20 /9ye�1f fp✓ �'�Cccp��Cs) PATRICIACLARK Notary Public,,State of New York , Notary Public No.01CLS711005 Qual�Ins County Commission Expires September 30. COMPLETE • ■ Complete items 1,2,and 3. X Signature � ( ■ Print your name and address on the reverse ❑Agent so-that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. I 1. Article Addressed to: D. ifferent from item 1? ❑Yes Philip B. Cammann & enter d i ddress below: [3 No ::; :Catherine T. Cammann k`,1500 Deep Hole Drive JUL 12 2023 Box 144 mom attituck, NY 11952 � I I ill111111 I'll 111111111111111111111111111111111 3. Service .v ❑Priority E Mail xpress® I ❑Adult Signature El lMalITm xpr ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 7845 2234 4952 89 WCertified Mail® Delivery ❑Certified Mail Restricted Delivery ❑Signature ConfirmationTM i ❑Collect on Delivery ❑Signature Confirmation 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery I —ail ..7022 124,10 00014267 32$3 �ilRestrictedDefivery E„,.inn aiv lVuryg020 PSN 7530=02-000 9053 Domestic Rprn�uReceipt' — -- --- COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3. A. Sign ure _ 0_Print your name and address on the reverse X ❑Agen so that we can return the card to you. Addressee ■ Attach this card to the back of the mailpiece, B. Red 1 by(P nted Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No LJ Llewellyn Jr. Family Trust j 1625-Deep Hole Drive Matt :tuek, New York 11952 I II I Ililll IIII Ill 11111111111111111111111 IIII Ill 3. Service Type ❑Priority Mail Express® ❑Adult Signature ❑Registered MaiITM ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted Certified Mail® Delivery 9590 9402 7845 2234 4952 10 ❑Certified Mail Restricted Delivery ❑Signature ConfirmationTM ❑Collect on Delivery ❑Signature Confirmation 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery f — -- ❑Insured Mail s€1 1 s? 2 2 410 0 0 01 4 2 6`:? 1X10 7 'restricted Delivery 4 SPS f-Or ,3811_July 2020 PSN 7530-02-000-g0 3 �l3!�ty n:Receipt r Jr-L CERTIFIEDU.S. Pos vice m MAILP RECEIPT m /. • .. . Er C13ru ru M 'f HE rn W171. I'll Hat�t,tu��,:`1�Y t11:952;3 �( 119 j; ,^, M4t;t'i tuG r'i�lY 119, 8 X1 I ;F.> N a ,0 Certified Mail Fee 9� .D Certified Mail Fee 4 �� $4.35 fl Extra Services& ees(check box,ad a �p rCgper/a�a �� Extra Services&Fees(check box,ad p 'date), El Return Receipt(hardcopy) 1 IIA ) Return Receipt(hardcopy) $ J1 ❑Return Receipt(electronic) $ it Iii Postm Q ❑Return Receipt(electronic) ®� 9/r�astmark � ❑Certified Mail Restricted Delivery $ �® .Here ❑Certified Mail Restricted Delivery . C:7 IBre 0 []Adult Signature Required $ •'®, Q []Adult Signature Required $ ❑Adult Signature Restricted Delivery$ E]Adult Signature Restricted Delivery$ 9 EZI Postage $1 1.911 Postage a $ $0.90 $ 1 c'.3 7 1_7711�a/ a2, Total Postage and s Total Postage and Fees 3 IL t •s� ni $ $S°80 $ ru Sent To ru S, tT ru Sdnzlz ru Lii�B, & C�theri Cie T. Cnarcrt o -1Cs meth-ScA]]z & Nom' Siieet afial, IVo.,ti----------- PO Box Pro. 3e aAPE No:;of PO Box No: 1710Dee Hole_ Drive1500 Pa ------ crimec-NY 1]952 Hole Dr. P.O. Box_144ai zt't�cC4� NY 11952 Postal Service" U.S., Postal.ServIC6, mAvIkECEIPT CERTIFIED"- , O ,■ ■ I' MAILDomestic Mail On M /. / E WI m r-q &outfib100, Y X19 =i <_ 1 ;< Matti'tuck :: a..1 f ). ;' IS €'"° €I M"�'••.�-• i. f �� �^ + ,a Certified Mail Fee 7e �)3re Certified Mail Fee $4°3c p�, �1 911 r(-( $ $4. 1 �� 7$ ✓ r �• O [I�j Extra Services&Fees(check box,add OP Extra Services&Fees(check ox,ad feeptie° y ❑Return Receipt(hardcopy) $Return Recel t ardco $ `yP(h py) ❑Return Receipt(electronic) $ PO%Return Receipt(electronic) $ t 444' Post rk O ❑Certmed Mail Restricted Delivery $ r Certified Mail Restricted Delive $ ; Hee r ❑Adult Signature Required $ ❑Adult Signature Required $ _ - E]Adult Signature Restricted Delivery$ - S' ❑Adult Signature Restricted Delivery �. Q Postage O Postage $ 1.90 S $ $i1°9t1 07/10/2023 $ j /1 tl/2t X23 Total Postage and Fees ru Total Postage and Fig.80 ru $ $ rii I j ru Sent To zn ru SeatTo,�l Jr. Fc3Ti7� Trust C3 Michael W. Drun--- y I� � � Sfreet andA t No.;of P(d Box No. ❑. a dApC �F ox No. (� P.�. BOX 3 rive ---------------6--------------------------------------------------------------------- CitY State ZIP+4 Ciry 8tafe;ziP+a®------------------'------- Southold, NY�11971 M3ttituCkr N-a York 11952 COMPLETE .N COMPLETE THIS SECTIONON DELIVERY Complete items 1,2,and 3. A. lat ■ Print your name and address on the reverseX Agent so that we can return the card to you. ZE3 Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No Kenneth Schulz & ll Mary Schulz 1710 Deep Hole Drive i Mattituckr NY 11952 I _ 3. Service Type ❑Priority Mail Expresso II I'III'I I'll III I II II III I II I II II III III III I I III ❑Adult Signature ❑Registered MailTM ❑Adult Signature Restricted Delivery ❑Re Istered Mail Restricted 9590 9402 7845 2234 4952 72 ❑Certified Mail Restricted Delivery 11Si�ature ConfirmationT'" ❑Collect on Delivery ❑Signature Confirmation I ❑Collect on Delivery Restricted Delivery Restricted Delivery Mail 7022 2410 0021, 4267 3292 ted ail Restricted Delivery - - $500) )� PSForrri3811;'Ju1y2020;FSIV'7530-t!2r�o007gQ65l.-;);' Domestic Return Receipt I I - 1 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&Geologist DANIEL A. WEAVER, Land Surveyor July 18, 2023 Town of Southold Board of Trustees Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 RE: JOSEPH M. MASCIA & JOANNE MASCIA 1600 Deep Hole Drive at Mattituck, T/O Southold, NY (22-0026) SCTM No.: 1000-115-12-22 Dear Members of the Board: Enclosed are the following items: 1. one (1) original — Proof of Mailing of Notice with Certified Mail Receipts and 3 of 4 Green Return Cards, and 2. one (1) original —Affidavit of Posting with photograph of posted sign. If you have any questions, please contact us. Very truly yours, Thomas C. Wolpert TCW/cw Encl. cc. Mr. & Mrs. Joseph Mascia + encl. via email Planning Engineering Land Surveying -'I- 14UTICE OF HEARI '14G NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNERS) OF RECORD: JOSEPH M. & JOANNE MASCIA SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing 1,183sq.ft. one- story dwelling with a 17sq.ft. roof-over side entry and 48sq.ft. rear landing and stairs; on the landward side of the dwelling, remove existing 29sq.ft. roof-over brick front entry and construct a proposed 440sq.ft. one-story addition with a loft, a 55sq.ft. covered front porch; abandon existing sewage disposal system and install a new A/I OWTS system landward of dwelling consisting of one (1) 450 gallon treatment unit, one (1) 4' diameter distribution manhole, and three (3) 8.5'Lx4'Wx4'E.D. leaching galleys; install gutters to leaders to two drywells to contain roof runoff; install a 379sq.ft. stone driveway; and for the existing 99sq.ft. shed to remain. Located: 1600 Deep Hole Drive, Mattituck. SCTM# 1000-115-12-22 TIME & DATE OF PUBLIC HEARING: Wednesday, July 19, 2023 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 T I ' Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its sipificant beneficial and adverse effects upon the coastal area!which includes all of Southold Town. 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supportine 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# 115 - 12 _22 PROJECT NAME Joseph M. Mascia &Joanne Mascia 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: Construct a 1 story building addition with a loft and covered porch to an existing 1 story frame house. Abandon existing sanitary system. Construct a new sewage disposal system (IAOWTS). Construct a new stoneblend driveway. Location of action: 1600 Deep Hole Road, Mattituck NY 11952 Site acreage: 10,986 sf of 0.25 acre Present land use: Residential Present zoning classification:Residential 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: Joseph M. Mascia & Joanne Mascia (b) Mailing address: 88 Stebbins Avenue, Eastchester NY 11709 (c) Telephone number: 914-497-2796 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑✓ No❑ If yes,which state or federal agency?NYSDEC - Tidal Wetland 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 Construct a 1 story building addition with a loft and covered porch to and existing 1 story frame house. Abandon existing sanitary system. Construct a new sewage disposal system (IAOWTS). Construct a new stoneblend driveway. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ❑✓ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑✓ Yes ❑ No ❑ Not Applicable Refer to Policyl response. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ❑ Not Applicable The proposed addition will be constructed to the required flood elevation, per FEMA. In addition, all proposed improvements are located no closer fo the tidal wetland than the closest existing structure. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section HI —Policies Pages 16 through 21 for evaluation criteria ❑✓ Yes ❑ No ❑Not Applicable Refer to Policy 1 response. 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 n through 32 for evaluation criteria. ❑ Yes ❑No ❑ Not Applicable Refer to Policy 1 resonse. Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑No❑✓ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No 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 LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑✓ Yew n l No❑ Not Applicable Refer to Policy 1 response. 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 locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑✓ Yes ❑ No ❑ Not Applicable Refer to Policy 1 reponse. 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 Refer to Policy 1 response. 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 0 Not Applicable PREPARED BY Thomas C. Wolpert, P.E. TITLE Agent for Applicant DATE 05-01-2023 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&Geologist DANIEL A. WEAVER, Land Surveyor May 4, 2023 Town of Southold Board of Trustees Town Hall Annex f E C E � U E 54375 Main Road P.O. Box 1179 MAY - 9 2023 Southold, New York 11971-0959 Southold Town RE: Proposed Addition Board of Trustees JOSEPH M. MASCIA &JOANNE MASCIA 1600 Deep Hole Drive at Mattituck, T/0 Southold, NY (22-0026) SCTM No.: 1000-115-12-22 Dear Members of the Board: Enclosed are the following items: 1. application fee —Joanne Mascia check no. 502 payable to 'Town of Southold' in the amount of One Thousand Two Hundred Fifty Dollars ($1,250.00), 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, 5. 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. four (4) color copies — Photograph Nos. 1-6, and Planning Engineering Land Surveying Page 2of2 May 4, 2023 9. four (4) prints— Building Permit Survey (Sheets 1-2 of 2) last dated July 14, 2022 depicting the existing conditions and proposed improvements. 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, ® EC WE Thomas C. Wolpert MAY - 9 2023 TCW/cw Southold Town Encl. Board of Trustees cc. Mr. & Mrs. Joseph Mascia + encl. + 1 print