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HomeMy WebLinkAboutTR-10443 Glenn Goldsmith, President I S0 Town Hall Annex A. Nicholas Krupski, Vice President ®� ®01® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Elizabeth Peeples � ® � Telephone(631) 765-1892 a Fax (631) 765-6641 ��COUW,� 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; F•'� ,'' •1, • .. ~ytt�� • •.sem .. ,' R ..a ( / l. 's.` r i' '!'y�a '�._ ii ' mm..aa.,'Y�`.•z• r'.._4 i:If~\ - ��' A~ ,' ` l ''�, � r�,'N+'mrcc rnn+c`y"tY-^�•t�'i539,`.SC"'Qa'.'STM''°mnra�:n'ziq"�:J'�'e.�T.�'�"'g�"CT� !v7uS.�S�1°F.:.�'+�•Y aia�F'¢'37"rn.:Ya^g4Cre4�7?��:�:2� �_.ax^r.'�4^"'4S' ;':w35d �'�'•4:i.Z��r 4• k. Alm .L` BOARD OF SOUTHOLD TOWN TRUSTEES 4 SOUTHOLD,NEW YORK PERMIT NO. 10443 DATE: AUGUST 16,2023 ISSUED TO: BRADFORD R.BURNHAM (L, PROPERTY ADDRESS: R.O.W. off PENINSULA ROAD,FISHERS ISLAND SCTM# 1000-10-4-13.10 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in , r G, accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 16, 2023, and in consideration of application fee in the sum of$250.00 paid by Bradford R. Burnham and subject to the r L" Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits �+ the following: Wetland Permit to raze the existing dwelling and construct a proposed 4,805sq.ft.single family r. i dwelling with associated UA OWTS system; a 679sq.ft. garage; 2,587sq.ft. of decks; a 386sq.ft. ., porch; 272sq.ft. of walkways; a 461sq.ft. planter; and 373sq.ft. of paved area; install six 8'x6' „ k drywells for roof runoff, remove and replace underground utilities; remove and replace water �) i service; remove existing gravel driveway and restore with loam and seed,and install an new gravel driveway; with the condition to establish and perpetually maintain a vegetated non-turf - I buffer seaward of the house; a one to one native tree replacement for any trees removed during construction; and as depicted on the revised site plan prepared by CRA Companies, received on December 1,2023,and stamped approved on December 1,2023. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the day and year first above written. �OgUfFQJIr / f. Gyp _ oy a ORS -h 'S - e' - tiu:Ssa?F.3t".��Utw;il�-ul�"`Gw'.�"X093£A�da;,w�l,B�t��[a3fS73R;ti�4iE `,\ �.r LrnFs3R"o."�ib5.L.4S4Gfi",::"•.w1��8."fir"35. 5"�xBriMi'.dvm;.:•;Y`�^,,"3fIFf�..�i35.�nni=:+i'S.cbY;.�ny'�, C-y7t - TERMS AND CONDITIONS The Permittee Bradford R Burnham residing at ROW off Peninsula Road,Fishers Island 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. 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 �UT S®(®�� Town Hall Annex �®� ®�® 54375 Route 25 A. Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski [ Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 c®URI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 1, 2023 Glenn E. Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959-0447 RE: BRADFORD R. BURNHAM R.O.W. off PENINSULA ROAD, FISHERS ISLAND SCTM# 1000-10-4-13.10 Dear Mr. Just: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 16, 2023 regarding the above matter: WHEREAS, J.M.O. Environmental Consulting on behalf of BRADFORD R. BURNHAM 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 February 28, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: at Field Inspection it was determined that property and project are elevated appropriately and moved far enough back from wetland, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 16, 2023, at which time all interested persons were given an opportunity to be heard, and 2 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, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of BRADFORD R. BURNHAM to raze the existing dwelling and construct a proposed 4,805sq.ft. single family dwelling with associated I/A OWTS system; a 679sq.ft. garage; 2,587sq.ft. of decks; a 386sq.ft. porch; 272sq.ft. of walkways; a 461 sq.ft. planter; and 373sq.ft. of paved area; install six 8'x6' drywells for roof runoff; remove and replace underground utilities; remove and replace water service; remove existing gravel driveway and restore with loam and seed, and install an new gravel driveway; with the condition to establish and perpetually maintain a vegetated non-turf buffer seaward of the house; a one to one native tree replacement for any trees removed during construction; and as depicted on the revised site plan prepared by CHA Companies, received on December 1, 2023, and stamped approved on December 1, 2023. Permit to construct and complete project will expire three 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 V truly your , lenn Goldsmith President, Board of Trustees GG:dd �'sUFF04�0 Glenn Goldsmith, President Town Trustees Z. Z�D A Nicholas Krupski, Vice-President Co x 54375 Route 25 Eric Sepenoski o "� P.O. Box 1179 Liz Gillooly 'y�j ao�� Southold, NY 11971 Elizabeth Peeples 'X` Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: BRADFORD R. BURNHAM c/o J.M.O. ENVIRONMENTAL Please be advised that your application dated February 28, 2023 has been reviewed by this Board at the regular meeting of August 16, 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.) 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 ,a3 BY: Glenn Goldsmith, President Board of Trustees ,JMO EN VIIZONMEN L CONSULTING P.O.Box 447 QUOGUE,NY B959 631.653-0607 November 11, 2023 D E NC OV W Mr. Glenn Goldsmith, President NOV 1 6 2023 Board of Town Trustees Southold Town Town of Southold Board of Trustees Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Bradford R. Burnham R.O.W. off of Peninsula Road, Fishers Island S.C.T.M.No. 1000-10-4-13.10 Dear Mr. Goldsmith- Enclosed for review are four copies of the revised plans for this project. Kindly note that the plan has been revised to note the „ following: 1. All trees removed during construction shall be replaced at a one to one ratio with native species. 2. A vegetated, non-turf buffer shall be provided pursuant to Town of Southold Trustees requirements. Upon review please feel free to contact me with any questions that you may have. Respec lly, Glenn . Just �• •� *�. dford R.Burnham 20 ROW off Peninsula Road,Fishers Island OFCTM#: 1000-10-4-13.10 47 �.A� , ,1R" t r • l' v • .yam •{_'r`r�.. .. � ,' .. �� �� K' �i .. msµ/ � '',. , ♦ .' ��y� a ` � .� ���. a �• •� t� vim{ -.� �►" •1.=�, "; �.. .. c5"l -V _ ; " *: § '►:fit ; .+ t i* =�: ,, KIK r . r" / 7 22 . , . 8 / 2-/42,0 2 3.; ';;,,. 9,' 2 7 .` , r +• ' Bradford R.Burnham , •'+'�� .y `'� •�. * •fit, _ ���� 1 ROW off eninsula Road,Fishers Island •111 1 c. Z . 'r �` - �" 1 .'�� •� i •l�7�'. N fill• .. i. .• OF Aw .> � •.� � 'i ♦ ``a i �f� -" �+ N S'. V. yam - `�s -•• it AV ..,1 . ^ r All 1 Drawing Copyright©2015 VA DTIC SYSTEM UPGRADE FOR UP TO 6 BEDROOMS 44-1 &2 PROVIDE 2 L.F. 4" C.I. PIPE BETWEEN HOUSE AND CLEAN-OUTS. A. LOCATE CLEAN-OUTS 2' FROM FOUNDATION WALL. PROVIDE FUJI CLEAN WASTEWATER TREATMENT SYSTEM - MODEL CEN 7 SITE (700 GPD CAPACITY - MAXIMUM 6 BEDROOMS) Lel PROVIDE TWO 8' DIAMETER 8' DEEP LEACHING POOLS WASTEWATER TREATMENT SYSTEM SHALL VENT THROUGH THE SEWER PIPE. A HOUSE 400 Capital Boulevard,Suite 301 06067 TRAP SHALL NOT BE INSTALLED UPSTREAM OF UNIT. NO ADDITIONAL VENTING IS 0 Rocky Hill,ch comp n� �-- V 860-257-45571 wvuw.chacompanies.com REQUIRED. I/, _ S J f' B EST 44-5 ' W NY Certificate of Authorization#0015021 INVERT ELEVATIONS- TOP OF BANK/BLUFF Lv OUTLETS AT HOUSE - 19.10, 18.60, & 16.90 (SEE PLAN) HARBOR m INLET AT MH 1 - 17.60 - RAZE & DISPOSE OF OUTLET AT MH 1 - 17.50 EXISTING 3 BEDROOM PROVIDE 6" SDR 35 Q INLET AT MH 2 - 15.90 RESIDENCE TYP ROOF DRAIN OUTLET OUTLET AT MH 2 - 14.90 (TYP) PROVIDE a4-s TANK INLET - 15.50 "'` Llr.�si-rS OF 3u O 0.5� MIN. 8'+� X 6' DRY WELL TANK OUTLET - 15.34 _ FOR ROOF RUNOFF '� � Ti;?AL 1�'E1�l�NOS- �., (TYP, SEE DETAIL) D-BOX INLET - 15.16 �' /�- _ vER!,�1ED BY C. HAM11-TON', I^ I % _fNYSDEC- JANUARY 29, 2008 44-15 D-BOX OUTLET - 15.00 sJr�,".Y Ci_OS,Rv LINE - o �- LEACHING POOL INLETS - 14.85 NOT A BOUNDARY- / --_ -_ PROVIDE SILT FENCE- ++-1+ BOTTOM OF LEACHING POOLS - 7.35 VEGETATED -- _ - . MAINTAIN DURING _ 20,00' NON-TURF BUFFER 30'03" F A T F , CONSTRUCTION 44-16 LIMITS�S 0. TIDAL WETLANDS DRAINAGE CALCULATIONS °� RIGHT -e AREA B EAC >1 SAS IND!CATED BY G. JUST or- WAY � � `\�- �/ J_M.O. CO?iSUL.TING Or3/03/07 l; .O,V .:017 PROPOSED ROOF PATIO AREA = 8,300 SF BOUNDARY, PROPOSED DRIVEWAY AREA = 2,900 SF ROCI =` -''- --- D E A C N (VC?Li+vc�-i ++-" \ ._�I , e --_ VEGETATED - - �, NON-TURF BUFFER TOPOGRAPHIC SURVEY & �I +. .<,'�..�.-�.-� I �,= �`�.:" )L.l�•..r 1..,•�.r;•t+�,_:�r,. ,'t�=-+�1�'-�l DEED LIN'--� - 44-18 AREA � SITE DEVELOPMENT PLAN REQUIRED = 11,200 SF X 2 IN/12 IN/FT = 1,867 CF ~' _ - _ - PREPARED FOR. r =y 7.. ..._, _ :6 .: ;*����•i�• - t''° .��-•+.• ._. /. -�';,�..�--._�x.1.. .}�.. y._+.,_;,_- -c_ --�� , ?s: l--.,�.,,,,I�..r"`�.-,sa:<� T`U� nl: -`- '_- 44-29 DRY WELLS -�... Y_ ; - -- 1<- ��";t- 1. x .� a F �x _ _-_ - ACCESS FO CK 0. 6 CF VF = 37.1 VF REQUIRED _= - ,. _� _ R. BRADFORD BURNHAM 1,86 CF / 5 2 / .- ->�;_' , r ___.._:f ;. 5` .+:�' A t 1..2 t� - ' >-=�-.� � _ •'`�C.,' '^•-.� -'-..'^rte- - �;-«-_-. � 4-2 SLOPE USE FIVE (5) 8 4i X 8 DEEP DRY WELLS. " =� - -- ".,�-,... / -``.w, == _ - '-�`y_ --� " x _� ,r ' j - I `", t'"` ``~` '"`• r, - •1 - '�'�=--•• �..`'.�-'� a� .)L C J r .,` <.`,.:.T` UMTS, l)I r•L.C' ?�i L{�;iE- 44-19 v --�- . -- - - "�.rw'j 'e./' -" )._. C ) _1_ �_..., 44-20 / �-d- _ - _ - i �,,., w; ~ -. a ,.,•�' . > ._ :-x -V._ EL. 13 PER FIR,t MAP 2680 PENINSULA ROAD STONE TRENCH �.° - -;.. b- , ;� -� �;..� �. � x ,_. �: ''1 �� .,+ -.s' j.,:;� ��„�� ':;;,�• x' •� r �. _' ,, �; " �`;` .- - �: :�. '�j� ,) i ?`>; =�'� �f31o3Coo1O is FISHERS ISLAND ,� 4 l , _ ..., -,.;;;,• .�_r - .,/ .:J. ��. t..`" c> G.L..i-,c..J -,�,� J �,U• rat_ , 140 LF x 2' WIDE x 3' DEEP - 840 CF j It., _r � �Gt=h IOr�G a m•� ` ` 1- � r ,.�' �5. �r r. e, =400'z: T ! ' x =?fir LOCATION MAP SCALE 1 NEW YORK 840 CF x 0,4 (VOID RATIO) 336 CF ADDITIONAL STORAGE PROVIDED TO SUPPLEMENT / !%`�' / ,� /• �,�;MP DRY WELLS IN ARE WHERE GUTTERS ARE NOT DESIRED 1��F � % / �I:2iv �. i / a 1 , / / �„CUR?�IHA,"'✓ iar -> 3 , } . k { tr ,. ,� n9l e / -� \� �i 1� N 1 F1.00i] ZO I MAP REFERENCES (VACANT LAND) I o N� 1'1 �., I�;,:_- :H / o S r f 1 AE EL. 11 PER FIRM MAP ' cV 1. PLAN OF PENINSULA AT FISHERS ISLAND OWNED BY CHARLES W. HEDGE AND #/3G 1030001 O H I ,§ FRANCES G. THORP, MADE BY CHANDLER & PALMER, ENGINEERS, NORWICH, F t .` _ I CONNECTICUT, 1913" -FILE #223, OFFICE OF THE CLERK OF THE COUNTY OF F `tom / F FLOOD. 10r PER FiR``A PAP I} i rl� SUFFOLK 1 2011 _M , DO ,� I: \ \! % y'7 n F " c: / - I \ `�' ,:r ¢J3F�103C0010 !+ I °' r I I �c, u i I 2.) SURVEY MAP PREPARED FOR R. BRADFORD BURNHAM, 2680 PENINSULA PROVIDE STONE TRENCH y �r q f$ \ °; J ► I ROAD, FISHERS ISLAND, NEW YORK, PREPARED BY CME ASSOCIATES / 20' PEN(C u', I =� _ I F \ i \ 1 \ 1 / ELECTR,., (TYP, SEE DETAIL) ? 1 I ~Is S 15 1 1 /\ BOY, 11 ENGINEERING, LAND SURVEYING & ARCHITECTURE, PLLC, DATED 03/13/2018, IRD:� PIN n �' �'P i\ ` 1 REVISED 06/29/2018. ELEis :�TrDId= 15.4 6 I _ �, I ► \ _r'- � / { fNOTES REMOVE & REPLACE �, it / �/" `l' I / /� / / I I �i 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED UNDERGROUND_ �/ I / 1 / I \i 11 HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO UTILITIES AS REQUIRED PROVIDE EROSION CONTROL BLANKET (NORTH BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE (�) 7\_ ��. " %'% /i -, AMERICAN GREEN DS150 OR EQUAL) ON ALL ENGAGEMENT. S 8,8"33'48" U ;1 CREATED SLOPES STEEPER THAN 3:1 (TYP) _ I ` 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON 10.00, _- 1 \ 1 \ ! _ _ `n / ' I �' _' A I J � I // UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO F-,,;n {� / / -- ---•--•--• - I i� LOAM, SEED & STABILIZE ALL /{,n �.�, I -- -- -- DISTURBED AREAS (TYP) / ALTER AN ITEM IN ANY WAY. /;. % 'i',4 U / PROPOSED / I "'r - ...� ti / / 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S 2 STORY ' . \ I 1' �„_ _•__ _ / I SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF I'd E'5°04'12" 4`! ( Y� \ i' 4 BEDROOM ^� v I ir. I I -- '`� Cf - ; THE LAND SURVEYOR. J RESIDENCE - 'A 1 '< G` FL=±19.1 ,� I 1 €Al�,d FF=23.5 // I I I 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODET1C YP) I I .,... , I I SURVEY TRIANGULATION STATION "PROS" IT IS A VIOLATION OF LAW FOR ANY PERSON.UNLESS THEY ARE /. �' '�'1 ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL E 7 1. i D '� z� w ,. p, c o � ENGMEER.ARCHITECT.LANDSCAPE ARCHITECT OR LANG X " I I SURVEYOR TO ALTER AN ITEM IN ANY WAY.IF AN ITEM BEARING THE S` APPROXIMATE LIMITS I 5. ELEVATIONS ARE BASED ON NGVD29. STAMP OF A LICENSED PROFESSIONAL Is ALTERED,THE ALTERING ---- --- /yI j�,• OF DISTURBANCE <#, I( I 1 I ENgNEER ARCHITECT.LANDSCAPE ARCHITECT OR LAND I�J /� c�" '�O 158.500 SF SURVEYOR SHALL srANP THE DOCUMENT AND INCLUDE THE PROVIDE SYSTEM CONTROLS & ALARM 1 I / 1 I '' cilrralzY`* !{,` , t 'i I 6.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000 NOTATION"ALTERED BY FOLLOWED BY THEIR SIGNATURE.THE �'. `•:,./ _ICUs 1 I r DATE OF SUCH ALTERATION.AND A SPECIFIC DESCRIPTION MOUNTED TO BUILDING EXTERIOR J,� r. % i / �I SECTION 010, BLOCK 4, LOT 13.10 1 t 1 I of THE ALTERATION. ''t:' is tS; i' 22 PROVIDE WEATHER PROOF ENCLOSURES •, = / / / FL-±18.6 AS REQUIRED (TYP) 4" ° I I / '•-. 7.) TOTAL AREA = 2.14f ACRES. (ALL COMPONENTS TO BE HARD WIRED) SPRU`�'I ^ ;4 I 2" f; "! / ' i i �. i i 8. SITE IS LOCATED IN R-40 ZONE. PROVIDE FUJIMAC 10ORII BLOWER IN VENTED "''" _ 1 ( / `-- �� , •' `} ?�`. 1 t I I 1�u. ENCLOSURE ON CONCRETE PAD.' I w c� �, -;-_ - Y�. I ' -y`' f I / ti.,x, _ '' I \ t I I I 9.) A PORTION OF THIS PROPERTY LIES WITHIN FLOOD ZONES VE (EL.13) AE INSTALL PER MANUFACTURERS RECOMMENDATIONSr -! 1 2•• (EL.11) AND AE (EL.10) AS SHOWN ON FIRM-FLOOD INSURANCE RATE MAP err , : , �.�// : I I 1 I N I� I I SUFFOLK COUNTY, NEW YORK COMMUNITY: TOWN OF SOUTHOLD 360813, PANEL PROVIDE �4 SCH 40 PVC AIR UNE TO BLOWER / / „zy / 10" OCUST ► ► -,i I I # �� / 1 0 FL=±16.9 1 I r :ung I I I 39 OF 1026, MAP SUFFIX: H, MAP NUMBER 36103CO010H REVISED: SEPTEMBER INSTALL PER MANUFACTURERS RECOMMENDATIONS ` x n, ..; / 1 r I I CHU .r, C 0, „ I 25, 2009. ` � JI MH2 � � ,.,.. . 1. I ,� � , ' I I PROVIDE FUJI CEN-7 WASTEWATER / t �" v ,;, s ,' I I \ ISI (� fly r L r 13, I .i I I TREATMENT SYSTEM (SEE DETAIL) L �` mak' ''' CHP ` �O 20 J ( ''°`` t'� �1 I ?i I I 10.) DEED REFERENCE- LIBER 12951 PAGE 437 FILED 02/26/2018 �/J l 0" IN. 21.5 �\ a, i I N/F I o / J I 1 1 SOC f_>� r , 6 -1 ��';_ EOR � ' �r ,`y l � � I � � 11.) ALL TREES REMOVED DURING CONSTRUCTION SHALL BE REPLACED AT A �A�/;() CAMPBE " = �- T� % 4" -PT;C PIPE / ' \ ONE TO ONE RATIO WITH NATIVE SPECIES. nnrl REMOVE & REPLACE 4N / �F T HNk ' 1 : �" E'Ur�r\1-t: ,)ti1 WATER SERVICE AS s/ �-_ -_ REQUIRED TYP N 4' ----� - 1 ` i \ i i I % i 12.) A VEGETATED, NON-TURF, BUFFER SHALL BE PROVIDED PURSUANT TO 'INGLC. F/,'f1LY RESIDENCE- ( ) 1 i O / I�; i i TOWN OF SOUTHOLD TRUSTEES REQUIREMENTS. ON MCINIt,IPAL WATER-- 1r1; I� ! - l _ 20 1s.6 1 TES 11H ,may ON SI T C= SEPTIC SYSTEM) I � 1 _1 j, �� � f. /'t "� 1) � 1 � `i i \ `� I � I 11 � � TEST HOLE DATA EXISTING SEPTIC SYSTEM I I g I 1 / 1g �' \ C �\ 1 6� OBSERVED BY: RICHARD STROUSE, P.E.L.S. TO BE PUMPED OUT & REMOVED I i�1 1 / I \ i -'i \ \ 1r i \ / �I i i DATE: 08/03/2007 - OR FILLED WITH SAND & ABANDONED I 14 17 l 30 r PROVIDE FORM WWM-80 11 / 1g \ I .� i, I I t I I r'-' .. 1 �/ i r I � I I 0"-6" TOPSOIL 6"-36" SANDY SUBSOIL DEC ED23 E` Si,NG -%f / `� * "tl' ''� 20 \ - (\ 36"-17' POORLY GRADED SAND SW 3 �RA.'_L t 1 �: / ' 9 r? _ '\ 1a" I MOIST SAND AT 15' 16 �6 �;l 'NERC ,boa I I I > �i�`1 ' ' \ `` ,`h 1 _ ,. \1 J to n' I NO WATER ENCOUNTERED 1 i) 667 ��,__ ;? / =Y. PROPOSED I J I I EXPECTED SEASONAL HIGH GROUNDWATER ELEV.=t4 � ' /y y'' ;. °z.i \ �? GARAGE ,,.; , Ld 1 V (DRY (BUILDING) 1 _ _may' FF=±11.5 + t c _ t rr No. Submittal/Revision A d B Date REMOVE EXISTING GRAVEL DRIVEWAY a / I � -�� ' � ���''�-�� •�•� -r- \ � I I � � I '-� ' LEGEND pp y & RESTORE WITH LOAM & SEED TYP I ' Imo'% 1 -� t I(� ? i �= i ( j Y' 7 I���'�- " . 1 <".�`: _ j `1 I I PROPERTY LINE 1 NYSDEC COMMENTS PMP 03/10/2023 50% EXPANSION AREA ' I Lr _ z'' ^ tx t > I -- I ncu I I I I i I �w, �� - i / � I \ I I `ij ABUTTERS LINE (TYP) I / 1 I I / i , v �,� �, / �� 1 ~I j EDGE OF PAVEMENT 2 SCDHS COMMENTS PMP 06/05/2023 / I ,�;i/- v � C i�', ^-� ) I I J I EDGE OF GRAVEL ------------------- / EXISTING CONTOUR ---XXX--- E 3 SCDHS COMMENTS PMP 08/04/2023 - -______-_ --- -- I �� � ;��,r..- f STONE WALL APPROX. LOCATION t �� i ` €% / j �' i i RETAINING WALL ^ EX!STi''i s 1" -'PI-_ �I'\ 1 I, I i / CO' ( t _ _ _ ,r- I i l LIMITS OF INLAND WETLANDS A WF# (I-0(.iND1 I i --_ MATER SERVICE t 12 li •A �/ ` � � � l FENCE v v v 4 NYSDEC COMMENTS PMP 10/05/2023 I ( 3 13 /' / i TREE LINE OVERHEAD WIRES o/W NOW OR FORMERLY N/F 'F;C),�' UTILITY POLE -�- I�f rI.... -�J \_ 85`04'12" 4, (I\ \ BOUNDARY POINT 18"I�p+< �n✓_ll_ ) / I R?1FUS ERADFO RD 25164.99 I --� I DRILL HOLE DH O URN(IAPti9 III E 80 I.2 f `� - \'---------------- / / N v5'04'12" u T / �l I �� // I IRON MONUMENT (SINGLE f,�,)VILY RESID.-:)'ID!. - - r _ --------- 1 '0.0v' } �l 11 CONNECTICUT HIGHWAY - �I. !�Grp -- -------__ _��! 1 i I �� �\ DEPARTMENT MONUMENT(CHD) A4,1J IC/PAL 4NAT> F2- �-- - _- _ - - �. --------------- ON SITE SEPTIC SYSTEM) � � - - _ _ ---- _ - ���- - . _ _ _ _ __�%-�--------- ------------- - - - ' ------ SITE PLAN _ IRON PIPE IP ----- - IRON ROD IR - ------ - �___-- -- - - . - - . - - . - ?.0 '� Yily - _____�- _ RAIL ROAD SPIKE RRSPK PROVIDE CONCRETE - - - ______ WELL WASHOUT PIT --- -_ - --------------- WATER VALVE (SEE DETAIL) --_---- --------------------- _ ------------- Designed By: Drawn By: Checked By: r.� E PROVIDE GRAVEL DRIVEWAY �- - - - : f w PMP PMP �,� Issue Date: Project No: Scale: of & PARKING (TYP) APPROVE.Im. L I BRADFORD RD BOARD OF I RUSTEES 02/21/2023 078019 1"=20' BJRNNAP•� TOV"�Pv OF ' r (Vl",CANT L,4ND) ' SOUTI;OLD Drawing No.: � � 2 10 0 20 D A,TE GRAPHIC SCALE IN FEET SHEET 1 Attorneys at Law AUG 2023 736 Norwich-New London Turnpike Uncasville Connecticut 06382 Board of uste � Baard of Tnss�tees Sidney F.Heller(1903-1986) Harry B.Heller(hheller@hellermccoy.com) William E.McCoy(bmccoy@hellermccoy.com) Telephone:(860)848-1248 Mary Gagne O'Donal(mgodonal@hellermecoy.com) Facsimile:(860)848-4003 Andrew J.McCoy(amccoy@hellermccoy.com) August 11, 2023 Board of Trustees Town of Southold Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold,NY 11971 Re: Application of Bradford R. Burnham Suffolk County Tax Map Number 1000-10-4-13.10 Location: Peninsula Road, Fishers Island,New York Dear Trustees: Please be advised that this office represents Elbert M. Burr of Salem, Connecticut. Our client is the owner of property located off of Peninsula Road on Fishers Island which abuts the property of Bradford R. Burnham which is the subject of a land use application currently pending before the Board of Trustees for the Town of Southold to the south and to the west. In addition, our client is the holder of a life estate in and to a certain right of way,ten feet in width, extending northeasterly to West Harbor. I will preface this letter by stating that our client does not object to the Applicant's redevelopment plan for the redevelopment of his property. With that being said, he does have concerts with respect to the development initiative which will be set forth in this correspondence in order to ensure that the Board of Trustees for the Town of Southold, in administering the land use application, incorporate adequate protections for our client's rights, improvements and concerns as enunciated in this correspondence. When, in this correspondence, I reference the "Plan", the Plan refers to that certain plat entitled "Plan of Peninsula at Fishers Island Owned By Charles W. Hedge & prances G. Thorp. Scale 50 Feet To The Inch By Chandler&Palmer Engrs.Norwich,Conn. 1913.Revised Oct. 1951 Revised July 1953 Revised Sept. 1967 Lot Areas Added Jan. 29, 1976". M:\Burr,Elbert\Itr.Board of Trustees.docx � 4 y : AUGDiD� 1 6 2023 Board of Trustees Town of Southold Southold Tnvrn August 11, 2023 ___ Board of Trustees Page 2 of 3 By reference to the Plan, our client's property includes (i) a certain roadway 20 feet in width extending northerly approximately 100 feet removed westerly from Darbies Cove to West Harbor. This 20 foot strip of land abuts the Burnham property designated as Lots 1 and 28 and a 20 foot strip extending easterly to the west (ii) a 20 foot strip of land, also utilized as a roadway, abutting Lots 18,20, 22,24,25,26,27 and 28 to the south and(iii) a 10 foot in width reserved for life right of way for access to the beach area located adjacent westerly to the easterly lines of Lots 6, 22 and an aforementioned 20 foot wide strip extending easterly as depicted on the Plan and southerly of Lots 1 — 8, which 10 foot wide right of way, reserved for life, provides access to the beach area along West Harbor, and which constitutes an interest in real property. In addition, our client is the owner of a single family residence and Lots 12— 15 as delineated on the Plan(as well as other real property interests on the Peninsula)which are not germane to this correspondence. Our client owns and maintains the private roadways referenced above. In addition, our client owns underground utility lines installed within the limits of the private roadways referenced above and as depicted on the Plan, which provide water, electricity and telephone services to our client's dwelling house. We have reviewed materials available online with respect to the permit application pending before the Board of Trustees of the Town of Southold,including,but not limited to, a plan entitled "Site Development Plan Prepared For: R. Bradford Burnham 2680 Peninsula Road Fishers Island, New York Site Plan Designed By: PMP Drawn By: PMP Issue Date: 02/21/2023 Revisions No. 1 NYSDEC Comments By PMP 03/10/2023 2 SCDHS Comments By PMP 06/05/2023 Project No: 078019 Scale: 1" = 20' Drawing No.: Sheet 1" prepared by CHA Engineers of Rocky Hill, Connecticut and received by the Southold Board of Trustees as of July 7, 2023. The first concern enunciated herein is the fact that the plan presented for administration does not appear to properly delineate our client's interest as an abutting property owner. The Plan, if approved, should be approved with the condition that it be revised to properly reflect the interests of Elbert M. Burr enunciated in this correspondence. While our client takes no position on the compliance of the application with the permitting requirements being administered by the Board of Trustees of the Town of Southold, and does not object to the construction of the improvements proposed by the Applicant, as enunciated above, it does request that adequate conditions be incorporated into any permit issued to address the following concerns in the event that the application is approved: 1. As indicated above, our client maintains underground utilities within the limits of the private roadway which he owns and which abuts the Applicant's property. Adequate provisions must be made to ensure that the integrity of these installations is not compromised by any construction engaged in under the auspices of any permit issued. MABurr,Elbert\ltr.Board of Trustees.docx � tY Board of Trustees r AUG 2 23 Town of Southol August 11,2023 a .v..,. . . . Pae 3 of 3 s'' "k r 2. That the permit incorporate provisions prohibiting the parking of any vehicles within the limits of the private roadway owned by our client for the duration of the construction project. 3. That construction activities must be coordinated in order to ensure that the private roadway remains open and available for access by fire, police, ambulance and other public safety vehicles at all times. 4. That connections for water, electric or telephone to provide utility services to the new home proposed for construction by the Applicant must be coordinated in such a manner that any interruption of our client's utility services is minimized. In addition, all such interconnections must be accomplished in accordance with the regulatory requirements of each utility providing utility service. 5. That, upon the completion of construction of the improvements under the permit applied for,any damage to the private roadway be fully restored to its current condition. Very truly yours, E B "I"M. B R By: arry B. e ler,his attorney HBH/rmb MABurr,ElbertUtr.Board of Trustees.doex Glenn Goldsmith,President �o" �OG Town Hall Annex A.Nicholas Krupski,Vice President o y�� 54375 Route 25 Eric Sepenoski ,? P.O.Box 1179 Liz Gillooly �y • Sol4 Southold,NY 11971 Elizabeth Peeples � z7�a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: u J Lo Completed in field by: ),­j J.M.O. Environmental Consulting on behalf of BRADFORD R. BURNHAM requests a Wetland Permit to raze the existing dwelling and construct a proposed 4,805sq.ft. single family dwelling with associated I/A OWTS system; a 679sq.ft. garage; 2,587sq.ft. of decks; a 386sq.ft. porch; 272sq.ft. of walkways; a 461 sq.ft. planter; and 373sq.ft. of paved area; install six 8'x6' drywells for roof runoff; remove and replace underground utilities; remove and replace water service; remove existing gravel driveway and restore with loam and seed, and install an new gravel driveway. Located: R.O.W. Off Peninsula Road, Fishers Island. SCTM# 1000-10-4-13.10 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.: Trot ►rW&ce w yA 1-.1 Nov -+JR seawaird J 6'jy Present Were: ✓G. Goldsmith N. K7EE. ski VIE. Sepenoski v/ L. Gillooly Peeples Fishers Island House 2680 Peninsula Road Fsh—Island,NY 06390 MBB Murphy Bomham6 Bat .Ar,h— d9 West Slth S—L lath Flmr New York,Naw York 1 Wta Telephone 212)6B 7— www.mbbaN.eam 0: IID BASEMENT 4515 SF PAVED AREA 373 SF DD DWELLING BASEMENT `D GARAGE DECK GUEST BEDROOM+ PORCH !`. BATHROOM 528 SF WALKS PLANTERS TYPE TOTAL AREA[SF] TOTAL DWELLING 4805 TOTAL BASEMENT 4515 TOTALGARAGE 679 TOTAL DECK 2587 = Ne. oat, 1,000 TOTAL PORCH 386 12.112020 sd,emao,o�ren n 2022 Deu9n D—Ios ant TOTWAL WALKS 272 11.10.2022 Deagn Detl,prenl TOTALPLANTER 461 12.I6.2022 Dau9nDelopmant TOTAL PAVED AREA 373 0120.2023 DesgnDw bo M APR - 3 2023 Southold Town Board of Trustees A-004 Areas-Garden Level � '`�•ieiii�•iiiiii�0•iiii°iii�•iii' � � ........... �..r .. peepeeeepe!e.....,e,.,pp.,.,.a,.,.� •A r l �:,�t _�_ I►ii°e°Oi°e°e°Oii viii•�ii°��r�i-i-. _ _. i _ ►eeeeee♦ k�ti Neeeee• ♦e♦ 1 ,•...-•_ r•-=__ ti. ��' .� `',►p0°,OOp°piii�i0�►••iii°ii���.,•,.,. �I I;�. . [..'•R;L �'� _, •"� ,1 c •1 f 1�t►•�•�•�•�•�•�•�•�•�ii•�•ii•�o�or�i�:i���•iii� , —tea; a It. ?!p , ,' !eeeeeeeeeeeeeeeeeeeee 00�'. -� _1;�•�=-_•='�� .' i ♦eeeeeeeeeeeeleeeee, ♦eJ. .I 6 ,-�P---`- � � ►iiii0•i►•iiiiiiiiiii•O.•i-..�... - a —'- � _�! ►•iiiiiie�•i°i•Oiiiiiieiiiiiii - — - , L� � •iiiiiiiiiiiiiiiiiiiiiiii•� i�_ _ �c•' _ L m • Al, 1, -.k• i.� 4r --R _•_--•— ��' {•..t e •I� .� •�-may'. `� ECEIVE • • • b fl Drawing Copyright©2015 1/A SEPTIC SYSTEM UPGRADE FOR UP TO 6 BEDROOMS PROVIDE 2 L.F. 4" C.I. PIPE BETWEEN HOUSE AND CLEAN-OUTS. 44-1 °e s LOCATE CLEAN-OUTS 2' FROM FOUNDATION WALL. PROVIDE FUJI CLEAN WASTEWATER TREATMENT SYSTEM - MODEL CEN 7 (700 GPD CAPACITY - MAXIMUM 6 BEDROOMS) SITE PROVIDE TWO 8' DIAMETER 8' DEEP LEACHING POOLS W WASTEWATER TREATMENT SYSTEM SHALL VENT THROUGH THE SEWER PIPE. A HOUSE > 400 Capital Boulevard,Suite 301 TRAP SHALL NOT BE INSTALLED UPSTREAM OF UNIT. NO ADDITIONAL VENTING IS •.. Rocky Hill,CT 06067 V REQUIRED. 860-885-1055!www.chacompanies.com _ , ... °- WEST U) 44-8 ; ; �•;:_ NY Certificate of Authorization#0015021 INVERT ELEVATIONS- _ TOP OF BANK/BLUFF W OUTLETS AT HOUSE - 19.10, 18.60, & 16.90 (SEE ... HARBOR• INLET AT MH 1 - 17.60 ' ' RAZE do DISPOSE OF ... W OUTLET AT MH 1 - 17.50 T� EXISTING 3 BEDROOM PROVIDE 6' SDR 35 0 INLET AT MH 2 - 15.90 RESIDENCE (TYP) ROOF DRAIN OUTLET PROVIDE 44-6 OUTLET AT MH 2 - 14.90 = O 0.5% MIN. 8'0 X 6' DRY WELL TANK INLET - 15.50 TANK OUTLET - 15.34 �', ;_I°�-�= :." FOR ROOF RUNOFF D-BOX INLET - 15.16 s",._ ._ ,' . "_� ;F (TYP, SEE DETAIL) D-BOX OUTLET - 15.00u - .> - 4 -, .. - �! . ._ � ,� • `� 44-16 LEACHING POOL INLETS - 14.85 PROVIDE SILT FENCE- 44-14 --� MAINTAIN DURING � 15p't CONSTRUCTION 44-16 DRAINAGE CALCULATIONS PROPOSED ROOF/PATIO AREA = 8,300 SF PROPOSED DRIVEWAY AREA = 2,900 SF ,1 `°, _--`.-_s_-____ ,- _ _ ,, %' f`t �• s-r; �<,^,- ,' ;-; _-----� 44-n SITE DEVELOPMENT PLAN __ r: -- c° REQUIRED = 11,200 SFX 2 IN/12 IN/FT = 1,867 CF44-18 PREPARED FOR: '? _ . ' _ 44-29 DRY WELLS _ -- -- _ _ --- - --= - R. BRADFORD BURNHAM 1,867 CF / 50.26 CF/VF = 37.1 VF REQUIRED ��. �`_�- -:.� _- _' _ .�_ - - _._. ;: `-` - -- -- �s^ _ 4-2 USE FIVE 5 8'0 X 8' DEEP DRY WELLS. _ `� �,.r----- r- O 2- -_ `w = r-: - I_ 44-19 2680 PENINSULA ROAD , • 44-20 FISHERS STONE TRENCH - --`j' __\ "�►► �-- E ISLAND, i 140 LF x 2' WIDE x 3' DEEP = 8�F0 CF ,. NEW YORK 840 CF x 0.4 (VOID RATIO) - 336 CF i. -_ - f , x = LOCATION MAP SCALE 1 -400 ADDITIONAL STORAGE PROVIDED TO SUPPLEMENT �� ` ` Y �_ �- µ DRY WELLS IN ARE WHERE GUTTERS ARE NOT DESIRED -� iv 'i ,- ,t- •,J i.. .. 00 s( O I'.-'�•✓ - ....,_�-.... -.1-�. '.� _ l / s,. - ��� .�� • • rte,. • 1 h ' -;, ' .t _ 1 ' 1 MAP REFERENCES / r % ` . •'�''i •-C / Q ,//• /' 17 S -� • _ �.� , `�\ Cj..._ \ _ / I , f i, ._r;_.-(,rti ` ,n., "S 3 J ' ` ' ll; l , t t -`�•, 1.) PLAN OF PENINSULA AT FISHERS ISLAND OWNED BY CHARLES W. HEDGE AND S _ \_ _• - - / _ _ I FRANCES G. THORP, MADE BY CHANDLER & PALMER, ENGINEERS, NORWICH, -- F ��� I `• ,.,,F,,,: I CONNECTICUT, 1913" -FILE 223, OFFICE OF THE CLERK OF THE COUNTY OF / 20 /. R SUFFOLK. / \ / /� f N 1 22 / Cn �' ► / I 2.) SURVEY MAP PREPARED FOR R. BRADFORD BURNHAM, 2680 PENINSULA PROVIDE STONE TRENCH t ;x `- I J l 7 1 ^ ROAD, FISHERS ISLAND, NEW YORK, PREPARED BY CME ASSOCIATES / 20- 1 (TYP, SEE DETAIL) J� �• 1 IO \ ► ENGINEERING, LAND SURVEYING & ARCHITECTURE, PLLC, DATED 03/13/2018, �, \� 5 ► 1/ \ REVISED 06/29/2018. NOTES 4 / � `tib � / ` � REMOVE & REPLACE I 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED UNDERGROUND_ f / / �" I i HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO UTILITIES AS REQUIRED ��,( -;<., r- ' \ �\ PROVIDE EROSION CONTROL BLANKET (NORTH BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE ��F NE�V (TYP) 1\' • • I /{ AMERICAN GREEN DS150 OR EQUAL ON ALL ENGAGEMENT. M. P y0 CREATED SLOPES STEEPER THAN 3:1 (TYP) �P ` '�9F f'.-Pr`. 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, in LOAM, SEED & STABILIZE ALL % UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO - ct J .,� 1 -•--•--• / I ro DISTURBED AREAS (TYP) i ALTER AN ITEM IN ANY WAY. 1 �._.-•--•--•--•--•--.-_.- I I \ , m PROPOSED % I i i 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S 2ORy '-- .._ _ _•_ SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF OA 09953'\ 1 THE LAND SURVEYOR.BEDROOM RO PE StONP - ,. . - FL=+19.1 FF=23.5' %. 1 I 1 o RES DENCE i. 1 _' 1 -11 1 l 4. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC `- _ �`-'/ \1 i /• �i'. /� / `i'/ i ) i i SURVEY TRIANGULATION STATION "PROS" IT IS A NOLATION OF LAW FOR ANY PERSON,UNLESS THEY ARE /,{' _ ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL ` C/0 `: ICHITECT OR LAND I SURVEYOR TO TER AN ARCHITECT, CiEw M ANY LANDSCAPE YMiF AN nETI BEARING THE ;'' APPROXIMATE LIMITS t 5.) ELEVATIONS ARE BASED ON NAVD88. ,I /j,i.S1,Y •. OF DISTURBANCE i STAMPLICENSED �1RO NEER.ARTECT.LANDSCAPE OR LAND PROVIDE SYSTEM CONTROLS do ALARM I I I r` t' 1 ( +58,500 SF I 6.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000 NOTATIONOAL�Br THFaLLOWED DOCUMENT THEmIsa+ATTURE,TTHE MOUNTED TO BUILDING EXTERIOR I / J r r 1 I DATE OF SUCH ALTERATION.AND A SPEanc DESCRIPTION / I I I , i I SECTION 010, BLOCK 4, LOT 13.10 PROVIDE WEATHER PROOF ENCLOSURES , / 22 / / I I ► I OF THE ALTERATION. �'` FL=+18.6 � AS REQUIRED (TYP) 1' _ /,� / / i i i i 7.) TOTAL AREA 2.141 ACRES. (ALL COMPONENTS TO BE HARD WIRED) j! 0 I I 1 I I I 8.) SITE IS LOCATED IN R-40 ZONE. PROVIDE FUJIMAC 10ORI1 BLOWER IN VENTED W „ j I ENCLOSURE ON CONCRETE PAD ' / ; t I 1 I I _ I / 9.) A PORTION OF THIS PROPERTY LIES WITHIN FLOOD ZONES VE (EL.13), AE INSTALL PER MANUFACTURER'S RECOMMENDATIONS \-_._ 2� :: I j j r i (EL.11) AND AE (EL.10) AS SHOWN ON FIRM-FLOOD INSURANCE RATE MAP PROVIDE %7 SCH 40 PVC AIR LINE TO BLOWER �U) I I SUFFOLK COUNTY, NEW YORK COMMUNITY: TOWN OF SOUTHOLD #360813, PANEL r' c.:' FL=118.9 Imo! t I 39 OF 1026, MAP SUFFIX: H, MAP NUMBER 36103CO010H REVISED: SEPTEMBERINSTALL PER MANUFACTURER'S RECOMMENDATIONS /,C CO- t 1 PROVIDE F1JJI CEN-7 WASTEWATER , MH 2 4, \ i a I' I i i 25, 2009. i SEE DETAIL ' �� 20 i r /10 10.) DEED REFERENCE- LIBER 12951 PAGE 437 FILED 02/26/2018 TREATMENT SYSTEM ( ) I 1 -fl IN. 21.5 ! 111 ,' , , ;`• >' = ` ,, • r�l -- r t I TEST HOLE DATA 1 1 I , REMOVE $ REPLACE WATER SERVICE AS �/ , ` 1 1 OBSERVED BY: RICHARD STROUSE, P.E.L.S. -/ ~; -- F` � � ( ` "., 1 1 t r REQUIRED (TYP) ---- -- i ` DATE: 08/03/2007 20 19.6 0"-6" TOPSOIL I 1 , t I 6"-36" SANDY SUBSOIL t t POORLY GRADED SAND (SW) EXISTING SEPTIC SYSTEM I g I 19 \ ► I I MOIST SAND AT 15' 2 TO BE PUMPED OUT do REMOVED 11 OR FILLED WITH SAND do ABANDONED rt `1- t / 17 '' '` Ta '-- �� PROVIDE FORM WWM-80 I i / + f 1� \ i \ ` i NO WATER ENCOUNTEREDEXPECTED SEASONAL HIGH GROUNDWATER ELEV.=f4 Do JUL - 7 2023 6 `a -/� i 16Fit? co I Southold Town F~i._I_ ..5•. .� �,�j',...:-' i `�` ;/ , ����, . '_- `.j RAGi Board ofTru�._ ees GARAGE (DRY BUILDING) FF-+11.5 REMOVE EXISTING GRAVEL DRIVEWAY No. Submittal/Revision pp'd By Date do RESTORE WITH LOAM do SEED (TYP) I ' i j:' •�� Y �� ) 1 ,1 I I(� i LEND � "_ t �-� .i � I I PROPERTY LINE 1 NYSDEC COMMENTS PMP 03/10/2023 509L EXPANSION AREA i 1 ' '���- _ �� I \ i s i ABUTTER -- S LINE O i 1 ',. . . - \ ; •. I I I i i EDGE OF PAVEMENT 2 S CDHS COMMENTS PMP 06/0512023 EDGE OF GRAVEL ------------------- IIS, r r EXISTING CONTOUR --------- - - STONE WALL T - i �/ i i I ♦ I 1 \. / I`< < , r r RETAINING WALL .. .. .. .. .. LIMITS OF INLAND WETLANDS WFC I i ' ' ____-- I .. .... . \ i FENCE X x x 13 % \ ,' /�r TREE LINE OVERHEAD WIRES o/W NOW OR FORMERLY N/F i I IS _ UTILITY POLE -.- :,l BOUNDARY POINT O DRILL HOLE DHO -�_ IRON MONUMENT CONNECTICUT HIGHWAY - ------ ?::•%.', ,.;:'.- ,, ,_,: -t_r_}, � _-_- .••-:-----._._•„-. .- - - - -- - `-- k\ DEPARTMENT MONUMENT(CHD) fY, .r _ f - ------------------- - - -- --__ --�_ IRON PIPE IP SITE PLAN I --------_ -- .- .--.- _ .- - .__------- _------ ROAD SPIKE N D IR RAIL RRSPK PROVIDE CONCRETE - �- ---- ----- WELL --/�--------_-----_----- ---------------- WATER VALVE WASHOUT PIT -' =-�----�- - -- - (SEE DETAIL) _ ----------- Wv Designed By: Drawn By: Checked By: PROVIDE GRAVEL DRIVEWAY - PMP PMP do PARKING (TYP) Issue Date: Project No: Scale: 02/21/2023 078019 11.=20 20 10 0 20 Drawing No.: GRAPHIC SCALE IN FEET SHEET 1 Drawing Copyright®2015 8' 0 400 Capital Boulevard,Suite 301 Rocky Hill,CT 06067 18" MANHOLE (TYP 18" MANHOLE (TYP 24" MANHOLE (TYP CYLINDER (OPTIONAL) A 15 YZ" '� 860-885-10551www.chacompanies.com eA NY Certificate of Authorization#0015021 t� � 1 L_ r 8"f 9" „ F PLAN VWw I I rr .. - 12®®® o 0 0 8" fir--• 12®®® O 1 4" ®®®I� 0 0 0 . 1Y2„ ®®®lam 0 — 0 6'—O " ®®®® o0 0 . ®®®® 000 . 1=I • o 9-1 2" 4'-11" ®®® 4'-11" ® o 0 0 ro ®I�®® 000 . 3" 4., ®®®® 000 . SITE DEVELOPMENT PLAN 1Y2„ PREPARED FOR: 6" 4" DISTRIBUTION Box R. BRADFORD BURNHAM SECTION A—A NOT TO SCALE LEACHING POOL NOTE PROVIDE DO CAP LEVELM DEVICES AS REQUIRED 2680 PENINSULA ROAD NOT TO SCALE FISHERS ISLAND, NEW YORK FUA CLEAN CEN-7 NOT TO SCALE NOTE: RISER COVERS SHALL WEIGH AT LEAST 60 LBS. OR HEALTH CODE APPROVED SECONDARY SAFETY DEVICES SHALL BE PROVIDED FINISHED GRADE MAMp �O O�O O I---- -�-.------115 -® ----�JIMAC 100 RII �O �(1 �J------ BLOWER 6P FILTER MIRAFI FA N I � FILTER FABRIC 2� ---�ALARM _�qJ( O (J'0 �O pF NEW y L} --- -- O �P M. P,qR 0,9 FUJI CLEAN CONTROL PANEL NEMA 4X 3/4" STONE TO * Q A MAIN PANEL = � EXTEND TO � u I ; M FINISHED GRADE 09 (6 O N C, WIRING SCHEMATIC � 0 oA 0995 s� BALE BINDER NOT TO SCALE O O OFES S10NP 1C LINING WIRE O NATIVE MATERIAL ITIS A MOLATION OF LAW FOR ANY PERSON,UNLESS THEY ARE (OPTIONAL) rMA ACING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL ENGINEER.ARCHITECT,LANDSCAPE ARCHITECT 011" SURWYOR TO ALTER AN ITEM IN ANY WAY.IF AN my BEARING THE 0 STAMP OF A LICENSED PROFESSIONAL IS ALTERED,THE ALTERING SECTION B—B 24" ENGINEM WOOD OR NOT TO SCALE TYP NOTATION-ALTERED BY'FOLLOWED BY THEIR SIGNATURE,THE METALSTAKES I LANDSCAPE ARCHITECT OR LAND SURVEYOR SIiALL STAMP THE DOCUMENT AND NCUAE THE DATE OF SUCH ALTERATION,AND A SPECIFIC DESCRIPTION (2 PIER BALE) OF THE ALTERATION.TRENCH CROSS SECTION -- _ WOVEN WIRE FENCE (MIN. 14 NTS - -- GAUGE W/ MAX. 6" MESH 10' MIN. SPACING) B jll �i 10' MAX. CENTER TO CEN 36" MIN. LENGTH VARIES TER FENCE POSTS I DRIVEN MIN. 16" INTO GROUND PLASTIC STRAW BALE II LINING PLAN (TYP) I HEIGHT NOT TO SCALE \\\ I OF FILTER CQNCR£TE WASHOUT PIT 16" MIN.� \ \\/\\/\\//\//\///\//\/\\\\\\\/\/ NOTES: O / //\//\ 1 1. DIMENSIONS SHOWN ARE FOR TYPICAL RESIDENTIAL F�� O� \ 6" MIN. CONSTRUCTION, LARGER PROJECTS OR PROJECTS REQUIRING !�/ C, PUMPS MUST BE SIZED ACCORDINGLY (7 GALLONS/TRUCK, NVERT p 50 GALLONS/PUMP, PLUS MIN. 1' FREEBOARD). PERSPECTIVE VIEW I I JUL — 7 2023 2. CAPTURE MATERIAL AND LIQUIDS MUST BE REMOVED FROM PIT AND PROPERLY DISPOSED OF WHEN THE PIT REACHES 75% OF ITS CAPACITY. -- WOVEN WIRE FENCE (MIN. 14 �I I 1/2 GAUGE W/ MAX. 6" MESH 3. INSPECT PIT PRIOR TO EACH USE TO ENSURE CONTAINMENT -- Southold Town OF WASH WATER. SPACING) WITH FILTER CLOTH ? E�oard Of Trustees � I � 36" MIN. FENCE POST o UNDISTURBED `V No. Submittal/Revision App'd By Date FLOW GROUND ADJUSTABLE LodOMG TYPE Or Z � BE WATER AND PR j 1 NYSDEC COMMENTS PMP 03/10/2023 COMPACTED SOIL j� = EMBED FILTER CLOTH \\ �\��\���\/ o 2 SCDHS COMMENTS PMP 06/05/2023 A MIN. OF 6 IN GROUND 4.5 MAX. 2' e', TRAFFIC BEARING TO MEET AASHTO—H20 SECTION VIEW CONSTRUCTION SPECIFICATIONS Sys ARE 70 BE COPMYMER PROPOSED � ROOF LEADER POLYPROPYLENE COATED 1/Y 5 WALL RESIDENCE 1. WOVEN WIRE FENCE TO BE FASTENED SECURELY TO FENCE POSTS WITH STEf1. BARS 0 12' 01 JOINT SEALANT TO BE WIRE TIES OR STAPLES, POSTS SHALL BE STEEL EITHER "T" OR "U" TYPE 1' Burn-RUBBER FOR OR HARDWOOD. CONCRETEjFTE FORMED �'QTS. 6" PVC WYE OF THE DIAMETER OF 1HE PIPE PROVIDE NON—SHRINKWG OVERFLOW 2. FILTER CLOTH TO BE FASTENED SECURELY TO WOVEN WIRE FENCE WITH MAST JOINT SEALANT. TIES SPACED EVERY 24" AT TOP AND MID SECTION, FENCE SHALL BE i 6" PVCCUT LEN TO LENGTH MIN. 6" SOIL COVER WOVEN WIRE, 6" MAXIMUM MESH OPENING. � COVER DRYWELL f CONCRETE COVER 3.SHALLEBETWO SECTIONS OVER—LAPPED OBY SIX INCHES ANDTER CLOTH JFIN EACH OTHER THEY CAST IN PLACE FLEMBILE OL ED, FILTER CLOTH 8� SLEEVE � CONSTRUCTION DETAILS FILTER FABRIC 8• a, � s o° STAIM ESS STEEL STRAPS SHALL BE EITHER FILTER X, MIRAFI 100X, STABILNKA T140N, OR APPROVED 1Y — 3/4 SROM STONE o�Oe ° 48' LD. oo�oo OR FLEIagLE RUBBER BOOT. EQUIVALENT. 90•BEND- ° m o © 0 0 4. PREFABRICATED UNITS SHALL BE GEOFAB, ENMROFENCE, OR APPROVED 6" SDR 35 PVC 0 0 00 0 - 0 EQUIVALENT. TYPICAL MANHOLE DETAIL SLOPE AS REQUIRED 0 O O O 0 d NOT TO SCALE Designed By: Drawn By: Checked By: 0 0 0 0 0 5. MAINTENANCE SHALL BE PERFORMED AS NEEDED AND MATERIAL 1' STONE OR o p ® 0 0 e REMOVED WHEN "BULGES" DEVELOP IN THE SILT FENCE. LL SCREENED GRAVEL 1. 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OJA .r l Z A Ss '4.•. °� a �eraara r9WMd1xJ Esc. t• (91.,s � iA g �' � °�.1 xo jq Y ° iu t r Z r � r.� 1iA iO4 42 FOR PG4 NO a •'+ �°,µl��iT \ acE Ec rco p, .. � ,\ - �i1<`R�@.aAb A�4 � \\ • FERRY[) 02 T.. COUNTY OF SUFFOLK g nonce ';}L{ V z=- t �1,<rry as ,)AS— .A,x nw,A>w ° a E �irt�x.--_ __ — ___ _____ �t..u.•.I+n+.IMIn�M'1NW W e,aAe,Fu A WN110tD 010 p .aay_--�—— • —.._ u —_ ar..a. 1x1) � 1. P a g To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: August 10, 2023 Re: LWRP Coastal Consistency Review for BRADFORD R. BURNHAM SCTM# 1000-10-4-13.10 J.M.O. Environmental Consulting on behalf of BRADFORD R. BURNHAM requests a Wetland Permit to raze the existing dwelling and construct a proposed 4,805sq.ft. single family dwelling with associated I/A OWTS system; a 679sq.ft. garage; 2,587sq.ft. of decks; a 386sq.ft. porch; 272sq.ft. of walkways; a 461 sq.ft. planter; and 373sq.ft. of paved area; install six 8'x6' drywells for roof runoff; remove and replace underground utilities; remove and replace water service; remove existing gravel driveway and restore with loam and seed, and install an new gravel driveway. Located: R.O.W. Off Peninsula Road, Fishers Island. SCTM# 1000-10-4-13.10 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 INCONSISTENT with the LWRP policy 4. Policy 4 of the LWRP does not support the expansion of a building within a FEMA FLOOD ZONE AE. These areas experience structure loss from storm events. It is recommended that the Board verify the flood zones in relation to the structure. 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 i JMO ENVIRONMENTAL CONSULTING P.O.Box 447 QuoGUE,NY 11959 631.653-0607 July 5, 2023 Mr. Glenn Goldsmith, President Board of Town Trustees Town of Southold Town Hall Annex JUL - 7 2023 53475 Route 25 Southold Town P.O. Box 1179 Board of Trustees Southold, NY 11971 - - Re: Burnham , 2680 Peninsula Road, Fishers Island S.C.T.M.No. 1000-10-4-13.10 Dear Mr. Goldsmith- After meeting with the Board at a 'recent work session at which time we had a pre-application regarding this application I was asked to provide an updated survey depicting the top of the Bank/Bluff at the site. For your review I have enclosed the revised survey on which the top of the Bank/Bluff is noted in red ink. Upon your review please feel free to contact me with any additionTes or comments that you might have. RespecGlenn E so DiSalvo, Diane From: AOL MAIL <gjustl02l5@aol.com> Sent: Friday, March 3, 2023 8:10 AM To: DiSalvo, Diane Subject: Burnham - Fishers Island Attachments: Burnham - Square footage and drawings.pdf Good Morning Diane- I am following up on your request for additional information for this project. Once the existing dwelling is razed they propose to construct a 4,805 S.F. single family dwelling with associated IIA OWTS sanitary system.; 679 S.F. garage; 2,587 S.F. of decks; 386 S.F. porch; 272 S.F. of walks; a 461 S.F. planter and 373 S.F. of paved area. I have also attached additional plans for the project which also depicts the aforementioned information. Upon your review please feel free to contact me with any questions that you may have. Best- Glenn JMO Environmental Consulting ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 1 40 40 4%%jFF0 -ea John G.Stein,Chairperson co y 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 on Wed., April 5, 2023, the,following recommendation was made: BRADFORD R. BURNHAM to raze and dispose of existing single-family dwelling; construct a new single-family dwelling with leaders and gutters; install six 8'X 6' drywells for roof run-off; install an I/A OWTS system; construct garage; remove and replace water service; remove existing gravel drive, restore with loam, seed, and install new gravel driveway. Located: Penninsula Road, Fishers Island. SCTM#10-4-13.10 The CAC did not make an inspection, therefore no recommendation was made. Town Hall Annex Glenn Goldsmith,President ,f' . f!' , A.Nicholas Krupski,Vice President `*'t '�; 54375 Route 25P.O.Box 1179 Eric Sepenoski sz Southold,New York 11971 Liz Gillooly �y Telephone(631) 765-1892 Elizabeth Peeples 7�zll i.V+ ''' Fax(631) 765.6641 BOARD OF TOWN TRUSTEES • TOWN OF SOUTHOLD This Section For 011t'ice Use Only ' Coastal Erosion Permit Application !" FEB 2 B 2023 _ J _Wetland Permit Application Administrative Permit ;. __ Amendment/Transfer/Extension3 k ~Received Application: Z.Z8'Zf- - �Received Fee: _ �Zmpleted Application: 3.1.23 Incomplete: SEQRA Classification: Type I__ Type II Unlisted�._ Negative Dec. Positive Dec. Lead Agency Determination Date: .0 oordination:(date sent): LWRP Consistency Asse smen Form Sent: - AC Referral Sent: a? ✓ Date of Inspection: Receipt of CAC Report: ` 7 Technical Review: -"'-Public _ Public Hearing Held: Resolution: _ Owner(s) Legal Name of Property (as shown on Deed): Bradford R. Bumham Mailing Address: 40 Fifth Avenue Apt 12E, New York, NY 10011 Phone Number: c/o 212-768-7676 Suffolk County Tax Map Number: 1000- 10-4-13.10 Property Location: Penninsula Road, Fishers island (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): JMO Environmental Consulting Mailing Address: P.O. Box 447, Quogue, NY 11959-0447 Phone Number: 631-653-0607 4_ Email: GjUStl02l5@aol.com _ Board of Trustees Application GENERAL DATA Land Area(in square feet): 93,218.4 Area Zoning: R-40 Previous use of property: Existing single faniiy dwelling Intended use of property: Proposed single famildwellingw— 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 _Z—No If"Yes",please provide copy of decision. WA1✓ is project re �piq any demolition as per Town Code or as determined by the Building Dept.? Yes -J--No Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?jj�_No_a Yes If yes,provide explanation: Project Description(use attachments if necessary): Please see attached Applicant proposes to raze an existing single family dwelling; construct a new single family dwelling with leaders and gutters; install six 8'x6' dry wells for roof runoff; install an I/A OWTS system; construct garage; remove and replace underground utilities; remove and replace water service; remove existing gravel drive and restore with loam and seed and install new gravel drive. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:_New single family dwelling Area of wetlands on lot: 1,500 `square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 78.2 feet Closest distance between nearest proposed structure and upland edge of wetlands: 81.3 feet Does the project involve excavation or filling? ❑ No Yes If yes, how much material will be excavated? 30 cubic yards How much material will be filled? 30 cubic yards Depth of which material will be removed or deposited: 10 feet Proposed slope throughout the area of operations: 1:1 Manner in which material will be removed or deposited: Backhoe 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): As proposed there should be no negative impact upon the wetalnds or the tidal waters of the Town 61Z20 Appendix B Short Environmental Assessment Form Instructions for Com-Weting 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 l based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information �� M Name of Action or Project: New single family dwelling Project Location(describe,and attach a location map): Penninsula Road, Fishers Island. Location map enclosed Brief Description of Proposed Action: Please see attached Name of Applicant or Sponsor: Telephone:212_768_7676 Bradford R. Burnham E-Mail:Gjust10215@aol.com Address: 40 Fifth Avenue Apt 12 E City/PO: State: Zip Code: New York NY 10011 1.Does the pro_posed action only involve the legislative adoption of a plan,local law,ordinance, W NO XES 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: ✓ Southold Town Trustees, N.Y.S.D.E.c. & S.C.D.H.S. 3.a.Total acreage of the site of the proposed action? 2.14 acres b.Total acreage to be physically disturbed? n n2 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 2.14 acres 4. Che I land usp&-,t�at occur on,adjoining an ar the propqSeqaction. Urban LtAural(non-agriculture) Industrial Commercial ❑Residential (suburban) Forest [:]Agriculture Aquatic QOther(specify): Parkland Page 1 of 4 Applicant proposes to raze an existing single family dwelling; construct a new single family dwelling with leaders and gutters; install six 8'x6' dry wells for roof runoff; install an I/A OWTS system; construct garage; remove and replace underground utilities; remove and replace water service; remove existing gravel drive and restore with loam and seed and install new gravel drive. 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? 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? 11 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:_Fish_e !a llsland Sound _ _ _ ❑ 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? 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: ��_ w _ ,❑ ❑ 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: ❑ R 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ✓ b. Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b. Would the proposed action physically alter,or encroach into, any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres- 14 cres:14. ntify the typic bitat types that oc n,or are likely to be found on t}fe-project site. Check all that apply: ✓ Shoreline Forest Agricultural/grasslands Early mid-successional Wetland Urban 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? PNO If Yes, . ❑ a. Will stone water discharges flow to adjacent properties? ONO OYES b. Will storm water discharges be directed to established conveyance systemsff an drains)? If Yes,briefly describe: EJNO YES Page 2 of 4 I S.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:_ _._ .��.._ ._____�___ �_4 _ ,_�. �✓ ❑ 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: ❑✓ ❑ 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: G n St as 8q@Ilt��� Date:ab )1;::;21 Signature: Part 2-Impact A s /tThe 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 Targe impact impact may may occur occur 1. Will the proposed action create a material conflictwith an adopted land use plan or zoning Elregulations? EL 2. Will the proposed action result in a change in the use or intensity of use.of land? El 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 ❑ F-1establishment 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 a ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public/private water supplies? El b,public/private wastewater treatment utilities? EL �... 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ ❑ waterbodies,groundwater,air quality,flora and fauna)? 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? 1 1. Will the proposed action create a hazard to environmental resources or human health? Q 1 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 Jead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency _.�..��..... Date__.�__..�.... __...._._-... President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency_ Signature o1 Prepares(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Appliamzion AFFIDAVIT BmakA`c BjrrNkW 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. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF UVl"cJv , 20 2 3 MARICELA SALAS Notary Public-State of New York Notary Public NO.01SA6147503 Qualified in New York County My Commission Expires Oct 5,2026 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, R. Bradford Burnham , owners of the property identified as SCTM## 1000-10-4-13.10 in the town of Southold ,New York, hereby authorizes JMO Environmental Consulting 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. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF V v«✓vt-�- , 20 2 3 0- , MARICELA SALAS Notary Public-state of New York Notary Public N0.01SA6147503 Qualified in New York County My Commission Expires Oct 5,2026 C APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Part of town officers and emplovices.The Purvose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: R. Bradford Burnham (Last name,first name,iiiddle 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 of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%o£the shares. YES _F-1 NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check 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,err child is(check all,that apply): fjA)the owner of greater than S%of the shares of the corporate stock of the applicant = (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this tS day of IM42e-if 20 Signature Print Name B Bradford Burnham Tr Fortn TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Tow of S ut Id' C e of E Ics pLolijbits ronflIStsoQnteMst2nthe nartoEtovwn jfflSgrs Ind emploMs.The se of this o is to pLovidetlm ao which can al rt the town of possible conflicts of interest and allow It to takewh&t_ever actioni nec ami to avoid same. YOUR NAME: .Just, Glenn, E. (Last name,first name,tltiddle 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 of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other'',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"inpludes by blood,marriage,or business interest."Business interest'means a business, including a partnership,in which the town off cer or employee has even a partial ownership of(or employment by)a corporation in which the lown officer or employee owns more then 5%of the shares. YES __ NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/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,or child is(check all that apply): _nA)the owner of greater than S%of the shares of the corporate stock of the applicant 12 (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this�� of jF�b, /x_20 7 Signature _ Print Name Gle st Form TS I �' 3oard of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ,/1� 10 -3— i0 - q- 7.-3 /0 y_ 9- y /v' - 3 - yb1 i� V- 9 .3 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 i Glenn Goldsmith, President �Y�S�FFO(,�c Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski y P.O. Box 1179 Liz Gillooly i+�- ^'rt Southold,NY 11971 Elizabeth Peeples �?y�j01 �yO�,t:r Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD D E U E --------------------------------------------------------------- G In the Matter of the Application of AUG - � 2023 BRADFORD R. BURNHAM Southold Town COUNTY OF SUFFOLK Board of Trustees STATE OF NEW YORK AFFIDAVIT OF POSTI G DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED IN PLACE FOR AT LEAST SEVEN DA YS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ON EIGHTH DAY OR LATER I, � 1�R.11�•� 1�V� , residing at/dba 'R, ! )& Qiitll.{.1rT ' being duly sworn, depose ands say: That on the 'day of: T Ul - , 202.3 , I personally pos ed the property known as by placing the Board of Trustees official noticing poster where,ii can easily be seen from the street, and that I have checked to be sure the noticing poster hasiremained in place for a full seven days immediately preceding the date of thZpublicne 'in Date of hearing noted thereon to be held Wednesday,August 16,2023. I - Dated: L--Z— (si ture) i Sworn to before me this J 744 day oA� ?O23 L) N ry Public —• JASON W.DRENA N „e `�a Qualified in Suffolk County �-i G'•, Notarjfublic-Stale of Newyork No.O-IDR6350454 {;. • My Commission Expires November 07,2024 i 'd/ j171111t� ' r # E OF HEARIIYQ dCI ,• � r li4 .-+art y t _ t `�• � ➢ MSF � �ti � �5� �' - i a; �• e� yam' ' \!1� 7�`+";_ ! :.� �..�. ,`vEi,'; • '��^'. �' 1 fir .may. ;jjp -... —`7 .7 7 $ENDEA- COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY Com pldtA&=O,�-�,and 3. A. bignature ■ Print your name and address on the reverse X E3 Agent so that we cariXeturn the card to you. 0 Addressee 0 Attach this card to the back of the mallplece, B. Received by(Printed Name) C. Date of Delivery or on the front1f space permits. 1. Article Addressed to: p D. Is delivery address different from item I? 13Yes 00 ca If YES,enter delivery address below: E3 No 2 -l6 Tz ir E E -B 0 a = �=> ac-g ;F z UUP A ( 6 E �N We r,(�vj&NTJ [3 011 -a n WE 2 mm m -.CCD c5 Eh=>a coo 13 Q z 0 E 2 3. Service Type El Priority Mail Express@ : • -oi- 0 Adult Signature 13 Registered MailTM Vdult Signature Restricted Delivery El Registered Mail Restricted, C .Delivery T ertified WHO 2 9590 9402 6930 1 1 04 9370 72 0 Certified Mail Restricted Delivery 0 Signature ConfirTnationTm .2 0 Collect on Delivery 0 Signature Confirmation -3ollect on Delivery Restrlc,ii,�dbelfvery Restricted Delivery a) -8 7016: 09- lio -iPOP: 8114 insured Mail Z.5 >> d sprei�,Mail Re stricted a r CL a) 500); EE over$ Z) a) co 0'a'a 0 C1-- '-&o�ic'Re'fiJ-r'6­R-eceipt 0 o.. PS Form July 26M 14 7530-02-000-9053 Cr EO co co 0 0 0 0 X SENDER: COMPLETE THIS SECTION., COMPLETE THIS SECTION ON DELIVERY - A. Si nature 0 4) 1.0, E Complete items 1,2,and 3. 0 M El Agent 0 Print your name and address on the reverse 4a > M C3 X El Addressee 'Fa I-, so that we can return the card to you. C:) I Er 9 C. Date o E cli B. Received by(Printed Name) f Delivery • 0) 0 ;C' C) N Attach this card to the back of the mailpiece, CO or on the front if space permits. Er C3 cQ nj El Yes Er, 1. Article Addressed to: D. Is delivery address different from item 1? 0-0 '642 iQ) 0) � C:) z U) If YES,enter delivery address below: El No co 4) C3 'u3 �ZrdAWA P?"E�jrm�Nmxk I , (L CL rq mar-4,Btx* C:) L410 4�,4V', AkX(11110- kV Q'IF- 1-: co 0 - 47.0 r3 .Ei 2 C'a 02 in cp K')e� 0a - co ED M '01 '�q co 0 'a 3. Service Type 11 PriorityMall Express@ ID - < co I 'a. >1 r-q •Adult Signature 0 Registered Mail m LO -E- E -15- ro- -62 •Adult Signature Restricted Delivery D Registered Mail Restricted 0 *i= 0 , '1-e -0 II I 111111 IN III I III I III I I I I I 1 11 11111111111111 ❑ XCertified MailO Delivery t' TM 0 IL W 0 < r-91 EI Cc:tified Mail Restricted Delivery 0 Signature Confi m:t;on C3 ;onf�r ■ ■ ■ 9590 9402 6930 1104 9370 96 D Collect on Delivery 0 Signature C rm on EL Restricted Delivery ery Restricted Delivery u9 0 Collect on Deliv 2970 :110 0[riturddWall `2 ry 171 Initiriid'Mall Re6tricted1jeliVe (over$500) PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt I � COMPLETE THIS SECTION ON DELIVERY 'SEND • ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X [3 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. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No �to—(-1>0uk 3. Service Type ❑Priority Mail F�cpressO i II I We ult Signature Restricted Delivery ❑Registered Mail Restricted 111111111111111111 IIII III I III I III I I I I I 1111111 IN 111111 ❑Adult Signature ❑Registered Mail R ' erl.fied Mail® Delivery 9590 9402 6930 1104 9370 89 ❑Certified Mail Restricted Delivery ❑Signature ConfirmatlonTM ❑Collect on Delivery ❑Signature Confirmation 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery ❑Insured Mail 1 2970 p 2. 014 0 9 5 2 11(over`$00j I Restricted Delivery PS)—r—m— ,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt • , • • DELIVERY �ENDEPI-.'-c6w�ET' natur Sig ■ Complete items 1,2,and 3. A. El Agent f ■ Print your name and address on the reverse X El Addressee so that we can return the card to you. ■ 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. N`f, (GU[( 3. Service Type ❑Priority Mail Express®'..,l II I IIIIII IIII III 6Nil II I 1111111111 I III I I III ❑Adult Signature ❑Registered Mail"m itr-- ❑ dult Signature Restricted Delivery [I Registered Mail RestrioY�;d 9590 9402 3797 8032 4501 29 ified Mail® Delivery ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ct on Delivery Restricted Delivery ❑Signature ConfirmationlM I 7018 113 0 0000 3659 32115 ❑Signature Confirmation ped Mail Restricted Delivery ed Mail Restricted Delivery (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 _— DQmestiC Return Receipt Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#:�cac� r? 1��cv�lv�w� its~lo —1&lO NAME: ADDRESS: STATE OF NEW YORK COUNTY OF SUFFOLK C=JeI►\r lam— �U�k— , residing at Q_(Q 7%C?MyR , `�? being duly sworn, deposes and says that on the '31` day ofe1t�e 9 , 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 saidNoticeswere mailed at the United States Post Office located at (-.P.hke)n that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECE PT. .01 gnature Sworn to before me this VA Day of AU(r— , 20 Z to DIANE DISAWO NOTARY PUBLIC-STATE Of NEW YORK —No. ^1 DI475593 Notary Public Qualified In Suffolk County My Commission Expires Apiil 3u, 20 21/ 1000-10-3-1 Bradford R. Burnham Mary Buttrick Burnham 40 Fifth Avenue, Apt 12E New York, NY 10011 1000-10-3-2 Goose Island Overlook LLC c/o Paul H. Burnham 190 Old Ridgefield Road Wilton, CT 06897 1000-10-3-4.1 Rufus B. Burnham III 40 Fifth Avenue, Apt. 12E New York, NY 10011 1000-10-4-7.2 Joanne M. Burr 116 Roosevelt Avenue Hasbrouck Heights, NJ 07604 1000-10-4-7.3 Elbert M. Burr Doris Burr 44 Emerald Glen Lane Salem, NY 06420 1000-10-4-9.3 Bradford R. Burnham 40 Fifth Avenue, Apt 12E New York, NY 10011 1000-10-4-9.4 R.B. Burnham III Mary B. Burnham 40 Fifth Avenue, Apt. 12E New York, NY, 10011 1000-10-4-13.2 Elbert M. Burr 44 Emerald Glen Lane Salem, NY 06420 JMO ENVIRONMENTAL CONsuunNG P.O.Box 447 QuoGUE,NY 11959 631.653-0607 August 4, 2023 ® E C E 0 W E AUG - 7 2023 Diane DiSalvo Board of Town Trustees Southold Town Town of Southold Board of Trustees Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Application for Bradford R. Burnham 2680 Peninsula Road, Fishers Island S.C.T.M.No. 1000-10-4-13.10 Dear Diane- Enclosed please find the Proof Of Mailing Of Notice as well as the certified mail receipts for this application. Bes G E. Just Postal Postal RECEIPTCERTIFIED MAIL@ ■ ® MAIL@ . ■ rO Domestic Mail Onlyr9 /o Only r-3 Has u .F h� 1�� 7 t.{r� New ":or,r 3 ►ir px� 3: ; rrur Certified Mail Fee 4.+c� � Certified Mail Fee $4.35 I0960 Ln C] Extra Services&Fees(checkbox add fee ec ' op $ ❑ Return Recei t ardco s• P Bete) +��'r ��'i Extra Services&Fees(check box,add fee p ata) p(e pY) $ I III ✓:` '. If C7 ❑Retum Receipt(electronic) $ k!�-i fry rte! ,�! 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OWNER(S) OF RECORD: BRADFORD R. BURNHAM SUBJECT OF PUBLIC HEARING: For a Wetland Permit to raze the existing dwelling and construct a proposed 4,805sq.ft. single family dwelling with associated I/A OWTS system; a 679sq.ft. garage; 2,587sq.ft. of decks; a 386sq.ft. porch; 272sq.ft. of walkways; a 461sq.ft. planter; and 373sq.ft. of paved area; install six 8'x6' drywells for roof runoff; remove and replace underground utilities; remove and replace water service; remove existing gravel driveway and restore with loam and seed, and install an new gravel driveway. Located: R.O.W. Off Peninsula Road, Fishers Island. SCTM# 1000- 10-4-13.10 TIME & DATE OF PUBLIC HEARING: Wednesday, August 16, 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 * (6 31) 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 its sigtu acant beneficial and adverse effects upon the coastal area(which includes all of Southold Townl. 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 supaorting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTIOMOF SITE AND PROPOSED ACTION SCTM# 10 „4 -13.10 PROJECT NAME New single family dwelling 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: a Nature and extent of action: Please see attached Applicant proposes to raze an existing single family dwelling; construct a new single family dwelling with leaders and gutters; install six 8'x6' dry wells for roof runoff; install an I/A OWTS system; construct garage; remove and replace underground utilities; remove and replace water service; remove existing gravel drive and restore with loam and seed and install new gravel drive. Location of action: Penninsula Road, Fishers Island Site acreage: 2.14 _ Present land use: Existing single family dwelling T Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Bradford R. Burnham (b) Mailing address: 40 Fifth Avenue Apt 12 E New York, NY 10011 (c) Telephone number: 212-768-7676 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?N.Y.S.D.E.C. 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. 7✓ Yes '7 No 0 Not Applicable THere will be no impact upon the character of the community oro ens ace 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 W] Yes El No ❑ Not Applicable ifldo1a74maa..pYpmNMQYY.b.rdamdlandm.iwnY aoolUdtn.elelW d6yR'"e1N WoiW Fna.naWJN;.HOb7ri7.IMInc MMd a S4WW Mm tVVdmn.WeuEld ae N.W 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 There will be no Impact on the quality of the air Attach additional sheets if necessary Policy S. 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 The project does not involve solid waste or hazardous substances and wastes. 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. YeA0 No❑Not Applicable There will be no impact upon the public access to, or the receational use of, coastal waters, public lanc Attach additionalsheets if necessary There shall be no Impact upon any known historic or archaeoloical resources. 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 THere will be no impact upon scenic resources or the visual quality of the Town. 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 0 Yes ❑ No ❑ Not Applicable The project will not impact structures or natural resources by flooding or erosion, Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria 0 Yes ❑ No Oot Applicable There will be no impact upon the quality or supply of water. Xt—tach additional sheets Tnecessary 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 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 There will be ag " Town's 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 There will be no im act u on the sustainable use of living marine resorces in West Harbor or the Fishers Island Sound. Attach additional sheets if necessary Policy 112. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. Yes ❑ No❑Not Applicable The project does not involve agricultural lands. 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. FV]U Yes ❑ No❑ Not Applicable The proiect does not involve the use or development of energy or mineral resorces. PREPARED BY Glenn E. Just TI'T'LE Agent DATE -0-I�-I�3