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HomeMy WebLinkAboutTR-10702A 1 ��®� 5�� ® . Town Hall Annex Glenn Goldsmith, President _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 � y® Fax(631) 765-6641 C®UNT'1,� 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 1 sc day of construction \/ '/2 constructed �C When project complete, call for compliance inspection, DWPueuC WATER) (USES DWE�I.IN WATER, Pals (USES PUBLIC s,mow. s z DO 997.23' m (nn 45:3g cn $ o o` 45' ; \ �}SES WELT TER, 0 GREE14"O & 1RREGA1 10N EJnsr"w cn w ;; \ °' v g MARRATOOKA m BUR WATE ' W I ♦ c LAKE m (USES PUBLIC �K AVENUE VIA OF pA�� .\ ♦ rn 7g6.71' ` Pas C:ITt Z2c WELLIN WATER) "` `\ uL/1 �r ;v M� • . . . . . . . . .. . . . . . . . . . . . . _ � o U UB11C \\ c�Z < SUBJECT DEEP HQLE yr v z ( ESP 1: 1 I 4" \\ CREEK m A m \ m "" . PREMISES :.. . . . . A Z rn m DWELI-IN WATERS pUBUC ����0� F . . . . . . (USES p01NT ROAD I IUPT N p,�l EN U E 200' oy _ o U F F 0 s K N 78 ao'3o E 30„ w I W 5�,, NEwpUB WIATER IN g 78�¢0� _ I p" zr PfL 22 135�90� 1�r S °T Eti`Gy��F� \7.8' 13' r , f ... . 2' f ASPHALT CRATE 155 I -~' 43850,. / o0 AREA #2 ROADWAY ASPHALT \ I \ . . .. � ��• ovo° 113 SOFT. \ �? I Aa �� � ,_......;��"ry 2a�� KEY MAP 22.51 RESERVE/DEVELOPMENT h, �a SCALE 1 =600 N\2 N II AREA Sq. �'/ �• ` 89,28 q Feet ITo4 ! NON-DISTURBANCE BUFFER 2.05 Acres e�°� � ♦; ti ��,; to,:\ 5= 1st 11 oLE �/ \ �' � ;\ .'.' '/.'. ...� � i� 3 • \ I oo \\ a G t^ 1Pizs I \'. . . . . . O \ I I QQ' 3� / SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES O \ I \ ,\' �' h Great River, New York . . . . . % DATE ��� \ \ LOT 1 I _ . . . , W ♦`��. ."L. .....� I n DHC LAND LLC AND THE PROPOSED DEVELOPMENT FOR HIRSCH RE-SUBDIVISION y\f y v i r; IN THE HAMLET OF MATTITUCK TOWN OF SOUTHOLD \ / /. . I,•,•,•,. .,. .... , , � m WITH A TOTAL OF LOTS IS EXEMPT FROM REQUIREMENTS �� \ AREA yy2 I / y � g: W PURSUANT TO ARTICLE 6 OF THE SUFFOLK COUNTY SANITARY (� iT / p I \ J''.'.2 29' ' i y CODE SECTION 760-6128-. WATER SUPPLY AND SEWAGE •/ 531,262 S.F. Or 12.2 Acres TOTAL c; F �LdSJI'2y'E:. . . . . .'. .'. ,+, i x 3 (J DISPOSAL FACILITIES ON EACH L07 MUST CONFORM TO ^ , I CONSTRUCTION STANDARDS IN EFFECT AT THE TIME OF CONSTRUCTION \ I ♦ I .'.'.'.'.'.'.'.'. G �` � v, I � __ AND ARE SUBJECT TO SEPERATE PERMITS PURSUANT TO TAX N o. 10 0 0— 1 15— 10—01 I y W THOSE STANDARDS. O \ _ . . I Y O \ x "+lig. = N WALTER DAWIll JR., P.E. \` I w Director. Division o1 Environmental Ouality CA �\ ' EXISTING WELL TOWN OF SOUTHOLD N BASEMENT . . . :t N I �.\t EXISTNC HOUSE \ I \\ TO REMAIN _ O '�\. DEVELOPMENT RIGHTS EASEMENT AREA \ \ N `` 2.OP'.,,;:`:24::;;:"' 55.6'T LINE 01 / I O �m i A ` 426,663 S.F. I WIRE FENCE `\ o''6151NGF ONC 8i ? \ 6' DwEuxlc N sTEPsM',' I w PROPOSED GRAVEL DRIVEWAY SCREEN TEST HOLE #3 \ a'"" D s�\ I �OI+L PORCH : i r' 70% RETENTION RAINFALL TYPICAL TYPICAL LOT LAYOUT \ r / I I ♦1 t� Q `�b� ! ON-DISTURBANCE BUFFER II \ FM.GARAGE o,',',', 1 I o ZONE 1: 3500 S.F. R �, TO REMAIN N `a 3500x.70=2450 S.F. I`` � NO WATERING SANRARY +�+�''.'.' ,^ 1 �j \ ' i \I; 1 2450x0.166=407 C.F. LINE LOT 1 TIE N 94.e' To 5 , r i (1)100x6' DEEP DRYWELL = 410 C.F. '7 hereby certify that the proposed water su s and or !2.2'; o"ti" ! >9 sew a dig osal system(s)a for this PPS) \ �•,i aq p sys () project were �F I` 31 •w �" ZONE 2 1920 S.F. designed by me or under my direction. Based T4�2° " ' ' upon a camful and thorough study of the soil, L \ UP •>� ` x'S 8T17'J1 W, R w1RE.SCE rw 31 76 3500x.70=1344 S.F. 91te and groundwater conditions, all lots as N 88°40'20" E ♦ E o 1RRE O.1's. x0 yC3 I♦ N GN1 1344 .166=223 C.F. proposed conform to the Suffolk County Depart- ment of Health Services construction standards N 54,04' rAo . \ F j8 40'50 £ (1)10�x4' DEEP DRYWELL = 273 C.F. SM:ao In effect as of this date" IC— 111 MD � ly N.N 20' N g7 20 ��""° SINGLE$• rn ZONE 3: 3500 S.F. FAMILYDWELLING \� 200 0 `w 3500x.70=2450 S.F. I st'o '%<': TAX#1000-115-10-02 2450x0.166=407 C.F. - w \ I - �Y LAND N/F OF +, c (1)100x6' DEEP DRYWELL 410 C.F.to \z� RESERVE/DEVELOPMENT AREA #1 B DDVGLas L�SLIE 4•` :...~. HIRSCH a ZONE 4: 2700 S.F. IIA OWTS P PROPOSED 35�' WIDE ACCESS g Y 2700x.70=1890 S.F. SEPTIC o S I3 \N \ I 25,967 S.F. .,,,P " LLI _ K 1890x0.166- 314 C.F. SYSTEM P LOT 2 0Ld tun Pow AREA #2 \ I (1)100x5' DEEP DRYWELL = 342 C.F. ! d';;.'.;d;;;;?ie' AG. STRUCTURE AREA - • .• +!'r;'Siii;fi;• Z J 10'MIN . .a w a 104486\ Sq. Feet � :.::::,`: .•. � � _ � I 30 z ' ' RICHARD M. MATO A.I.A USC#041861 2.40 Acres Ln va LOT 2 ww\CID ` • . \ _ ! Ld a THIS IS To cERnFY, BASED UPON AN EVALUATION O ow ; { AND VISUAL AND WATER OSUPPLY SE'RIRNGG THE I EXISTING �,,STK. �. TM ,,e Pr, BUILDINGS) THAT THEY APPEAR TO BE FUNCTIONING — U1: Z �''::�� ws oaw=sr c.-Pawsv�nwrs ms PROPERLY AND TO BE ADEQUATE TO SERVE THE wY A p': ,<'..:. c e1 EXISTING USE OF THE BUILDING(S) \ / ISO, u, '.. ...::--,._o o PROVE BY DEC 2 0 2024 a a N •'w:--% BOARD OF 1 RUSTEES \ a w TEST HOLE #2 \ `" :z:':: '''. TOWN OF SOUTHOLD Southold Town I ! Board ofTrustees •, �a 0 100'Ld I I y \ D I r DATE RICHARD M. MATO A I A LISC 041861 \ ° w m J 1 F 1 �n�C, SI a-o a. 9IP \ L93, P' -- \ MO ..4. a 20 wfuTroN RESERVE/\EVELOPMENT AREA #16 MON. �f . . . . . . ,' ., •. Ir 10...%''. . .c m 10 ..'. N :..: : '..,.... .'. .'. . . . . . . . `mot ° d� S. PROPOSED\10' WIDE ACCESS RESERVE/DEVELOPMENT AREA #1B N 78"47� :': ' '."`' '' :'' *1 a. Mo srB* 2,022 S.F. PROPOSED 35' WIDE ACCESS 405-p7. . . . . . . .. . . . . . ::...EL.pRIVEWA,±'..`.`..:.. . . . FercE 2e• �� STK. '...1bi';,; A�',, , '::.', . . . . . FEE 440.7 W �t\NG A SET MONUMNETS 10-25-24 . . .• .. . . . . ..'.'.. . . '.v:...,'.:,,PROPOSE(T..:..t'... '• •T�EE5 115. _' D UBUC W TERM _.(�/,:` ."'•' AREA OF MOWED ' ' ROW OF F (USES P REVISED 08-01-24 1.• G ASS _:T.'• ''tWN. N 0%NUS $TK. �}NE.3' ' - uNE _--- AD REVISED 02-07-24 2 _ ENTER - ED11 _ .- 1ND DHC REVISED 08 28 23 ---y �t R) LAND LLC AND HIRSCH � " ' - � .. SPRUCEYTRE �� F DWE WATE . ............ Row`OF. N/°/OEFLER pUBUC OWNER/APPLICANT: UPDATED - - \ P.,j N. - .� Y J• LEA USE o'. MO R L EF ( s U D ED 06 30 23 4 _ ^w ANLY RE SUBDIVISION REVISED - - ) r:. .. N 'ONE,4'''���%�"•�!�.'••`•',.:"��N�. F1fAY � ELLING TER, TAX No. 1000-115-10-01 1000-115-10-02 E SED 01 25 22 \ _ .:.�. ., . . .. `.:' ;6',`?.,':'. .:'•�`"'"`:'.CENT64N'.." RTGNT 0 � AREA OF MOWED DW LIC WA :•.Co:: ;`EOF ��e 47'1�„ �IFFLEY GRASS (USES PUB DHC LAND LLC LOT LINE MODIFICATION THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL p W N/O/ DOUGLAS & LESLIE HIRSCH LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS ;�ZS Mir 5 78' dG.�ERREN L DIFFLEY 1990 NORTH SEA ROAD AND OR DATA OBTAINED FROM OTHERS. _tea. 5028 NEW SUFFOLK RD RESERVE/DEVELOPMENT AREA #1B (US WUCCENG sPx:RO+ ye�; ` . CE6TBNUNE DWELLIN WATER) SOUTHAMPTON NY 11968 UNAUTHORIZED ALTERATION OR ADDIT70N TO THIS SURVEY IS A VIOLATION OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY EXISTING 10' WIDE PORTION gLIC as: p�gUc BEARING TEST HOLE # 1 DA7A TEST HOLE #2 DATA TEST HOLE #3 DATA OF EXISTING 20' RIGHT OF WAY WA TfR) ►`�y;':•. (USES MATTITUCK NY 11952 ONLY NOT THE PERSON EFOR WHOM THE SURVE��SSPREPARED AND ON HIS BEHALFTO�HE nrRE COMPANY,UGOVERNMENTAL RAGENCY AND ALENDING R�NS11TU170NRUN ELEV. 24.4 D, ELEV. 11.3 0, ELEV. 23.4 O, 2,374 S.F. - o LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INST17UT70N E. , GUARANTEES ARE NO7 TRANSFERABLE. OL BROWN SILTY LOAM UNE N PROPOSED cENTER TAX No. 1000-115-10-01 & 02 THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURIES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE SP SAND do GRAVEL1' NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS'8•z16' BELC. BLK. OF HEDGE OH BROWN LOAMY SILT APRON AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY 12' 2' ZONE R-80 LOT AREAS EXISTING PROPOSED SURVEY OF:DESCRIBED PROPERTY SP SAND k GRAVEL SW WATER IN ER PALE BROWN FINE r� SAND do GRAVEL SP TO COURSE SANG 650,906 S.F. LOT 1: 620542 S.F. 50 0 25 50 100 200 SITUATED AT: MATTITUCK HIGHEST EXPECTED EL 2.0 14.94 ACRES 14.25 Acres KENNETH M WOYCHUK LAND SURVEYING, PLLC TOWN OF:SOUTHOLD Professional Land Surveying and Design 17 17 • P.O. Box 153 Aquebogue, New York 11931 NO WATER JUNE 30, 2014 McDONAID GEOSCIENCE 200517 NO WATER LOT 2: JUNE 30, 2014 TERRA TECH SITE DEVELOPMENT Acres 1.72 Acres 44633 S.F. 74996 S.F. SUFFOLK COUNTY, NEW YORK PHONE (831)298-1588 TERRA TECH SITE DEVELOPMENT At 41� FILE #14-62 SCALE: 1"-50' DATE:JUNE 30, 2014 N.Y.S. LISC.f NO. 050882 i Glenn Goldsmith,President ®F SO(/,� Town Hall Annex 54375 Route A. Nicholas Krupski,Vice President ,�®� ®�® P.O. Box 1179 Eric Sepenoski J Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �� Fax(631) 765-6641 c®LINTY�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10702A Date of Receipt of Application: December 20, 2024 Applicant: Douglas & Leslie Hirsch SCTM#: 1000-115-10-2 Project Location: 5028 New Suffolk Avenue, Mattituck Date of Resolution/Issuance: January 15, 2025 Date of Expiration: January 15, 2028 Reviewed by: Board of Trustees Project Description: Install a 15' wide gravel driveway; install four drywells. 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 Kenneth M. Woychuk Land Surveying, PLLC, received on December 20, 2024, and stamped approved on January 15, 2025. 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. 1 Glenn Goldsmith, President Board of Trustees 0 U. THO.L D - R U I. T EES � T S NO. lo'0+oa A Issued To,))O%AsL } ��� �;�s�� Dade Address 5oa8 New 5�.�4-o1�c Ave , Mo►1�'�TucK THIS. NOTICE MUST BE DISPLAYED DURING CONSTRUCTION .TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765.1892 I C _ - -�:Y 2as*•:Y NEW�� m' \ ✓u \ - Is�°,°°r�--- J f` ry +y' /.�e� E. I a L'rI.Q'�b• \ as � 1 gc�pRF/[OE\FLOP�CHI� S � E 1 6 u Y�:r 1 y 1 199 k�Fnt t o ` omim �-4 0�1 P, DEC 2 0 2024 NZ7 F.v 1x]eue IOLY. 1, I. V TAX No. i9,000-115- 0i �R' Soutt101dTown �1.\ \ \ ON \ 11 ,m III • W Board ofTlustm Q .+aa \OFKIOPNFM RIMS FARY,T'T ACFA �'/ 1 �- , & O xE.suU. F \ \ �•\ \ \ rd \/ 1 i It s� r s ra•..n�r.�rw�r�..err \ ' \ \ i. ;�• F . i,i d.o® .o .:22 a �® _ �� \\\ \ \ I��� \11,a,:,'. •a.�.�,;m �6 i�n>�'•°0"�9'`9aPr:-.,...,ems.. ,•,,r ._,,..�r.�� 21 . 1.u. 10:w Moen i Ime owtwNc i, -_ rr\Pnem� ne \ \e.Y,ale 9nr, _ ,<e ..++�• l ,cee e' W^'Q�' '•1:::.,. '7.�� � APPt1CANT:JOHN L IYCNHAY LAND LLC AND HIRSCH E �a-V OMNZR/dPPUtdxi: UPOAIEO Ox-.10-2 _ ��\,r +'� w xo.t000-llo-lo-al looc-Its-lo-o: RE-SUBDIVISION NENEEn Ol-xs-xx ONL UNs ut ooucusa lEalE xwcx LOT LINE MODIFICATION .*as 1rR=P�a m••' I990 NORM Y1 No _ gesr....x+ea:• r .o•✓a .2.HEW s— PD Naa a Am aI v rw�� � ��omO SWIXAYPION HY 1196a W1fIN0f NY 11933 +wo mr� r ® .vavm. ix%No.IOW-115-10-01 a 03 �� '� ZONE 0.-e0 Ipl eoraa �vemi�a2�vncva��m �xai�uvawotm L9StN0 PPOPoSFO enee m OESO=PROPERTY LOT 1: 650,108 S.F. 50 0 35 50 IW 200 1191 xcPE9 12131w .e YATRNIX .g,FH N a �1IC „"'IsaTMcw ea wa9a.n�raw u9s1 Lar x; xuu u. Tx99s xF. tt Nee rawc ` ^� �' w,wu. Loz gem Ln 99m ' ath82 a+ut•�50'9.m,YxE a0.tOla Glenn Goldsmith,President �aJ'���UFfO�COG �' Town Hall Annex A.Nicholas Krupski,Vice President c y< 54375 Route 25 Eric Sepenoski W P.O.Box 1179 Liz Gillooly �y 0�� Southold,NY 11971 Elizabeth Peeples ' Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: (� Z Completed in field by: G. Go Io1SmA DOUGLAS & LESLIE HIRSCH request an Administrative Permit to install a 15' wide gravel driveway; install four drywells. Located: 5028 New Suffolk Avenue, Mattituck. SCTM# 1000-115-10-2 Typ of area to be impacted: 7Saltwater 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.: 4 Present Were: ✓ G. Goldsmith N. Krupski E. 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S' 45�� I. {L+ '`i+x Yr'+�'��s,F v S���l.�f 1�'y^y���'�'L 4 t r.�Y��'T�•',' r X.�� �Ss'�Y�� �:w. i `Yt .��. r .. _. f � 1 �� fU,ss .: v I ,-7rr ar t_ ,, � >[✓ iti/ .- i�t.��,._ ` • / �. !.'yi / t AY!, ,,,�• a:�s f e tDv,` r xx ip -_ ( 7i , r _�-- ,tip. �����.-1 ..+• A I � EVi ,� \ �r • 501 .r pMOD IM Vol IN b' w WNW `.1� �� i 9".`+s sr- f�11 e Y t •' ,l it { K NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY @ Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-03651 F:(631)444-0360 www.dec,ny.gov LETTER OF NO JURISDICTION TIDAL WETLANDS ACT March 19, 2024 Douglas R. Hirsch 27 Red Ground Rd Old Westbury, NY 11568 Re: Application # 1-4738-03259/00003 Facility: Hirsch Property Address: 5028 New Suffolk Ave, Mattituck Dear Applicant, Based on the information you submitted, the Department of Environmental Conservation (DEC) has determined that the above referenced property landward of the "top of slope", elevation 21 feet, as shown on the survey prepared by Kenneth M Woychuk, last revised 2/13/2024, is beyond the jurisdiction of the Article 25 Tidal Wetlands Act. Therefore, in accordance with the current Tidal wetlands Land Use Regulations (6NYCRR Part 661), no permit is required to conduct regulated activities landward of the top of the slope. Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any,sedimentation or disturbance within Article 25 Jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the jurisdictional boundary and your project (i.e., a 15' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. This letter shall remain valid unless site conditions change. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely, l� Mary acKinnon Permit Administrator CC: En-Consultants, BMHP, File rom Department of rATE Environmental Conservation SD 0 u- so 1. — s y i � —W SUFFO rKNUE ua.1�� a X X KEY MAP .. . . m yF� X X X .•. ,',I ,+. \. y i 1°m,'•,.so-t.^ �;,r/ ,�//.�, o�..o I A • x A X tea( .. . w \ �\ / I • I LK AVENUE p9O x X (X`1\ - r. - 1, - NEW SUFFO X X X \j \ - � s X X X( \i .q.n., A 4y1 � U12tE Sf.a III�16Va, '4J1 ,(� �'.� II �• U � W ➢° x X p _, a EXISTING `r x x \ No. 1000—�15-10—Oi. A\ x X x x x X :. :• Tool uu:al.*Ixa y77 w ss 61._ . \ \ '1 r6 ... o X X �X X X 1 1� ALxX x c'UGFOIK AVENUE NEW `3 X X,r.`\ - .\ ,7 r•.� 11 �e M_ ,lk \ ,:IIF `� y PROPOSED ! X \X -X',. _� _.__�._ " - 11111�r7d11 , w 1 yt _ -t X' Xr, \ ' PROPOSED t N �LQT. LINES .. �'w f1e \ — LOT LINE MODIFICATION\l.a 6:. FOR DHL 'LAND LW AND HIRSCH en',60}1,1-,E-CI 1000-113-10-01 � `.� �� " .,,•,..! 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V,•s { 1,9 i \.. \ \ ,.GNE?.v;\ .�, \-., ,F,a\�... ,*rfR •r'' !'re a. I �- �J a,+::;�.\�',,AucN':+,., J ,\,`��� •`;�`,, 3� :� ` - tam aEc�. „ia -;4i;l, ,.+-, .\� .\" ,\,� �aa- ��:�..�v. \;��\ \,� \,�r.-.`v�;,,�• .�\. .�,\��::�•,\�..x.. "�'`.\\, .� `:;;?.\\°\"` ./ 1 ,�,i-.-�__.�,,:` ram. ,i •'Szi1's'�?`� L %-� �r ao,•,n�,a ...�a.a,"""'�""""`�' - •'^•.. •" cow COUNTY OF SUFFOLK© rr •" NdrrE ;'gyp•' x°r ,00D SECT DN ND PrupenylWx Senice A[;ency v w �aDnR Rw6 b vDRmN or Nb M o, so mow 115 atRFIXa.cIXMYTRXAb,P Yi WAnY,ED A ••'p- vtfK — _ r*, 5 wWVEAtt rnx SFINYE•GEHY �p OFFICE LOCATION: ,. 3; �.",.' MAILING ADDRESS: Town Hall Annex y^ b'f - `° P.O.Box 1179 54375 State Route 25 {> ! Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold,NY 11971 Telephone:631 765-1938 `',}'�G .�� _ :a0,' LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: January 14, 2025 Re: LWRP Coastal Consistency Review for DOUGLAS & LESLIE HIRSCH SCTM# 1000-115-10-2 DOUGLAS & LESLIE HIRSCH request an Administrative Permit to install a 15' wide gravel driveway; install four drywells. Located: 5028 New Suffolk Avenue, Mattituck. SCTM# 1000-115-10-2 The action is recommended as 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 ytxOF soU� Town Hall Annex A.Nicholas Krupski,Vice President Oy (�!0 54375 Route 25 P.O.Box 1179 Eric Sepenoski 41 Southold,New York 11971 Liz Gillooly Elizabeth Peeples � ` � Telephone(631) 765-1892 ``` Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only E C E ' V E _ Coastal Erosion Permit Application D Wetland Permit Application '< Administrative Permit DEC 2 0 2024 _ Amendment/Transfer/Extension _Received Application: _Received Fee: $_ S 8 Southold Town Completed Application: Board of7nrstees _ Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec.__ Positive Dec. Lead Agency Determination Date: _ Coordination:(date sent): k' LWRP Consistency Assessment Form Sent: 3l a S CAC Referral Sent: )Date of inspection: 7 s Receipt of CAC Report:— _ Technical Review: _YPublic Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): Douglas and Leslie Hirsch Mailing Address: 27 Red Ground Road Old Westbury NY 11568 Phone Number: 516-456-6886 Suffolk County Tax Map Number: 1000 - 115-10-02 Property Location: 5028-New Suffolk Avenue Mattituck NY 11952 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): _ Mailing Address: Phone Number: Email:dhirsch@sadis.com . _ Board: of. Trustees Applical.-1 - q /GENERAL DATA . 'Land Area(in-square feet): Area Zoning:R.80 Previous use of property: Residential. Intended use.of property:-Residential — = Covenants and Restrictions on.property? Yes _allo If"Yes",aplease provide a copy. Will,this.project require a Building Permit as per Town Code? Yes _Z_No If."Yes",:be advised this application will lie-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. his project re any demolition as per Town Code or as determined by-the Building Dept.?- Yes ✓s 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?J�]_No_n Yes -If yes,provide explanation: Project Description(use attachments if necessary): :[A 5fA 1L+JVV �►1 �f1G� wVt --J c�r� At lkl�. . ,dfl&!Y VeA P-OW) Awl id anti( . 1�'G. I MId-C Vle., _J�i b s i.��i,�c I► 4 J'r' Board of Trustees "A"i" ication WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:;To:be used as a driveway to access the property,, Area of wetlands on lot.-,' square feet Percent coverage of lot: .:' ^` : PH Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: i ':feet Does the project involve excavation or filling? ,0 No Yef}R1�s If yes,how much material will be excavated?. .,_ cubic yards How much material will be filled? AVe cui;ic yards Depth of which material will be removed or deposited: _� _ .feet Proposed slope throughout the area of operations::., . a Manner in which material will be removed or deposited:,. Statement of the effect,if any,on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): No effect a 1 Board of Trustees Applicat-Lva WETLANDfTRUSTEE LANDS APPLICATION'DATA Purpose of the proposed operations: To be used as a driveway to access the property Area.of wetlands-on lot: Shy (Od square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: _feet Closest distance between nearest proposed structure and upland edge of wetlands: fee our too# Does the.project involve excavation or filling? ❑ No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed-slope throughout the area of operations: Manner in which material will be.removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by . reason of such proposed operations (use attachments if appropriate): No effect 617.20 Appendix B Short Environmental Assessment Form Instructions for-Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part l -Project and Sponsor Information Douglas and Leslie Hirsch Name of Action or Project: Driveway install Project Location(describe,and attach a location map): 5028 New Suffolk Avenue, Mattituck, NY 11952 Brief Description of Proposed Action: Install a gravel driveway Name of Applicant or Sponsor: Telephone:516-456-6886 Douglas and Leslie Hirsch E-Mail:dhirsch@sadis.com Address: 27 Red Ground Road City/PO: State: Zip Code: Old Westbury NY 111568 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 1-1may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 21 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: ❑ ❑ 3.a.Total acreage of the site of the proposed action? 1. 2 acres 'b.Total acreage to be physically disturbed? .7 - acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.72 acres 4. Che I land us at occur on,adjoining an ar the prop action. Urban ✓ Rural(non-agriculture) Industrial Commercial ❑✓Residential(suburban) Forest Agriculture Aquatic QOther(specify): EParkland Page I of 4 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? . ✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental.Area? NO YES if Yes,identify: � ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO 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? Ev 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: Existing Well ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: Existing Septic ❑ 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 NOP 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 water body? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14 Jdpntify the typic bitat types that occ n,or are likely to be found on tffe.groject 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 UYES flz TV 17.Will the proposed-action create storm water discharge,either from point or non-point sources? NO If Yes, a. Will storm water discharges flow to adjacent properties? ONO OYES ❑✓ b. Will storm water discharges be directed to established conveyance systemspff an�m drains)? If Yes,briefly describe: O ES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or.other liquids(e.g.retention pond, waste lagoon, dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES - solid waste management facility? If Yes,describe: F] ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES - completed)for hazardous waste? If Yes,describe: .❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLED ' Applicant/sp nso na : Do glas.Hirsch Date:12/19/24 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part.I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may . may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. W ill the proposed action result in a change in the use or intensity of use of land? a a J. Will the proposed action impair the character or quality of the existing community? a a 4. Will the proposed action have an impact on the environmental characteristics that caused the El ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit, biking or walkway? El 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? b.public/private wastewater treatment utilities? 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 i i 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? El 11. Will the proposed action create a hazard to environmental resources or human health? 0' Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part I For every question in Part 2 that was answered"moderate to large impact may occur",or if there:is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may 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. a' Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Applicat ,L AFFIDAVIT DoUk.,41-ow G66I't_ 11//zfC41 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 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. R4 Signature of Property Owner Signature of Property Owner SWORN TO.BEFORE ME THIS DAY OF �� , 20 2 Notary Public 720 A/v DZ,�v,62�� 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 simificant ° beneficial and adverse.effects�iipon`th&6bastal area:(;yl eh ricluiles:all dMoufl o.ld.Towi). 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- ,Wj �®rtiag.ta'�eis: If an action cannot be certified as consistent with the LWRP policy standards and conditions,it.-'sltall 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#_ PROJECT NAME l;l Awd �D&-AOAIr The Application has been submitted to (check appropriate response): ToW Board ;❑; Planning Board'El Building Dept. ❑ Board of Trustees f 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) Q (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: ►.o Location of action:5021% .. SC�ftw4 Site acreage: l Present land use: ti _1- Present zoning classification:. 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: (b) Mailing address:__7 ^. �' '# V_ /v y (c) Telephone number:... 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 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes i No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the 'Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Yes O No ® Not Applicable ,Attach`additiopal'shc6;ts 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 a No IX Not Applicable Attach addltiaitnl s eets i necessary - - NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LVVRP Section III—Policies.P ' 6§1 through 16 for evaluation criteria Yes: No"- otApplicable Attach additional sheetsif necessary Policy 5. Protect and improve water quality and supply in the 'Town of.Southold. See T,WIBP Section III —Policies Pages 16 through 21 for evaluation criteria , ; Yes No of Applicable ttac -a ,iUona- ects 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 ILWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. 1 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 32 through 34 for evaluation criteria. F] Yes ;D No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in 'Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. E Yes al No _.Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Sections III—Policies; Pages 38 through 46 for evaluation criteria. nn Ell,: Yew!':No:M Not Applicable Attach additional sheets if necessary I WORIaNG COAST POLICIES Policy 10. Protect Southo➢d@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 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 U 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. E]Yes ❑ No. -of Applicable Attach additional sheets-if necessary Policy 13. Promote appropriate use and devehopanent of energy and mineral resources. See LWRF Section III—Policies; Pages 65 through 68 for evaluation criteria. 0"Yes ❑!No '' `Not Applicable PREPARED BY. . U l7� TITLES 6 �- DATE :,