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TR-10473A
1 Glenn Goldsmith,President ®F S0f!/�� Town Hall Annex A.Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric SepenoskiE Southold,New York 11971 Liz Gillooly ell- Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 C®UNN,� BOARD OF TOWN TRUSTEES May 17, 2024 TOWN OF SOUTHOLD Christopher F. Dwyer 437 South Country Road Brookhaven, NY 11719 RE: SPEONK LAND DEVELOPMENT, LLC 610 GULL POND LANE, GREENPORT SCTM#: 1000-35-3-7 Dear Mr. Dwyer: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 20, 2024. RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Administrative Permit#10473A to install a 1,430sq.ft. asphalt driveway with a 10' diameter drainage pool for runoff in lieu of the originally proposed 1,680sq.ft. asphalt driveway; and as depicted on the site plan prepared by L.K. McLean Associates, P.C., last dated February 28, 2024, and stamped approved on March 20, 2024. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, 41.- Glenn Goldsmith President, Board of Trustees GG/dd NOR TH ROAD LAND N/F -__ BUILDINGS: � .. KEITH WOODSDEVELOPED AND LE MALDINER `� EXISTING VACANT .. r ; 4 PUBLIC WATER Q PROPOSED 2 STORY RESIDENCE .00 a4 \ _ l V 650081031/ 2Vn o0 00 Z o W/ 4 BEDROOMS � " n/ --- - I SITE DATA: �.. �S SCTM#: 0100-035.00-03.00-007.0001 _6 q / SITE AREA: 0.583 ACRE - -- - ,c 6 - ---8-� ----� - GENERAL NOTES _-7-.. F>� o -- _ �� WELLS ARE LOCATED WITHIN 150 OF THE PROPOSED SANITARY 'o I I �� �, �,_ --_ � \ ____ _ I ,' EI I.: SYSTEM. PUBLIC WATER WELLS ARE WITHIN 200' 'OF THE PROPOSED SANITARY �. \ - - - ---� SYSTEM PROJECT --- --- 42s' 2. NO DRAINAGE STRUCTURES WITHIN 10' OF SANITARY SYSTEM 4 LOCATION 47.s' \ / \;'\,' E f 'S,' 3. PROPOSED SANITARY SYSTEM IS DESIGNED FOR A TOTAL OF 4 BEDROOMS. ; \ � 4. TESTS FOLLOWED DOH-1327 GUIDELINES AND WERE COMPLETED v _�a - USING ACSOTOPWATCH '-EA- 5 FOUND DURING EXCAVATION MUST BE REPLACED WITH ANY UNSUITABLE MATERIAL FO o ( DW ASTMC33 SAND (SP OR SW). 1 / Dom£ j 6. FRESHWATER WETLAND AREA TO WEST OF PROJECT IS MORE THAN 150' AWAY , PROPOSED 4' y CO (� c TE CLOSING 2 STY. 4 ST E, �_E E E �I SURVEY NOTES: PROPOSED 4' x- --x x x BEDROOM \ ry HIGH CHAIN 111 = T RESIDENCE 1 . MEASUREMENTS ARE IN ACCORDANCE WITH U.S. STANDARDS. LINK FENCE T 1 PATIO a '1� =t xi' \ Lx'11 x° r W/ CRAWL 2. BEARINGS SHOWN ARE IN NEW YORK STATE PLAN COORDINATE SYSTEM, LONG SPACE F.F.=12 5 ISLAND ZONE. 3. ELEVATIONS SHOWN HERE ON REFERENCE NAVD 1988. t- rr�ar. 4. UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED x - LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE �._: L r'�. " i -- NEW YORK STATE EDUCATION LAW. LOCATION M A P LAND N/F rr ='r 5. ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF t STERLING I 1A\\ THE LAND SURVEYOR'S "EMBOSSED" OR "INKED" SEAL SHALL BE CONSIDERED TO N.T.S. CEMENTERY f� I \ x 'ta:;' 20X40 =Aa: I I BE VALID TRUE COPIES. ASSOCIATION I \ .t_t. _ F`i z_ POOL r �' I I 6. CERTIFICATIONS INDICATED HERON SIGNIFY THAT THIS SURVEY WAS PREPARED IN DEVELOPED o ar i ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS PUBLIC WATER ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND " w,� n SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM �� . In \ / �/ � �' J \ THE SURVEY I5 PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, 33.4' x �: I PROPOSED ; ®W ® GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON AND TO THE \ ASSIGNEES OF THE LENDING INSTITUTION. CERTIFICATIONS ARE NOT TRANSFERABLE O GARAGE G OTEXTILS SAND F ERs - TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. \ F.F.=10.5 I - s 7. RIGHTS-OF-WAY NOT SHOWN ARE NOT CERTIFIED. " r 8. THE SURVEY CLOSES MATHEMATICALLY. r xi PATIO mgg a r " 7.4' i DWt2 Y E 2a:4' ti X �� x X X s , gii � 30 10 FV .. :_ .6„ Pik'<• 5. I 39. TEST HOLE BY MCDONALD GEOSERVICES 0 am PROPERTY 3/9/2023 SHIN ti a w, W�- LOCATION ��a •_-...,.EXISTING TREES 34.1 ': �; , = y _ <3,� W e W -" �- TO BE REMOVED � � �- �i� �� ASPHALT "r PROPOSED GROUND EL. 7.0 NDS 5" STRIP z, .... DRAIN s a - Mixed Sand and loam g, %a 3 � � _, - 8 /�'� !'/ 6---- / \ 3.2 NO WETLANDS LOCATED WITHIN 150' 6' Water in mixed sand and loam - WEST OF PROPERTY / 1_0 .-._.... _-___- AS PER FIELD Water in dark brown sandy Organic clay OL VERIFICATION BY , GARY GENTILE, R.L.S. 0.0 - O ON 6/6/23 Water in d brown bog pt\ S 65 W ���D�- wv , � -1.0 ---- --- 8' Water in dark brown sandy organic clay OL LAND N/F � -2.0 _ _ --- g: STERLING CEMENTERY ASSOCIATION DEVELOPED PUBLIC WATER Water in brown clayey sand SC LOCATION OF FRESHWATER G� WETLANDS AS PER NYSDEC MAPPER Water in brown€ine sand SP LIMIT OF FRESHWATER WETLANDS AS FLAGGED BY GARY GENTILE R.L.S. ON 6/6/2023 Cp / i F� �/ I - .0 8' j FACE LIMIT OF FRESHWATER WETLANDS APPRO Y E HIBFI STNEXOPE T D GROUNDWATER UNT ED 3.8' BELOW S0REL. 3.2 AS FLAGGED BY GARY GENTILE f,, FK � NYSDEC FRESHWATER R.L.S. ON 6/6/2023 `�%' BOARD OF 1 RUB TEES TE 'T HOLE WETLAND MAPPER- N.T.S. CL LEGEND: / TOWN of SC �-III���D SCALE: 1 "=f250' -- PROPERTY LINE /� DATE jKkci - 2Q t ZQ v� FWL00 I EXISTING CONTOUR 10 PROPOSED CONTOUR PAR - � 2024 �.FWi. LIMIT OF TREE CLEARING w j -L� PROPOSED LIMIT OF GRADING AND SILT FENCE SITE PLAN %DM PROPOSED DISTRIBUTION/SAMPLING MANHOLE SCALE: 1 "=30' •CO PROPOSED SANITARY CLEAN OUT 0 15 30 / \ U s PROPOSED SANITARY PIPE Feet / i 2-28-24 MF ADDED NYSDEC MAPPER OF FRESHWATER WETLANDS CFD Q FWL FRESHWATER WETLANDS BOUNDARY ,� _ I 1-10-24 MF RAISED HOUSE 12" & ADDED SKY PLANE CFD E AS FLAGGED BY GARY GENTILE, R.L.S. ON 6/6/2023 z / z DATE BY DESCRIPTION APPROV. BY e PROPOSED U.G. ELECTRIC J i� �' / \ W- PROPOSED U.G. WATER SERVICE m / REVISIONS �v I 0 / - - , _..� 510 GULL POND LANE too�D PROPOSED CEN5 I/A TANK - GREENPORT NY 11944 _ r _ ICD , Q r PROPOSED GRAVELESS GEOTEXTILE SAND FILTER PROPOSED RESIDENCE Q L- -J - i- 2ND FL.=23 00 . -I I / DW PROPOSED 10'0 DRYWELL ., a 45 µ " �W �;br � ,i ;; .... . 45 ° 14EI Y� PROPOSED SITE PLAN UTILITY POLEI� �I I , I DEK Q GAS METER I _ kll, C € �, �T _ _. r_� P� L. K. McLEAN ASSOCIATES, P.C. CONIFEROUS BUSH 10 0. FF 12.5 l N EL. 10.5 2 0' -.:-- - �'' I CONSULTING ENGINEERS 437 SOUTH COUNTRY RD. BROOKHAVEN NEW YORK 11719 / DECIDUOUS TREE - - - - - - - - - .. -: : - ----- - - - - - - -- � 10.0, 0 WATER VALVE I THE PERSON ALTERING AANYTHING N THE Designed B Sheet NO. - - g y: MF/CFD scale: AS NOTED Q) AND/OR THE ACCOMPANYING SPECIFlCATIONS, UNLESS rrs Cn GUY WIRE EL, 5.8 UNDER THE DIRECTION OF A LICENSED PROFESSIONAL �� ®73� /-� ///---��� ENGINEER, WHERE SUCH ALTERATIONS ARE MADE, THE J A N U A R Y 2 0 2 4 OVERHEAD WIRES �/ PROFESSIONAL ENGINEER MUST SIGN, SEA- DATE AND Drawn By: MF Date: \\J SKY PLANE D ETA I L DESCRIBE THE FULL ExTENT OF THE ALTERATION ON THE DRAWING AND/OR SECTIONIN THE S7209--2.nON (NYS ED. LAW A J D File No. pproved B y: 23043.000 Glenn Goldsmith,President � n COGy� Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 Eric Sepenoski co ,? P.O.Box 1179 Liz Gillooly �A • 0�� Southold,NY 11971 Elizabeth Peeples4 Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report® Date/Time: Completed in field by: Christopher F. Dwyer on behalf of SPEONK LAND DEVELOPMENT, LLC requests and Administrative Amendment to Administrative Permit#10473A to install a 1,430sq.ft. asphalt driveway with a 10' diameter drainage pool for runoff in lieu of the originally proposed 1,680sq.ft. asphalt driveway. Located: 510 Gull Pond Lane, Greenport. SCTM# 1000-35-3-7 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound -c— 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 4,"'E. Sepenoski L. Gillooly E. Peeples SQU Town Hall Annex Glenn Goldsmith,President `\v�� D. 54375 Route 25 A.Nicholas Krupski,Vice President �O 9e, P.O.Box 1179 Eric Sepenoski 4„ Southold,New York 11971 Liz Gillooly A- Q Telephone(631) 765-1892 Elizabeth Peeples ',� . • : Fax oou�ri71 , D L BOARD OF TOWN TRUSTEES MAR - 5 2024 TOWN OF SOUTHOLD This Section For Office Use Only Board ofi Trustees Coastal Erosion Permit Application Wetland Permit Application X _Administrative Permit Amendment/Transfer/Exte si n 1 4�Received Application:t!� )-q Received Fee: $. Completed Application:. Incomplete:_ _ - SEQRA Classification: Type I__ Type lI Unlisted Negative Dec. Positive Dec.�. Lead Agency Determination Date: Coordination:(date sent)- j LWRP Consistency Assessment Form Sent:. I CAC Referral Sent: Date of Inspection: Receipt of CAC Report:, _ Technical Review: Public Hearing Held: _ aD -If _ Resolution: � V j Owner(s)Legal Name of Property (as shown on Deed): Ike Toussie,Speonk Land Development LLC Mailing Address. .3080 Route 112 Suite B, Medford NY 1176.3 Phone Number: _ Suffolk County Tax Map Number: 1000 - 035.00-03.00-007.'000 _ 3 Property Location: On the West side of Gull Pond Lane, 350'South of North road (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Christopher F. Dwyer, Associate,,LKMA i Mailing Address: 437 South Country Road, Brookhaven, NY, 11719 Phone Number: 631-286-8668 Email,.- cdwyer@lkma.com k Amended Project Description — 02/29/214 510 Gull Pond Lane, Proposed Asphalt Driveway and Drainage The project description for the Southold administrative Trustees Permit review includes the following; A new asphalt driveway and a 10' dia. drainage pool is being proposed within the 100'wetland buffer as flagged by Gary Gentile R.L.S. on 6/6/2023. 1,430 SF of Asphalt driveway will be located within the 100'. buffer,and at its nearest point the driveway is approximately 87.8' away from the nearest wetland.All storm water runoff produced by the impervious Asphalt driveway will be captured by the 10' dia. drainage pool.The 10' dia.drainage pool will be approximately 86.2'away from the flagged wetland. The house and pool are located more than 100'from any known freshwater wetland. The proposed work will result in no disturbance within the 75'wetland buffer as shown on the attached plans.There will be minimal excavation within the 100'wetland buffer and adjacent property,and there will be transitional grading within the wetland adjacent area and all grades at property lines will be met. Board of Trustees Applic;-___ 'Dn GENERAL DATA Land Area(in square feet):.25,395-SF Area Zoning:. R-80 Previous use of property:'Vacant Residential Intended use of property: _2 story 4 bedroom 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? .AYes 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. WrTisprejectrequir any demolition as per Town Code or as determined by the Building Dept.? i Yes No I Does the structure(s) on property have a valid Certificate of Occupancy? Yes No z Prior permits/approvals for site improvements: Agency Date SCDHS 7/24/23 a ❑ No prior permits/approvals for site improvements. .Has any permit/approval ever been revoked or suspended by a governmental agency? ✓�No ❑ Yes If yes,.provide explanation - Project Description(use attachments if necessary): See Attached Updated:Prqject Description for Amendment of the admininstrative permit issued (Permit##10473A) by Board of Trustees.' Board of Trustees Applici,.__: �n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations to contruct a 2-story single family dwelling The NYSDEC required no distrubance of mature vegetation within the 100' buffer. In order to do that the original location of the house needed to shift to the rear { by 20' in order to access the side entry garage while maintaining distancve to wetlands. Area of wetlands on lot: 0 _square feet j Percent coverage of lot: 0 Closest distance between nearest existing structure and upland edge of wetlands: N/A _feet i I Closest distance between nearest proposed structure and upland edge of wetlands: 86 feet 1 Does the project involve excavation or filling? ❑. No ✓ Yes If yes, how much material will be excavated?200 cubic yards A How much material'will be filled?_200 cubic yards l Depth of which material will be removed or deposited: 3 feet l Proposed slope throughout the area of operations: <5% Manner-in which material will be removed or deposited: Excavator It is not anticipated that this project will require any fill. Clean suitable material from the 200 CY of excavation will be used in spots where fill is required. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by i reason of such proposed operations (use attachments if appropriate): The Proposed work will have no impact on the-adjacent wetlands. i OFFICE LOCATION: �� Sl�uryOl MAILING ADDRESS: Town Hall Annex '` O P.O.Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) y Southold, NY 11971 �, aQ Telephone: 631 765-1938 COUNVI LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: October 11, 2023 Re: LWRP Coastal Consistency Review for SPEONK LAND DEVELOPMENT LLC SCTM# 1000-35-3-7 Christopher F. Dwyer on behalf of SPEONK LAND DEVELOPMENT LLC requests an Administrative Permit to install a 1680sq.ft. asphalt driveway and 10' dia. drainage pool. Located: 510 Gull Pond Lane, Greenport. SCTM#: 1000-35-3-7 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. 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 Glenn Goldsmith, President ®� so Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President P.O. Box 1179 Eric SepenoskiAW Southold, New York 11971 Liz Gillooly Telephone (631) 765-1892 Elizabeth Peeples ® y® Fax(631) 765-6641 to Nil, 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 °/2 constructed When project complete, call for compliance inspection; Glenn Goldsmith,President ®� so Town Hall Annex ®� ®�® A.Nicholas Krupski,Vice President 54375 Route 25P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10473A Date of Receipt of Application: September 20, 2023 Applicant: Speonk Land Development LLC SCTM#: 1000-35-3-7 Project Location: 510 Gull Pond Lane, Greenport Date of Resolution/Issuance: October 18, 2023 Date of Expiration: October 18, 2026 Reviewed by: Eric Sepenoski, Trustee Project Description: Install a 1680sq.ft. asphalt driveway and 10' dia. drainage pool. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by L.K. McLean Associates, P.C., received on August 8, 2023, and stamped approved on October 18, 2023. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President C Board of Trustees LAND N/F -"- -- _-- _ - NDRTH ROAD 'r uSe KEITH WOODSIDE AND KYLE MALDINER PROPOSED MAC TR'AIR ILEGEND: DEVELOPED BLOWERS MODEL MACSORII ON O " -� PUBLIC WATER r^ CONCRETE PAD TO BE O ----- PROPERTY LINE N65008103'1 E L OOr OO' HARDWIRED UJ CONTROLLER \\� PROPOSED FUJI CLEAN :l --1 1-- EXISTING CONTOUR - CONTROL PANEL M NEMA 4X ENCLOSURE PROPOSED CONTOUR \ \` _6 — v ODM PROPOSED DISTRIBUTION/SAMPLING MANHOLE I� -Co PROPOSED SANITARY CLEAN OUT ( \ PROPOSED SANITARY PIPE a•�L .u<r�r FRESHWATER WETLANDS BOUNDARY AS FLAGGED BY GARY GENTILE, R.L.S. ON 6/6/2023 .I 7��TK—~ LJECT OCOATION OhoSm vEHD w/ PROPOSED U.G.ELECTRIC I'L DW y f0'MIN. 1 MIN. CHARCOAL FlL 18'MIN. I —�_ I f ABOVE GRADE.. 6'LAIN. \ &:0) L PROPOSED U.G.WATER SERVICE '8' oM-Am DOW OR DOOR. r� I i CO� PROPOSED CEN5 I/A TANK ^ `8! 6• 10'IN. � PROPOSED GRAVELESS, Im\JI GIGI 1a' -- MIN. 3.3 GEOTEXRLE SAND..` V\ y N MIN. _I DM FILTERS FOR FUTURE 1 , - IIr EXPAN519N r , PROPOSED GRAVELESS GEOTEXTILE SAND FILTER 2 STY. 4 :CO $ S 2!0'V 4' L \J m BEDROOM sR`� ] T 1 1 `VI ' ry W/(CRAWL 70 RESDENCEIADN..I I Ij. til ; DW PROPOSED 10'0 DRYWELL - \� n SPACE F.F:11.5 3 8 < Irl 81 P32.0'PT I TEST HOLE LOCATION (� PERCOLATION TEST LOCATION LOCATION M A P LAND N/F -7. ` `WTI N.T.S. STERLING k UTILITY POLE CEMENTERY I / I I T21 I I s' PERCOLATION TEST TABLE GAS METER ASSOCIATION tG I 1 I MIN. I F� \ PERCOLATION TEST DEVELOPED / M1IN I I 4 1 _4.7z l CONIFEROUS BUSH TEST HOLE NO. TEST HOLE DEPTH(IN. SOIL PROFILE DESCRIPTION PRESOAKING TRIAL 1 2 3 4 PUBLIC WATER ��e L -\ DECIDUOUS TREE loran svm Nm LeAu ry / POSED \ / WATER VALVE PT-1 29' rm P wnmR rxcouxr0+m 6/5/23 TIME 2:0 2:9 3:1 2:16 O \ 6/6/23 GE TEXTILE M / GRVELIESS A 2.1R O' O / / / GUY WIRE TRIAL 1 2 3 3 GARAGE SAND FILTERS N1- / OVERHEAD WIRES 32" Nva wim ui11pcauNrwm 6/5/23 F.F-9.5 i \\ i (�I / / 6/6/23 TIME :00 1:581:55 N/A Q/ DW I DW ) / - TRIAL 1 2 3 3 / r-- r-- _ _ _ NODSNaNO nw 1 1 I 1 \� �� � / � ® PT-3 28" 6/5/23 ® R POSED 6/6/23 wA1ER o+cauxfmm 5' � TIME 1:452:152:27 :5D / I DW / I DW ) / / ��, @ / / AS REPORTED BY L.K. MCLEAN ASSOCIATES, P.C. SANITARY SYSTEM SIZING CALCULATION L_,Q� PROPOSED 4 BEDROOM RESIDENCE I/A OWTS SYSTEM -- / -_ _- —6_ _ ` REQUIRED 440 GPD OF TREATMENT _ USE FUJI CLEAN CEN21 AS APPROVED BY SCDHS / \ i" LEACHING SYSTEM 1MEASURED PERCOLATION RATE (AVERAGE) 2.5 MIN (1-5 MIN/W)S 65'W /5`7_v/ �0_0, APPLICATION RATE: 1,.2 GPD/SF / LENGTH OF SAND FILTER REQUIRED: 61 LF (AS PER TABLE 11) / LAND N/F \ TEST HOLE BY MCDONALD GEOSERVICES LENGTH OF SAND FILTER PROVIDED: 64 LF(2 ROWS ® 32 LF EACH) / STERLING CEMENTERY ASSOCIATION 3/8/2023 FUTURE EXPANSION: 32 LF DEVELOPED GROUND EL.7.0 PUBLIC WATER Maed sand and loam f 1 C E V Fqf . ------- 3B' APPROVED Y ID I w �AOT� WaerfnmiXedsandantllDam BO �®'OF TRUSTEES/ fq ------- 8 Water In dark brawn sandy organic clay OL dA'I(� (nT� 7 Water in dark brown bog Ptd - TOWN OF- S®.LITH®!.D L, A U G `+' 2023 t.O 8 Water in dark brown sandy organic clay OL _ - p / -2.0 ___--__. 9 ' DATE o�fi8ie 1 S Zo�3 U1 / Water in brown clayey sand SC UUl01d Town LIMIT OF FRESHWATER WETLANDS _5� - -__- 12' Board afTrustees AS FLAGGED BY GARY GENTILE I 3 R.L.S. ON 6/6/2023 ! - o u ° BUILDINGS I --- --- � EXISTING VACANT Water in brown fine sand SP ( �w 0 f i U PROPOSED 2 STORY RESIDENCE / W/ 4 BEDROOMS 3 SITE DATA: SITE PLAN 18' ' SCTM#: 0100-035.00-03.00-007.000 C -11.D SITE AREA: 0.583 ACRE / SCALE: 1"=30 WATER ENCOUNTERED 3.8'BELOW SURFACE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES HIGHEST IXPECIID GROUNDWATER®EL 3.2 6/8/23 FP AS PER PERCOLATION TESTS AND WETLAND FLAGGING CFD GENERAL NOTES c- ®1 Y T NT HOLE DATE BY DESCRIPTION APPROV. BY c 1. NO EXISTING SURFACE WATER WITHIN 100' �`� �• �fF� REVISIONS w 2. NO PRIVATE WATER WELLS ARE LOCATED WITHIN 150' OF THE PROPOSED SANITARY SYSTEM. NO PUBLIC WATER WELLS ARE WITHIN 200' OF THE PROPOSED SANITARY SYSTEM `�. v 3. NO DRAINAGE STRUCTURES WITHIN 10' OF SANITARY SYSTEM o 4. PROPOSED SANITARY SYSTEM IS DESIGNED FOR A TOTAL OF 4 BEDROOMS. �` F' 510 GULL POND LAN E 5. ALL PERCOLATION TESTS FOLLOWED DOH-1327 GUIDELINES AND WERE COMPLETED USING A STOPWATCH. Ql 6. ANY UNSUITABLE MATERIAL FOUND DURING EXCAVATION MUST BE REPLACED WITH ASTMC33 SAND (SP OR SW). GREENPORT NY 11944 °a SURVEY NOTES: * PROPOSED RESIDENCE = 1. MEASUREMENTS ARE IN ACCORDANCE WITH U.S. STANDARDS. �' I Lj , 2. BEARINGS SHOWN ARE IN NEW YORK STATE PLAN COORDINATE SYSTEM, LONG ISLAND ZONE. 'F 3. ELEVATIONS SHOWN HERE ON REFERENCE NAVD 1988. SANITARY PLAN//`, p 4. UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. �Y7-p S. ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S "EMBOSSED"OR "INKED" SEAL SHALL BE CONSIDERED TO BE VALID Op TRUE COPIES. / L. K. McLEAN ASSOCIATES, P.C. p 6. CERTIFICATIONS INDICATED HERON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE O � ��� CONSULTING ENGINEERS 437 SOUTH COUNTRY RD.,BROOKHAVEN.NEW YORK 11719 NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS M BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. CERTIFICATIONS ARE FESS �� rwrnmx u.a r1a:sns or w>.mKK rnowms Designed B Sheet No. 7 PSA Roa M,n�wnwN,an Nro � r: MF/CFD Saa1e: AS NOTED p NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. ".�' v�ioe Ila.ccorr.xmrc sxmRnln,a.owes ms �`n`rnOXef�e�m�° '® Drawn a MF Date: APRIL 2023 S 1 r'T 7. RIGHTS-OF-WAY NOT SHOWN ARE NOT CERTIFIED. O+ax¢A..mmc such Avounara.RE w,c ra J N 8. THE SURVEY CLOSES MATHEMATICALLY. y' Rns a M, „a,_,1. APPra�ed By: RGD F.I.Na. 23043.000 SURVEY OF PROPERTY SITUATE AT GREENPORT TOWN OF SOUTHOLD ► SUFFOLK COUNTY,NEW YORK ► MAIN ROAD S,R, 25 ► MAP OF FORDHAM ACRES, SECTION ONE AT GREENPORT, FILED MARCH 7, 1962, AREA OF PARCEL = 25,394± S Q.FT. OR 0.583± ACRE ► z IN THE SUFFOLK COUNTY CLERK'S OFFICE AS MAP NO. 3519 Ln ui LOT 3 ► W cE LOT 6 ► \\ \\txFEr+ - c DEER _ N 6500870,3~ G 200,007 X72 NOTES MAP LINE MON �'----__ -----_;� MAP LINE - - _ X 4.4 LIPA M3 1. MEASUREMENTS ARE IN ACCORDANCE WITFI U.S.STANDARDS. // F 2. BEARINGS SHOWN ARE IN NEW YORK STATE PLANE COORDINATE SYSTEMNAD 1983, \ - - - \' ULOPE X50 I/ / j LONG ISLAND ZONE J// QX72 \\\X 8.2 `- - --X-g;g\ \ _-- - =_ S / / - Cr. 3. ELEVATIONS SHOWN HEREON REFERENCE NAVD 1988. \ / // d 4. UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEYMAP BEARING A LICENSED \��----- LAND SURVEYORS SEAL ISA VIOLATION OFSECT70N 7209,SUBDIVISION Z OF THE X IB•'S NEW YORK STATE EDUCATION LAW. X 7.7. 7.7 \ CfX8.6 8_\X 8.4 / � I I 5. ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF ..--_-.0 ( I THE LAND SURVEYORS'EMBOSSED'OR'INKED'SEAL SHALL BE CONSIDERED TO BE 1` _/ PI VALID TRUE COPIES. QWOOD LINE \��� X76 X QUI I X72 6. CERTIFICATIONS INDICATED HEREON SIGNIFYTHAT THIS SURVEY WAS PREPARED IN / n, ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE SURVEYORS.SAID CERTIIFICATIO S SHALL SOCIA OPROFESSIONALN OF HALL RUNONLY TOTHE PERSON FOR WHOM <fyF I / ~ I THE ICLONHIS BEHALF TO OTHA ? J GOVERNMENTAL AGENYADENDNG INSTITUTIOTHE LISTED TO THE Q X8.4 70\ ASSIGNEESOFTHELENDINGINSTn UT70N. CERTIFICATIONS ARE NOT TRANSFERABLE >. X8.5 / / �� X7.1 TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. L,4' X 8.1 X 8.1 // \_> --__ X 72 Z RIGHTS-OF-WAYNOT SHOWNARE NOT CERTIFIED. Z 41A /I------moi/ // _ �A' 4 B. THE SURVEY CLOSES MATHEMA77CALLY. ''^\ 9. UNDERGROUND UTIU71ES IF SHOWN ON THIS SURVEYARE FROM U17LITYMARKOUT y J X8.1 /���8 X7.3 LOCATED ON THE GROUND ANDIOR RECORD PLANS.BEFOREANYEXCAVA77ON IS TO I X 810' / X6.7 p X 7.1 BEGIN,ALL UNDERGROUND UTILITIES SHOULD BE VERIFIED AS TO THEIR LOCATION, eO \\ /// 1^ x \\ SIZE AND TYPE BY THE RESPECTIVE UTILITY COMPANIES. X7.8 V J \ 10. THIS SURVEY WAS MADE WITHOUT THE BENEFIT OFA TITLE REPORT.SUBJECT TO ti O / X6.6 O K I .•\ X 7.6 --J ANY EASEMENTS,CONDITIONS OR ENCUMBRANCES AN UPDATED 7I71E SEARCH MAY REVEAL J `V 4 6 X6.7 X6.5 I ^ 11. APPROXIMATELY 3'OF SNOW COVER ON GROUND ON DAY OF SURVEY. ' . / 1 I r^ j v 2 1 6' 6' / // w X6.5 NOTE: I 6' // / 'c3ALL BURIED UTILITIES(WA TER,ELECTRICITELEPHONE A ND GAS)SHO WN ON THIS SUR VEYARE X 7.7 I / I I a BASED UPON AS-BUILT INFORMATION PROVIDED BYTHE OWNER/DEVELOPFR OR THEIR DULY -ioC // X 7 4 1 ��09 X6.5 X 6.9 3 w AUTHOR/ZED REPRESENTATIVE'S(INSTALLER)MFIISUREMENTS. 'j• 6' v� / �\ j I M=6.87 70 I '\ SET IN BIlOT` J 1P• l \ ,6-__� � TWfM'FREE I MON - �' ., I I X 6.5 7.6 MON © LEGEND S 65008703~ W 200,007 I1 UTILITY PULE _ . . .. . \ ® GAS METER N/F I ^ CONIFEROUS BUSH rE^ STERLING CEMETERY ASSOCIATION i J • • • . DECIDUOUS TREE DjE 0 E L� D A . WATER VALVE F--- - GUY WIRE --�t, -OH-• OVERHEAD WIRES I,L31I AUG 8 2023 Southold Town Board ofTrus,3es 05/25/23 T.L.S. Boat removed from property T.L.S. tt E DATE I BY DESCRIPTION JAPPROV. BY REVISIONS S��C! �� CERTIFIED TO: Town of Southold Suffolk County, New York * ae y * Speonk Land Development LLC 510 Gull Pond Lane Westcor Land Title Ins.Co. Greenport, New York Eminent Abstract Property Survey SUFFOLK COUNTY REAL PROPERTY TAX MAP NO. ' DISTRICT 1000 05fl528 ��� I hereby certify that this map was made from an actual survey L. K. MCLEAN ASSOCIATES, P.C. SECTION 035.00 completed by me on 02/27/2023. 437 So. COUN RY SULG ROAD,S & LAND SURVEYORS BROOKHAVEN. NEW YORK BLOCK 03.00 LAND &p'wlCA r,dd survey BY. CMM swim 1'= 30' Sheat No. LOT 007.000 TAMARA L.STILLMAN,P.L.S. Drawn Br GLB Oat. March 3, 2023 Il PA23043.000 510 Gull Pond Ln Greenport\Survey Dept\Draw1ngs\23043.000 Survey.dwg 7/25/2023 ID33 AM Tamara Stillman NYSPLS No.50528 Approved Br TLS File No. 23043,000 Il �g1lFFO(K�„ Glenn Goldsmith,President �Ov 6Gy Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 0 Eric Sepenoski w , P.O.Box 1179 Liz Gillooly �y • o�� Southold,NY 11971 Elizabeth Peeples � �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: la..A. 7.o?3 Completed in field by: g% Christopher F. Dwyer on behalf of SPEONK LAND DEVELOPMENT LLC requests an Administrative Permit to install a 1680sq.ft. asphalt driveway and 10' dia. drainage pool. Located: 510 Gull Pond Lane, Greenport. SCTM#: 1000-35-3-7 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 ., L a 1 � - - _ aLt; rR 4 i 0 I � � , • r s !• � �+r .� •�, �j♦ ,,fir _� • •' • I `U AIX -! I Cv- PHOTO 1 PHOTO 2 (TAKEN ON 6/1/23) (TAKEN ON 6/1/23) r lie .I .• LAN; .. (OEWENTERY I� 1 4• • ' qS50CIATI)N 1 \F ! f • w • 1 PED • ♦ ' �; ".i 't♦ ..- �, 7 V 1 ql@R':ATER PHOTO 3 PHOTO 4 e _ • �,f - , ; (TAKEN ON 6/1/23) (TAKEN ON 6/1/23) ' i •,�, AL 5WO A-\ W A9, STERlM� to . .. ! 41 t •� PHOTO 5 PHOTO 6 o • ,r .♦ " ♦ (TAKEN ON 6/1/23) (TAKEN ON 6/1/23) o O d Q 7 SITE PLAN •,pew DAIE BY DESCRIPTION APPROV. BY LEGEND: SCALE: 1"=30 PROJECT REVISIONS LocATION -=:.., -:: ...,r_,• :..1,. -.=�, ,.,, 510 GULL POND LAN E p PHOTO NUMBER & LOCATION -'�' _ GREENPORT NY 1 1944 E oPROPOSED RESIDENCE 0 n a v a PHOTO 7 PHOTO SHEET j (TAKEN ON 6/1/23) Z Q L. K. McLEAN ASSOCIATES, P.C. �a CIL 4 V ;� CONSULTING ENGINEERS .31 SOVIN COUNTRY RD.,BROOIONVEN,NEW 1'DRN 1171e 4 vusw rwi K 1r[ , morns D LOCATION MAP , Krn� n DesigneaBY: MF/CFD same AS NOTED Sheet ND. c ° m •� "°ate M Dla—BY: MF Date APRIL 2023 PS 1 / N.T.S. °o`o..."`"`�:r M"` 10i»:�"m°"w Approved BY: RGD File ND 23043.000 W OZ y 0V10 5 � -LAU. iD2 D2 - 'e M1 D 2 3 1QS� G0 .ro d l0 O m e.,s 'yG�� tee' � �'� -_,1� rOpi e��•e '✓"# 3 wl� 00-2Pz0 \ ys \`, ""0 '* ��N •�'A '�e c xn.z, a ��1', l �..�. y� y� �r, e azar+,,- •'� e`er d ;".,a. .-� r\+ 1 _. �. _':-0 N .eM 'x � ,• .lei e• sr ", ';, � ems\ Ay4 +✓ ys .i. a '.. R4. ��r � a e1 1JE6Nc) �k 1'fN'd S1 6� \ .' y° !'• .� 't �„.=". s ao > �.'-� - r• Pti. y+ s� µra Q. .. 11 F.,fie`?;�„ ..,.e�4 a 1 .' ,� _, Y L' ,�. >e � _ $..c 4 r _►pr'1 •e F4. .. 4•` 'L�\ .. e�,. .. �A ' e3 Y"" �\y 0 a. ` 4 ,py �� " : a�e�r Rd. _, �,; y •sd ,,�4 \ „yam � �. fr ��.., e _. 1 ,.4 !, d M90i 6• ,4 o- f;.d�p�,'yy��'f. f : .�o '� k ,e'p ;"„ "may °° '"r �x 4?:�, qr � .� •„Aav, . t .. "Yg d'y •r a ,' � "` ••* s-a�w�.i� 'S '. � 1 ,s.' e� g r�°` m'��; r a t ; w ta6 �:aot s lr a t :« P , .,y�f�,k -P\!1'• 14\t�,Yw1C`6 7 ,M1~ .; MJtEI f '� ,.. f+ 0 10 r •@"F 34 � I = t ,:.. ,or e,m.. — �.,v.. a<w COUNTY OF SUFFOLK Cc7 IN Notice ,az sec•iory > L _ __ �"=�rw__ __ ,.... - h 17 tvl 1y�rttry uuxten.;<. iawwN eua� v :c W E )wier�uw tun BgUTM0Lp 1211 �' '�"" 035 .. .r. w a u -, Ht':AL RpfAry*M SBrvCE a4FH.r F cY • OFFICE LOCATION: o��OF SO(/T�o MAILING ADDRESS: Town Hall Annex l0 P.O. Box 1179 54375 State Route 25 [ Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) y ,r G • Q Telephone: 631765-1938 Southold, NY 11971 olyCOUNVI LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: October 11, 2023 Re: LWRP Coastal Consistency Review for SPEONK LAND DEVELOPMENT LLC SCTM# 1000-35-3-7 Christopher F. Dwyer on behalf of SPEONK LAND DEVELOPMENT LLC requests an Administrative Permit to install a 1680sq.ft. asphalt driveway and 10' dia. drainage pool. Located: 510 Gull Pond Lane, Greenport. SCTM#: 1000-35-3-7 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. 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 Glenn Goldsmith,President ��®F Town Hall Annex A.Nicholas Krupski,Vice President �� ��® � 54375 Route 25 P.O.Box 1179 Eric Sepenoskit fi Southold,New York 11971 Liz Gillooly G � Telephone(631) 765-1892 Elizabeth Peeples yd Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only — nr �Coastal Erosion Permit Application E 4 Wetland Permit Application 1 Pp ! X Administrative Permit 2 L _ U) —Amendment/Transfer/Extension SEP S 2023 Received Application: Received Fee: $ 1 Southold Tows Completed Application: Board afrriistees Incomplete: . SEQRA Classification: Type I__ Type 11 Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of CAC Report: __Technical Review: Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): Ike Toussie,Speonk Land Development LLC Mailing Address: 3080 Route 112 Suite B, Medford NY 11763 Phone Number: Suffolk County Tax Map Number: 1000 - 035.00-03.00-007.000 Property Location: On the West side of Gull Pond Lane, 350'South of North road (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Christopher F. Dwyer, Associate, LKMA Mailing Address: 437 South Country Road, Brookhaven, NY, 11719 Phone Number: 631-286-8668 Email: cdwyer@lkma.com _� Board of Trustees Application GENERAL DATA Land Area(in square feet): 25,395 SF Area Zoning: R-80 Previous use of property: Vacant Residential Intended use of property: 2 story 4 bedroom residential Covenants and Restrictions on property? Yes __Z_No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? FV1 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. WMhis project re 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—0—No Prior permits/approvals for site improvements: Agency Date SCDHS 7/24/23 ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓�No ❑ Yes If yes, provide explanation: Project Description(use attachments if necessary): See Attached Project Description. Project Description 510 Gull Pond Lane, Proposed Asphalt Driveway and Drainage The project description for the Southold administrative Trustees Permit review includes the following; A new asphalt driveway and a 10'dia. drainage pool is being proposed within the 100'wetland buffer as flagged by Gary Gentile R.L.S. on 6/6/2023. 1,680 SF of Asphalt driveway will be located within the 100' buffer,and at its nearest point is approximately 87.8'away from the nearest wetland.All storm water runoff produced by the impervious Asphalt driveway will be captured by a 10' dia. drainage pool.The 10' dia. drainage pool will be approximately 86.2'away from the flagged wetland. The proposed work will result in no disturbance within the 75'wetland buffer as shown on the attached plans.There will be minimal excavation within the 100'wetland buffer and adjacent property, and there will be transitional grading within the wetland adjacent area and all grades at property lines will be met. i I SEP 2 0 2023 D.ciiJ iiL':'f;W . -�ij 4 Q�"Ci o-f Lrustees Il Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: NIA _feet Closest distance between nearest proposed structure and upland edge of wetlands: 86 feet Does the project involve excavation or filling? ❑ ® No z Yes If yes, how much material will be excavated? 200 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 3 feet Proposed slope throughout the area of operations: <5% Manner in which material will be removed or deposited: Excavator It is not anticipated that this project will require any fill. Clean suitable material from the 200 CY of excavation will be used in spots where fill is required. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The Proposed work will have no impact on the adjacent wetlands. Short Environmental Assessment Form Part I -Project Information Instructions for Completiny_ 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 1 —Project and Sponsor Information Name of Action or Project: 510 Gull Pond Lane New Construction Project Location(describe,and attach a location map): 510 Gull Pond Lane,Greenport,NY,11944 Brief Description of Proposed Action: Construction of an asphalt driveway and installation of a 10'diameter drainage pool to accommodate any storm water runoff produced by the impervious asphalt surface. Name of Applicant or Sponsor: Telephone:p 631-286-8668 Christopher F.Dwyer E-Mail: cdwyer@Ikma.com Address: 487 South Country Rd, City/PO: State: Zip Code: Brookhaven NY 11719 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 government Agency? NO YES if Yes, list agency(s)name and permit or approval:Suffolk County Department of Health Services ❑ 3. a. Total acreage of the site of the proposed action? •583 acres b. Total acreage to be physically disturbed? .404 acres c. Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .583 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑ Urban ❑ Rural (non-agriculture) ❑ Industrial ❑ Commercial m Residential (suburban) ❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑ Parkland Page 1 of 3 5. Is the proposed action, NO YESJ N/A a. A permitted use under the zoning regulations? ❑ ❑✓ ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑ EZ I_ YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? ❑ ❑✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ❑ NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? ❑ b. Are public transportation services available at or near the site of the proposed action? ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the 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: ❑ ❑✓ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 0 171 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ET of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ IZI archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 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? ❑ EZI 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: Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: El Shoreline ❑ Forest ❑Agricultural/grasslands ❑ Early mid-successional ❑Wetland ❑ Urban m Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? ❑✓ ❑ 16. Is the project site located in the 100-year flood plan? NO YES ❑ ❑✓ 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ ❑✓ a. Will storm water discharges flow to adjacent properties? ❑✓ ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑ W1 If Yes,briefly describe: Stormwater Runoff will drain into on site drywells 18. Does the proposed action include construction or other activities that would result in the impoundment of water L—YES f or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: Z ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES 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: Z ❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: Christopher F.Dwyer Date: 6/14/23 Signature: r Title:Contact/Agent PRINT FORM Page 3 of 3 ✓EAF Mapper Summar teport 'Thursday, June 8, 2023 3:04 PM Disclaimer: The EAF Mapper is a screening tool intended to assist 35._3_ 2 +�� project sponsors and reviewing agencies in preparing an environmental _ ` _.'s 35. 3 4.1 ,.5•-4.28.45 assessment form(EAF).Not all questions asked in the EAF are 35:1-25 y� } 1 t - answered by the EAF Mapper.Additional information on any EAF 35 3 5 35.-4-28.25x question can be obtained by consulting the EAF Workbooks. Although the EAF Mapper provides the most up-to-date digital data available to DEC,you may also need to contact local or other data sources in order t�35.-3-1�35. 3-2�� {`'`35 3 6 �: 35.-4-28.26 to obtain data not provided by the Mapper.Digital data is not a 1substitute for agency determinations. � 35,=3=7 35•`w1l 28.2 Janie Sorr�d t�,snroo f }_: :,• �.. Klnlaaton ?1an9pe �~ 35,t4-28.2 - - 0 --_outhold13 ToFontb _,�' irr _o,-__ Rocntcr j I on Albany- 35.-3-13.2 Esr HERE Garmin,USLS,`Ietern}a Ir••ICREr�v�� � i -- _ c r n. 56U1-fes:Esri, HERE, Gaanir.;USGS. Intennap, IrtiCREhnENT P. NP.Caa, Esd Japanha ETI, Esti dRt3n„ Esri Japan;,fvtE�i Esri Chir:a.J•F:+r,ti Y€n i, Esri'f;e•i;e Ea;l' { . -China Nor•g Kongl.Esri Korea, ;Thailand;,NGCC.+ Oper-Streeti-elap contrinutors,and 'Tli, i:a�ci,N-GCC,j> v'per5tr?�tf�'1aF?cs'rtra 'r.tor.,ar-;:tn,�GI tlfllnr� , the SIS UserCc+n��munt•; User Finri'iti it;, Esri;HERE. arrran:j; '�; r S P;F'S -:.' -- - _. Part 1 /Question 7 [Critical Environmental No Area] Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] Yes Part 1 /Question 13a [Wetlands or Other Yes- Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15 [Threatened or No Endangered Animal] Part 1 /Question 16 [100 Year Flood Plain] 'Yes Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report Board of Trustees Appllca on AUTHORIZATION (Where the applicant is not the owner) I/We, Ike Toussie, Speonk Land Development LLC owners of the property identified as SCTM# 1000-035.00-03.00-007.000 in the town of. Southold , New York, hereby authorizes Christopher F. Dwyer, Associate, LKMA to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Bo rd of rustees for this o erty. Pr6perty Owner's Si ure f n Property Owner's Signature I SWORN TO BEFORE ME THIS u�� _DAY OF _ --, 20 Notary Pu li CHRISTINE WIEGAND NOTARY PUBLIC,state eof New oorrk�n No. E35 es August 17 5 Commm issionscion Exp -, Board of Trustees Applic-,_jon AFFIDAVIT Christopher F. Dwyer BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIHER 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 PER-MIT. MS�(gnature,pf Property Owner Signature of Property Owner vK SWORN TO BEFORE ME THIS DAY OF 20 Notary Pub CHRISTINE:WIEGAND York NOTARY PUBLIC,state of New YO No.01WI6210359,Suffolk County commission Expires August 17_V2i APPLICANUAGENU/REPRESENTATI VE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The numoose 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: Ike Toussie, Speon k Land Development LLC (Last name,first name,iriddle 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%of the shares. YES n NO FVI 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,or child is(check all that apply): _nA)the owner of greater than 5%of the shares of the corporate stock of the applicant _n (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 n )-- Submitted t rs � day S e�� 2 ` Signature Print Name Ike Toussie,S eonk Land Development Fortn TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the cart of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Christopher Dwyer (Last name,first name,ipiddle 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%of the shares. YES NO 7 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,or child is(check all that apply): _aA)the owner of greater than 5%of the shares of the corporate stock of the applicant _n (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the —Rapplicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 2�J- day of AV uSf 20'I3 Signature____4 Print Name Christopher F. Dwyer Foran TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its sigiificant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 035.00 -03.00 _007.00 PROJECT NAME 510 Gull Pond Lane 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: The proposed action is the construction of an asphalt driveway and a 10' dia. drainage pool to contain any storm water runoff from the impervious asphalt surface. f 6 Location of action: 510 Gull Pond Lane, Greenport, NY, 11944 Site acreage: 0.583 Ac Present land use: vacant Present zoning classification: R-80 Residential 2. If an application for the proposbd action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nacre of applicant: Chirstopher F. Dwyer,Agent (b) Mailing address: 437 South Country Road, Brookhaven, NY, 11719 (c) Telephone number. 631-286-8668 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? _ 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 f. Poster 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 fff—Policies; Page 2 for evaluation criteria. [—]Yes ❑ No 7 Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the 'Fawn of Southold. See LWRP Section fff—Policies Pages 3 through 6 for evaluation criteria i ❑ 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 0 loot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from. flooding and erosion. See LW' Section III—Policies Mages 8 through 16 for evaluation criteria ❑ Yes ❑ No ❑✓ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve eater quality and supply in the 'Town of.Southold. See LWRP Section III — Policies Pages 16 through 21 for evaluation criteria ❑✓ Yes ❑ No ❑loot Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the 'Town of Southold ecosystems including Significant Coastal Fish. and Wildlife Habitats and wetlands. See LWRP Section FII — Policies; Pages 22 through 32 for evaluation criteria. 7 Yes ❑No ❑ Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 3.2 through 34 for evaluation criteria. ❑ Yes ❑leo 0 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 W1 Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal eaters, public lands, and public resources of the Tovim of Southold, See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ `il'eF77 No❑ Not Applicable Attach additional sheets if necessary WORN II.G COAST POLICYh5 Policy 10. Protect Soutlnold's water-dependent rases 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 Attach additional sheets if necessary Policy II. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and 'Town waters. See-LVVRP Section III-Policies; Pages 57 through 62 for evaluation criteria. ❑yes ❑ No ✓❑ Not Applicable Attach additional sheets if necessary Policy 12, Protect agricultural lands in the 'Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ❑Ves ❑ No❑✓ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Sections FII-Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No ❑✓ Not Applicable PREPARED 13Y ��-®- - ��.�_ TITLE Agent DATE 7/25/23 I, LIE&A LETTER OF TRANSMITTAL L. K. McLEAN ASSOCIATES,P.C. CONSULTING ENGINEERS DATE: 09/19/23 1 PROJ NO.: 20099.000 437 SOUTH COUNTRY ROAD ATT: Diane DiSalvo BROOKHAVEN, NEW YORK 11719 RE: 510 Gull Pond Lane, TO: Town of Southold,Board of Trustees 54375 Main Road PO Box 1179 Deed and Ownership Proof Southold,NY 11971 We are sending you 5-1 Attached 0 Under separate cover via the following items: IF DE '.� Shop Drawings Prints Plans [ Samples Specifications Copy of Letter Change Orde i SEP 2 0 2023 Other: Southold Torin Board of Trustees Copies Date No.Sheets Description 1 9/19/2023 3 Updated Application Form 1 9/19/2023 3 Copy of Deed 1 9/19/2023 2 Email of Request 1 9/19/2023 1 Agent Authorization Form 1 9/19/2023 1 Affadavit 1 9/19/2023 1 Applicant Transactional Disclosure Form 1 9/19/2023 1 Company Resolution These are transmitted as checked below: For Approval Approved as Noted Resubmit Copies for Approval X For Your Use Returned for Corrections Submit Copies for Distribution As Requested No Exception Taken Make Corrections as Noted For Review and Comment Other: For Bids Due Prints Returned After Loan to Us REMARKS: Copy To: LKMA File,Speonk Land Development LLC Signed: Christopher F.Dwyer,Associate(Auth.Agent)