Loading...
HomeMy WebLinkAboutTremaine gUFfQ�,� C Glenn Goldsmith,Pres._.,nt ����0 00 Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 0 Eric Sepenoski ,? P.O.Box 1179 Liz Gillooly �y • o!-V Southold,NY 11971 Elizabeth Peeples l �� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: JMO Environmental Consulting on behalf of SARAH C. TREMAINE requests a Wetland Permit to construct a 43'x20' (860sq.ft.) two-story, single-family dwelling with a 20'x20' screened-in porch, a 10'x43' deck with walkout below; install an I/A OWTS sanitary system; install gutters to leaders to drywells to contain roof runoff; install water and electric utilities; install a gravel driveway with parking area; construct three boulder retaining walls (25', 115' and 140' in length) and regrade site; and revegetate disturbed areas. Located: Brickyard Road, Fishers Island. SCTM# 1000-10-5-12.26 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 Drawing Copyright 0 2015 TEST HOLE DATA 44-i & OBSERVED BY: RICHARD STROUSE, P.E.L.S. ���1 ( 40-11 DATE: 05/20/2016 l MUSEUM LAND TRUS 40-19 0"-6" TOPSOIL 44-3 6"-25" SANDY SUBSOIL 25"-17' MEDIUM SAND, POORLY GRADED, LITTLE OR NO FINES (SP) 4o-n 400 Capital Boulevard,Suite 301 NO WATER ENCOUNTERED \ 44-5 40-12 40'1° Rocky Hill,CT 06067 EXPECTED SEASONAL HIGH GROUNDWATER ELEV.=f5 ' 860-885-10551 www.chacompani'es.com 44- SOIL CLASSIFICATIONS J 40-1e NY Certificate of Authorization#0015021 RpE - RIVERHEAD & PLYMOUTH VERY BOULDERY SOILS 15-35% SLOPES / DARBIES � SITE 40_15 4h6 40-13 i/A SEPTIC SYSTEM UPGRADE FOR 5 FIED$,OOMS \ COVE 44-7 PROVIDE 2 L.F. 4" C.I. PIPE BETWEEN HOUSE AND CLEAN-OUT. \ 44-15 44-6 40-14 LOCATE CLEAN-OUT 2' FROM FOUNDATION WALL. 44-14 PROVIDE FUJI CLEAN WASTEWATER TREATMENT SYSTEM - MODEL CEN 7 (700 GPD CAPACITY - MAXIMUM 6 BEDROOMS) / 4-9 44-te PROVIDE TWO 8' DIAMETER LEACHING POOLS 44-13 WASTEWATER TREATMENT SYSTEM SHALL VENT THROUGH THE SEWER PIPE. A HOUSE _ TRAP SHALL NOT BE INSTALLED UPSTREAM OF UNIT. NO ADDITIONAL VENTING IS WEST 44- 1 44-10 REQUIRED HARBOR 44-12 4h11 0 4,-,e SITE DEVELOPMENT PLAN INVERT ELEVATIONS- / � PREPARED FOR OUTLET AT HOUSE - 55.00 (VIF) ADAPTOR INLET - 54.20 4-21 SARAH TREMAINE ADAPTOR OUTLET/TANK INLET - 54.00 TANK OUTLET - 53.83 '''-t9 44-so ,�-� 43-e 4,-,2 BLOCK 44, LOT 6 DISTRIBUTION BOX INLET - 53.58 z DISTRIBUTION BOX OUTLET LEACHING POOLNETS - 50.00 50 a 4h23 43-s 4,-„ FISH RS BRICKYARD ISLAND,A NY BOTTOM OF LEACHING POOLS - 42.7 LOCATION MAP SCALE 1 "=400' DRAINAGE CALCULATIONS \ PROPOSED ROOF AREA = 2,300 SF \ MAP REFERENCE 1.) PROPOSED SET-OFF PLAN THEODORE N. DANFORTH PROPERTY AT FISHERS REQUIRED = 2,300 SF X 2 IN/12 IN/FT = 384 CF \ ISLAND, NEW YORK SCALE 1"=100' CHANDLER, PALMER & KING NORWICH, DRY WELLS \ CONNECTICUT MAY 1984. 6" WATER MAIN 384 CF / 50.26 CF/VF = 7.64 VF REQUIRED \ / / 2.) PROPOSED LOT LINE CHANGE PREPARED FOR WALTER C. FLOWER III, f FISHERS ISLAND DEVELOPMENT CORP. JAMES M. BAKER & DIANNE M. IBAKER USE TWO (2) 8'0 X 8' DEEP DRY WELL \ / BLOCK 44 FISHERS ISLAND, NEW YORK. CME ENGINEERING, LAND SURVEYING & ARCHITECTURE, PLLC FORMERLY CHANDLER, PALMER & KING. 110 BROADWAY �.• jam. i i NORWICH, CT. 06360. DATE 02/19/2008. SCALE: 1" = 60'. SHEET 1 OF 1. / �• IN. �� 3.) 1.) FIRM-FLOOD INSURANCE RATE MAP SUFFOLK COUNTY, NEW YORK (ALL / if JURISDICTIONS) PANEL 19 OF 1026 MAP NUMBER 36103CO019H REVISED SEPTEMBER 25, 2009. i 4.) COASTAL EROSION HAZARD AREA MAP TOWN OF SOUTHOLD SUFFOLK �F NEw y COUNTY, NEW YORK PHOTO NO. 38-889-83 SHEET 46-Fl OF 49 APPROVED 8/29/88 REVISIONS 10/28/91. A, M.M. P O PROVIDE CONCRETE �� /i ' * 4 A WASHOUT PIT i w/ Cr (SEE DETAIL) m _ r�s 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED F �� HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO 10,09 09953� BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE OFESStON ENGAGEMENT. 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, R Is A MOLAnaN OF LAW FOR ANY PERSON,UNLESS 14EY ARE 1 PROVIDE NEW POLYETHYLENE WATER SERVICE UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ACTM UNDER THE DP n0N of A►xoNsm PROHMO+AL \ \ i COORDINATE WITH FISHERS ISLAND WATER COMPANY ALTER AN ITEM IN ANY WAY. SURVEVD�t i oM IN LANDSCAPE WAY,F"AN rtEM LNG THE \ 1 i AS REQUIRED (TYP) STAMP OF A UCENSED PROFESSIONAL IS ALTERED.1HE ALTERING I. \ I \ ENGRLEI;R,ARCHITECT.LANDSCAPE AROMCT OR LAND 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR"S SIRVEroR SHALL STAMP TI1E DaaslENr AND INCtuDE THE \ I NOTATION'ALTERED Br FOLLOWED BY THM SIGNATURE,THE \ \ \ f f� I SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF WE Or SUCH ALTERATION.AND A SPMPC DESMPTM \ f I STENCH K-IRON ROD �'� i APPROXIMATE LIMITS THE LAND SURVEYOR. OF THE ALTERATION. 1 ELEVATION 66.29 / t \ OF DISTURBANCE L_ ti ;\ f36,400 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC / \ \ -\ I i SURVEY TRIANGULATION STATION 'NIN'. O� NEIV \ / r 50% EXPANSION AREA � / 0 i 1 PROVIDE 12' WIDE GRAVEL DRIVEWAY do •<<G YO PARKING AREAS (TYP) I TYP 1 5. BLOCK 44 LOT 7- SUFFOLK COUNTY TAX REFERENCE DISTRICT 10100 P. B/c SECTION 010, BLOCK 5, LOT 12.26. \ \ &\ // t 6.) TOTAL AREA = 169,394E SF 3.89t ACRES . k U ;> ` \ ' PROVIDE TWO \ / \ I I ( ) ` 1 8 0 8 DEEP LEACHING POOLS - - `� I _1 � \ -•� / �_ 1 I j 7.) SITE IS LOCATED IN R-120 ZONE. f \ (TYP, SEE DETAIL) / `' / 10 i / / \ 1 PROVIDE do MAINTAIN A CONTINUOUS UNE OF 510 SILT FENCE THROUGHOUT CONSTRUCTION / \ i i / / SFO LAND SJ \ \ \ (TYP, SEE DETAIL) \ \ /.0e PROVIDE DISTRIBUTION BOX (SEE DETAIL) LEGEND \ 62\ 1 Ix PROPERTY LINE ABUTTERS LINE -- \ .� \ \ � � �• t EDGE OF GRAVEL ------------------- EXISTING CONTOUR --- 20 --- \ \ Q \ \ 63.0 i_ ---- - ' PROPOSED CONTOUR 20 STONE WALL \ C3Q to 63.0 p TREE LINE \ �O � I NOW OR FORMERLY \ \\ / p� ! SCREEN N/F \ � PORCH LOAM, SEED do STABILIZE ALL BOUNDARY POINT O ,� N / DISTURBED AREAS (TYP) MERESTONE PROPOSED WATER VALVE M WV 5 BEDROOM / ROOF DRAIN OUTLET \ PROVIDE FUJI CEN-7 WASTEWATER RESIDENCE \\ \ TREATMENT SYSTEM (SEE DETAIL) 5' MIN. TOF-64.0 O 0.57G MIN. ` \ No. Submittal/Revision App'd By Date \\ PROVIDE BOULDER RETAINING WALL (TYP) / \\ �\ \ \ \ 630 63.0 / \ 1 SCDHS COMMENTS PMP 12/29/2023 \ PROVIDE PROVIDE N4 SCH 40 PVC AIR UNE TO BLOWER / 8 0 X 8 DRY WELL INSTALL PER MANUFACTURER'S RECOMMENDATIONS \ FOR ROOF RUNOFF �2 \ \ \ \ \ // \ (TYP, SEE DETAIL) 00 0 PROVIDE FUJIMAC 100RII BLOWER ` \ F_ \ �.. IN 11 ENCLOSURE ON 1d \ CONCRETE PAD � / w \ \ _ = INSTALL PER MANUFACTURER'SN, Lnl \ RECOMMENDATIONS \ o \ \ \ PROVIDE SYSTEM CONTROLS & ALARM \ \ \ MOUNTED TO BUILDING EXTERIOR \ � AS \ \ \\ PROVIDE WEATHER PROOF ENCLOSURES �(TYP) o COMPONENTS M BE HARD WIRED) \ i \ \z pI L \ I c� w \ \ I \ � SITE PLAN/ 0 0 I o ' I , �e� Designed By: Drawn By: Checked By: 30 15 0 30 D PMP ZBC/PMP Z GRAPHIC SCALE IN FEET Issue Date: Project No: Scale: g J A N 2 8 2025 06/13/2023 081316 1"=30' Ln F- Southold Town Drawing No.: 0 Board of Trustees a SHEET 1 iu Drawing Copyright 0 2015 REVISIONS REV DESCRIPTION DATE APPROVED FUJICLEAN CEN SERIES ISINFECTION MODELS AS PREVIOUSLY 18" MANHOLE (TYP 18" MANHOLE (TYP 24" MANHOLE (TYP CYLINDER (OPTIONAL) 400 Capital Boulevard,Suite 301 APPROVED FOR USE BY SCDHS Rocky Hill,CT 06067 860-885-10551 www.chacompanies.com TM � � 15 Y2"—►� 1'-0 1/8" 1' 2' NY Certificate of Authorization#0015021 Fu i u ALL MATERIALS SCHEDULE 40 PVC (TYP) Toward Clean Water... 11" CLEAN OUT MUST BE INSTALLED TO PROVIDE ACCESS TO THE 6" SCHEDULE 40 END CAP ADAPTER FROM ABOVE (TYP) -a L- ADAPTER & PLUG (TYP). 116 MUST INSTALL CLEANOUT TO GRADE IN 4.87„ 5'-5" Pult� w ACCORDANCE WITH 4.53" SCDHS STANDARDS (SEE 4''4 /8" 4•-3 1/s• 4'-2 /a" ' 'f • . � 13/4' INSTALLATION GUIDANCE a •a 1Y2" NOTE 7). TOP VIEW WITH DIMENSIONS(TYP) O C$! s-1/2" TOP VIEW(TYP) t7J6.24" 3„ 14- SITE DEVELOPMENT PLAN 1Y2" PREPARED FOR I A OUTLET SOLVENT WELDED TO G FUJI CLEAN CEN-7 4 "LONG STUB OF 4 SCHEDULE 6 SDR 35 PVC RISER DISTRIBUTION BOX SARAN TREMAINE ---��� PIPING EXTENDED NOT To SCALE NOT TO SCALE 40 PIPE CONNECTED TO FUJI UP O GRADE NOTE: RISER COVERS SHALL,WEIGH AT LEAST 60 LBS, OR HEALIM OODE CLEAN CEN UNIT(TYP) L A4?L LENGTH VARIES (TYP) APPREu ov SECMARY SAFETY DEvllc lloEo ES SHALL BE PRov NMI END C P LEvaM DEMM AS BRICKYARD ROAD BLOCK 44, LOT 6 FISHERS ISLAND, NY 90 DEGREE LATERAL INLET VIEW(TYP) 3 INLET PORT ADAPTER ALL PORTS ARE 4" OPENINGS (TYP) 7.03" 8 0 6.55" SIDE VIEW WITH 6.23" DIMENSIONS (TYP) A ❑ 24"0 1.97" SIDE VIEW(TYP) 4.87" A EXTRA INLET 7 D4.53" CAPPED VIA g" 8", 4"SCHEDULE 4 Installation Guidance FujiClean Schedule 40 PVC 90-Degree Inlet Adapter 4" ADAPTER& PLUG 1.The FuijiClean 90-Degree Inlet Adapter has(4)openings(3)inlets and(1)outlet.All of these will accept standard OR CAP (TYP) schedule 40 fittings. L ®®tQ t� 8 ®®®®IK 2.The top of the inlet adapter has a 6"opening that can be fitted with a 6"SDR riser pipe and cap as a clean out. ®®I5g®IKo o ®®!�p®IFo 0 0 3.An unused entry ports on the FujiClean inlet adapter shall be capped with a 4"schedule 40 adapter&plug,or a Schedule 40 slip ®®®® o o ' Y rYP 1 P PP P P 9. P ®®®®IK cap that is solvent welded to a short stub of pipe inserted and solvent welded into the adapter port. 112®®® o o DO Go" 4.The lateral entry adapter shall be secured to the FujiClean unit using a 4"long stub of 4"schedule 40 pipe that is solvent welded C9®C9 o o Do OUTLET SOLVENT WELDED TO 4 12M®® o o LONG STUB OF 4"SCHEDULE 40 into the adapter outlet end and FujiClean inlet so that the adapter fits flush on the FujiClean unit. 30® 0 0 0 . PIPE CONNECTED TO FUJI 5.The installer shall ensure that the soil beneath the adapter is backfilled and compacted sufficiently to support the bottom of 12®®® o — o CLEAN CEN UNIT(TYP) the adapter and prevent any settling or strain on the adapter or FujiClean unit. 12®®® o = 0 0 o a , If 6.Metal fittings,pipe,and caps are NOT to be used for installation of the adapter. 6" —�-{ I--4" 7.Must install a cleanout to grade in accordance with the"STANDARDS FOR APPROVAL OF PLANS AND CONSTRUCTION FOR SEWAGE DISPOSAL SYSTEMS FOR OTHER THAN SINGLE-FAMILY RESIDENCES"and the"STANDARDS FOR APPROVAL SECTION A—A IT Is A VIOLATION OF LAW FOR ANY PERSON,uNuEss THEY ARE ACTING UNDER THE DIRECTION OF A UCERSTD PRamoNAL OF PLANS AND CONSTRUCTION FOR SEWAGE DISPOSAL SYSTEMS FOR SINGLE-FAMILY RESIDENCES." ENGIN M AWMCT LANDSCAPE ARGIITECT OR LAND SURVEYOR 70 ALTER AN ITEM IN ANY WAY.F AN nEM BEARING THE 8.The following are instructions on how to make a solvent weld for attaching piping to the FujiClean lateral entry adapter. LEACHING P00L STAMP A LICENSED CT. LssoCAP Is ALTERED,OR ALTERING NOT TO SCALE ENGINEER. ALL STAMP ��'�ENT AN CT OR LAND SURVEYOR SHALL STAMP THE DOCUMENT AND INCLUDE THE NOTATION"ALTERED BY FOLLOWED BY THEIR SIGNAIURE,THE 1. Square pipe ends,chamfer and remove all dirt. DATE OF SUCH ALTERATION.AND A SPECIFIC DESCRIPTION 2. Check dry fit of pipe and fitting.Pipe should easily go 1/3 of the way into the fitting.If pipe bottoms,it should be snug. OF THE ALTERATION. 3. Use a suitable applicator at least'/z the size of the pipe diameter.For larger size pipe systems,use a natural iJ bristle brush or roller. 4. Clean pipe and fitting with a listed primer.(Do not use primer on ABS pipe and fittings.Use Clear Cleaner only!) LATERAL 3 INLET PORT 5. Apply liberal coat of cement to pipe to the depth of the socket;leave no uncoated surface. ADAPTER ALL PORTS 6. Apply a thin coat of cement to the inside of the fitting;avoid puddling of cement. Puddling can cause weakening and premature failure of pipe or fitting.Apply a second coat of cement to the pipe. ARE 4"OPENINGS 7. Assemble parts QUICKLY.Cement must be fluid.If cement surface has dried,recoat both parts. (TYP) 8. Push pipe FULLY into fitting using a''/,turning motion until pipe bottoms. 9. Hold pipe and fitting together for 30 seconds to prevent pipe push-out—longer at low temperatures.Wipe off excess. WOVEN WIRE FENCE (MIN. 14 10. Allow 15 minutes for good handling strength and 2 hours cure time at temperatures above 60 degrees GAUGE W/ MAX. 6" MESH Fahrenheit before pressure testing up to 180 psi.Longer cure times may be required at temperatures below 60 degrees—- Fahrenheit or with pipe above 3 inches.DO NOT TEST WITH AIR. SPACING) NOTE:The set up/cure time is dependent on several factors.The pipe size,socket fit,ambient temperature, 10' MAX.relative humidity,solvent cement used and the system operating pressure should all be considered when determining set up cure times. CENTER FUJICLEAN CEN SERIES TO CENTER 36" MIN. LENGTH MODELS AS PREVIOUSLY FENCE POSTS APPROVED FOR USE BY SCDHS SIZE DATE DRAWING TITLEREV 05.24.2023 FUJICLEAN INLET ADAPTER 9 DRIVEN MIN. 16" INTO GROUND SCALE None SHEET 1 DRAWNBY MD III II III HEIGHT /\ I OF FILTER 16" MIN. gyp/ 6" MIN. STRAW BALE BINDER PLASTIC LINING WIRE NATIVE MATERIAL PERSPECTIVE VIEW if (OPTIONAL) it B—B WOVEN WIRE FENCE (MIN. 14 I SECTION No. SubmittallRevision pp'd. By Date 1 2 GAUGE W MAX. 6" MESH j WOOD OR NOT TO SCALE / / METAL STAKES SPACING) WITH FILTER CLOTH I Z (2 PER BALE) 1 SCDHS COMMENTS PMP 12/29/2023 0 a 36" MIN. FENCE POST o PROPOSED RESIDENCE ROOF LEADER UNDISTURBED N ' FLOW GROUND 10' MIN. I2 I) B B Do0 6' N OVERFFLOW COMPACTED SOIL w FUJIMAC 100 RII EMBED FILTER CLOTH \\//\/\ \� e w VARIES Lii= TO PVC LENGTH I---- �1 -,------ 15 AMP ---'V - BLOWER " .\\ \\i�\/ co o MIN. 6" SOIL COVER I I------ 15 AMP A MIN. OF 6 IN GROUND Vi VIER DRYWELL CONCRETE COVER i ----Q ALARM 4" � FILTER FABRIC z - FUJI CLEAN SECTION VIEW . Q90•BEND 0 OO OO 00 CONTROL PANEL D- PLASTIC LIN NG PLAN STRAW BALE i s" SDR 35 PVC o 0 Q ® ° 0 MAIN PANEL = CONSTRUCTION SPECIFICATIONS NOT TO SCALE Z SLOPE AS REQUIRED O o ® 0 o m 1. WOVEN WIRE FENCE TO BE FASTENED SECURELY TO FENCE POSTS WITH N o o ® ® o a WIRE TIES OR STAPLES, POSTS SHALL BE STEEL EITHER "T"' OR "U" TYPECONCRETE PIT LEI 1" STONE OR o o o WIRING SCHEMATIC OR HARDWOOD. 0 01 SCREENED GRAVEL NOTES: CONSTRUCTION DETAILS 1' 8' 1' NOT TO SCALE 2. FILTER CLOTH TO 8E FASTENED SECURELY TO WOVEN WIRE FENCE WITH 1. DIMENSIONS SHOWN ARE FOR TYPICAL RESIDENTIAL CONSTRUCTION, LARGER PROJECTS OR PROJECTS REQUIRING o STORM ATM DRYWELL DETAIL 10' TIES SPACED EVERY 24" AT TOP AND MID SECTION, FENCE SHALL BE PUMPS MUST BE SIZED ACCORDINGLY (7 GALLONS/TRUCK, C� NOT TO SCALE WOVEN WIRE, 6" MAXIMUM MESH OPENING. 50 GALLONS/PUMP, PLUS MIN. 1' FREEBOARD). c2 3. WHEN TWO SECTIONS OF FILTER CLOTH ADJOIN EACH OTHER THEY 2. CAPTURE MATERIAL AND LIQUIDS MUST BE REMOVED FROM 00 SHALL BE OVER—LAPPED BY SIX INCHES AND FOLDED, FILTER CLOTH PIT AND PROPERLY DISPOSED OF WHEN THE PIT REACHES Designed By: Drawn By: Checked By: 0 SHALL BE EITHER FILTER X, MIRAFI 10OX, STABILNKA T140N, OR APPROVED 75% OF ITS CAPACITY. EQUIVALENT. PMP ZBC/PMP Y 3. INSPECT PIT PRIOR TO EACH USE TO ENSURE CONTAINMENT } OF WASH WATER. Issue Date: Project No: Scaje: N EQUIVALENT.4. PREFABRICATED UNITS SHALL BE GEOFAB, ENVIROFENCE, OR APPROVED �� �� "ti,, 06/13/2023 081316 AS NOTED i:1 L 5. MAINTENANCE SHALL BE PERFORMED AS NEEDED AND MATERIAL Lt o REMOVED WHEN "BULGES" DEVELOP IN THE SILT FENCE. Drawing No.: t' J AN 2 B 2025 SHEET 2 > SILT FENCE Southold Town ai Board of Trustees �gVFFO�kc Glenn Goldsmith,President v FOR 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 �Ol +� �� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: �' 9 2 Completed infield by: SARAH C. TREMAINE requests a Letter of Non-Jurisdiction to construct a new two- story dwelling with screened porch and decks, an I/A OWTS system, two retaining walls, new driveway, gutters to leaders to drywell, and regrade the property. Located: Brickyard Road, Fishers Island. SCTM# 1000-10-5-12.26 Ty peof area to be impacted: //Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: &"Co'hapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: 'des No Not Applicable r Info needed/Modifications/Condit'ons/Etc.: l ' , 140 Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples .! `=�^•'�.-''11 �� .IPr . •% ' .��• �..:p,�•fit*� s .; - �� 1.`,�i�r'��✓ �� ,- ,� `, . �• .i.. •Aa. � •.. / •.'�t� ' .• J. •�i � I Imo• '.rl�..- •�,�'�' ~� �#• `; •� tea', �'tt � • !r �r '!• '.�� V'*.'Yf ' _ - 't '•T�' +�•� ..-� ,lw _ � _ .cam � •'_ � _-�• i'�7yr�K �?'",r s �� • � •� {. •,,ti �' '• _K a �t+ 5�v` 'b•�s • ,ass �.,�} � ^_.'�}•� -..f /_T�� 4• � } .�1.�� ,\?`� �j`�`•���,.� :w1'�.�s�M�7il - •�� �'\ ~�;+ � �..�.Y ��t+� *� �•C � •!_. ��_� �s •f=_ � •� _~. �y 11� .ram � .IP .�• .��� x .t- q .,� �r-y,�c�7������ .�i '"-.t;• j"��n. `.�a'� .�� -v�- •;., �� •�y-�L. •-_�t,•--: �i'�"tc •- �►�►5� tom• _ �. �` '*'�•s� -n�� � _r'Z`f:i+� _ �'- lam ,�� ` 'd�"'.�i j • � ..�: .••rf - a: ac -�'�� _ tTR � �✓v,� r .•+• M, •.`'• . . _ _ ,w _ .'� 'yy ,f:�� .' ''•lam �-: a "' �- : V .� �` ��' ''?fie.. '1',� * � .�� - •.�, • 7.i " +!►�. '` � _ �:\ .tea/ :�'•` .,C � 't. ` `��,� ".^ .�� — ''.� � �4� - . � Cam.. _?-. 'i. . �` `-� -�e'•' �. ��i���. :..� 'j.. " e� •;_ • .. .i•-' - ' !'• ,�i�•e / � . 1:/ 9!�/2 0,2 4: 1�3. • 4 4 Imo [- 7 .� � -•��,t .�� ;•,� ��`.,�� - ��' `` y ��•� �• - , _� ` �i -„ `' w`-' .�.^• �•_� ' t � � .•� . �; Island'Sarah Tremaine rickyard Road Fishers / _�>i may• � �� � w ,�� � �' "�'�!`. loop _ _ ► ; SCTM# 111 1 •WWI of v. '� v f '' �" ,,•'i� ; + _n!j"?�•' 4fTf y - .r� y `,..,t "/ •'4`. -y 7�� _ '. _, '�..%�,.,'�. r ..r �K'c.-:+�f '1� iNS�!f��{y y�'�%."I �Y`. ' t*. �Y.d. rrf •..•.�}. � - - - �R 't s _ •r;, Syr'` +•. f' •• ,.. ,,.'�' r ��,r-0 $•.�� �• �+/vs'"':f'�rlNt � �-..:jt `. ; •�� ..; 'r '��'�%P f. / �i , r�,•r, ty A • , � �,SI.� �V _�I'•.,,� fr� `J�'rffi`/.1.= �/� �!�fj' .��.' � ► r y�'Y�� ` .r �:�� �•� r! � � \. r!�"' � �r`(w� '_-,�, s''r'n`'� ,�� ,sue, �.. - `f:� 'h �; 1�R�/ y,. :i.; '-i,11.�r.� yi: 1fc �r.k+�► �\ ,,y ^' 'y'i ti ``4�\ r ��\ :! 00. '..J �. I}� t. .f _ •/, �� 77�^^I" Y ' ,7 i '\ - /'G `� _+M''�' F7` r� _., 4 t�l Y '!r , . 4' r r'•r [7­7 AI; Kr, . .' ► ; '+ ' Fri• ,+;.�; :. �; .�i'�;r wry - •, '. _ .�l • - =� ' ti-- 4 ''��1' +�'` `�►� Tt Vt *61 10 .41 ik VnRw 71 lvp Jw `gyp. y� •a -4,f •/t •�h�ji'vl.. �.^ �,- _„�. ♦•. /'R j-' � ,. r . •.7 ..►'�. �, �i �t' a; .� r., ♦ ..s i��•-Yn'�{� F 1 ram. ,}� • . 41M► y H •f. 't t • s.:.¢f :"4' $+yc; 'F' '��'X'�„�tt;y {• �„�_ ,,f ':l'•r+snr°i Y •rat� ��� _ 1-� +y .♦,• t +r � - M w L �� •� ��yF+ 79r '�`� F�F•7/��� � •`', • $�F� ,i�.t; 4 •- f iw _ ��- ,i` �•- - s `,rr. t•..+ _ ♦����{I`,. b.s fj��r��••�JpM��-:,• J? iiy :' i, F +t... r ` l..a"1 _ �.yra�- �:.••t' Y.. go �� l 1Cr.•. . '! f_ t►l ff 41A_'l gyp ' •A. 'ti..yJ•• . •j 'Y S ` n�; -_ _ •y't" ew •�.`yy�' r `� . ', r".`1Qf � '♦� --s��j�y � ,,t1 w r •t 1 r KC.R• l ' , + '" T -` ^�. r _;I ) !VFG,s, _ F _ _ w•`t.r y,I 4, f 1, r f � ,�: -� �_ + .�� � ;ice:)"yy►`'t� �x` +..' _-'=�+^' .y ((�►►. �, ,r , �" -� `,,,� I �� '.yr J 3 { �I��1' _ ., 1�• • 4. `Y;` i,�� �• yus•� �'.L. q•'"•.. '� ��r. ��, �• ` ,•K� 4,.._�•; ••/4 ;r r �'.. ` � tea : f,G � #y`3r t-!F� �• F� A. �i '. " -' .. - `-'ire'.{�� I. � -- -.�.`1 "� •.�i"�''�:���-5••• � �• �.,f"� !�' � �.� �'� '� .•''• �= - - t .l t •� +�...y' •� ,: � T et ..t �' ? .,,, T,'kil •x ,; n ��Y•- -�y r'-,a •"r� -�.,J,• ♦.'.r_ �fi- �r ', ,: ,•_ _ •` ! -^ �,�•' 1 �C' ,yam, sue. .. •• f yt G y ! '� K"� /' ♦' 1 a 'T r. .� r .( ..r� ►- .��`' ! 1t �!• a�;� ' ,.,�'-`��'' ^'�1V}�yI t. � '� �;•i 'k r _ +��f�rlM�t.M�� (''�.t! q i �� +Y J#' 'r •j ,g. �'` �.� ;7 y j a •�' •v ,�,��':�♦- "7 ,,\ n['tr. Ta' '-'„�Y- • •��y�� C y.` -,��'�y,S' , ,���:. ;" +o► -''J� �; � . ' ;. _..;.: f� stiff' r,,- � - `na����„��'4F�'' ��•" j�+ 1 7 1 A •�`; !" - •� `r \` • i .iy•�^ 17 �•� �. 1�'� .�� C; 'a" 'V �_ _ �•1� .\ 1 � 1� oe lb , i�.. 0;2 4 ti� r.r r-r s-v r..�w.a.w.n une a r ne,el �• a.re trr.e tu..-r �. dr....�a.�•..• SJTE OMBIES r CORE -• /.ew W Oer twPY.eFe.R MO-rL m.r (1...4.On-....e a.leOel{i . �• .eeah V&ST HAiB01H � .w .-. f.Ol`B01.f el.l .✓A r(t-/tMlo SIMII iRll.t ■GC!K to O..h10 eO e1eLt-Nr wOlTlo 4e0 .[.eee 106 ran-fe. {SOQ BA10.Ilf IFORMWO an Ur \ t1JU71011 YAP 9CILE i.�00' tears \ eM>lr>0/r.sMV tO.w \ f0 �/ .�0.. O.s weewgea.et....w .a.e(.Ihtrev ORS \\ ' seeery s..o\.wwew.r nm 1 : i L / i nl � `� \\� \\� �/1y\�_\ `i ` 11 R%pelh �tom♦ M� ' ` �•• ` \\ \ \\` `\ wee \ 1 .ltr�t e2w _ 1 U SHEET t r.w' L"'yg 4 i �`'•wy '1� . ° qj'l<,4��j�o' �,� '7' - .. , 4 •rAR� i ' + ;� - - '�'"i�r='• 't�=- 1 - .. . �.�:. -�a_ _ ; �'�j,Ryt:# �� '�; #�$S��'."" `���r'i'��'!11. � _ :- r -14 * � ..,,'- �.a 6 't` f'1`/' � ��: 1; •�,�/�•`y � �,1i.1.R � �t �ly►:��z'T 7 � ad _ ��' �., 1 .may rp, (a -��s4V I ` ,psi ♦ .� yl( �:�". _ r �, ) •t � �"'� ti .t� i. ��'�j a ,�� •s .. � ti )I aLrlrZ'\:}�k� !. 'v. '' ' ,�•k�ry�y/��. r1r T_"A•:� a{t '• ' �' C... �.r n `� 'A( •yF� ,J;�.� t9S�k a !� J `t- ', ,':.Y e� :w s �: _ � �t '7'. � �. y_ .fA .�{ �1 f f :1 t r} ,MA s•k." Y� '?.. .;Y r.aw i + !� !4#',,. i A �' 'Li '�1, ': �t��. tit l� i ".�r � �fr. � � 1�:��t ���✓` "� �ij.S��� � � �L,�^ �� C. ,+ k � `t �. ��' � �� `o•a+ 'i•. ��►,;'" 3t"%.r''�i:" ���<r•�, i. � ...} t•�M Y� � +` ;ram, '�• �;. `^}� ,.t •:`�� y,. �, •f ��: r'�r � � �� �� T x�$��'' �`{i^�'jl 'rf v¢`Y-•�e '� i'�A+• � r✓a ( 1' �a-��g ,y °p�' .� � }�, i .P+�.�'� . __ l' ti � ,.J. r `- .f.•1� r � i .s♦t J �'_yy�' r a�li� ��.}4 / �. 4 y a+`.��. _x a _ �ii_—�`�^.� ••\ fi�� :ter '� '. � 'r r '� �- M`.` - 100, dmIrM Win: IMF ' \ A . +�t. At i .. � ..-;^Q',}�. � ��'" � ,it's"` •,b i:.-' ' r x f. '? '+i�G'",S t��'.-•'—•-ate .E.��,sl,�: �R`e - � f `. N7 � IN map rA ro WWI ALI .;ArC O V OP OW M- 1 `• .�T 1 a,-,4�'nt� PA.=40.�� ��� \�� � 1�_ �� ,�'9....�tri� 'y �`'' s � :>� ��1� 1.a •r,'v � 'fit � ` �` ` a I r f i �� -$s\�` � • f� y� '�1�i/ll� �' R +. 1hii,� � i'i� .-,�..p>. A01 r `, ".\ •, � _ I �.,, -� � ".� 1, «� .. � � _ v ,�.�`[ `� ,-� c-- � .' .. .� d ~;/� '� ,►. '! ''. � It Xl .A�•ZQ,� ii*ri t .^, if1 :� -t r4. _ Ai Rik ��• � ���-fit tti• �a`� �+ '`� `;� a � ('' �j�� � / J '�j��/��"'� . woe•.-- ', "`:. `L4. i.�. 1 './:,_.��,"�1�. p��� �`.. ,.a*a t.a ',� �l ,-, %� r su �.q.w�P.'y. _ .'lf g it t L" a �' „�• �_:. , !LE .- i f Ste' �C i v'. '�: '� Y, i'etlf,' , �9 IN e1 w �,t L ..-.,is-^c,•,pc��sT.�a".`f ,a ,��� t .1 �'us, �.- `r +�m" 2"s�.y��•�, -"'.s..U".� t ..i.':"i yt • ~asr k2 ^s� i� `� -._,. 7•ir i - � _6--^• ��, :.`. __.may /� '�.!IK .,- '* at •� Y C 0'wr.R ,., �-\ear e,l�k '�• .. , ~.. r� i'i1 .sue, �: M ,t_ .�y�,�'�� I-�. a'-,f�.•� .,�+ r',�'Z. ..,#t s»� i -�:Ma. -;,,; t>••� �.� �~! �.y,- a .5�.<''r �"`�'- �'-7if,•• r, 71 �-`�""1^�.s-�,j �,�..�e�rc..i�,.'R+as_�.,%!'� f+,e'I�s:.�-•s!'`»f ''a ;' - ,. . �"`• - _R,t.,M�T '-`t..�.:-;�tf -+<� S. ::s 'tr• :°6'� �� :+ •5� ,�. -.t `t�.� .• � '--�" �.�-/I •aY '(�t -� �v1-;`F � ___ .�?"ttz r' - d�,! { �a c., 5j�� a�•--�•.,-Y•. 1 74 N4 ti w; Y 1, ./� �•07. ,t, `L' '�`t�. s•� .a. .-� -+.r.L• _ i -,a �. ��j} �r � •-r 3r• .r i ,�>��}i -Sgr i i�•. t i�,°� -ti t .. , f. .+a�'�tSSrw - �'` "I7-r',X>>C - �1C ,�ti . :.r .:t - •i� R - 47t'�a'�'y.+ �'`. � <. • en- +tl4` lei r _ Yl- P --w4b, �T ' f al�'a �� ` �•''' � � 4l�. 1R' i 7G a` `y' `Y 791 ..n T r _ - sac= � �< � � •. ;r ,� .�r : i ,,! i+t r ;,.,� ~�`'`• � 1. �""t` �'tr Fir $ '►y` s y� fig, ��,�,, ,, � 3• — t ) p a ...� •.BMci :. AUTCN nE /MTCH fi k et } to�. !V f• _ \. �'BEG NO_ OC 31-00 6: ..,..pe• A•/E_ 1x 1 Ap 0 r• Ja pJZ°JA' wvv f K "it p. '' _—_... - SG '•.h xJ OWSE O:WQ- qq HEnar L.fERW90N ; f. ,� ., ISLAND ' Ic Y',, EJuu^Euu J.Ja;^) of a 2 h INII S iq ap �` S _ Alc 3 F y'1 • N ST HAR9Ow We3 't .p ; `. ' _Asmp ., ° 12 N t' rr.nnr=nr eay \.4,� p p m 71 Y x • e'xTto pwa rre .ywp.�: L� eusNrwlrw Y i �', •,"w Q. °z -,. ter.. W, • ,�. .'i as 5 .xarxR I i as �S W`� �• zM xx pMx tl :i a zx IAA x! .zp.„`w '. Ba �S 9: \'>•t, a x so y nxa 1 z° 'tr e°8 \ f >•xI 1 M,. fir- C b ij HEMr L.FER(WBON MUBEVTI4, xuq n.aNq ?.r -.'•, .,,\',•,\ 2 5, (7) ✓ y 12.J5 a'Ay J a a , QAJ�� s � +; � g 'gl .. f �. 1zax ��i - der'{ B]A ,q h x.W�� �...�\v .,,�•.'.. � 14 z \ � r9� (4) a. 12. _ F.D.27 i,w `� tpa in; 1�pA �• R ,ref Q.: x ealc: x�4,_ �V • w ♦ .ay N _- - w '' - P 3Wq ,".1 S .q�♦ x . 6O 141 'F• ,•',181 . x.oNel ti ,, T9p. - xm+ru.er.,•ixn ,. S 1.1'A '.g�� 5 I'ENc) tbM id`* BOG BEE SEL NO''A 04 rcR?CL.vo. - BEEBEC::N.O. f � .: NUJ• W°Y2p°°f '.ISLaNp r;.E Q FERRY O.eu _a.. ,n42 .•• - . L —'— COUNTY OF SUFFOLK© rloncE ,< �_^ „acres 100° sficna+wo -- O ...c.�.a.. —�— ,,..M .1Htw. R INp ly laa�eJ'1ue.lgency ca+ v E W w• _ M� �ouvla°o 010 ti� I N ...,�x_2E_ • IINiI A p aac —•—— • ,^ —__— ..��..y. f31) ,� vnnru�r wR l,vl rla.6vM a�RO p .O w.,,...v _ •...e..�, •. .w .,o :a REM mnmry Yaw Jeax<•wecr M,wE rc OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 Comm LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: April 11, 2025 Re: LWRP Coastal Consistency Review for SARAH C.TREMAINE SCTM# 1000-10-5-12.26 JMO Environmental Consulting on behalf of SARAH C. TREMAINE requests a Wetland Permit to construct a 43'x20' (860sq.ft.) two-story, single-family dwelling with a 20'x20' screened-in porch, a 10'x43' deck with walkout below; install an I/A OWTS sanitary system; install gutters to leaders to drywells to contain roof runoff; install water and electric utilities; install a gravel driveway with parking area; construct three boulder retaining walls (25', 115' and 140' in length) and regrade site; and revegetate disturbed areas. Located: Brickyard Road, Fishers Island. SCTM# 1000-10-5-12.26 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 LWRP Policy 6 and, therefore, CONSISTENT with the LWRP. 1. It is recommended that native vegetation be preserved to the greatest extent. 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 � ��/�" Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President Eric Se enoski P.G.Box 1179 p Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit JAN 2 8 2025 _ Amendment/Transfer/Exte Sion 1�Received Application: -TReceived Fee: $ _ Southold Town _Completed Application: oZ 7 a,S� Board of Trustees Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): �LWRP Consistency Asse ment Form Sent: CAC Referral Sent: /v i" Date of Inspection: I '101-911A� Receipt of CAC Report:_ _ Technical Review: _ 1�Public Hearing Held: /& Resolution- Owner(s) Legal Name of Property (as shown on Deed): Sarah C.Tremaine Mailing Address: 5026 Jones Mill Road, Crozet,VA 22932 Phone Number: 434-242-0113 Suffolk County Tax Map Number: 1000 - 10-5-12.26 Property Location: Brickyard Road, Fishers Island (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Glenn E. Just/JMO Environmental Consulting Mailing Address: P.O. Box 447, Quogue, NY 11959-0447 Phone Number: 631-653-0607 Email: Gjustl02l5@AOL.COM a rd Sew 31.27/,2 i Applicant proposes to construct a 43'x 20' (860 SF) two story single family dwelling; 20'x 20' (400 SF) screened porch; 10' x 43' (430 SF) deck with walkout below, install an I/A OWTS sanitary system; install two (2) 8'x 8' leaching pools; construct three (3) boulder retaining walls (25', 115' and 140') and regrade site. Dwelling, screened porch and deck will be located greater than 100' from the tidal wetlands line and 65' landward of the "Top of the Bank". Board of Trustees Applic; ,__,;'oa GENERAL DATA Land Area(in square feet): 169,394 Area Zoning: R-120 Previous use of property: Vacant property Intended use of property: Single family dwelling Covenants and Restrictions on property? Yes _ ✓�No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes _nNo If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? =Yes _Z_No If"Yes",please provide copy of decision. his project any demolition as per Town Code or as determined by the Building Dept.? re Yes ✓ No Does the structure(s) on property have a valid Certificate of Occupancy? Yes_Z_No Prior permits/approvals for site improvements: Agency Date Southold Town Trustees Letter of Non-Jurisdiction 2/14117 N.Y.S.D.E.C. Letter of Non-Jurisdiction 2/22/17 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?fl No Yes If yes, provide explanation: Project Description(use attachments if necessary): Please see attached • 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 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Project: Proposed single family dwelling Project Location(describe,and attach a location map): Brickyard Road, Fishers Island Brief Description of Proposed Action: Please see attached Name of Applicant or Sponsor: Telephone:434-242-0113 Sarah C. Tremaine E-Mail:sctremaine@gmail.com Address: 5026 Jones Mill Road City/PO: State: Zip Code: Crozet VA 22932 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? ❑ ❑ If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: ❑ a N.Y.S.D.E.C. & S.C.D.H.S. 3.a.Total acreage of the site of the proposed action? 3.89 acres b.Total acreage to be physically disturbed? 0.01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 3.89 acres 4. Che 1 land us�at occur on,adjoining an ar the prop action. L Urban 'IRural(non-agriculture) Industrial UCommercial ❑Residential(suburban) Forest [:]Agriculture Aquatic ❑Other(specify):, Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ✓ b.Consistent with the adopted comprehensive plan? EM ✓ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO I YES landscape? V 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: Fishers Island Sound ❑ i 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 nearthe site of the proposed action? ✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? V1 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment. New sanitary system a ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? KV1 b. Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ✓ b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. ntify the typic bitat types that oc n,or are likely to be found on tl0-roject 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? ✓ EL 16.Is the project site located in the 100 year flood plain? NO YES FVT 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? ❑NO DYES El ❑✓ b. Will storm water discharges be directed to established conveyance systems pff ani_q 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: ❑ 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? 1f Yes,describe: Fv� ❑ I AFFIRM THAT THE INFOR TION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE'BEST OF MY KNOWLEDGE Applicant/sponsor nam . nn. Date: liaz Signature: Part 2-Impact Ass s nt. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 us g 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. Will the proposed action result in a change in the use or intensity of use of land? 0 ❑ 3. Will the proposed action impair the character or quality of the existing community? a 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or Elaffect existing infrastructure for mass transit,biking or walkway? El 6. W ill the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? a b.public/private wastewater treatment utilities? El El 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, Elwaterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage a a problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT I Page 4 of 4 1 Board of Trustees Applicr--"on AFFIDAVIT Sarah C. Tremaine BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE 1S 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. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS ~--DAY OF 20 ®pe®se®Aoe�a®s° Ply pU'S��N o m e O e d Notary Public 7papg6g ° coM My ® n o MISSION ' O'R to m 0 . NUMBER :Q o 7020868 a.$ v �✓1 \Q'eaa L' Board of Trustees Applic"Ion AUTHORIZATION (Where the applicant is not the owner) I/We, Sarah C. Tremaine owners of the property identified as SCTM# 1000-10-5-12.26 _ in the town of Fishers Island ,New York,hereby authorizes Glenn E. Just- JMO Environmental Consulting to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. L ` erty Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS %_ DAY OF _ , 20 empeea®�e®ee®on A v®®�e® N C VV0n ��,�QFLY p&eOo�N Notary Public $�, o my n 8 COMPASSION NUMBER -4 I30 7Z 7020868 ":Z p`ap�eEB0900®®®®e� APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emnlovees.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: Tremaille, Sarah, C. (Last name,first name;.gtiddle 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 thatapply.) 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 die shares. YES _a NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): =A)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,partnei,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this da of 20RS'. Signatures ~ � Print Name,Sara �. remain- Fonn TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part`of town officers and employees.The nurmose of this form is,to provide information which can alert the town of rxissible conflicts of interest and allow it to take whatever action is ecessary to avoid same. YOURNAME: Just, Glenn, E. _ (Last name,first name,.rpiddle 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 F] NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,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 ay of 12 Signature _ Print Nam Inn us Form TS 1 Board of Trustees App1ic1 '.on PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: /o- .S - ) a.S 1 a. 3c� 13. STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public JMO ENVIRONMENTAL CONSULTING P.O.Box 447 QuoGuz NY n959 63L653-0607 April 1, 2025 Mr. Glenn Goldsmith, President Board of Town Trustees E C El V L� Town of Southold Town Hall Annex 54375 Route 25 APR 4 2025 P.O. Box 1179 Southoldrown Board of Trustees Southold, NY 11971 Re: Application for Sarah C. Tremaine Brickyard Road, Fishers Island S.C.T.M.No. 1000-10-5-12.26 Dear Mr. Goldsmith: Enclosed please find are the stamped certified mail receipts for the mailings of the Notice of Public Hearing for this application. Respe G e . Just '1 —,-� - ioard of Trustees ApplicaV -z PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#:, AV-N C . I re r-,I\a",VA,-,P— NAME: ADDRESS: 6I I- Se'e a -hey E:Trustees STATE OF NEW YORK COUNTY OF SUFFOLK M I eiy\ _ U — , residing at Cha Q• a k actJ , h 7q I I C(O( , being duly sworn, deposes an says that on the'I. day of 20 3'c- , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at l 30.d y`S2;�1 �1 �� ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECE Signat e Sworn to before me this Day of 0 HILLARY ANNE HUBBARD Notary Public-State of New York No.01 HU6434316 Notary Public Qualified in Buffo&County .My Commis§ion Exp-09/06/2026 Tremaine Adj acents 1000-10-5-12.5 Fishers Island Club, Inc. End Road P.O. Box F Fishers Island, NY 06390 1000-100-5-12.30 James M. Baker Diane M. Baker 1143 Peninsula Road #395 Fishers Island, NY 06390 1000-10-5-13.6 ECEIVI Walter C. Flower APR 4 ?np� Anne F. Redd Southold Town Attn; Flower & Co. Board of Trust—, 408 Magazine Street New Orleans, LA 70130 ' U.S. Postal CERTIFIED o RECEIPT Er Domestic Mail Only m `I cc Certified Mail Fee 3 G- y $ ,M �� - [� Extra Services&Fees(check box,add fee a 'riete) ❑Return Receipt(hardcopy) $ '$�t=I.11 l� m• ❑Return Receipt(electronic) $fi i f i l!i Postma(k CCI, d- ❑Certified tvlafl Restricted Delivery $ _�n ram_ C Here sd, ❑Adult Signature Required $ r-3 ❑ ry Adult Signature Restricted Delive $ r'�O 17 Postage NV t17l.1-+ = Total Postage and Fees, 0 W/31, c 6 ru 19.ut0 ru Sent To it Antl{Ap No.,or.PO z No. - o � :.• r r• rrr•r - •• j ICERTIFIED MAILP RECEIPT Lrl Domestic, Ohly Lrl ,-9 •,I5 E I�t4! il cp Certified Mail Fee.t,I ac (17 92 r 0 Extra Services&Fees(checkbox,add fea rpprpaffate) e' ❑Retum,Recelpt(hardcopy) $ 0 ❑ G'Return Receipt(electronic) $ •_I=t,il_I C Postm$� V. ❑Certified Mail Restricted Delivery $ fl_1'!1 E HereW 0 ❑Adult Signature.Required $. ?�I'Iola i. -0 G ❑Adult Signature Restricted Delivery$ 1V EM Ppstage tU M 1ostage and Fees ' I. r IL tnlT t.N or P ox N+ r" +f= ------------------- } 1 :.r I r� �r•r TM ■o • tL Do Only m For delivery information,visit our webr;;ite at www.usjos.c6m". Er co Certified Mail Fee i r., l o��{ 7 .0 $ �. 2-P O Extra Services&Fees(cheq box,add fepas epp�opdate) '❑Return Receipt(hanicopy) m ,❑Return Receipt(electronic) $ i i I_I t-i i,I` PostfPiark C ❑Certified Mall Restricted Delivery $ 00— � ❑Adult Signature Required $ •.ry:.r9a.. S ❑Adult Signature Restricted Delivery$ ���iii777��•�� A Postage Z6 rq •t.E°T - r c _r otal Postage and Fees C13 r"1/Af)2`'r Il_I ct �t"at ru t To ru _'_ cI11� p Streets t.No.,or,PO Box Nap - err April 2015 lC3 r, NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: SARAH C. TREMAINE SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a 43'x20' (860sq.ft.) two-story, single-family dwelling with a 20'x20' screened-in porch, a 10'x43' deck with walkout below; install an I/A OWTS sanitary system; install gutters to leaders to drywells to contain roof runoff; install water and electric utilities; install a gravel driveway with parking area; construct three boulder retaining walls (25', 115' and 140' in length) and regrade site; and revegetate disturbed areas. Located: Brickyard Road, Fishers Island. SCTM# 1000-10-5- 12.26 TIME & DATE OF PUBLIC HEARING: Wednesday, April 16, 2025 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoIdtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Friday,April 4, 2025 5:26 PM To: Evans, Louisa; Louisa Evans; 'lesliegoss@mac.com'; Geb Cook;Jane Ahrens (ahrens jane@gmail.com); 'FINYinfo@gmail.com' Subject: Southold Town Board of Trustees Public Hearing Notice Attachments: April 16, 2025 Fishers Island Legal Notice.doc Good afternoon, Attached is a public notice for three applications on Fishers Island. The public hearings are scheduled for Wednesday, April 16, 2025. Can this please be published in the Fisher's Island Fog Horn and any other public noticing forums for Fisher's Island. If there is anyone else who may need this notice,can you please forward it to them. I have not received an email with the information for the person who is now the Harbor Committee Secretary. Thank you. ECiza6eth Cantreff Administrative Assistant Town of Southold Board of Trustees Phone: (631)765-1892 Fax: (631)765-6641 1 Glenn Goldsmith,President �o�OSpFFU(�'C�Gy Town Hall Annex A.Nicholas Krupski,Vice President = < 54375 Route Eric Sepenoski y z P.O.Box 1179 Liz Gillooly Southold,NY 11971 Elizabeth Peeples ?,jl apt' Telephone(631)765-1892 Ol Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD NOTICE OF HEARINGS ON WETLAND/COASTAL EROSION HAZARD AREA PERMIT APPLICATIONS NOTICE IS HEREBY GIVEN THAT PUBLIC HEARINGS WILL BE HELD AS AN IN-PERSON MEETING BY THE TOWN TRUSTEES OF THE TOWN OF SOUTHOLD ON WEDNESDAY, APRIL 16, 2025 AT OR ABOUT 5:30 P.M. AT THE TOWN HALL MAIN MEETING HALL LOCATED AT 53095 ROUTE 25, SOUTHOLD, N.Y. 11971 REGARDING THE FOLLOWING APPLICATIONS FOR PERMITS UNDER THE PROVISIONS OF THE WETLAND/COASTAL EROSION HAZARD AREA ORDINANCE OF THE TOWN. PLEASE BE ADVISED THAT THIS WILL BE AN IN-PERSON MEETING ONLY WITH NO OPTION TO PARTICIPATE VIA A ZOOM BASED WEBINAR. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right"Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. Written comments may also be submitted via email to the Trustees Clerks at elizabethc@southoldtownny.gov and thomash@southoldtownny.gov. Said comments will be considered at the public hearing provided that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing. 1. JMO Environmental Consulting on behalf of SARAH C. TREMAINE requests a Wetland Permit to construct a 43'x20' (860sq.ft.) two-story, single-family dwelling with a 20,x20' screened-in porch, a 10'x43' deck with walkout below; install an I/A OWTS sanitary system; install gutters to leaders to drywells to contain roof runoff; install water and electric utilities; install a gravel driveway with parking area; construct three boulder retaining walls (25', 115' and 140' in length) and regrade site; and revegetate disturbed areas. Located: Brickyard Road, Fishers Island. SCTM# 1000-10-5-12.26 2. JMO Environmental Consulting on behalf of KATHRYN M. PARSONS &THE KATHRYN M. PARSONS TRUST requests a Wetland Permit and a Coastal Erosion Permit to install approximately 185' of shore protection by removing and stockpiling existing boulders on the storm damaged slope; excavate approximately 4' and install geotextile filter fabric; install a stone filter layer consisting of 3" crushed stone; install a boulder slope consisting of 4' minimum rock and fill voids with crushed stone as needed; and to install and perpetually maintain a 10' wide non-turf buffer planted with native vegetation between the top of the new stone slope and the edge of the existing lawn. Located: 1946 Brickyard Road, Fishers Island. SCTM# 1000-10-5-2.2 3. JMO Environmental Consulting on behalf of ANYTHINGFORTHECHILDREN, LLC requests a Wetland Permit and a Coastal Erosion Permit to install approximately 210' of shore protection by removing and stockpiling existing boulders on the storm damaged slope; excavate to a depth of approximately 4' and install geotextile filter fabric; install a stone filter layer consisting of 3" crushed stone; install boulder slope consisting of 4' . minimum rock and fill voids with crushed stone as needed; and to establish and perpetually maintain a 10' wide non-turf buffer of native vegetation between the top of the new stone slope and the edge of existing lawn. Located: 1596 Brickyard Road, Fishers Island. SCTM# 1000-10-5-3.1 ALL PERSONS INTERESTED IN SAID MATTERS SHOULD ATTEND IN PERSON AT THE TIME AND PLACE ABOVE SPECIFIED AND WILL BE GIVEN AN OPPORTUNITY TO BE HEARD. APPLICATIONS MAY BE REVIEWED AND COMMENTS MAY BE SUBMITTED IN WRITING UP TO 24 HOURS PRIOR TO THE HEARING. Dated: April 4, 2025; Glenn Goldsmith, President, Board of Town Trustees; By: Elizabeth A. Cantrell, Administrative Assistant 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 significant beneficial and adverse effects:upon the coastal area.(which includesall of Southold Town). 1 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 detak listing both supportinz and non- sunporting,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# 10 .5 _12.26 PROJECT NAME Proposed single family dwelling The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑✓ 1. Category of Town of Southold agency action(check appropriate'response):. (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: Please see attached Applicant proposes to construct a 43'x 20' (860 SF) two story single family dwelling; 20'x 20' (400 SF) screened porch; 10' x 43' (430 SF) deck with walkout below, install an I/A OWTS sanitary system; install two (2) 8'x 8' leaching pools; construct three (3) boulder retaining walls (25', 115' and 140') and regrade site. Dwelling, screened porch and deck will be located greater than 100' from the tidal wetlands line and 65' landward of the "Top of the Bank". Location of action: Brickyard Road, Fishers Island Site acreage: 3.89 Present land use: Vacant land Present zoning classification: R-120 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: Sarah C.Tremaine (b) Mailing address- 5026 Jones Mill Road Crozet,VA 22932 (c) Telephone number: 434-242-0113 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes RI No❑ If yes,which state or federal agency?N.Y.S.D.E.C. C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑✓ Yes ❑ No Not Applicable The project will not have a negative impact upon the character of the community. It is felt that this project is consistent with this policy. 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 0 Yes❑ No❑ Not Applicable The project will not negatively impact any known historic or archaeological resources. It is felt that the project Is consistent with this policy. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ® Yes ❑ No❑ Not Applicable The project will not negatively impact the visual quality or scenic resources of the Town. It is felt that the project is consistent with this policy. Attac -a-dditional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria R] Yes 0 No El Not Applicable The project will not result in the loss of life structures,or natural resources from flooding or erosion. It Is felt that the project Is consistent with this policy. Attach additional sheetsif necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria F Yes E:] No ONot Applicable The project will not negatively impact the quality or water or water supply in the Town of Southold. It is felt that the project is consistent with this policy. Xt—tach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages_22 through 32 for evaluation criteria. 0 Yes ❑No ❑ Not Applicable The project witi not negatively Impact the quality or function of the Town,s ecosystems Including Significant Coastal Fish and Wildlife Habitats orwetlannds. Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. W Yes NonNot Applicable The project will not negatively impact the quality of air. It is felt that this project is consistent with this policy. 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 evaluatiop criteria. ❑Yes ❑ No ❑I✓ Not Applicable Theproject will not involve solid waste or hazardous substances or wastes. It is felt that this policy is not applicable to thhis project. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. n ❑✓ Ye� No❑ Not Applicable The project will not negatively impactthe public's access to, or the recreational use of coastal waters,pt Attach additional sheets if necessary i WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No ❑ Not Applicable The ro'ect will noy negatively impact the Town's water-dependent uses of or the siting of news! water dependent uses It is felt that the project is consistent with this Poky. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑✓ Yes ❑ No❑ Not Applicable ' The project will not negatively impact the sustainable use of living marine resouces. It is felt that the project is consistent with this policy. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable The project does not involve agricultural lands. It is felt that this policy is not applicable to the project. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No❑✓ Not Applicable The project does not involve the use or development of energy or mineral resouces. It is felt that this ai not applicable to the project. PREPARED BY Glenn E. Just TITLE Agent DATE4*-gr--