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1000-140.-2-21
_ W _>., ,.� s:x<o::,r c:.. _.+;t. ., s.....g96_ ;✓....-.�u�..c..a..» '0 ,,, ' .9:.. 6. 3* ';C m' a c. e. ,. '.; '.*' ;.' CT-Y'ZONING DATA SITE LAYOUT NOTES: SGAPIN6a5GREENIN6-AND BUFFER_.;W54EGT,PROPERTY , LAND .., ., . _ ;. JE .> _ W I. THIS 15 AN ARCHITECT'S SITE PLANS 15 :: xa.,'S,":en.7, aa§..-,..:.:rt3u:�r-T ea #^...- •R._. . . ..:.4.lr r'. _.,.r, :X. SUBJECT TO VERIFICATION BY A LICENSED �,-•�s , ,tr fF ,. 7,77 P# 1000-140-02-21 m W 3 80-q3 , ,�TOAX MA _k �w SURVEYOR. THE INFORMATION 50UTHOLD TOWN;GOD€"A"; -• _ -, £, z ,W:_ .-Amy »s ,a - REPRESENTED ON THIS SITE PLAN 15 TO THE #OF TREES #OF TREES EXISTING VACANT LOT G Z ARCHITECT'S BEST OF KNOWLEDGE. LOT FRONTAGE ��,UIRED PROPOSED it<<l 2.SURVEY INFORMATION WAS OBTAINED ZONING DISTRICT HAMLET BUSINESS (HB) OU`"W 0 FROM A SURVEY DATED FEBRUARY 21, PER 40 FEET OF LOT FRONTAGE 150 4 4 <-f w ' ONE SHADE TREE 2024,MOST RECENTLY UPDATED APRIL 02, • LOT AREA 0.52 ACRES LL c=F 2025,AND PREPARED BY: r SOIJTHOLD.TOWNhjGOD1= § 2805• a o W ~a PLANNING APPROVAL PENDING W 8 O 3 W 5EGGAFICO LAND SURVEYING PG #OF AMOUNT AMOUNT m W y 5 W N.Y.STATE LAND SURVEYOR PARKING REQUIRED PROPOSED SUFFOLK COUNTY HD APPROVAL __- --- PENDIN6 z F o¢E NYS LIC.#051040 SPACES < c 500 MONTAUK HIGHWAY 4 TREES a <LL= MORICHES,NY IIg55 ONE TREE FOR EVERY 10 PARKING SPACES A 2 TREES (REAR YARD) a a ¢ (651) 876-0120 10 S.F. OF INTERIOR LANDSCAPING 19 190 S.F. 756 S.F.FOR EACH LOT COVERAGE x _ � * �c o z n PARKING SPACE SOUTHOLD TOWN GODS GI tAPTER 280 ATTACHMENT j4 IAAA ANDSGAPIN6 - - AREA COVERAGE a s=N o DESCRIPTION(FOOTPRINT) 22 850.0 S.F. 25% OF LOT - - - W AAA3: TOTAL LOT AREA AREA = 5,I I2.5 22 81 I S.F. z a<g o q TOTAL LOT AREA m<k Z G �3�/mo t PROPOSED LANDSCAPING 4,g60.0 S.F. 21.7% PROPOSED COMMERCIAL s W w->.< / o ¢¢> BUILDING(WITH FRONT ROOF 4,742 S.F. 20.5% =i a s PROPOSED PARKING INTERIOR W LANDSCAPING 756.0 S.F. 5.5% COVER) =Z / I G W t<O TOTAL LANDSCAPED AREA TOTAL AREA OF ALL STRUCTURES 4,742 S.F. 20.5% Z a:o¢a Q d W W / MAXIMUM LOT COVERAGE ALLOWED: 40% = aw z r `� ��A/� (2) 3 YARD -- DUMPSTER5 ZONING RE6ULAT10_N5,.MAIN BUILDING 15 16 EXISTING ROW OF - O 14 \ EVERGREENS SOUTHOLD TOWN;CODE,CHAPTER°280''ATTAGHMENT 4 O13 1 11 12 ® t� PROP05ED COMPLIES i... IO 10 4-) MIN.FRONT YARD 15.0' 15.0' YES U PROP05ED 2" 1 O ® NN fill < �_ MIN. SIDE YARD 10.0' 10.0' YE5 CALIPER SHADE MIN.COMBINED TREES TO BE NATIVE, SIDE YARDS 25.0' 44.4' YES DROUGHT-TOLERANT; N 1 U — 4 TOTAL 22 t l MIN.REAR YARD 25.0' &2.1' YES O 18 t (� MAXIMUM HEIGHT 35.0' 26b YES HATTDTG�CP PARKING SIGN 1 O 22.0'—J I� lq 1 -g'Xiq'-TYP O PARKING STALL NO PARKING SIGN OFF-STREET PARKIN6•REQUIREMENTS PROPOSED I 8'Xlq' ADA 1 O® ry O ® 1' rt 4 FLOOR AREA BY UNIT(5 F)s PARK N VAN-ACCESSIBLE r• TYPE Ql=USE iREQUIRED NUMBER OF - e'SpAr , BUFFER 1 1 , PA�RKIN6 SPACES ,, e5 "gr4 TGTAL_+ :R1=QUIRED' 10.0' 40.2' Q SIDEWALK t 4 I PER 200 S.F.OF ERo55 Ipq,� � MCIIAIO r Bbg5 165 4.4' RETAIL FLOOR AREA 43.8 ADJACENT �I 24.0 �. DWELLING TOTAL(ROUNDED UP)- w PROPOSED ONE 5TORY 1 J 0 cm COMMERCIAL BUILDING O j O' I'. OFF�5TREET PARKIN6-GOMPLIANGE PROP05ED USES m W .� ADJACENT BUILDING FOOTPRINT: I 1 COMMERCIAL OI �/ 4,42q S.F. p 3 UJ s N Q N z BUILDING ° w I' - REQUIRED PROVIDED W V Lu Q1 Q N TOTAL G.F.A. - FOOTPRINT j N d TOTAL PARKING SPACES Iq Ia a W a PROP.ROOF I + ROOF OVERHANG > 3'-O": j �•'1' I - ! COVER ZI Lo AGGE551BLE PARKING SPACES I 4, S.F. 1`" 3q.6'i I m VAN-ACCESSIBLE PARKING SPACES!s) I I o 0 co Q EX15T. FIRE 10.4' I t- + � V N I-PER TOWN OF 50UTHOLD GODS 260-•Tb N.._ HYDRANT 1 24.0' °-PER 2010 ADA STANDARD'FOR AGGE5515LE DESIGN,TABLE 20b2. ACES C +-V LISTED IN THEBLE ROW ABOVE TTHHEESSE SPACES ARm ARE NOT E AMMON&TNHEOAcCC ACCESSIBLE L ACCESSIBLE PA KII SPACES,,BBLrr 0 AL50 PROVIDE AN ENLARGED MINIMUM qb"-WIDE ACGE55 AISLE AS REO.b TO AGGOMMODATE A w N04EFLCMAIR LIFT. S 63045'40" W 130.00- EXIST.FOUND O O GONG.MON. EXISTING HEDGE 0; Lo N � � PROPOSED HERRINGBONE -1.5% MAX. SLOPE (TYP) c PROPOSED 2" CALIPER cl� � : << � JUN 1 2 2025 BRICK PATIO TO MATCH SHADE TREES TO BE NATIVE, r„-✓ �' ' PROPERTY TO WEST P I K E STREET R E E T s. N DROUGHT-TOLERANT;4 TOTAL : �`` '��� SOUTHOLD TOWN PROP05ED 51 TE PLAN . PLANNING BOARD SCALE: 1" = 50'-0" Qa W 6 • 6 SITE LAYOUT NOTES: PROJECT/ ZONIN6 D,4TA I. THIS IS AN ARCHITECTS SITE PLAN $ 15 w 5 Y SUBJECT TO VERIFICATION BY A LICENSED TAX MAP 1000-140-02-21 z F W 3 SURVEYOR. THE INFORMATION REPRESENTED ON THIS SITE PLAN IS TO THE EXISTING VACANT LOT F z~Q ARCHITECT'S BEST OF KNOWLEDGE. 2.SURVEY INFORMATION WAS OBTAINED ZONING DISTRICT HAMLET BUSINESS (HB) m w W E O Z j= FROM A SURVEY DATED FEBRUARY 21, 2024,MOST RECENTLY UPDATED APRIL 02, LOT AREA 0.52 ACRES o c 2025,AND PREPARED BY: a w r a PLANNING APPROVAL PENDING w s p-m a G PG m o a S tr SEGGAFIGO LAND SURVEYIN N.Y.STATE LAND SURVEYOR SUFFOLK COUNTY HD APPROVAL __-____ PENDING =Z 5 V) zEoQw NY5 LIG.#051040 500 MONTAUK HIGHWAY a W. a W_ MORICHES,NY IA55 QLL (651) 5,75-0120 o LL O W 4 QOLLoZ3 1.16HTING K)=Y Z O W Q ate?U OT TAG LABEL DESCRIPTION a z w a Y Ow O'='o ax=mm ¢,Soo: �w 2.-1 A SLIMS 20 DEG 28W 20 DEGREE 3K z m Q~0 ,„ ZQ W QO =Q 5 B WFRL&RI49FAI20W5 144 m W.3 z '/I I• <� LLWp 2NV W Z Z W / I 11 G BLEDS bW 3K m,z„E c o zm�oL Q W(7 F U— off, O JUN 12 2025 SOUTHOLD TOWN (D PLANNING BOARD noRam r uu'ea 1 ® U ®avDE fl TO Ee NAT:ve. - ,i Q f . PPDO T-TOLERANry4 TOTAL En_ a� +=�� � G09TINORONOP , J + "A"5LIM520 DEG "B"HIGH HAT 1 1 PROPOSED ONE STORY FIRST FLOOR-4A57 S.P. 1' J 0 Lf) f ` ® J W 1 nNe HEDGE ®� Bv � Q W Z I, W Wa- cYi 1 I _ � e�•1 G � a rA OV4M 7MMS TO EC FATN'l. DRZVaNM1TOLERANL4TMAL C: Si4 --- ---------------------------------- ------- ® c PROPOSED 51 TE PLAN "G" BLEDS c a SCALE: I" OENERAL 5YM50L KEY: r==l EXISTING TO FM,%IN MN FO.RVAnoK Km.L EZ MH Ko=FRAME O on 92 z z w 0 o 3: 07-z-w 40'-2" W 11.jq 101. 'am O IRL d) Fr z 451-1011 Z�Z< ,o - - -e> g -0 <0 0 17 7 0 t;8 7=17 I'Ll 0:0 (D C) C) 0" 10L.5. HOHT.1 JUN 12 2075 - rL5. H&HT. Ir-L.O. HCHT. IrLC,. H(5HT. l SOUTHOLD TOWN PLANNING BOARD V STOP PROPOSED PROPOSE ACE PROPOSED 5TORA61 PROPOSED STORAGE -7b5 S.F. 1,04-7 S.F. -STORAGE -Q— qclb S.F. 1,0&5 S.F. (UNFINISHED UNCONDITIONED) (UNFINISHED 4 UNCONDITIONED) (UNFINISHED E UNCONDITIONED) (UNFINISHED 4 UNCONDITIONED) LoCj co >: w Lu w o. Lo U DAP 10 kE C 0 (D 0 A 0 —:20'-0"— 0 ow • �A Lo 4$' cli N PROPOSED FOUNDATION PLAN WALE: 1/6"= V-0" W a OENERAL SYMBOL KEY: CSC �MCD W s x c mwo 9�EXISTING TO REMAIN �+FouroAnON�- JUN 12 2025 �a� FRAME F=* MEH WOOD _ Zo G C SOUTNOLD TOWN c z W IN PLANNING BOARD a a H o��aF 84-O" Jo=J yW K F Y W >> ma 43'-10" W Uw 0 3Q W C W O=Z J W Z PROPOSED PLANTERS =aQw (TYP.) ;PROP. o LL M.B OXWOODS 2' HIGH a o LL o 3 zwowaa oat Ica ■ e y a R w O N 8'=0" zZWZO 4v .`v..` v..\ti���.•\+`..\ •... ay.. .v. �..\ e..`v..`v..•: C W¢R>zQ �•.j,,- ^.' �i�gs ,ska..,L 5 i_On k:: �'E.'.a^.`. j '" 5'-Ou ��:• '.'-fi'..a ?'�.`• f co o W 3 Z z ?•..:•.x3/.,•: ',q ,.;?3'/c:.', .,•v ? q,' •.',.:"'•:'1 ?o-.::;?lv..'-',`.�.. ..' :: ?FS.•i:^ O O c'-J LL W O • ■ W l-SZ W N rW� V POSEIj' ` ' W��' y $ATE M I. 1-win ro 5F 1- o a co �.�.� O ^^`` O T W PROPOS i , - BAYHROOM m y`y F'RO--POSO - - 58 SF r I BATHROOM IN �i 4-j 8 SF r-1,10 (� O O I1'O" ui PROPOSED U i 1 GLIS. HGHT r BATHROOM L-- 5,6 SF — PROPOSED RETAIL - N TAKEOUT Q I I Oq4 S.F. I UNDER 16 SEATS GLG. H6HT. - - ___ rn 1 PROPOSED RETAIL N M 722 S.F. 14'O" 14'O" C.L.G. HGHT - 1 GLG. HGHT. I PROPOSED RETAIL PROPOSED RETAIL TAKEOUT Sbq S.F. 1,010 S.F. --- I UNDER 16 SEATS V N J to J J C) I mLz e'a ® a .. LJJ V V7 Z LU I. '''�! Pam• � O coa 20'-I" IS'-4" i;` 1, a (D C) to '� • ' �� ,�, / N CL 35 i I O� i L - - — — — — — — — — — — — — — — — - -- — — — — =- - —.— - - - .f* .., ,...! ......... ..F..,....1.. •'k'' "•1 C PROPOSED FIRST FLOOR PLAN PROPOSED PLANTERS (T,rP);PROP. BOXWOODS 2' HIGH I SCALE: 116"= 1'-o" 44'-5" c L(n 3q'--►" W Q a W gs ! m W O U J � 1�=Q Q U (11 N O W JUN 12 2025 Z p w t (OjZJ U Q��tli SOUTHOLD TOWN W w F Z PLANNING BOARD s m a m`�i3e O S Z J W 2U O QY1 �Q=W N MEQarzp= W= Qy Q� S O K On 3 MAX. ALLOnAB�_E HEIGHT r z J — — — — — — — — — — — — — — — — — — — — —__ -__—— — — — _ — _ _ _ — _ — _. 0.—w Q p N N W O W<Z O 1 R LL 2 Q Q 0 U O W. Ipipts N O W S Q IW— I Z R O Q R 4 1 W W rS N I = W WO U�Y Y _J rl 1 _ APPROX. ADJACENT BUILDING QD APPROX.ADJACENT BUILDING - L- U CONTEXT DIACRAM W co HrS + — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — e®gRC6;, Lo O Q nr Q OF %A Lo c� Jm � � W � m W V W z a Lu771 0. Ci 0Lo LL ° a 0 t>; a � o - a s c L/ SOUTH ELEVATION (FRONT) SCALE: ve° = r-0" c a� z • Zy W y m W O O Z�J U zr Q JUN 12 2025 LL J O W IIFYY ww� z SOUTHOLD TOWN :'0 o;M. PLANNING BOARD m�`>3 O=Z J �QFx-W Q aazwx LL= in C O_ z O W O x Z. z WOW a _ C N oaiaa=�� W 0 3 y W 6 R• Q - O N a-= gym a Q z z Q W Q 0 wzCz� o �=z�¢ cw3zz x =� owoy5 Ca Wo z zoom o (L z U Y y y�y J F> Q W W 6 K O f �OOCO i J� T U N m o T Q E_ NORTH ELEVATION (REAR) J � o � �: I/V= r-o° Jm W � J w .i inQ � > W v z Areol LL � V Q 't � ' O ® cli � to to- o O o a� w Q z y W Y 07 w O MCKEDW[ED os 3 J J 1 Q Q H W' U JUN 12 2025 ZQJV R. oJ�Q� SOUTHOLD TOWN W W o�i PLANNING BOARD W — x � x O LL O W= J 2 p W Q - p N rZ �Wa�.i R K LL Z Q W Q O u w W_ x 40 Z Z p ga�wx °.zcQic�ic� T WE5T ELEVATION (LEFT SIDE) C^)` MM� SCALE: 1/8•= I'-0" W W Q cn ` � 0 ?,ED AR Rl 3= r i to NZ C. W a Lo Lo ❑ - ❑ 10 IL 037413 Ln A�OF N� EAST ELEVATION (RIGHT SIDE) SCALE: va° = i'-o• - 0 ..Q o a� GUARANTEES OR CER/IFJCATIONS ARE NOT TRANSFERABLE UNDERGROUND U17LRIES SURVEY OF DESCRIBED PROPERTY E45MENM NOT SHOWN AND UTILITY POLE LOCATIONS ARE NOT GUAWnEED. THE OFFSET MONTY LIES ARE FOR SPEtDf I PURSPOSE HOWN AND USEN IHER&vRE AREUNOT�DED TD GUM WE STRCTURES TV VIE iDDE THEN SITUATE AT 11I471ITUCK ERECTION OF FENCES, RETAINING HAUACO POOLS PATIOS PLANTING AREAS TOWN OF SO UTHOLD ADDITION 10 BUILDINGS AND OTHER CONSIRUCRON.THE EXISTENCE OF RIGHT ' OF WAYS WETLANDS AND/OR FJlSEf1ENl5 OF RECORD, IF ANY, NOT SHOWN �� 0 �OTT�T/I�T� y�r YORK ARE NOT gEDANr® (J j�j l UNAUTHORGED AL7EITARON OR ADDITION 70 THIS SURVEY W A L7DLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP '` NOT BEARING THE LAND SURVEYORS SIGNATURE AND RED INK OR EIVBOSSED SEAL SHALL 3.C.T.M. No. 1000-140-02-21 NOT BE CONSIDERED A TRUE VALID COPY. ALL LOCATIONS OF AND DISTANCES TO WELLS AND CESSPOOLS ARE BY LOCA710NS LOT AREA = 22,811 S.F. FROM HOMEOWNERS FIELD OMMA770AM AND/OR INFORW477ON OBTAINED FROM OTHERS SINCE MOST ARE NOT V79BLE THESE LOG471ONS AND DIMENSIONS CANNOT BUILDING COVERAGE = OX BE CERTIFIED. LOT COVERAGE = OX LOT CLEARING = 10OX ELEVATIONS PER NAV88 DATUM GROUND ELEVATION = 16.02' OL DARK BROWN LOAM Aa BROWN SILT 1V�57/ 3.01 PALE BROWN TO COARSE SAND T 0 1g.1 13.5' (ELEVATION 2.529 ail) R MOH.1g. 0 S9• WATER IN PALE BROWN FINE �INC� .9g' v w I TO COARSE SAND _,.-(20� i.�o ,!m is IL c w TEST HOLE JJON N BY MCDONALD GEOSERVICES DATE: 0312512026 WATER ENCOUNTERED 13.5' 16.5 BELOW SURFACE, ELV. 2.52' FND. 6'$' $ MON., N 0.1 0.3 N 0•'1 0.2 E Lti O • 18'g � � o w Z 615 PACE STREET O v -VACANT- No 5 A W o ti w� tj M CQ to IL w `o' V TESTEOLE w � EL.16.02 Z U W �+ . 15.8 • � pp w � o O CRB. 0.6 N CRB. 0.2WM N a 2.1 � CURB 172.618 SIGN CRB. 2.1 N to-OCONC. CURB ♦ 4T 0.6'W DRAIN® CONC. CU EP.15.51 EDGE OF PAVEMENT -EP.15.58 EP.h6.56 EP.15.44 BL BCURB -w-w-w-w-w-w-w-w-v-w-w-w- - -w-w-w-w-w-w-w-w-w-w-w-w-w-w-w-w-w-w-w-w-wow-w-w-w-w-w- -w-w- R01.16.19 W.a CRB. 0.2E S 63"45'40 .9 " W 130.00 CL.16.53 'CL.16.37 'CL.16.40 CL 16.64 CL 18.08 Rof.15.72DRAW —GAS G S GAS GAS GAS GAS—GAS GAS GAS—GAS GAS GAS— EP.15.84 EP.16.07 EP.18.05 EP.18:08 UP. �EP.15.95 LIP 7 PIKE STREET N°.6 MG�lmodmC (RAMROAD AVENUE) (27' WDE) JUN 12 2025 1 T SDUTHOLD TOWN �� g� PARKING LOT PLANNING BOARD V� V� of Nedy. SECC�9��c®'A C �� SECCAFICO LAND SURVEYING PC / 500 Montauk Highway c� �® �� Moriches, New York 11955 0sloao �. Phone: (631) 878-0120 Phone (631) 728-5330 D LAND s�t• pseccaffcogoptonline.net Pat C. Seccafico. PLS Pat T. Seccafico. PLS NYS Lic. No. 051040 , NYS Lic. No. 049287 0 410 212 0 2 5: TOPO copyright — 2025 Seccafico Land Surveying PC PROJECT No. 64582 SCALE: 1" = 30' DATE: 0212112024 e . . . . . . . . . . o-: .go-: : : : :-: : • '•-•':'-'-':::::::::::::::: �p-' ' :: ' : r: : : :' . .. . . . . . ° 00'. . . . . . . . .•.•. . ;. (2) 3 Y o.t TERS 0.0•'•'• • • • IS I EXISTING / N 0 • 0.2 I 13 0.0 7 E ENS :-.00:-:D4: •. a o.0 0.0 0.0 0.0 0. A : . . . . : ' : : . -7 II O 1 -.ON 0.0 0.0 0.0 0.0 • .0PROPOSED :2" r-ALIPER SHADE ¢ 6 N 6 TREES TO BE NATIVE, 1 0.1 :1-__ 0.1 : :Q� : •2 DROUGHT-TOLERANT; N 0 - 4 TOTAL . .0.1 H P .2 KING SIGN 22 .3 :2: 2 0. la 8'Xla' TYP P G STALL NO IGN 24 1.1 0.9 - 0.8 q.9 0.8 •. 0.3 exla a VAN- 551BLE 7.7 1.6 .8 3.8 4. .1 .3 .8 0. 1 BUFFER 'p;•;• .ii 10.0 8.3 1 5 1.9 70. D;•' 4 ADJAC :•:•:-:. D INO O :a 6 09 ADJACENT �0 GOMMERG O --- 9 0 W BUI O PRO F z ::;::.:. r�.j} • -:•:I m IV EX15TI E 10.4' : . 3 31 0 + HYDRANT24.0 Oa'. . . . .•. . . j- 0. 2A 1 0 '•:' to .0 ° 0.3 O.�i 0. --- --- La S 63°45'4CCW 0.i i 0.1 0.1- 0.1 0.0 0.0 0. 0. I�b.02�' EAOT. FOND G3CSC�C DM�D m GONG. MON. EX O PROPOSED HERRIN N '73% P)JUN 12 2025 BRICK P O MATCH PROPOSED 2" CALIPER PERTY TO WEST SHADE TREES TO BE NATIVE, SOUTHOLV FOYiN DROUGHT-TOLERANT;4 TOTAL PLANNING E0AE0 PROPOSED 51 TE PLAN Scale: 1 inch= 30 Ft. Scale:asnoted PROJECT#:262510 TfLghtirgMaysn,EZLayout,Eme yAnalysisaMo,Vls ISimulatronl'Lght,NDegn'IprovbedbyMBLghtirgln IBVB'irepeen avant gedpNKtunolgh gsytempedomanebaedupen Prepared For: Job Name: Meg;a,o�i�pM�.f- pphdby.thert.t-&qn -and hh o�� he��^"othee"fld-fiadbyUS there(orextualmeasuredresultsmayw,yIf-the wV Damin Sales 615 Pike Street ua ign paramete as n Date:4/28/2025 CASE#:01597056 a 28 Brunswick Avenue Lighting Layout PAedcesrwt wananry,either implietl or stated,xtual measured light keels orecegyconsumptron levels asmmpared to those ilkstrated by the LgMing Design 1� Edison,NJ08817-0377 Version Filename:615 Pike Street Lighting Layout 01597056A.AGI NABdoesvot--hly,,eitherimplkdorstated.rorrepesents the apW,pretmess.completemo1,suitabdityo/the LightingDeignas pliantMth any apptnabkrcguhatoy'ode reguim,-hsmththe a eap- th tion of ose y pared on drawings created nd submitted by PAS.The Lghting Design h issued.in whole or in,,an,as a ,-,documents for intormxkml aM commerce WrPoses"IV.n nd 408 W 14th Street,New York NY 10014 n-pteMedto consmctanm asaprtatep,ne t conath.-d-thantatknpaclage.am�i d�tbereiedupontpranyW� - o Drawn B S Elliott ~ 888 722-1000 rablighting.com y mmedu ey p or to a ry pattyo den g PAB p odu u ed in to ghfng De gn.the«ae ng w y must er y that the omen ou put or he ru u es xi g oMered ias s own on PAB s websik)maKh the lumen 0 outpN shown in the Lghfng Design.Oc<asionaly,LghhN Designs prevbusy provked use foam tat are then upd,-prior to an order aM such updates cook change the Boren output of the future.This in J Filename:C:\Users\sharon.elliott\RAB Lighting Dropbox\Lighting DesignUob files\Damin Sales\Damin Sales 105354\615 Pike Street\Working FilesWGl\615 Pike Street Lighting Layout 01597056AAGI hum cook impact to installed lighfn9 pertia-e that differs hom de Lghtirg Deign d — fV ys - 34. Z Plan View Iso View JUN 12 ?025 5�jU i NGLL'i JSkN PLANNING BOARD Scale:asnoted PROJECT# 262510 The LghtingAnalysis,EZLry t.EmgyAnalysisaM,,ViwalSimubtlon('Lghtig[ iqn')providedbyMBL'ghtmghKCBABlrepreunnanantkipatMyedKtonolghhngsytempeomu aCaseCupn ® Prepared For: Job Name: Mesgn parametenark infomutbn wpplkd by others.Theo deign paramem« hfwnution prov by°th«s haverKK ixen rek v«fied by PAS and tlurefore xtual measuretl resultsmay vary from tM Uj P twl f k<oMit'ons.MB r«ommerks that desgn paramettts aria other iMomutkn be fek sedfied to reduce varution. Damin Sales 615 Pike Street CASE#:01597056 a Date:4/28/2025 a 28 Brunswick Avenue Lighting Layout MB aces iwt wartanry,either lmplkd or stared,xtwl measurM light kveh w eregyconwmptan keels as compared to thou illustrated q the Lghnnq[ksgn t` Edison,NJ 08817-0377 Version A US does notwartan therim kdornated.n°rre t,thea ee,—kteresso,—bih f—L hb oa ha ae bt °d•r thtl Filename: n.ei a preen pWby p ry g g g°as,d— n m.pww e' °"` ewiremenfw xcep[on d tMu expressly staetl on drawings created antl wbmittM by MB.The Lghtirg Desgn is hsued,in whole w in pare,as adviwry documenn Iw inlwnutional aM confenk«e purpose only,h nd mtended for constrvction nor as a part of a p,,Wt's combustion dceumen—p,UW,and shook not be relkd upon for any purpou G 408 W 14th Street,New York NY 10014 Drawn SElliott yp- �p„ryw ng w Lg nV sign,t rgW"mastKriry tp�t ^g° Y� Immediate t°a aed MB mwtf°fedinme nt oe hewded tnatthelumen°� wtnerm°refbei rearedlafsn°wn°nMeswebfdelmat<nmeu,nan p 888 722-1000 rablighting.com output shown in the Lghtirg Oesgn.OccxonalN.Lghting Desgns previously provked uu f°ture that are[hen updated prior t°an order antl such update cab change the lumen output of the fuwre.This in J Filename:C:Wsers\sharon.elliott\RAB Lighting Dropbox\Lighting Design\Job Files\Damin Sales\Damin Sales 10535"15 Pike Street\Working Fi1es\AG1\615 Pike Street Lighting Layout 01597056AAGI wm,souk impxt the'mstalkd Ighhrg pedomunce that tliffers fiom the Lghtirg Desgn. d Calculation Summary Label CalcType Units Avg Max Min Avg/Min Max/Min Description PtSpcLr PtSpcTb Meter Type CalcPts Site Illuminance Fc 1.38 10.3 0.0 N.A. N.A. Readings Taken at 0'-0"AFG 10 10 Horizontal CalcPts Site Property Line Illuminance Fc 0.01 0.1 0.0 N.A. N.A. Readings Taken at 5'4'AFG 10 N.A. Horizontal Luminaire Schedule Symbol Qty Tag Label Arrangement Lum.Lumens Arr.Lum.Lumens LLF Description Lum.Watts Arr.Watts Total Watts BUG Rating ® 11 C BLEDS Single 834 834 1.000 6w 3k 6.13 6.13 67.43 60-UO-G1 61-UO-G1 6 A SLIMS 20 deg Single 3514 3514 1.000 28W 20 Degree 3k 28.1 28.1 168.6 ® 3 B wfr16r149fa120wb Single 1189 1189 1.000 14w 13.5 13.5 40.5 N.A. Expanded Luminaire Location Summary LumNo Tag X Y MTG HT Orient Tilt 1 C 182.507 188.704 3.5 180 0 2 B 73.755 53.931 10 0 0 3 B 88.755 53.931 10 0 0 4 B 1 103.755 53.931 10 0 0 5 A 151.433 59.5 12 0 0 6 A 151.433 98.711 12 0 0 7 A 148.807 103.657 12 90 0 NOTES: *The light loss factor(LLF)is a product of many variables.RAB's standard is to use the initial 1.0 LLF in accordance with most municipal 8 A 110.898 103.657 12 90 0 lighting ordinance light trespass requirements,unless otherwise noted. 9 A 85.771 111.49 12 90 0 •Illumination values shown(in footcandles)are the predicted results for planes of calculation either horizontal,vertical or inclined as designated 10 C 182.507 163.704 3.5 180 0 in the calculation summary.Meter orientation is normal to the plane of calculation. •The calculated results of this lighting simulation represent an anticipated prediction of system performance.Act 11 C 182.507 138.704 3.5 180 0 ual measured results may vary from the anticipated performance and are subject to means and methods which are beyond the control of RAB Lighting Inc. 12 A 131.085 103.657 12 90 0 13 C 83.342 187.389 3.5 290.559 0 *Mounting height determination is job site specific,our lighting simulations assume amounting height(insertion point of the Luminaire symbol) to betaken at the top of the symbol for ceiling mounted luminaires and at the bottom of the symbol for all other luminaire mounting configurations. 14 C 107.127 195.088 3.5 290.559 0 'RAB disclaims all responsibility for the suitability of existing or proposed poles and bases to support proposed fixtures.This is the owner's, 15 C 130.912 202.788 3.5 290.559 0 - installer's and/or end-user's responsibility based on the weight and effective projected area("EPA")of the proposed fixtures and the owner's site and soil conditions,wind zone,and many other factors.A professional engineer licensed to practice in the state the site is located should 16 C 154.697 210.487 3.5 290.559 0 be engaged to assist in this determination. 17 C 66.939 154.808 3.5 0 0 •The landscape material shown hereon is conceptual and is not intended to be an accurate representation of any particular plant,shrub,bush, or tree,as these materials are living objects,and subject to constant change.The conceptual objects shown are for illustrative purposes only. 18 C 148.628 152.904 3.5 0 0 The actual illumination values measured in the field will vary. 19 C 114.533 147.712 3.5 180 0 •Photometric model elements such as buildings,rooms,plants,fumishings or any architectural details which impact the dispersion of light must 20 C 129.649 49.048 3.5 270 0 be detailed by the customer documents for inclusion in the RAB Lighting Design.The owner/contractor/customer/end-user must provide accurate and complete construction drawings that reflect what will be the final construction RAB is not responsible for any inaccuracies caused by incomplete, inaccurate,or outdated information provided by the owner/contractor/customer/end-user. Total Quantity:20 •RAB Lighting Inc.Luminaire and product designs are protected under U.S.and International intellectual property laws.Patents issued or pending may apply.Please see www.rablighting.comlp. •The Lighting Analysis,EZLayout,Energy Analysis and/or Visual Simulation("Lighting Design'provided by RAB Lighting Inc,("RAB")represents an anticipated prediction of lighting system performance based upon design parameters and information supplied by others.These design parameters and information provided by others have not been field verified by RAB and therefore actual measured results may vary from the actual field conditions. RAB recommends that design parameters and other information be field verified to reduce variation. •RAB does not warranty,either implied or stated,actual measured light levels or energy consumption levels as compared to those illustrated by the Lighting Design. �J U N( 1S 2 �2/0 L255 •RAB does not warranty,either implied or stated,nor represents the appropriateness,completeness or suitability of the Lighting Design as compliant with any applicable regulatory code requirements with the exception ofthose expressly stated on drawings created and submitted by RAB.The Lighting Design is issued,in whole or in part,as advisory documents for informational and convenience purposes only,is not!-ritencled for construction nor as a part of a project's construction documentation package and should not be relied upon for any purpose. SOUTHOLD TOWN PLANNING BOARD 'Immediately prior to any party ordering RAB products used in the Lighting Design,the ordering party must verify that the lumen output of the fixtures being ordered(as shown on RAB's website)match the lumen output shown in the Lighting Design.Occasionally,Lighting Designs previously provided use fixtures that are then updated prior to an order and such updates could change the lumen output of the fixture.This in turn,could impact the installed lighting performance that differs from the Lighting Design. Scale:asnoted PROJECT#:262510 The Lighting Analysis,UL'yout.EnergyAnah/sisand/orY alsimutationCLightingDesign)pmvidedbyRAELightingIncrBAB)representsananticipatedpredictionoflighlingrAtemperformancebasedupon ® Prepared For: Job Name: design parameters and irdomsati--ppred by ogep TMme design parameters and information pmvided by others have not bee field,,!red by RAB andthereforeadual messuredre results wyvaryhom the w Damin Sales 615 Pike Street CASE# 01597056 actoalfieldconditions.RABrecommends that des dothe,informationbegeld.�Medtoredece•arlation. Date:4/28/2025 a 28 Brunswick Avenue Lighting Layout RAB does not wananty,either Implied or stated,actual measured light levels or energy consumption levels as compared to those illustrated by the Lighting Design. I� Edison,NJ 08817-0377 Version A Filename:615 Pike Street Lighting Layout 01597056A.AGI RABdoesnot-my.either Implied or stated,nor represents the appmp Lateness,completeness or suitability of the Lighting Design as compliant with any applicable regulatory code requirements with the x exception of those expressly stated on drawings created and submitted by RAB.The Lighting Design Is issued,inwhole orin pars,as advisory documents for Informational and convenience purposes oniy.I,not 408 W 14th Street,New York NY 10014 intended for construction nor as aprtofapmlect's construction documenationpacUge,and should not ber i won for any Wrpose• OI Drawn By: S Elliott Immediately RAB products used in the❑Lighting Design. pa Irythatthewmene of dered(as shownon RAB's w Iaslte)match the[men 888 722-1000 • rablighting.eom y. g g g g tympa am gor output shown In the Lighting Design.occasionally.lighting Designs previously provided use frxNres that are[hen updated prior to an order and such updates cook change she lumen output of the future.This In J Filename:C:\Users\sharon.elliott\RAB Lighting Dropbox\Lighting Design\Job Files\Damin Sales\Damin Sales 105354\615 Pike Street\Working FilesWGl\615 Pike Street Lighting Layout 01597056A.AGI ormcc uk impact the loraned lighting performance that differs from the Lighting Design. a BLEDS RAS Project: Type: Prepared By: Date: Driver Info LED Info Type Constant Current Watts 13/10/6W 120V 0.1OA/0.07A/0.05A Color Temp 3000/4000/5000K 208V 0.07A/0.05A/0.03A Color Accuracy 83-84CRI Color:Bronze Weight:0.0lbs 240V 0.06A/0.04A/0.03A L70 Lifespan 100,000 Hours 277V O.OSA/0.04A/0.03A Lumens 833-1,7201m Input Watts 5.98-12.06W Efficacy 135.5-148.3 Im/W Technical Specifications Field Adjustability Power Factor: Color Consistency: Field Adjustable: 99.5%at 120V,92.1%at 277V 7-step MacAdam Ellipse binning to achieve Field Adjustable Light Output: consistent fixture-to-fixture color 13W/1OW/6W(factory default:1 OW) Photocell: Color temperature selectable by 3000K,4000K and Integrated photocell included with on/off switch Color Uniformity: 5000K(factory default:4000K) RAB's range of Correlated Color Temperature follows Surge Protection: the guidelines ofthe American National Standard for Compliance L-L 2kV;L-G 4kV Specifications for the Chromaticity of Solid State UL Listed: Lighting(SSL)Products,ANSI C78.377-2017. Suitable for wet locations Aux Power Supply: No Construction Electrical Full Cutoff: Dim to Off Allows for conformance to the IDA's fully shielding Driver 13W:Constant Current,Class 2,120-277V,50/60 Yes requirement,emitting no light above 90 degrees. ' Hz,120V:0.1 OA,208V:0.07A,240V:0.06A,277V: Performance Housing: 0.05A 1 OW:Constant Current,Class 2,120-277V,50/60 Lifespan: Die-cast aluminum Hz,120V:0.70A,208V:0.05A,240V,0.04A,277V: 100,000-Hour LED lifespan based on IES LM-80 0.04A results and TM-21 calculations Lens: 6W:Constant Current,Class 2,120-277V,50/60 Acrylic lens Hz,120V:0.05A,208V:0.03A,240V:0.03A,277V: Optical 0.03A BUG Rating: Reflector. 13W:B1 UO G1 High reflection polycarbonate Dimming Driver: 10W:BO Uo G1 Driver includes dimming control wiring for 0-1 OV 6W:BO UO G7 Cold Weather Starting: dimming systems.Requires separate 0-1 OV DC The minimum starting temperature is-40°C(-40°F) dimming circuit.Dims down to 10%. LED Characteristics J Maximum Ambient Temperature: THD: LEDs: Suitable for use in up to 40°C(104°F) Long-life,high-efficacy,surface-mount LEDs 4.02%at 120V,14.83%at 277V Need help?Tech help line:(888)722-1000 Email:techsupport@rablighting.com Website:www.rablighting.com Copyright©2025 RAB Lighting All Rights Reserved Note:Specifications are subject to change at anytime without notice Pagel of 3 MC2lT_10 ICF.® JUN 12 2025 SOLITHOLD'i 0,,-m PLANNING BOARD i r BLEDS IRAS Technical Specifications(continued) Green Technology: Mercury and UV free.RoHS-compliant components. Finish: Formulated for high durability and long-lasting color Installation Mounting: Integrated j-box and an optional wall plate included. Other Warranty: RAB warrants that our LED products will be free from defects in materials and workmanship for a period of five(5)years from the date of delivery to the end user,including coverage of light output,color stability,driver performance and fixture finish.RAB's warranty is subject to all terms and conditions found at rablighting.com/warranty: I Dimensions Need help?Tech help line:(888)722-1000 Email:techsupport@rablighting.com Website:www.rablighting.com Copyright©2025 RAB Lighting All Rights Reserved Note:Specifications are subject to change at anytime without notice Page 2 of 3 JUN 12 2025 SOUTHOLD T04vN PLANNING BOARD BLEDS RAS 10 1/2" 42" -• 2 1/4"' ------------- Ordering Matrix Family Size/Wattage Mounting Height ColorTemp Finish Driver Options BLED S 13/10/6W Blank 42" Blank 3000/4000/5000K CCT Adjustable Blank=Bronze Blank 120-277V,0-1 OV Blank=Integrated W=White Dimming Photocell Need help?Tech help line:(888)722-1000 Email:techsupport@rablighting.com Website:www.rablighting.com Copyright(0 2025 RAB Lighting All Rights Reserved Note:Specifications are subject to change at anytime without notice Page 3 of 3 ru UN .12 2025 OUTHOLD TOWN PLANNING BOARD SLIMS RAB Project: Type: Prepared By: Date: Driver Info LED Info Type Constant Current Watts 18/28/38W 120V 0.1SA/0.23AL0.30A/0.31A Color Temp 3000/4000/5000K 208V 0.10A/0.14A/0.15A/0.17A/0.18A Color Accuracy 80-83CRI Color:Bronze Weight:0.0 lbs 240V 0.09A/0.1 2A/0.1 3A/0.1 SA/0.1 6A L70 Lifespan 100,000 Hours 277V 0.08A/0.11 A/0.14A Lumens 2375-5247 Im Input 17.7-37.5W Efficacy 119.2-158.1 Im/W Watts Technical Specifications Field Adjustability Dimming Driver: Finish: Field Adjustable: Driver includes dimming control wiring for 0-10V Formulated for high durability and long-lasting color Field Adjustable Light Output: dimming systems.Requires separate 0-10V DC 38/28/18W(factory default 28W) dimming circuit.Dims down to 10%. Green Technology. Color temperature selectable 3000K,4000K and Mercury and LIV free.RoHS-compliant components. 5000K(factory default 4000K) Photocell: On/Off Photocell(factory default"Off) 120-277V selectable photocell that can be turned on Compliance and off. UL Listed: Performance Suitable for wet locations Lifespan: Aux Power Supply: 100,000-Hour LED lifespan based on IES LM-80 Yes IESNA LM-79&LM-80 Testing: results and TM-21 calculations RAB LED luminaires and LED components have been Dim to OfF. tested by an independent laboratory in accordance LED Characteristics Yes with IESNA LM-79 and LM-80. LEDs: Construction ADA Compliant Long-life,high-efficiency,surface-mount LEDs Cold Weather Starting: Meets ADA Requirements for wall-mounted Electrical The minimum starting temperature is-40°C(-40°F) luminaires. Driver: Maximum Ambient Temperature: IP Rating: 38W:Constant Current,Class 1,120-277V,50/60 Hz, Suitable for use in up to 40°C(104°F) Ingress protection rating of IP65 for dust and water 120V:0.31 A,208V:0.19A,240V:0.16A,277V:0.14A 28W:Constant Current,Class 1,120-277V,50/60 Hz, Housing: Trade Agreements Act Compliant: 120V:0.23A,208V:0.15A,240V:0.13A,277V:0.11 A Die-cast aluminum This product is a product of Cambodia and a 18W:Constant Current,Class 1,120-277V,50/60 Hz, 120V:0.15A,208V:0.10A,240V:0.09A,277V:0.08A "designated country"end product that complies Lens: with the Trade Agreements Act Tempered glass Gaskets: High-temperature silicone Need help?Tech help line:(888)722-1000 Email:techsupport@rablighting.com Website:www.rablighting.com Copyright©2025 RAB Lighting All Rights Reserved Note:Specifications are subject to change at anytime without notice Pagel of 2 �C�GO�D JUN 12 2025 SOUTHOLD TOWN PLANNING BOARD SLIMS RAS Technical Specifications(continued) Installation Mounting: Heavy-duty mounting bracket with spring-hinged housing and"kick stand"allow for easy installations. Conduit entries on back and both sides. Other Warranty: RAB warrants that our LED products will be free from defects in materials and workmanship for a period of five(5)years from the date of delivery to the end user,including coverage of light output,color stability,driver performance and fixture finish.RAB's warranty is subject to all terms and conditions found at rabiighting.com/warranty, Dimensions Features I00,000-Hour LED lifespan 0-10V dimming standard 9 —� 5-Year,no-compromise warranty 9 13/16" '— 3 3/8" —� Ordering Matrix Family Wattage ColorTemp Finish Driver Options SLIM �S XXS=7/5/3.5W Blank=3000K/4000K/5000KCCT Adjustable Blank=Bronze Blank=120-277V,0-10V Dimming Blank=No Option XS=25/18/12W Y=3000K Static W=White /LC=Lightcioud S=38/28/18W /LCB=Lightcloud Blue M=55/41/27W L=60/45/29W Need help?Tech help line:(888)722-1000 Email:techsupport@rablighting.com Website:www.rablighting.com Copyright©2025 RAB Lighting All Rights Reserved Note:Specifications are subject to change at anytime without notice Page 2 of 2 C�C�Cfl�D JUN 12 2025 SOUTHOLD TOWN PLANNING BOARD WFRL6R149FAl 20WS RAB Project: Type: Prepared By: Date: Driver Info LED Info Type Constant Current Watts 14W 120V 0.13A Color 2700/3000/3500/4000/5000K 208V N/A Temp Color Color,.Whit ' °lbs 240V N/A Accuracy 90 CRI 277V N/A L70 50,000 Hours Lifespan Input Watts 14W Lumens 1,2001m Efficacy 86 Technical Specifications Performance L70 Lifespan: Color Temperature: Product Type: 50,000-Hour LED lifespan based on IES LM-70 results Field adjustable via dip switch Round,Edge-Lit Wafer 2700/3000/3500/4000/5000K Electrical Description: Driver. Color Accuracy(CRI): Round,edge-lit wafers with a slim form factor and Constant Current,Class 2 60 Hz;120V:209mA >90 CRI selectable color temperatures.Available in 3",4",5", 6",and 8"models with either smooth or baffle trim, THD: R9 Value: all with 90 CRI and TRIAC/ELV dimming. <20% High color performance with R9 greater than 50 Wattage Equivalency: Power Factor. Color Consistency: 100W Incandescent >0,9 <4-step(2700K&5000K)MacAdam Ellipse binning to achieve consistent fixture-to-fixture color Input Wattage: Dimmable: 14W Yes,dimmable down to 10%on compatible Color Stability. TRIAC/ELV dimming systems.See Dimmer LED color temperature is warrantied to shift no more Nominal Lumens: Compatibility List. than 200K in color temperature over a 5-year period 1,2001m Input Voltage: Color Uniformity: Measured Lumens: 120V RAB's range of Correlated Color Temperature follows 1,2081m @ 2700K;1,2141m @ 3000K;1,2581m @ the guidelines of the American National Standard for 3500K;1,2751m @ 4000K;1,2531m @ 5000K Operating Frequency: Specifications for the Chromaticity of Solid State 60 Hz Lighting(SSL)Products,ANSI C78.377-2017. Efficacy: 86m/W @ 270oK; Operating Temperature: 871m/W @ 3000K; -4°F to 104°F(-20°C to 40°C) 901m/W @ 3500K; 91 m/W @ 4000K; LED Characteristics 901m/W @ 5000K Beam Angle: 110°±10° Need help?Tech help line:(888)722-1000 Email:techsupport@rablighting.com Website:www.rablighting.com Copyright©2025 RAB Lighting All Rights Reserved Note:Specifications are subject to change at anytime without notice Page 1 of 3 JUN 12 2025 SOUTHOLD TOWN PLANNING BOARD C WFRL6R149FA120WS RAB Technical Specifications(continued) Installation DLC Listed: Other Remote Driver/Junction Box: No Compatible Products: Die-formed metal driver/junction box with captive WFRL-GOOF-6R-8R-W hinged junction box cover.Listed for maximum of Certification Model Number: 6"-8"Goof ring round white (4)12AWG through branch circuit conductor DLW0076(WFRL6R149FA120WS) suitable for 90'C permitted in box.Easy to wire in WFRL-TRIM-6R-BS 2in/2out(plus ground)applications.(4)conduit pry- California Title 20 Compliant: 6"Color trim round smooth black outs.(3)quick snap-in connectors for quick and Can be used to conform with the requirements of reliable line voltage connections.Integral mounting California Title 20 WFRL-TRIM-6R-BRS facilitates direct mounting to building structure or 6"Color trim round smooth bronze mounting frame. California Title 24 JA8 Compliant: Can be used to conform with the requirements of WFRL-TRIM-6R-BNS Mounting: California Title 24 Part 6 6"Color trim round smooth brushed nickel Recessed,no housing required California Energy Commission(CEC)Status: DLPLATE/WFR3468/NB Construction Lawful for Sales in California Mounting plate for 3",4",6",8"with nailer bar Size: 6„ NEC Compliant: DLPLATE/WFR3456 Suitable for use in closets.Compliant with NEC Sec. Mounting plate for 3",4",5",6"with nailer bar Shape: 410.16(A)(1)and 410.16(0). DLPLATE/WFR6/NB/CL Round Mounting late for 6"with nailer bar and dr wall IESNA LM-79&LM-80 Testing: g p Y Finish: RAB LED luminaires and LED components have been collar White tested by an independent laboratory in accordance with IESNA LM-79 and LM-80. DLPLATE/WFR6 Enclosure Material: Mounting plate for 6"wafer Metal+plastic RoHS: Mercury and LIV free.RoHS-compliant components. E'Extension 6'Extension cable Trim Style: FCC: Smooth EXTCBL-FA-12 Complies with Part 15 of the FCC Rules 12'Extension cable Lens Finish: Frosted Trade Agreements Act Compliant: This product is a product of Cambodia and a E0'Extension 20'Extension cable Lens: "designated country"end product that complies Polycarbonate light diffuser distributes light evenly with the Trade Agreements Act DRI-25-EMGR-DC and smoothly for general lighting applications Emergency driver 100-277V 25W Compliance DRI-2I-EMGR-DC-D10 Listings: Emergency driver 100-277V 21 W 0-10V T20 LIL Listed Warranty: Environment: RAB warrants that our LED products will be free from Suitable for use indoors and outdoors in dry,damp, defects in materials and workmanship for a period of or wet environments. five(5)years from the date of delivery to the end user,including coverage of light output,color IC Rated: stability,driver performance and fixture finish.RAB's No warranty is subject to all terms and conditions found at rablighting.com/warranty. Air Tight: Housing certified Air Tight as per ASTM E283 Energy Star Approved: This product is ENERGY STAR'Certified. Energy Star ID: 3553977 Need help?Tech help line:(888)722-1000 Email:techsupport@rablighting.com Website:www.rablighting.com Copyright O 2025 RAB Lighting All Rights Reserved Note:Specifications are subject to change at anytime without notice Page 2 of 3 JUN 12 2025 SOUT'HOLD TOWN PLANWNG BOARD WFRL6R149FAl20WS FLAB Dimensions Features 5 color temperatures in 1 SKU(2700K,3000K,3500K,4000K,5000K) Super slim edge-lit fixture for thin fixture depth No recessed housing orJ-box required a New construction or retrofit applications j UL wet location rated Smooth diffused uniform light distribution I_ Dimmable down to 10%on compatible dimmers Spring loaded retention clips / Robust,die cast aluminum construction IC and airtight rated 5-Year,No-Compromise Warranty Ordering Matrix Family Size Shape Wattage CRI/Color Temp Driver Finish Trim Depth WFRL ��f R Cj 14 AL _ 9FA 1 00 4=4" R=Round 14=14W 9FA=90CRI,2700/3000/3500/4000/5000KCCT 120=120V W=White B=Baffle Blank=Standard 5=5" S=Square 23=23W Adjustable D=120W277V B=Black S=Smooth S=Shallow 6=6" 13=13W 9CCT=90 CRI,2700/3000/3500/4000/5000K CCT 8=8" 12=12W Adjustable 3=3" 10.5=10.5W 9=9W 6=6W 3"onlyavailable in round, 120V,and 6W 4"model5 onlyavailable with 120V.120-277V driver sold separately.Available wattages are 9W&70.5W. 4"shallow wafer only available with baffle trim and 9W 5"models only available in round,120V,and 12W 6"standard 1201/only available in 73W and 14W 6"standard 120-277V only available in 13W 6"shaHow wafer only available with baffle trim and 13W 8"wafer only available in 23W Need help?Tech help line:(888)722-1000 Email:techsupport@rablighting.com Website:www.rablighting.com Copyright©2025 RAB Lighting All Rights Reserved Note:Specifications are subject to change at anytime without notice Page 3 of 3 G3C�C�C��MGG' JUN 12 2025 :.•.iOWN OARD xi ate°' `!" ' . _, n.*.w r.�g++rg• >r ., �.,.► �* ti ° b a o GENERAL REQUIREMENTS: t �; :;atf ,t `� a:° v ,. , a'`~✓, ` • •� SITE LAYOUT NOTES: 10. Vacuum testing: Seal the empty tank and apply a vacuum to four ELECTRICAL REQUIREMENTS: , �, �''' �' I. THIS 15 AN ARCHITECT'S SITE PLAN 4 15 SEPTIC SITE PLAN NOTES I. After Installation of the I/A OATS and prior to completion of (4) inches(IOOmm) of mercury. The tank Is approved If ctO% of "° ; , ® �* �� '`' `,.° CONTROL PANELS: , !,� SUBJECT TO VERIFICATION BY A LICENSED PROP. HYDRO-ACTION AN500 I/A OATS; work, the Installer/contractor shall contact th,e architect for an vacuum 1s held for two minutes. �'• *� ( SURVEYOR. THE INFORMATION i MAINTAIN 5' MIN. SEPARATION FROM PARKING LOT; Installation Inspection as per SGDHS standards. I. The control panel box must be placed outside on a suitable \ / =:�> �'� w SUE3�E�T FOFET� O p p 11. Water testing: Seal tank;fill tank with water to outlet Invert pedestal near the structure that it serves. Alternatively, the panel ° '^� �a.�a °` fit. E :'! �� REPRESENTED ON THIS SITE PLAN 15 TO THE VENT TO ROOF AS REQ.-D. 2. The Installer must hold a current Liquid Wae,te License pursuant to elevation let stand for 24 hours. Refill the tank to the outlet Invert box may be mounted on on outside wall of the structure (Preferable �.� " 'a�"„' d'' .- '�` ; .ram ,� �.� ARCHITECTS BEST OF KNOWLEDGE. PROP. 20"0 POLYLOK DISTRIBUTION BOX (SAMPLING POINT • Q q P y P t, .. �.. . w �, 2 ), Suffolk Count Code Chapter 563, Article VII (Septic. Industry after the 24-hour period is complete. Let the tank stand for an a utility room, and not a living s ace). Other locations for mountln x, MAINTAIN V MIN. SEPARATION FROM I/A OATS 4 V MIN. y P P y P P y gp n g �► ' � , Businesses) through the Suffolk Count Department of Labor, additional 10-hour period. The tank is approved If water level Is the panel box will be considered by the Deportmento a ► ,# .�i �r ��. : .. .. ,,,,, � 2. SURVEY INFORMATION WAS OBTAINED SEPARATION FROM LEACHING POOLS. Licensing and Consumer Affairs,pursuant to Suffolk County Code held for the 10-hour period. Water pressure testing Is case-by-case basis and with I/A OWTS manufacturer approval. �*' - A�, �;. �, k �I �. " r: \ ` MAINTAIN 3' MIN. SEPARATION FROM PARKING LOT. t r°. ,' " ,, 1 " , �� : ° ; '.. �. FROM A SURVEY DATED FEBRUARY 2I, W §563-7q. The Department of Labor, Licensing, and Consumer Affairs recommended to be done onsite after Installation.; !.,' i '"'� <°, •' � .� , . * t ,' « , >•. ,, �� 2024, MOST RECENTLY UPDATED APRIL 02, J O maintains a list of licensed I/A OATS Maintenance Providers. 2. The name of the I/A OWT5 04M Provider must be clear) /• '•� � ? �• ! _ ,, �_ r6 -'� 3 PROP. HYDRO-ACTION CONTROL PANEL # BURIED M y �.< , ,�"�•�: .t � .."� `_' ` " .?.4 *� ',f+r ♦' �e� 2025, AND PREPARED BY: O ELECTRICAL LINE FROM I/A OATS I/A OWTS TANK CONSTRUCTION MATERIAL REQUIREMENTS: Identified on the outside of the panel and Include a phone number + ', , �� .�. r .. Q ._ N 3. All I/A OATS must be registered with the Department In to contact in case of alarm. 5 G A PROP. HYDRO-ACTION AIR PUMP TO I/A OATS L0 'a, .' E G FIGO LAND SURVEYING PG 4 accordance with Article Iq of the Suffolk County Sanitary Gode I. Reinforced concrete shall have a minimum compressive strength • ;. /.F� ' . 4- ,,, �. y O (PER MANU. SPEC.'S) f � ;' • `, : . N.Y. STATE LAND SURVEYOR prior to the Department granting certification of completed of 5,000 pounds per square Inch (psi) at 28-days set. 3. Exterior panel placement enables the system to be serviced at '�� f, . �.., ,�° 4 ,. +: ,.�. , C an time eliminating the need to access the Inside of the building. < ' 1 y �, �. :, ' s r ;� ^� a NYS LIG. #051040 PROP. 1500 GAL. TRAFFIC-BEARING CREASE TRAP; O construction on "as built plans. y g 9 y r�r.. 4 .o .: .. .\,a.,r ✓,r.. ? ��"' S 2. Wall thickness shall be a minimum of three Inches unless the 4. The anel box must be within view of the system location to help g bs •g��� ;; ::+ s I `" : i.c. .�, 500 MONTAUK HIGHWAY O MAINTAIN 5' MIN. SEPARATION FROM I/A OATS 4 8' - -O (D �; , p \ .. ,. ,e 4. An executed Operation and Maintenance Contract between the design has been certified by a New York Licensed Professional facilitate operation and maintenance. c'� . , t ' �: A �i'•„a. 1 °:y am a , '4t"• ��' MORIGHES, NY IIg55 MIN. SEPARATION FROM LEACHING STRUCTURES Maintenance Provider and Property owner must be submitted to the Engineer as complyingwith all appropriate re requirements for thin „�• �:, , >w . p y 9c1 �' S,• i fir. ` �' PROP. &0 x 4' EFFECTIVE DEPTH TRAFFIC-BEARING Department prior to approval of the I/A OATS registration b the wall construction. All walls, bottom and to shall contain relnforcin 5. The control panel shall be laced at a comfortable hei ht for r': ' ' t ' ". F 4 �`/' �^ �� '�°`. (651) 878-0120 0 N z 0 k' O LEACHING POOL;LOCATE ACCESS COVER WITHIN PARKING 1 P P PP 9 y P 9 P P g , ""'" ,� a°+ ,,�r •..a a. De artment In accordance with Article Iq of the Suffolk Countyto resist an applied force of 300 pounds per square foot ( sf). access in accordance with Federal Emergency Management Agency . a• "'r� ` \ �• L0 X p Pp P P q P g y g 9 y , .� . �, 4 �� ..r, ,, "'• _ , k LOT ISLAND •� 0 Sanitary Code. (FEMA) flood zone requirements. - , a �1°, a Via' ,�a` N C ` r�� \_ ;' CV l., , r v� ,'- 4 rl �r m•�47i , "' �'; 1 PROPOSED GLEAN-OUT (G.OJ: C x � 3. Pre-cast concrete sections shall be sealed with one (I) Inch butyl �^ ,r „ �„ ,, i 0 4- 5. All Installed I/A OWTS are required to have on Initial 3- ear b. The anal shall meet National Electrical Manufacturers ,,� ' .• . � „�N ,` r *-,; - t' INSTALL WITHIN lo' OF BUILDING FOUNDATION WALL. O ci y rubber joint sealant which conforms to ASTM G-qqo. p m (9 warranty and operation/maintenance service contract. After the Association (NEMA) 4X specifications. s�y a f \ ' �4 K; • . 0 ,� Initial 3- ear operation and maintenance service contract has 4. All sewer pipes shall penetrate the vertical sidewall of the tank b" , `„ "� (V Oft expired, property owners are expected to maintain an operation and shall be sealed with grout or other means acceptable to the 7. All below grade wiring must be run In electrical conduit. The t•, .� ! r' .�r , , �,� t „.fin ,•• ,y ''? Q and maintenance contract in accordance with Article Iq of the Department such as watertight sealed flexible point and the pipe conduit must have appropriate seals to prevent gases and moisture , *� . ,.� _ -� drr'.e� a ,..d„' ' ( t "^ -• c. °� .. '?r*;; cc Q Suffolk County Sanitary Gode. gasket fastened to the pipe with stainless steel retractable from reaching the control panel or junction boxes. `" - ':�' '.1 , ¢ .. • '` 6° A . �" v -.99�: a i' f'.A'' e \�A 4'ia ..o nA' 1,:M► wi i�..,.e. ;', _ W '. l.::.:m 6. When on I/A OATS requires a vent, the unit shall be vented to the 5. Each system shall be equipped with a functioning warning system LA LOCATION ON MAP roof of the residence being served. Vent pipes shall extend a 5. All Joints shall be sealed so that the tank is watertight. See which will activate audible and visual alarms that can be readily minimum of 6 Inches above the roof line and the top of the vent section XVI,paragraph BA of the SGDH5 Standards. Tanks that are seen and heard by the occupants of the building served. The W shall have a minimum horizontal separation of 12 Inches to the cast in place require prior approval from the Department and must Department recommends a telemetry device be Installed to provide „_ �1J sloped portion of the roof. In cases where It Is not practical to be certified by a Licensed Professional Engineer. At a minimum, the Immediate remote alarm notification to the 04M provider covered SCALE: I -250 vent the system to the residence roof, a vent. pipe may be piped to floor and walls of a concrete tank must be monolithically poured. by the 04M agreement. _____ - - -- -- --- ----- -- -_ the exterior of the residence and terminate a minimum of I6 Inches PROJECT / ZONING DATA above grade and at least I foot from property lines. These vent 6. Whenever practical, concrete I/A OATS shall not be located q. Systems which are not designed to flow by gravity are pipes shall be located a minimum of 3 feet from any window or within groundwater. For installations that are placed within recommended to be equipped with a control panel with means of --- -- --- - doorway and must terminate with a carbon filter device. All vent groundwater, the bottom and side portions, up to 15 Inches above connecting a portable generator to operate the system during a TAX MAP # 1000-I40-02-21 DRAINAGE NOTES: pipes must have a minimum diameter of 2 inches, highest recorded/expected groundwater elevation, of the I/A OATS power outage. unit shall be monolithically constructed. In cases where this is not I. BURIED BUILDING LEADERS FROM DOWNSPOUTS r 1 7. Installation and use of the I/A OATS must conform to the practicable,the I/A OATS unit shall be water-proofed up to IS PUMPS, BLOWERS, LEVEL SENSORS. AND CONTROLS: EXISTING VACANT LOT SHALL BE 8"� MIN. V • Department's approved I/A OATS guidance document prepared in Inches above the highest recorded /expected groundwater I. The electrical junction box serving the pump motor and floats 2. INSTALL FRENCH DRAIN PERFORATED PIPING n accordance with the standards for "Approval and Management of elevation and leak tested to ensure tightness prior to operation. must be. watertight and located outside the I/A OATS tank chamber. ZONING DISTRICT HAMLET BUSINESS (HB) (10"0 MIN.) AT BOTTOM OF TRENCH w/ HOLES Innovative and Alternative Onsite Wastewater Treatment Systems. FACING DOWN. EXIST. 7. In cases when concrete tanks are Installed in rovndwater, the 2. Any blowers located outside of the I/A OATS unit must be placed RAILROAD TRACK g LOT AREA 0.52 AGRE5 5. FRENCH DRAIN SHALL TRANSITION TO SOLID 8. When an I/A OATS Is Installed to serve a riultl-tenant building or design rofesslonal shall submit buoyancy calculations to rove the on a pad (concrete, plastic or fiberglass) and have a soundproof 9 P y y P SDR 55 PVC PIPING BENEATH PAVED SURFACES complex, the I/A OATS shall be Installed with an alarm dialer Height of the tank (with or without anchoringor the addition of enclosure cover. capable of contacting the property owner and 04M provider in the ballast) will be at least 1.5 times more than theHeight of the water LOT COVERAGE g event of on alarm or emergency. The I/A OATS must also be displaced. The buoyancy calculations shall be done using highest 3. All pumps and float trees must be accessible and serviceable designed and Installed to function during power outages. This ex ected/recorded groundwater elevation with the tank empty. Soil from access openings. P 9SOUTHOLD TOWN CODE CHAPTER 280• ATTACHMENT 4 \.1C� qS U Includes utilizing In-place an in-place generator with automatic cover on to of the tanks) shall not be considered when L� �' � transfer switch, portable generator with manual transfer switch, or p 4. The floats shall be attached to a Schedule 40 PVG float tree �� P 9determiningthe amount of anchoring or ballast Height required. g g q Installation where I/A OATS can flow-through lay gravity duringthat can be easily removed for service or adjustment. The floats I 3o LOT ^�,.;:;;�:4� DESCRIPTION (FOOTPRINT) AREA �5., outages. shall not be attached to the force main. COVERAGE �' g I/A OWTS INSTALLATION STANDARDS: CD "LWI: i5;, MINIMUM DESIGN REQUIREMENTS: 5. The Deportment shall observe the um system operate through / d� I•:'`` I. Install I/A OATS tanks according to manufacturer's p pump y p g TOTAL LOT AREA � 22,81 I S.F. recommendations while conforming with these standard. All a normal operating cycle. i. I/A OATS tanks shall be constructed of precast concrete, applicable recommendations provided by the manufacturer shall be PROPOSED COMMERCIAL fiberglass, polyethylene,polypropylene, thermoplastics, or other implemented. b.lnspection for leakage of the force main fittings will be made materials In accordance with Deportment standards and IONYGRR during the um test procedure. BUILDING (WITH FRONT ROOF 4,"142 S.F. 20.5 p 9 pump P PROP. 5 CU. YD. Appendix 75-A, or NYS DEC requirements. The use of steel tanks Is 2. The I/A OATS tank shall be Installed at level in all directions COVER) DUMPSTERS prohibited. CREASE TRAP REQUIREMENTS (WHEN APPLICABLE): r°••x, r•?g•, (with a maximum tolerance in an direction of +/ one quarter inch) on TOTAL AREA OF ALL STRUCTURES 4,742 S.F. I 20.83o r,• ,, a minimum 3-inch thick bed of properly leveled and compacted sand 2. When an I/A OATS requires a septic tank for pretreatment the I. Grease traps shall be located below grade and outside the (free from rocks) or pea gravel. septic tank shall be designed In accordance with section XIV of tl•e building preceding the septic tank or sewer Tine. only discharges j•s�: MAXIMUM LOT COVERAGE ALLOWED: 40% Suffolk County Department of Health Services Standards for from the kitchen or food preparation areas may be piped to 3. I/A OATS Tanks shall be provided with a single outlet. A ��Q ,� �;•;.;•, of Plans and Construction for Sewage Disposal Systems grease traps. Crease traps shall be located In areas that are7-- Approval ° q i distribution box/manhole or distribution leaching structure may be for Other than Single-Family Residences (from hereon referred to s easily accessible for routine Inspection and maintenance. „ required for all systems with multiple leaching structures unless an the SGDH5 Standards"). NOTE: alternative design is approved by the Department. 2. Crease traps shall be constructed of concrete, fiberglass, or I. FLOOD MAP DATA: EL.=16.6 3. Unless otherwise specified, the leaching structure/system that 4. The to of the I/A OATS tank shall not be located rester than high density polyethylene in accordance with Department standards MAP #: 56105G0481H follows on I/A OATS shall be designed in accordance with section 2.5 feet or less than one foot below final rode. g and IONYGRR, Appendix 75-A, and the NY5 DEG Design Standards MAP DATE: 01/25/20001 / \ g for Intermediate 51zed Wastewater Treatment stems". \I XVII of the above-mentioned SGDHS Standards. FLOOD ZONE: X / \ � _: / \ � PROP. 5. At a minimum, all sampling manholes shall have 20-inch covered 4. At a minimum, all I/A OATS treatment tanks shall have 20-Inch p g 3. Grease traps shall be watertight and constructed of sound and access openings to grade located over the inlet and outlet. covered access openings to grade located over the Inlet and Covers shall be either 20-Inch diameter watertight and durable materials that are not subject to excessive corrosion or 2. SITE PROTECTION/SILT FENCING TO BE outlet. Covers shall be, either 20-Inch diameter watertight and Insect- roof be either cast Iron covers or thermoplastic covers at decay. Methods of ensuring tanks are watertight shall be as INSTALLED AS REQUIRED BY THE TOWN OF N / \ �PROt Insect-proof locking cast Iron covers or thermoplastic covers at p g p described for septic tanks. SOUTHOLD. P 9 p final rode. All covers shall be designed In accordance with section / °• final grade. All covers and chimneys/risers shall be designed in 5-III of this standard. g 4. All recast grease tra components shall be constructed of accordance with section XVI.4.c of the SGDH5 Standards. P 9 P P 5. SURFACE WATERS OR WETLAND5 ARE NOT - / PROF. precast reinforced concrete and capable of supporting I \ ,•t,,' 6. When sampling manholes are approved to be installed In a LOCATED WITHIN 500' OF THE PROPERTY. / D.W. 5. When a I/A OATS is approved to be installed In a driveway or drivewa or parking area, the manhole shall be designed to be traffic-bearing loads as per the requirements of AASHTO I / \ y P 9 9 H-20/HS-2o. �� \ ♦ parking area,the unit shall be designed and/or Installed to traffic bearin to meet the requirements of AA5HT0 H-20 or _ / \ : 9 q 4. ELEVATIONS REFERENCE NAVD Ig88 ? i , withstand HS-20 or H-20 loading as designated by AASHTO. H5-20 loading. / �' 5. Precast concrete sections shall be sealed with one-inch butyle 6. Garbage grinders shall not be permitted when on I/A OATS Is �, The outlet invert elevation shall be a minimum of O.I foot below rubber joint sealant which conforms to A57M C-gcIO. 5. NO VISIBLE WELLS ARE LOCATED WITHIN utilized as means of sewage disposal. the Inlet Invert elevation. 150' OF SUBJECT PROPERTY LINES. I \ /D 6. All sewer pipes shall penetrate the vertical sidewall of ADJACENT PROPERTY 7. Water softeners shall not discharge Into on I/A OATS and the g• Sampling manholes shall have an Inside diameter of 2 feet or an the grease trap and shall be sealed with grout or other 6. SITE IS LOCATED WITHIN SUFFOLK COUNTY / / 3 \L.P' 8' L.P. `� ''' (5GTM #ENT P 40-PROPERTY Deportment recommends water softener backwash be connected to E'`° P inside area of 2 foot by 2 foot. means acceptable to the Department such as watertight GROUNDWATER MANAGEMENT ZONE IV. MIN, on onsite drywall acceptable to Town or Village building sealed flexible joints and the pipe gasket fastened to the / / O Departments. q. There shall be a maximum retention depth below the outlet Invert pipe with stainless steel retractable clamps. 7, ALL SEPTIC SYSTEM STRUCTURES LESS MIN. ;- elevation of six Inches. / I ��° 8. I/A OATS tanks shall be watertight and constructed of sound and 7. The base section of grease traps (bottom slab and minimum of I THAN 5'-0" FROM PARKING LOTS OR =,9,r.gaek% durable materials that are not subject to excessive corrosion or Pact of sidewall) shall be monolithicoll cast. DRIVEWAYS SHALL HAVE AN .5" THICK -.( 5' SPACE 10' MIN. isAp 10. All sewer pipe penetrations In the sampling manhole shall be y / \ CAI \ 1 FOR decoy. TRAFFIC-BEARING CONCRETE TOP TO MEET / MIN. (TY15) y watertight and utilize flexible rubber sleeves and stainless steel __ / PROP. 2 tightening devices. 8. All concrete grease trap covers shall be heavy-duty, watertight, AASHTO- H20//HS-20. ALL COVERS OF -T--I 1 \ \E.P� q. All tanks must be watertight. Two methods of ensuring tanks are g g and Insect-proof with adjustable and locking cast Iron frame and SUCH STRUCTURES MUST ALSO MEET I r / \ / 5 r ?SPACE \ I'., :a? �C�`-��WIRE watertight shall be either vacuum testing or water pressure testing cover Installed at grade over each opening. AASHTO-H2O/HS-20 REQ'S. I - ♦ - - - - - - - - l FOR _ _ _ p; methods as follows: ` -� JUN 12 20125 Z THE FOLLOWING LOTS WITHIN 150' OF PROPERTY G.T. I I �`\ Q a w UTILIZE PUBLIC WATER A5 PER SGNA: I \ / I \ 3 SOUTNO�D TowN s 1 2� \:�Z I �,,, PLANNING EOARO O SGTM #1000-140-2-ci I I MAX.\ ` - SGTM #1000-140-2-18 I 1 (ADA) z SGTM #1000-140-2-21 1 1 1 Q I i2-s� � / ,• � 5GTM #I000-140-2-22 8"(P (MIN.) BUILDING I ( DESIGN FLOW CALCULATIONS I I \ D W /� _ 5G7M #I000-I40-2-25 LEADERS ROUTED at_°0"4r ADJUSTED GROSS LOT AREA (AGRE5) 0.52 50TM #I000-140-5-5.001 TO DRYWELLS (TYP.) ui 507M #1000-140-5-5.004 1 I (I) 5GTM #1000-140-5-4 I I X Q \ MIN• II / POPULATION DENSITY F-OUIVALENT (GPD) 514 _ SGTM #1000-140-3-6 I 1 � 0�•- ��Q \ F- (',. 5GTM #I000-140-5-11.001 PROJECT: PROPOSED SANITARY FLOW �< DENSITY LOAD DENSITY KITCHEN/GRAY 1 "° FLOOR AREA KITCHEN/GRAY HYDRAULIC I I LL=-1 j ADJACENT USE OF STRUCTURE/AREA (GROSS S.F.) l2) FACTOR LOAD LOAD FACTOR LOAD (GPO) LOAD (GPO) I I I DWELLING ,�1�\ ' Le$a 615 PIKE ST. L LC. wi/ PUBLIC NET STORE w/ FOOD ADJACENT PROPERTY I ( PROP. 1-STORY AD. FR. `1 ---.4 PROP.1 �;e: WATER SEPTIC (DELI/TAKE-OUT w/ UNDEF: 2,5,54 0.05 71.5 0.12 286.1 557.6 (SGTM #1000-140-2-20) I COMMERCIAL BLDG. w/ 3 \ P.H.j 16 SEATS SINGLE SERVICE) I I I UNFINISHED BASEMENT DRY STORE 1,876 0.05 56.5 N/A 0.0 56.5 1 F.F. EL.=16.5' I 1 ..... - 615 PIKE STREET TOTALS: 127.8 286.1 413.ci I I - - - -I - - - its°' TEST 1 %H�cvg•° �/ (1) - TOTAL DENSITY LOAD MUST BE LE:55 THAN OR EQUAL TO THE CALCULATED POPULATION DEN5I7Y EQUIVALENT.THE POPULATION DENSITY EQUIVALENT WOULD NORMALLY BE CALCULATED BY MULTIPLYING THE I I HOLE I ( �°.a; MATTITUCK, N.Y.. 11952 ADJUSTED GROSS LOT AREA BY E00 6PD/ACRE,AS PER SECTION Vll.l.a OF THE SGDHS 'STANDARDS FOR APPROVAL OF PLANS AND CONSTRUCTION FOR SEWAGE DISPOSAL SYSTEMS FOR OTHER THAN SINGLE-FAMILY RESIDENCES. MARCH 25, 2025 ADJACENT COMMERCIAL I I �'1� .a' PROVIDE 12"0 -THE&ROS5 FLOOR AREAS OF SHARED STAIRWELLS HAVE BEEN DIVIDED EVENLY AMONG THE UNITS WHICH SHARE THEM. BUILDING W/ PUBLIC WATER 1 1 /PROP (MIN.) GROSS-OVER TEST HOLE DATA 13 1 1 -- ---- 1 N % DRAWING TITLE: MGDONALD GEOSERVICES I 1 I UNIT I UNIT 2 UNIT 5 UNIT 4 PIPES CONNECTING FOB 1258 DRYWELLS (TYP.) 1,22ci S.F. 861 S.F. 1,015 S.F. 1,155 S.F. 1 �;::. NOTES SOUTHOLD, NY I Ici71 0 I I "WET STORE "RETAIL - "RETAIL - "WET STORE I :� ,' (651) 765-5671 N w/ FOOD" DRY STORE" DRY STORE" w/ FOOD" I _ °a' SITE INFORMATION / 1 J, Z I i TRANSITION 1 SUFFOL< COUNTY HEALTH r7)EFARTMENT AFFROVAL EL.=16.02' TRANSITION FRENCH DRAIN I I FRENCH DRAIN \ i / / I • i SITE PLAN TO SOLID SDR i ; _ _ OL DARK BROWN LOAM TO SOLID SDR 55 PVC PIPE / H.S. REFERENCE NO. - -- ---- O.5'- - I -- �2so 12% 35 PVC 1 / MAX. BENEATH PAVED PROP. WATER 11 \/FRbf^ DRYWELLS SHOWN w/ INLET SUPPLY LINE GRATE SHALL CAPTURE PAGE: ML BROWN SILT PROP. ROOF SURFACES (TYP.) - ---� COVER ; 7.1 2_si\\ W� 2-s� W 71 SURFACE RUNOFF; SLOPE - - - - - - - - - - - - - - --- - -I - _ SURFACES TOWARD INLET ' SIV-101000 FRENCH DRAIN w/ 10"� --- (MIN.) PERFORATED PIPE x PROP. HERRINGBONE /2i 1 \ 1 / 14°, 4 STONE, AS INDICATED N �BRICK PATIO TO MATCH "1 MAX. I 1 / cv m BY HATCHING (TYP.) PROPERTY TO WEST o x I 2� / ° V EL.=16.4' N Q 1 MAX. / EXIST. WATER Ii- DRAINAGE SYSTEM INSTALLATION NOTES: 172.61' o O 0 \ / METER 4 WATER N EL.=15.5' • A MINIMUM 10' SEPARATION 15 REQUIRED BETWEEN DRYWELLS 4 _ _ _ I SUPPLY LINE N DATE: 05/13/25 1 OF 2 WATER SERVICE LINES, UNDERGROUND UTILITY LINES, AND THE j S 63°4540 W I EDGE OF ALL FOUNDATION WALLS -- ------ --------------L A MINIMUM 10' SEPARATION 15 REQUIRED BETWEEN DRYWELLS 4 -------- 1 • PALE BROWN FINE EXIST. STORM ' --------------------------1------_-____I_1 _______ __ PROPERTY LINES SW To COARSE SAND EXIST. FIRE I EXIST. WATER MAIN --- DRAIN INLET • A MINIMUM 20' SEPARATION 15 REQUIRED BETWEEN DRYWELLS AND 1 HYDRANT Q I 0 BURIED PROPANE FUEL TANKS, SEPTIC COMPONENTS, LEACHING V z FIELDS, AND SEWER COMPONENTS.. EXIST. EDGE O EXIST. EDGE • A MINIMUM 2' VERTICAL SEPARATION 15 REQUIRED BETWEEN THE OF PAVEMENT F I < E S T R E E T <1 1M� 0 OF PAVEMENT BOTTOM OF DRYWELLS 4 THE HIGHEST EXPECTED GROUNDWATER EXIST. STORM O�j 1� Yd EXIST. RE�A ELEVATION. DRAIN INLET 1 UTILITY `- • CONNECT ALL GUTTER LEADERS TO NEAREST DRYWELL, U.O.N. ____________ _________ _ 1 POLE • SEE ALSO SITE PLAN DETAIL ON CON57RU07ION DOCUMENTS ----------------- EXIST. GAS MAIN \ DRAINAGE SYSTEM CALCULATIONS: / - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ _ _ _ _ _ _ fl WATER IN PALE EXIST. EXIST. OVERHEAD WIRES TOTAL ROOF COVERAGE = 4,ci15 S.F. UTILITY `S'W / BROWN FINE TO ?ie '+ ' TOTAL ASPHALT/BRICK/PAVEMENT COVERAGE = 0,173 S.F. / / A 3i40 TOTAL IMPERVIOUS COVERAGE = 15,0&5 S.F. // COARSE SAND POLE 0 5 10 20 50 40 50 �' 5 A O 15,Oa5 S.F. x 2" RAINFALL EVENT = 5,014.7 G.F. 5TORAGE REO.V 170, / / I FOF (1) &'(P DRYWELL PROVIDES 42.22 G.F. PER FT. OF DEPTH COMMENTS: GROUNDWATER S 1 TE PLAN GRAPHIC 50ALE (10) 5,0 x 8' DEEP D.W. PROP05ED = 5,577.6 G.F. STORAGE PROVIDED ENCOUNTERED 13.5' BELOW GRADE (EL.=2.52') 50ALE: I" SINOLE LINE M N EGTR SAL ZEROS TTINS o ON OFF w FA,�EL A�, D�ELL ( NO D�T�GTION J � INDICATOR INDICATOR GIRGUIT co cLo MAIN BREAKER C O L z T- O C (V O c: x c\l ND I GATOR 0 o m° GIRGUIT � N o Lo a 0 � � o RO� R�M LO�i� OUTFUT GIRGUIT D FONER SUFFLY TIME 4-J -0 AG (DC,) NFUT ON �GH MIGR000I� UT R RANOE/UNIT U • - G I RGU I T SELECTORS (1) :3 4--J M + v DED I GATED, 30 AMP S I NC LE-PHASE I L GIRGUIT E3REAKER ELECTRICAL SERVIGP Q TO HYDRO-ACTION FLG CONTROL PANEL 0 _ ♦HYDRO-ACT I ON S I NC LE LINE D I AC RAM SCALE: NT5 SLATE OR OTHER STOPPER OR STOPPER OR END PLUG SUITABLE COVEP. END PLUG SANITARY STRUCTURES ELEVATIONS SCHEDULE I w "' W TOP OF TOP OF BOT OF INLET OUTLET EFFECTIV [` " � �; •, a E . Lea J[Ev � w LLJ SYSTEM COMPONENT R15ER STRUCTURE STRUCTURE INVERT INVERT DEPTH 2 ZQZ5 SEWER PIPE Q GREASE TRAP GRADE 14.6' ILL 15.4' 12.q' a > L _ rowN - 47ELBOWS8 30• ELBOW �� I/A OWTS GRADE 14Y 7.5' 12. ' 12"1. ' n/A F.;.., oARD DISTRIBUTION BOX n/A GRADE 12Y 12.6 12.4' n/A 45• ELeow - eo• wvE LEACHING $ EXPANSIONq 8 POOLS GRADE 15. ' .2' 12.2' n/A 4'-011 ALTERNATE "A" ALTERNATE "B" CLEANOUT DETAIL FOR AREAS NOT SUBJECT TO VEHICULAR TRAFFIC IN ALL VIEWS, ALTERNATE "A" IS FOR BENDS, ALTERNATE "B" IS FOR USE WITH BLDG. EXTENSION/CONNECTION GLEAN-OUT DETAIL SCALE: NTS PROP. fy- HEAVY DUTY COMMERCIAL POLYLOK 20"0 D-BOX w/ HEAVY DUTY W PROP. COMMERCIAL BLDG. LOCKING CAST IRON BLDG. SECURITY GRATE (BAFFLE LOOKING CAST IRON 2 (KITCHEN LOAD ONLY) COVER TO GRADE (ALL NON-KITCHEN PROVIDE SECONDARY SAFETY PLC, CONTROL REOV IF INLET PITCH COVER TO GRADE 2 �As LOADS) COVERS BENEATH PRIMARY PANEL w/ OR EXCEEDS " PER FOOT) V 51sso� COMPRESSOR 1 10' 2'-6" 2:_pl 1O COVER (TYP.;ALL RISERS) " I'-O" MIN. 2'-6" MAX. W�L- •._ 4 --- MAX.' MAX. MAX. MAX.' 2'-6" MAX. ;,, F.F. MAX F.F. EL.=I6.3' ii e3ev AVG. GRADE EL. = 16.1' S5K MAXIMUM SLOPE d'v i CV,AWAYWEW so e 4:' HOUSE �• INV. INV. ' ' �, II 20„ 20" di EL.= 3.4' EL.=12.q' „ '-" = MIN. 4 SDR 35 p X II Q MAIN DRAIN MIN. MIN. 4 HOUSE C R ; Q MIN. 4 SDR 35 p zo.ss _ ----�-� PVC O EQ. d PVC OR EQ. ~ -- MAIN DRAI MIN PITCH �Il.lt 3 e.R P0.d SELL MIN. INV. �k -- „ ,3U MIN. 4"� SDR 35 6" TO I/A N RO„orAWEW - mPVIEw _ _ MIN PITCH ":I' PolnoxmI 11R MIN PITCH :I PVC, OR EQ. LINE PAIarNo,ao1,-� �� EL.-14.1' MIN. 6 O 5DR 35 OWTS PVC, OR EQR 35 FLO1N q PROJECT: N51oEeGx PVC, OR EQ. FLOITLINE E IAATERIAL-POLYPROPYLENE PAMRs JR I MIN. INV. - - - - - - - - .W ACCEDfl: D COLOR-BLACK IIGM COVER PART XO.•LWC 14 SE/:L ASSEM&IES INV. INV, FLOW LINE EL.=13.2 MIN PITCH .I EL.=12.7' INV. EL.=12.4' INV. CAPACITY-15GALLONS REAWLOVFAFMAOJS„<� -- .�E".Eo, MIN PITCH ":I' INV. B EL.=12.2' oRAre. ra.wnam ... . STALL RISER PARi110 O]OS /��_� `--�.�`��� ��.\ � •. It LALL RISER PMt NJ iW0.Rlt i fi PROVIDE CAST IRON 1500 EL.=12.8' EL.=12.6 2.., 1. �. GALLON F 2R M zzes s,o�R IN DROP 11 ,•, � ---' y PIPE EXTENDING 2'-0" -' m PROVIDE 12 ND GAP �"""S . LLC■ -- - - -- -- GREASE I u� LEACHING , U PIKE ST ru -', "' MIN. FROM $UILDIN6 G , PROV THK. IN. (PROVIDE E POOL(5) d w 'I° TRAP ;- BED OF SAND OR PEA TYPE LEVELING SEPTIC toto Is oe""I ._ ra AccEPr �. /�i �/ A W FOUNDATION GRAVEL BENEATH DEVICES AT OUTLETS) Lu Q warn CM t POLnasu - --A� ,. TYP.IO PLCs. PRL xD]OOt ,YRa"� tv PROVIDE CAST IRON DISTRIBUTION BOX rV �, 4/' , '� PIPE EXTENDING 2'-O" � - J1�-.. 353. OLroC M y� �: 4 MIN. FROM BUILDING �' r ✓' 8'-O° FOUNDATION „ I I I _ .. - ate /v BASEMENT $ASEMENT �`-2-Sy2 �# 5-6 �f REPLACE EXIST. 501L w/ 3' GLEAN -.•.. 615 PIKE STREET • BOTTOM $ SIDES OF .O Z ': "..:'' GREASE TRAP SHALL BE SAND COLLAR SURROUNDING L.P. -3-1�2 rn .... PRaRTgloevlEw - :*'• HIGHEST EXPECTED POURED MONOLITHICALLY ":i.: WHEN EXIST. SAND 4 &RAVEL MATTITUCK N.Y. 11952 TO A MIN. HEIGHT OF 12" "" (SP/SN) LAYER NOT PRESENT - - - -- - - 6ROUND WATER EL.=4.52' - - - - - - - - - - - - - - _ _ _ _ _ _ _ HYDRO-ACTION AN500 COL I LO�� 20 II D157. E30X DETA I L 245 NITROGEN REDUCTION SYSTEM DRAWING TITLE: SCALE: NTS - - - - - - GROUND HATER EL. OBSERVED - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - WIRING DIAGRAM ® TEST HOLE =2.52' BILL OF MATERIALS SYSTEM DETAILS P/N DESCRIPTION SUFFOLK COUNTY HEALTH DEPARTMENT APPROVAL HIGHEST EXPECTED GROUNDWATER: ITEM QT1'. HA-180056 TANK, AN500, 245 NITROGEN REDUCTION H C� R �RNG NO. - - AN ADDITION OF 2.0' HAS BEEN ADDED TO THE OBSERVED TEST HOLE GROUND WATER TRAFFIC-BEARING STRUCTURES: ELEVATION TO ESTIMATE THE HIGHEST EXPECTED GROUND WATER ELEVATION. THIS 150055 TANK, AN500 245 PRETREATMENT GREASE TRAP 4 LEACHING POOLS SHALL HAVE AN 5" THICK TRAFFIC-SEARING CONCRETE PAGE: TOP TO MEET AASHTO-H2O/HS-20. ALL COVERS MUST ALSO MEET AASHTO-H2O/HS-20 REQ'S. ADJUSTMENT WAS SELECTED AFTER REVIEWING MEASUREMENTS RECORDED AT A NEARBY �B 100118 COUPLING, 4" SCH 55 PVC, SXS �I U.S.6.5 MONITORING WELL. �I 240018 FT GONNEGTING PANEL 24XIq sv-102000 - MONITORING WELL SITE NAME: 5 6556.2 - MONITORING WELL SITE NUMBER: 4055500"72331502 '76066 FASTENER, 3/8-16X3 J" AT HHG5 LEACHING POOLS L51 100110 ASSEMBLY, RE-CIRCULATION 245 COMPLETE �j 1, LEACHING SYSTEM SHALL PROVIDE SUFFICIENT SIDE-WALL AREA TO RECEIVE ONE FULL DAY'S DE51&N GREASE TRAP (U FLOW(416.6 &PD), OR 300 S.F. OF SIDE-WALL AREA FOR LEACHING POOLS, WHICHEVER 15 GREATER AP600-P AP600 ATU w/PLATFORM COMPLETE LEACHING POOLS IN5TALLED IN SAND 4 &RAVEL PROVIDE 1.5 6PD/S.F. SIDE-WALL AREA DATE: 05/13/25 2 OF 2 I. MIN. GREASE TRAP CAPACITY SHALL BE ONE DAYS KITCHEN DESIGN FLOW OR 1500 E050-30-L_100-PLO E050-30-L-100-PLO �I (416.6 6PD) / (1.5 6PD/S.F.) = 2-M.1 S.F. < 500 S.F. --> 500 S.F. SIDE-WALL AREA REQUIRED GALLONS, WHICHEVER 15 GREATER. (5) &'lP x 4' (EFFECTIVE DEPTH) LEACHING POOLS PROVIDE 500 FT SIDE-WALL AREA 1,500 GAL > 2b-7.11 6AL INNOVATIVE $ ALTERNATIVE ONSITE WASTEWATER TREATMENT SYSTEM (I/A OWTS) (2) 8'cP x 4' (EFFECTIVE DEPTH) LEAGHIN6 POOL PROPOSED FOR 50% EXPANSION (1) NEW 8'O x 5' (LIQUID DEPTH) GREASE TRAP PROVIDES APPROX. 1,500 GAL GAP. 2. LEACHING POOLS TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL). 2. CONCRETE SHALL HAVE A MIN. COMPRESSIVE STRENGTH OF 5,000 PSI AT 25 DAYS. I. I/A OWTS SHALL HAVE A MINIMUM TREATMENT CAPACITY EQUAL TO THE TOTAL OF ALL 3. ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). 3. WALL THICKNESS SHALL BE A MINIMUM OF 5", THICKNESS OF 8 R, AND BOTTOM HYDRAULIC, FLOWS (DESIGN FLON 4. SHOULD FUTURE EXPANSION RESULT IN MULTIPLE CLUSTERS OF LEACHING POOLS, EACH CLUSTER OF REDA THICKNESS OF 4". DESIGN FLOW = 416.6 6PD POOLS SHALL BE EQUIPPED WITH A GATE OR BALL VALVE TO ALLOW ISOLATION 4 RESTING. EACH `CO 1 10 i 4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK 15 WATERTIGHT. PROPOSED HYDRO-ACTION AN500 PROVIDES 550 6PD TREATMENT CAPACITY. VALVE SHALL BE OUTFITTED w/ TRAFFIC BEARING COVER ACCESSIBLE FROM GRADE. �� ��`- 0'�'l 5. GREASE TRAP SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX. 2. INSTALL ALL COMPONENTS AS PER MANU. SPEG'S.3 5. A 5' MIN. DISTANCE BETWEEN THE HIGHEST RECORDED GROUNDWATER LEVEL AND BOTTOM OF TOLERANCE OF t 1/4") ON A MIN. 3" THICK BED OF COMPACTED SAND OR PEA GRAVEL. . A 10' MIN. DISTANCE $ETWEEN THE I/A OWTS AND BUILDING WITH GELLAR/BASEMENT SHALL BE LEACHING POOLS SHALL BE MAINTAINED. 6. A 10' MIN. DISTANCE BETWEEN THE GREASE TRAP AND BUILDING WITH CELLAR/BASEMENT MAINTAINED, OR 5' MIN. DISTANCE IF BUILDING 15 UPON A SLAB. (0. A 10' MIN. DISTANCE BETWEEN LEAGHIN6 POOLS AND WATER LINE SHALL BE MAINTAINED. ~- SHALL BE MAINTAINED, OR 5' MIN. DISTANCE IF BUILDING IS UPON A SLAB. 4. A 5 MIN. DISTANCE BETWEEN THE I/A OWTS AND DIST. BOX (WHEN PRESENT) SHALL BE MAINTAINED. 7, AN &' MIN. DISTANCE BETWEEN ALL LEAGHIN6 POOLS AND I/A OWTS SHALL BE MAINTAINED. �'9l 037405 �Q4 FOF NEB SEPTIC SYSTEM DETAIL SCALE: NTS PROPOSED MATERIAL PACKAGE H M r Hrcnitecture 615 Pike St Design + Build APRIL 2025 C _ L i� 'g• ✓ l SEE DETAIL ON PAGE 3 ' �lil�l HERRINGBONE BRICK TO BEIGE BOARD AND GERMAN SHMEAR BRICK LIGHT GRAY STUCCO CONTINUE OVER FROM BATTEN NEIGHBORING PROPERTY -I t 6"WHITE HALF ROUND CHARCOAL ALUMINUM GUTTERS WITH WHITE WINDOWS AND DOORS LEADERS ***DOORS TO BE GLASS IN THE FRONT AND SOLID IN THE BACK*** PAGE1 PROPOSED MATERIAL PACKAGE AM r Hrcmiecture 615 Pike St Design + Build APRIL 2025 PLANTER TO BE STUCCO TO MATCH STUCCO FACADE TIMBERLINE HDZ- B"NICKELGAP SHAKEWOOD ROOFING CONTRUCTION GRADE FOR GAMBRELL CEDAR SOFFITS PAGE 2 FLAT ROOF DETAIL WITH MATERIALITY A M r Hrcriaecr.ure 615 Pike St Design + Build APRIL2025 00 I � , , NEW METAL GAP '}. NEW WHITE DUROLAST EPDM ROOF MEMBRANE(OR EOUAL);INSTALLATION, 1 LAPPINS OF SEAMS,AND SEALINO OF NEW 2XIO AZEK WHITE EPDM MEMBRANE A5 PER MANU_ TRIM SPECS.PITCH TO 6UTTER. l t! NEW PARAPET PERIMETER OF ROOF INSULATION WALL WRAPPED IN VAPOR BARRIER 1 - NEW AZEK WHITE- TRIM .V NEW}' THK.PLYWOOD ROOF DECKING NEW CANT NEW V THK.RIGID INSULATION ADHERED TO DECKING NEW WOOD BLCGKING j NEW O (SEE / PLANSS FOR SPECI PI CATI ONS) NEW." THK GYP. BD. PROVIDE INSULATION BETWEEN CAVITIES PER ENERGY TABLE (P4HEN APPLICABLE) ROOF RAFTERS AS NOTED ON PLAN PAGE 3 LANDSCAPING PLAN A M V Arcmiecture 615 Pike St Design + Build APRIL2025 ARBORVITAE r. • SERVICEBERRY3 TREES TO BE 's E s : PLANTED ON SIDEWALKS (TYP.) -kJI 1 -- r' w . T U CONCRETE CURBS(TYP.) BOXWOOD PLANTINGS IN TURF-TYPE TALL ASPHALT STUCCO FESCUE GRASS PAVEMENT PLANTERS PAGE 4 LANDSCAPING CHART H M r Hrcmieciure 615 Pike St Design + Build APRIL 2025 NAME DIM. COLOR DROUGHT ROOT BEHAVIOR MAINTENANCE TOLERANCE SERVICEBERRY WHITE TREE SPRING (Amelanchier FLOWERS, canadensis or 15-20'H EDIBLE GOOD NON-INVASIVE LOW-MODERATE laevis) BERRIES, ORANGE-RED FALL BOXWOOD 2'TALL AND MODERATE TO (Buxus spp.) WIDE GOOD EVERGREEN NON-INVASIVE MODERATE YELLOW TO ARBORVITAE 20-30'H ORANGE MODERATE NON-INVASIVE LOW FALL COLOR, GRAY BARK TURF-TYPE MAINTAINED MEDIUM TO TALL FESCUE AT 3-4" DARK GREEN GOOD NON-INVASIVE MODERATE (TTTF) PAGES t RETAIL RETAIL Jill '0Z RETAIL RETAIL _ r• 615 Pike Street � t •+ R�JvJ r. �SG�;•. ~�t 4' �• 'r RETAIL REl'AIL pp���••-11 .ti Yf• �! �71� � ,� �K u I -► - 'w2 F• -�_� -- - ,.' •� 1!.`O + . ,, fib; -77 —7777 Amf -- d 615 Pike Street AMP Architecture - 1- -r�{mayy' � /-•:�• •'�.� � S yr• I r' ��•�.w ,�.t�; e``t�•�'� y,��s ^'•A`, tip'�: �. I 4�#1� � ..��.^1'�'1 �_.._ - -^ --., _ -. _ _ .sue- -T^•_--'��__",��_.__�-•__^`_� �� s y 1r • ' y � 4 i, :,; ray,,}� — f y y,� ,J ♦� !� 1 • �' l4. �' 1" ,. f•+.✓'� IT`S'✓!d a.�j51j�♦ .S _ �i �j .'t. a.... �dls� lsb / .�C L a Ab Submission Without a Cover Letter Name: � 1 `� S-i-� J Pa) H- I � , &IMC Project Title: �, l✓ �� LL C- 6ff-\ T`c M � FMJWTEID I �] �J J JUN 12 2025 SCTM#: 1000 - L �/ ,•Z v( SLANNIN DTOWN PLANNING BOARD Date: 6 1 /1 1 �4�, Details of Submission: M(EC WC D SOUTHOLD PLANNING BOARD JUN 12 2025 SITE PLAN APPLICATION FORM SOUTHOLD TOWN PLANNING BOARD Site Plan Name and Location Site Plan Name: ((�I�j `� Application Date: 2� Suffolk County Tax Map#1000-140 _ 02 _ 21 _Other SCTM#s N/A Street Address: 615 Pike Street Hamlet: Mattituck Distance to nearest intersection: 253' to Love Lane Type of Site Plan: X New Amended_Residential Zoning District Hamlet Business (HB) Owners/Agent Contact Information Please list name, nrcriling achh-ess, andlAone number for the eo le below: Property Owner 615 Pike Street LLC Street 350 Brook Lane City Southold _State NY zip 11971 Home Telephone 631-848-8734 Other Applicant Stephen Mazzella (615 Pike Street LLC) Street 350 Brook Lane City Southold _ State NY Zip 11971 Home Telephone 631-848-8734 Other Applicant's Agent or Representative Contact Person(s)*AMP Architecture (Anthony Portillo) Street Mailing PO Box 152 City Matittuck State NY zip 11952 Office Telephone 631-603-9092 Other bepperson@amparchitect.com *Unless otherwise requested, correspondence ",ill be sent only to the contact person noted here. Site Plan Application Form 2/1&2010 Site Data Proposed construction type: X New Modification of Existing Structure Agricultural Change of use Property total acreage or square footage: 22,811 S.F. ac./sq. ft. Site Plan build-out acreage or square footage.4,742 S.F.ac./sq. ft. Is there an existing or proposed Sale of Development Rights on the property? Yes No X If yes, explain: — Does the parcel(s) meet the Lot Recognition standard in Town Code §280-9 Lot Recognition? Y X N . If"yes", explain (and attach any necessary documentation—title report, subdivision approval, etc.) Building Department Notice of Disapproval Date: 05 /07 /25 Is an application to the Southold Town Zoning Board of Appeals required? Yes X No If yes, have you submitted an application to the ZBA? Yes x No If yes, attach a copy of the application packet. Show all uses proposed and existing. Indicate which building will have which use. If more then one use is proposed per building, indicate square footage of floor area per use. List all existing property uses: Vacant Lot List all proposed property uses: (1) Commercial Building with (4) retail spaces Other accessory uses: N/A Existing lot coverage 0 % Proposed lot coverage: 20.8 % Gross floor area of existing structure(s) 0 sq. ft. Gross floor area of proposed structure(s) 4,742 S.F. Parking Space Data: #of existing spaces: 0 #of proposed spaces: 19 Loading Berth: Yes X No_ Landscaping Details: Existing landscape coverage: 0 % Proposed landscape coverage: 25 % Wetlands: Is this property within 500' of a wetland area? Yes_No X Maybe I,the undersigned, certify that all the above information is true Signature of Preparer: Date: oa ZS 2 Site Plan Application Form 2118%2010 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: May 7, 2025 TO: 615 Pike St LLC 350 Brook Ln Southold,NY, 11971 Please take notice that your application dated March 20, 2025: For permit to: construct a one-story commercial building with 4 retail/takeout units and basement storage at: Location of property: 615 Pike Street. Mattituck,NY County Tax Map No. 1000— Section 140 Block 2 Lot 21 Is returned herewith and disapproved on the following grounds: The proposed construction in the zoning district HB is not permitted pursuant to Article X. Section 280 45 (B 9) which requires a special exception from the zoning board. In addition the proposed constriction requires site plan approval from the Southold Town Planning Board. You may now apply to these agencies directly. �4tlrolj d- ii' mW A orized Signatt Ur Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Planning Board CC: file, ZBA APPLICANT'S AFFIDAVIT APPLICANT'S AFFIDAVIT STATE OF NEW YORK COUNTY OF SUFFOLK Stephan Mazzella (615 Pike St. LLC) being duly sworn, deposes and says that he resides at 350 Brook Lane, Southold in the State of New York, and that he is the owner of property located at 615 Pike Street. Mattituck , SCTM# 1000-140-02-21 , or that he is the �n P/�r of the (Title) (Specify whether Partnership or Corp.) and said Corporation is the owner of the above property,which is hereby making a Site Plan application;that there are not existing structures or improvements on the land which are not shown on the Site Plan;that the title to the entire parcel, including all rights-of-way,has been clearly established and is shown on said Plan;that no part of the Plan infringes upon any duly filed plan which has not been abandoned both as to lots and as to roads;that he has examined all rules and regulations adopted by the Planning Board for the filing of Site Plans and will comply with same;that the plans submitted, as approved, will not be alter or changed in any manner without the approval of the Planning Board; and that the actual physical improvements will be installed in stri t acc rdance with t plan as approved by the Planning Board. Signed Owner 11 Signed S (Partner or Corporate Officer and Title) Sworn to me this _day of' ..)ne 1 Notary Pub *t4 DARCEE AUFENANGER NOTARY PUBLIC,STATE OF NEW YORK Registration No.01A00019644 Qualified in Suffolk County Commission Expires January 9,2028 Applicant Authorization of an Agent I/We, Stephan Mazzella(615 Pike St. LLC) , authorized applicant for a site plan application on the property identified as SCTM#1000-140-02-21 , in MattituCk , NY, herby authorize AMP Architecture to act as our agent and handle all necessary work involved with the site plan application process for this property with the Southold Planning Board. Signature Sworn before me this 3—day of Z c 20 . C Notary Public DARCEE AUFENANGER NOTARY PUBLIC,STATE OF NEW YORK Registration No.01A00019644 Qualified in Suffolk County Commission Expires January 9,2028 Southold Planning Department Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and 1allow it to take whatever action is necessary to avoid same. Your Name: � � Last,First,middle initial unless you are applying in the name of someone else or other entity,such as a company. If so, indicate the other person's or company's name. Nature of Application: (Check all that apply) Subdivision or Re-subdivision Site Plan X Other(Please name other activity) Do you personally(or through your company,spouse,sibling,parent or child)have a relationship with any officer or employee of the Town of Southold? "Relationship includes by blood,marriage or business interest. "Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. Yes No t If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant)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(when the applicant is a corporation); B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation); C. an officer,director,partner or employee of the applicant;or D.the actual applicant Description of Relationship: Submitted this J day of:j 1e202:5 DARCEE AUFENANGER Signature NOTARY PUBLIC.STATE OF NEW YORK Registration No. 01A00 ��� � 2� //X Qualified in Suffolk County Print Name Commission Expires January 9,2028 Disclosure Form ARTICLES OF ORGANIZATION OF 615 PIKE STREET LLC Under Section 203 of the Limited Liability Company Law THE UNDERSIGNED, being a natural person of at least eighteen (18) years of age, and acting as the organizer of the limited liability company hereby being formed under Section 203 of the Limited Liability Company Law of the State of New York certifies that: FIRST: The name of the limited liability company is: 615 PIKE STREET LLC SECOND: To engage in any lawful act or activity within the purposes for which limited liability companies may be organized pursuant to Limited Liability Company Law provided that the limited liability company is not formed to engage in any act or activity requiring the consent or approval of any state official, department, board, agency, or other body without such consent or approval first being obtained. THIRD: The county,within this state, in which the office of the limited liability company is to be located is SUFFOLK FOURTH: The Secretary of State is designated as agent of the limited liability company upon whom process against the limited liability company may be served. The post office address to which the Secretary of State shall mail a copy of any process against the limited liability company served upon the Secretary of State by personal delivery is: STEPHAN MAZZELLA 350 BROOK LANE SOUTHOLD,NY 11971 FIFTH: The limited liability company is to be managed by: One or more members SIXTH: The existence of the limited liability company shall begin upon filing of these Articles of Organization with the Department of State. SEVENTH: The limited liability company shall have a perpetual existence. Page 1 of 2 EIGHTH: The limited liability company shall defend, indemnify and hold harmless all members, managers, and former members and managers of the limited liability company against expenses (including attorney's fees, judgments, fines, and amounts paid in settlement) incurred in connection with any claims, causes of action, demands, damages, liabilities of the limited liability company, and any pending or threatened action, suit, or proceeding. Such indemnification shall be made to the fullest extent permitted by the laws of the State of New York, provided that such acts or omissions which gives rise to the cause of action or proceedings occurred while the Member or Manager was in performance of his or her duties for the limited liability company and was not as a result of his or her fraud, gross negligence, willful misconduct or a wrongful taking. The indemnification provided herein shall inure to the benefit of successors, assigns, heirs, executors, and the administrators of any such person. I certify that I have read the above statements, I am authorized to sign this Articles of Organization, that the above statements are true and correct to the best of my knowledge and belief and that my signature typed below constitutes my signature. STEPHAN MAZZELLA ORGANIZER tsiznanire) STEPHAN MAZZELLA,ORGANIZER 350 BROOK LANE SOUTHOLD,NY 11971 Filed by: HOWARD S COHEN CPA PC 159 ROUTE 25A BLDG 2 STE G MILLER PLACE,NY 11764 Page 2 of 2 Southold Planning Department Applicant Transactional Disclosure Form The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflictsof interest and allow it to take whatever action is necessary to avoid same. /� Your Name: '1F't'((�"t Y W C A qk��k 1'D Las First,middle initial unless you are applying in the name of someone else or other entity, such as a company If so, indicate the other person's or company's name. Nature of Application: (Check all that apply) Subdivision or Re-subdivision Site Plan Other(Please name other activity) l Do you personally(or through your company,spouse,sibling,parent or child)have a relationship with any officer or employee of the Town of Southold? "Relationship includes by blood,marriage or business interest. "Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. Yes No If you answered"Yes"complete the balance of this form and date and sign where indicated. Name of the person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant)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(when the applicant is a corporation); B.the legal or beneficial owner of any interest in a noncorporate entity(when the applicant is not a corporation); C.an officer,director,partner or employee of the applicant;or D.the actual applicant Description of Relationship: Submitted this day of�,J MIQ Signature Print Name Disclosure Form Town of Southold URIMKEOWMD LWRP CONSISTENCY ASSESSMENT FORM JUN 12 2025 SOUTHOLD TOWN PLANNING BOARD 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 inchidinR 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 includes all of Southold Town). 3 If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 _ 140 - 02 _ 21 PROJECT NAME 615 Pike Street The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board 0 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: Proposed 1 story commercial building on vacant lot within the Hamlet Business district. Proposed building to include (4) retail spaces with required parking in the rear portion of the lot. Proposed work includes a new IA OWTS and landscaping. Location of action: 615 Pike Street, Matittuck, N.Y. 11952 Site acreage .52 acres Present land use: Vacant Lot Present zoning classification Hamlet Business (HB) 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. AMP Architecture (Anthony Portillo) (b) Mailing address: PO Box 152, Mattituck, N.Y. 11952 (c) Telephone number: Area Code( ) 631-603-9092 (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No 0 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. ❑X Yes ❑ No ❑ Not Applicable —The proposed commercial building is located in an existing Hamlet Center that has been well established with similar commercial uses. 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 ElYes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No a Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No a Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III— Policies; Pages 22 through 32 for evaluation criteria. ❑ Yes ❑ No ❑X 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. XJ Yes ❑ No[—] Not Applicable The proposed commercial building does not have any proposed uses that will negatively affect the air quality. 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 111— Policies; Pages 34 through 38 for evaluation criteria. 0 Yes ❑ No ❑ Not Applicable The proposed commercial building will utilize an I/A OWTS designed to handle the proposed uses within the building 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. ❑ Yes❑ No 0 Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No 0 Not Applicable Attach additional sheets if necessan 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 0 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. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No [XI Not Applicable PREPARED BY TITLE DATE q Amended on 8i1'05 G3�C�C��MC�D Full Environmental Assessment Form Part 1 -Project and Setting JUN 12 2025 SOUTHOLD TOWN Instructions for Completing Part 1 PLANNING BOARD Part 1 is to be completed by the applicant or project sponsor. 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; indicate whether missing information does not exist, or is not reasonably available to the sponsor;and,when possible,generally describe work or studies which would be necessary to update or fully develop that information. Applicantstsponsors must complete all items in Sections A&B. In Sections C,D&E,most items contain an initial question that must be answered either"Yes"or"No". If the answer to the initial question is"Yes",complete the sub-questions that follow. If the answer to the initial question is"No",proceed to the next question. Section F allows the project sponsor to identify and attach any additional information. Section G requires the name and signature of the project sponsor to verify that the information contained in Part lis accurate and complete. A. Project and Sponsor Information. Name of Action or Project: 615 Pike Street Commercial Building Project Location(describe, and attach a general location map): 615 Pike Street, Mattituck, NY 11952 Brief Description of Proposed Action(include purpose or need): Proposed 1 story commercial building with (4) retail units Name of Applicant/Sponsor: Telephone: 631-603-9092 AMP Architecture (Anthony Portillo) E-Mail: dscharadin@amparchitect.com Address: PO Box 152 City/PO: State: NY Zip Code: Mattituck 11952 Project Contact(if not same as sponsor;give name and title/role): Telephone: E-Mail: Address: City/PO: State: Zip Code: Property Owner (if not same as sponsor): Telephone: 631-848-8734 Stephan Mazzella (615 Pike St. LLC) E-Mail: cheffmazz mail.com Address: 300 Brook Lane City/PO: State: NY Zip Code:1971 Southold Page 1 of 13 B.Government Approvals B. Government Approvals,Funding,or Sponsorship. ("Funding" includes grants,loans,tax relief,and any other forms of financial assistance.) Government Entity If Yes: Identify Agency and Approval(s) Application Date Required (Actual or projected) a.City Council,Town Board, ❑YesMNo or Village Board of Trustees b.City,Town or Village C4Yes❑No Southold Town Planning 06/10/25 Planning Board or Commission Board Site Plan Approval c. City Council,Town or C4Yes❑No Southold Town Zoning Board 06/10/25 Village Zoning Board of Appeals Special Exception d.Other local agencies ❑YesEKNo e.County agencies C4Yes❑No Suffolk County Health Department 05/14/25 f.Regional agencies ❑YesCRNo g.State agencies ❑Yes(XNo h.Federal agencies ❑Yes[$No i. Coastal Resources. i. Is the project site within a Coastal Area,or the waterfront area of a Designated Inland Waterway? ❑YesD5No ii. Is the project site located in a community with an approved Local Waterfront Revitalization Program? ❑YesMo iii. Is the project site within a Coastal Erosion Hazard Area? ❑Yesl4No C.Planning and Zoning C.I. Planning and zoning actions. Will administrative or legislative adoption,or amendment of a plan, local law,ordinance, rule or regulation be the ($Yes❑No only approval(s)which must be granted to enable the proposed action to proceed? • If Yes,complete sections C,F and G. • If No,proceed to question C.2 and complete all remaining sections and questions in Part l C.2.Adopted land use plans. a. Do any municipally-adopted (city,town,village or county)comprehensive land use plan(s)include the site MYesONo where the proposed action would be located? If Yes,does the comprehensive plan include specific recommendations For the site where the proposed action ❑YesMNo would be located? b.Is the site of the proposed action within any local or regional special planning district(for example: Greenway ❑Yesl4No Brownfield Opportunity Area(BOA);designated State or Federal heritage area;watershed management plan; or other?) If Yes, identify the plan(s): C. Is the proposed action located wholly or partially within an area listed in an adopted municipal open space plan, ❑Ycs No or an adopted municipal farmland protection plan? If Yes, identify the plan(s): Page 2 of 13 C.3. Zoning a. Is the site of the proposed action located in a municipality with an adopted zoning law or ordinance. f$YesONo If Yes,what is the zoning classification(s)including any applicable overlay district? Hamlet Business b. Is the use permitted or allowed by a special or conditional use permit? KYesONo c.Is a zoning change requested as part of the proposed action? ❑YesUNo If Yes, i. What is the proposed new zoning for the site? CA.Existing community services. a.In what school district is the project site located? Mattituck Gutrhoaue Llnion Free - b.What police or other public protection forces serve the project site? Southold Town Police c.Which fire protection and emergency medical services serve the project site? Mattituck Volunteer Fire Department d.What parks serve the project site? Mattituck-Laurel Parks District D.Project Details D.I.Proposed and Potential Development a.What is the general nature of the proposed action(e.g.,residential, industrial,commercial,recreational; if mixed,include all components)? proposed 1 story commercial building with (4) retail units b.a.Total acreage of the site of the proposed action? .52 acres b.Total acreage to be physically disturbed? 1 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .52 acres C.Is the proposed action an expansion of an existing project or use? ❑Yes No i.If Yes,what is the approximate percentage of the proposed expansion and identify the units(e.g.,acres,miles,housing units, square feet)? % Units: d.Is the proposed action a subdivision,or does it include a subdivision? ❑Yes wo If Yes, i. Purpose or type of subdivision?(e.g.,residential,industrial,commercial; if mixed,specify types) ii. Is a cluster/conservation layout proposed? E]YesRNo iii. Number of lots proposed? iv. Minimum and maximum proposed lot sizes? Minimum Maximum e.Will proposed action be constructed in multiple phases? ❑Yes�$No i. If No,anticipated period of constriction: months ii_ If Yes: • Total number of phases anticipated • Anticipated commencement date of phase I (including demolition) month year • Anticipated completion date of final phase month wear • Generally describe connections or relationships among phases, including any contingencies where progress of one phase may determine timing or duration of future phases Page 3 of 13 f.Does the project include new residential uses? ❑Yes®No If Yes,show numbers of units proposed. One Family Two Family Three Family Multi le Family four or more Initial Phase At completion of all phases g.Does the proposed action include new non-residential construction(including expansions)? jRYes❑No If Yes, i. Total number of structures ii. Dimensions (in feet)of largest proposed structure: 26'-7" height; 53'-0" width; and 84'-0" length iii. Approximate extent of building space to be heated or cooled: 4,429 S.F. square feet h. Does the proposed action include construction or other activities that will result in the impoundment of any ❑Yesallo liquids,such as creation of a water supply,reservoir,pond, lake,waste lagoon or other storage? If Yes, i. Purpose of the impoundment: ii. If a water impoundment,the principal source of the water: Ground water❑Surface water streams❑Other specify: iii. If other than water, identify the type of impounded/contained liquids and their source. iv. Approximate size of the proposed impoundment. Volume: million gallons;surface area: acres v. Dimensions of the proposed dam or impounding structure: height; length vi. Construction method/materials for the proposed dam or impounding structure(e.g.,earth fill,rock,wood,concrete): D.2. Project Operations a.Does the proposed action include any excavation, mining,or dredging,during construction,operations,or both? Yes®No (Not including general site preparation,grading or installation of utilities or foundations where all excavated materials will remain onsite) If Yes: i.What is the purpose of the excavation or dredging? ii. How much material(including rock,earth,sediments,etc.)is proposed to be removed from the site? • Volume(specify tons or cubic yards): • Over what duration of time? iii. Describe nature and characteristics of materials to be excavated or dredged,and plans to use,manage or dispose of them. iv. Will there be onsite dewatering or processing of excavated materials? Yes No If yes,describe. V. What is the total area to be dredged or excavated? acres vi. What is the maximum area to be worked at any one time? _acres vii. What would be the maximum depth of excavation or dredging?_ feet viii. Will the excavation require blasting? �Yes[�No ix. Summarize site reclamation goals and plan: b. Would the proposed action cause or result in alteration of, increase or decrease in size of,or encroachment ElYesRNo into any existing wetland, waterbody,shoreline,beach or adjacent area? I f Yes: i. Identify the wetland or waterbody which would be affected (by name,water index number,wetland map number or geographic description): Page 4 of 13 d Describe how the proposed action would affect that waterbody or wetland,e.g. excavation,fill,placement of structures,or alteration of channels,banks and shorelines. Indicate extent of activities,alterations and additions in square feet or acres: iii. Will proposed action cause or result in disturbance to bottom sediments? ❑YesENo If Yes,describe: iv. Will proposed action cause or result in the destruction or removal of aquatic vegetation? ❑YesUlNo If Yes: • acres of aquatic vegetation proposed to be removed: • expected acreage of aquatic vegetation remaining after project completion: • purpose of proposed removal(e.g. beach clearing,invasive species control,boat access): • proposed method of plant removal: • if chemical/herbicide treatment will be used,specify product(s): v. Describe any proposed reclamation/mitigation following disturbance: C.Will the proposed action use,or create a new demand for water? ®Yes❑Ivo If Yes: i. Total anticipated water usage/demand per day: 2,500 gallons/day ii. Will the proposed action obtain water from an existing public water supply? [XYes❑No If Yes: • Name of district or service area: Suffolk County Water Authority • Does the existing public water supply have capacity to serve the proposal? ®Yes[:]No • Is the project site in the existing district? EZYes❑No • Is expansion of the district needed? ❑YesX No • Do existing lines serve the project site? EzYes❑No iii. Will line extension within an existing district be necessary to supply the project? ❑YesExgo If Yes: • Describe extensions or capacity expansions proposed to serve this project: • Source(s)of supply for the district: iv. Is a new water supply district or service area proposed to be formed to serve the project site? ❑ Yes®No If,Yes: • Applicant/sponsor for new district: • Date application submitted or anticipated: • Proposed source(s)of supply for new district: v. If a public water supply will not be used,describe plans to provide water supply for the project: vi.If water supply will be from wells(public or private),maximum pumping capacity: gallons/minute. d. Will the proposed action generate liquid wastes? X Yes ONO If Yes: i. Total anticipated liquid waste generation per day: 413.9 gallons/day ii. Nature of liquid wastes to be generated(e.g.,sanitary wastewater, industrial; if combination,describe all components and approximate volumes or proportions of each): Sanitary & Kitchen/Gray iii. Will the proposed action use any existing public wastewater treatment facilities? ❑Yes5&No If Yes: • Name of wastewater treatment plant to be used: • Name of district: - • Does the existing wastewater treatment plant have capacity to serve the project? ❑Yes❑No • Is the project site in the existing district? ❑Yes❑No • Is expansion of the district needed? ❑Yes❑No Page 5 of 13 • Do existing sewer lines serve the project site? ❑YeslKNo • Will line extension within an existing district be necessary to serve the project? ❑YesCRNo If Yes: Describe extensions or capacity expansions proposed to serve this project: iv. Will a new wastewater(sewage)treatment district be formed to serve the project site? ❑Yes®No If Yes: • Applicant/sponsor for new district: • Date application submitted or anticipated: What is the receiving water for the wastewater discharge? V. If public facilities will not be used,describe plans to provide wastewater treatment for the project,including specifying proposed receiving water(name and classification if surface discharge,or describe subsurface disposal plans): Proposed private I/A OWTS vi. Describe any plans or designs to capture, recycle or reuse liquid waste: e.Will the proposed action disturb more than one acre and create stormwater runoff,either from new point ❑Yes®No sources(i.e.ditches,pipes,swales,curbs,gutters or other concentrated flows of stormwater)or non-point source(i.e.sheet flow)during construction or post construction? If Yes: i. How much impervious surface will the project create in relation to total size of project parcel? Square feet or acres(impervious surface) Square feet or acres(parcel size) ii. Describe types of new point sources. iii. Where will the stormwater runoff be directed(i.e.on-site stormwater management facility/structures,adjacent properties, groundwater,on-site surface water or off-site surface waters)? • If to surface waters,identify receiving water bodies or wetlands: • Will stormwater runoff flow to adjacent properties? ❑Yes❑No iv. Does proposed plan minimize impervious surfaces,use pervious materials or collect and re-use stormwater? ❑Yes®No f. Does the proposed action include,or will it use on-site,one or more sources of air emissions, including fuel ❑Yes®No combustion,waste incineration,or other processes or operations? If Yes,identify: i. Mobile sources during project operations(e.g.,heavy equipment,fleet or delivery vehicles) ii. Stationary sources during construction(e.g.,power generation,structural heating,batch plant,crushers) iii. Stationary sources during operations(e.g.,process emissions, large boilers, electric generation) g.Will any air emission sources named in D.2.f(above),require a NY State Air Registration,Air Facility Permit, ❑YesRNo or Federal Clean Air Act Title IV or Title V Permit? If Yes: i. Is the project site located in an Air quality non-attainment area? (Area routinely or periodically fails to meet ❑Yes❑No ambient air quality standards for all or some parts of the year) ii. In addition to emissions as calculated in the application,the project will generate: • Tons/year(short tons)of Carbon Dioxide(CO,) • Tons/year(short tons)of Nitrous Oxide(N,O) • Tons/year(short tons)of Perfluorocarbons(PFCs) • Tons/year(short tons)of Sulfur Hexafluoride(SF6) • Tons/year(short tons)of Carbon Dioxide equivalent of Hydroflourocarbons(HFCs) • Tons/year(short tons)of Hazardous Air Pollutants(HAPs) Page 6 of 13 h.Will the proposed action generate or emit methane(including,but not limited to,sewage treatment plants, ❑YesUNo landfills,composting facilities)? If Yes: i. Estimate methane generation in tons/year(metric): ii.Describe any methane capture,control or elimination measures included in project design(e.g.,combustion to generate heat or electricity, flaring): i.Will the proposed action result in the release of air pollutants from open-air operations or processes,such as ❑Yes®No quarry or landfill operations? If Yes:Describe operations and nature of emissions(e.g.,diesel exhaust,rock particulates/dust): j.Will the proposed action result in a substantial increase in traffic above present levels or generate substantial ❑YesCRNo new demand for transportation facilities or services? If Yes: i. When is the peak traffic expected(Check all that apply): ❑Morning ❑Evening ❑Weekend ❑Randomly between hours of to ii. For commercial activities only,projected number of semi-trailer truck trips/day: iii. Parking spaces: Existing Proposed Net increase/decrease iv. Does the proposed action include any shared use parking? ❑Yes❑No v. If the proposed action includes any modification of existing roads,creation of new roads or change in existing access,describe: vi. Are public/private transportation service(s)or facilities available within %z mile of the proposed site? Wes❑No vii Will the proposed action include access to public transportation or accommodations for use of hybrid,electric ❑YesrRNo or other alternative fueled vehicles? viii.Will the proposed action include plans for pedestrian or bicycle accommodations for connections to existing ❑YesCKNo pedestrian or bicycle routes? k. Will the proposed action(for commercial or industrial projects only)generate new or additional demand ❑YesRNo for energy? If Yes: i. Estimate annual electricity demand during operation of the proposed action: ii. Anticipated sources/suppliers of electricity for the project(e.g.,on-site combustion,on-site renewable,via grid/local utility,or other): iii. Will the proposed action require anew,or an upgrade to,an existing substation? ❑YesEgNo 1.Hours of operation. Answer all items which apply. i During Construction: ii. During Operations: • Monday -Friday: 7:30am-4:30pm • Monday-Friday: 10am - 1 Opm • Saturday: $am-?pm 0Saturday: 10am - 10pm • Sunday: N/A 0Sunday: 10am - 10pm • Holidays: N/A 0Holidays: Page 7 of 13 m. Will the proposed action produce noise that will exceed existing ambient noise levels during construction, ❑Yes 5&No operation,or both? If yes: i. Provide details including sources,time of day and duration: ii. Will proposed action remove existing natural barriers that could act as a noise barrier or screen? ❑YesXNo Describe: n.. Will the proposed action have outdoor lighting? j$Yes❑No If yes: i. Describe source(s), location(s),height of fixture(s),direction/aim,and proximity to nearest occupied structures: Sconces on sides of building,ballusters at parkia areas ii. Will proposed action remove existing natural barriers that could act as a light barrier or screen? ❑Yes CKNo Describe: o. Does the proposed action have the potential to produce odors for more than one hour per day? ❑Yes CKNo If Yes,describe possible sources,potential frequency and duration of odor emissions,and proximity to nearest occupied structures: P.Will the proposed action include any bulk storage of petroleum(combined capacity of over 1,100 gallons) ❑YesNNo or chemical products 185 gallons in above ground storage or any amount in underground storage? If Yes: i. Product(s)to be stored ii. Volume(s) per unit time (e.g., month,year) iii. Generally describe proposed storage facilities: q.Will the proposed action(commercial,industrial and recreational projects only)use pesticides(i.e.,herbicides, ❑Yes NNo insecticides)during construction or operation? If Yes: i. Describe proposed treatment(s): ii. Will the proposed action use Integrated Pest Management Practices? ❑ Yes Wo r.Will the proposed action(commercial or industrial projects only)involve or require the management or disposal ❑ Yes Rlo of solid waste (excluding hazardous materials)? If Yes: i. Describe any solid waste(s)to be generated during construction or operation of the facility: • Construction: tons per (unit of time) • Operation : tons per (unit of time) ii. Describe any proposals for on-site minimization,recycling or reuse of materials to avoid disposal as solid waste: • Construction: • Operation: iii. Proposed disposal methods/facilities for solid waste generated on-site: • Construction: • Operation: Page 8 of 13 s.Does the proposed action include construction or modification of a solid waste management facility? ❑ Yes®No If Yes: i. Type of management or handling of waste proposed for the site(e.g., recycling or transfer station,composting, landfill,or other disposal activities): ii. Anticipated rate of disposal/processing: • Tons/month, if transfer or other non-combustion/thermal treatment, or • Tons/hour, if combustion or thermal treatment iii. If landfill,anticipated site life: years t.Will proposed action at the site involve the commercial generation,treatment,storage,or disposal of hazardous ❑Yes(RNo waste? If Yes: i. Name(s)of all hazardous wastes or constituents to be generated,handled or managed at facility: ii. Generally describe processes or activities involving hazardous wastes or constituents: iii. Specify amount to be handled or generated tons/month iv. Describe any proposals for on-site minimization,recycling or reuse of hazardous constituents: v. Will any hazardous wastes be disposed at an existing offsite hazardous waste facility? Yes No If Yes:provide name and location of facility: If No: describe proposed management of any hazardous wastes which will not be sent to a hazardous waste facility: E.Site and Setting of Proposed Action E.I.Land uses on and surrounding the project site a. Existing land uses. i. Check all uses that occur on,adjoining and near the project site. CR Urban Industrial ® Commercial M Residential(suburban) ❑ Rural (non-farm) ❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other(specify): ii. If mix of uses,generally describe: b. Land uses and covertypes on the project site. Land use or Current Acreage After Change Covertype Acreage Project Completion (Acres+/-) • Roads, buildings,and other paved or impervious 0 17,134 s.f. +.4 acres surfaces • Forested 0 0 0 • Meadows,grasslands or brushlands(non- 0 0 0 agricultural, including abandoned agricultural) • Agricultural 0 0 (includes active orchards,field,greenhouse etc.) 0 • Surface water features 0 0 0 (lakes,ponds,streams, rivers,etc.) • Wetlands(freshwater or tidal) 0 0 0 • Non-vegetated(bare rock,earth or fill) 0 0 0 • Other Describe: Page 9 of I") c_Is the project site presently used by members of the community for public recreation? Y No i. If Yes: explain: d.Are there any facilities serving children,the elderly,people with disabilities(e.g.,schools,hospitals, licensed ❑Yes�No day care centers,or group homes)within 1500 feet of the project site? If Yes, i. Identify Facilities: e.Does the project site contain an existing dam? ❑Yes®No If Yes: i. Dimensions of the dam and impoundment: • Dam height: feet • Dam length: feet • Surface area: acres • Volume impounded: gallons OR acre-feet ii. Dam's existing hazard classification: W. Provide date and summarize results of last inspection: f.Has the project site ever been used as a municipal,commercial or industrial solid waste management facility, ❑Yes[ZNo or does the project site adjoin property which is now,or was at one time,used as a solid waste management facility? If Yes: i. Has the facility been formally closed? ❑Yes❑ No • If yes,cite sources/documentation: ii. Describe the location of the project site relative to the boundaries of the solid waste management facility: iii. Describe any development constraints due to the prior solid waste activities: g.Have hazardous wastes been generated,treated and/or disposed of at the site,or does the project site adjoin ❑Yes5&No property which is now or was at one time used to commercially treat,store and/or dispose of hazardous waste? If Yes: i. Describe waste(s)handled and waste management activities, including approximate time when activities occurred: h. Potential contamination history. Has there been a reported spill at the proposed project site,or have any ❑Yes® No remedial actions been conducted at or adjacent to the proposed site? If Yes: i. Is any portion of the site listed on the NYSDEC Spills Incidents database or Environmental Site ❑Yes®No Remediation database? Check all that apply: ❑ Yes—Spills Incidents database Provide DEC ID number(s): ❑ Yes—Environmental Site Remediation database Provide DEC ID number(s): ❑ Neither database ii. If site has been subject of RCRA corrective activities,describe control measures: iii. Is the project within 2000 feet of any site in the NYSDEC Environmental Site Remediation database? ❑Yes®No If yes,provide DEC ID number(s): iv. If yes to (i), (ii)or(iii)above.describe current status of site(s): Page 10 of 13 v. Is the project site subject to an institutional control limiting property uses? ❑Yes2No • If yes, DEC site ID number: • Describe the type of institutional control (e.g.,deed restriction or easement): • Describe any use limitations: • Describe any engineering controls: • Will the project affect the institutional or engineering controls in place? ❑Yes[gNo • Explain: E.2. Natural Resources On or Near Project Site a.What is the average depth to bedrock on the project site? N/A feet b.Are there bedrock outcroppings on the project site? ❑YesUNo If Yes,what proportion of the site is comprised of bedrock outcroppings? % c.Predominant soil type(s)present on project site: Dark Brown Loam % Brown Silt % Pale Brown Fine to Coarse Sand d. What is the average depth to the water table on the project site? Average: 13.5 feet e.Drainage status of project site soils: Well Drained: 80 %of site ❑ Moderately Well Drained: %of site ❑ Poorly Drained %of site f. Approximate proportion of proposed action site with slopes: R3 0-10%: 100 %of site ❑ 10-15%: %of site ❑ 15%or greater: %of site g.Are there any unique geologic features on the project site? ❑Yes�i o If Yes,describe: h.Surface water features. i. Does any portion of the project site contain wetlands or other waterbodies(including streams,rivers, ❑Yes[RNo ponds or lakes)? ii. Do any wetlands or other waterbodies adjoin the project site? ❑YesRNo If Yes to either i or ii,continue. If No,skip to E.2.i. iii. Are any of the wetlands or waterbodies within or adjoining the project site regulated by any federal, ❑Yes®No state or local agency? iv. For each identified regulated wetland and waterbody on the project site,provide the following information: Streams: Name _ Classification • Lakes or Ponds: Name Classification • Wetlands: Name Approximate Size • Wetland No.(if regulated by DEC) v. Are any of the above water bodies listed in the most recent compilation of NYS water quality-impaired ❑Yes NNO waterbodies? If yes,name of impaired water body/bodies and basis for listing as impaired: i. Is the project site in a designated Floodway? ❑Yes®No j. Is the project site in the 100 year Floodplain? ❑YesCRNo k.Is the project site in the 500 year Floodplain? ❑YesNi to 1.Is the project site located over,or immediately adjoining, a primary, principal or sole source aquifer? ❑Yes[RNo If Yes: i.Name of aquifer: Page 11 of 13 m. Identify the predominant wildlife species that occupy or use the project site: None,vacant lot inbetween 2 developed lots n.Does the project site contain a designated significant natural community? ❑Yes5&No If Yes: i. Describe the habitaticommunity(composition,function,and basis for designation): ii. Source(s)of description or evaluation: iii Extent of community/habitat: • Currently: _ acres • Following completion of project as proposed: acres • Gain or loss(indicate+or-): acres o.Does project site contain any species of plant or animal that is listed by the federal government or NYS as ❑Yes®No endangered or threatened,or does it contain any areas identified as habitat for an endangered or threatened species? p. Does the project site contain any species of plant or animal that is listed by NYS as rare,or as a species of YesCR to special concern? q. Is the project site or adjoining area currently used for hunting,trapping,fishing or shell fishing? ❑Yes®No If yes,give a brief description of how the proposed action may affect that use: E.3. Designated Public Resources On or Near Project Site a.Is the project site,or any portion of it,located in a designated agricultural district certified pursuant to ❑YesRNo Agriculture and Markets Law.Article 25-AA, Section 303 and 304? If Yes, provide county plus district name/number: b.Are agricultural lands consisting of highly productive soils present? ❑Yesl2No i. If Yes: acreage(s)on project site? ii. Source(s)of soil rating(s): C. Does the project site contain al l or part of,or is it substantially contiguous to,a registered National ❑Yes5 No Natural Landmark? If Yes: i. Nature of the natural landmark: ❑Biological Community ❑ Geological Feature ii. Provide brief description of landmark, including values behind designation and approximate size/extent: d.Is the project site located in or does it adjoin a state listed Critical Environmental Area? ❑YesCRNo If Yes: i. CEA name: ii. Basis for designation: W. Designating agency and date: Page 12 of 13 e. Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district ❑Yes[allo which is listed on,or has been nominated by the NYS Board of Historic Preservation for inclusion on,the State or National Register of Historic Places? If Yes: i. Nature of historic/archaeological resource: ❑Archaeological Site ❑Historic Building or District ii. Name: iii. Brief description of attributes on which listing is based: f.Is the project site,or any portion of it, located in or adjacent to an area designated as sensitive for ❑Yes9N0 archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? g.Have additional archaeological or historic site(s)or resources been identified on the project site? ❑YesCRNo If Yes: i.Describe possible resource(s): ii. Basis for identification: h.Is the project site within fives miles of any officially designated and publicly accessible federal,state,or local ❑Yes®No scenic or aesthetic resource? If Yes: i. Identify resource: ii. Nature of,or basis for,designation(e.g.,established highway overlook,state or local park,state historic trail or scenic byway, etc.): iii. Distance between project and resource: miles. i. Is the project site located within a designated river corridor under the Wild, Scenic and Recreational Rivers ❑Yes(RNo Program 6 NYCRR 666? If Yes: i. Identify the name of the river and its designation: — ii. Is the activity consistent with development restrictions contained in 6NYCRR Part 666? ❑YesXNo F.Additional Information Attach any additional information which may be needed to clarify your project. If you have identified any adverse impacts which could be associated with your proposal,please describe those impacts plus any measures which you propose to avoid or minimize them. G. Verification I certify that the information provided is true to the best of my knowledge. Applicant/SponsorNamP AA /tp 4 �at-�Jfk Date Signature Title JXy�n• � PRINT FORM Page 13 of 13 OFFICE LOCATION: r 0�� CQG" MAILING ADDRESS Town Hall Annex �� y y P.O. Box 1179 54375 State Route 25 0 Southold,NY 11971 (cor.Main Rd.&Youngs Ave.) y , Telephone: 631-765-1938 Southold,NY www.southoldtownny.gov PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMORANDUM To: Accounting From: Planning Department Date: June 12, 2025 Re: Check Please deposit the attached check into B691: Deferred Revenue. Fee is for a Site Plan Application not yet accepted by the Planning Board. Applicant/Project Name & Type Tax Map # Amount Check Date/No. 615 Pike Street Retail Units Site Plan 140.-2-21 $974.20 5/29/2025 - #135 615 Pike Street LLC CEW Aft. Presubmission Materials :S"v -1 13C FORM NO. 3 MAX 0 7 2025 TOWN OF SOUTHOLD sourfiOLD I-OWN BUILDING DEPARTMENT PLANNING BOARD SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: May 7, 2025 TO: 615 Pike St LLC 350 Brook Ln Southold,NY, 11971 Please take notice that your application dated March 20, 2025: For permit to: construct a one-story commercial buildinp-with 4 retail/takeout units and basejqje�p,t,stor mat.: Location of property: 615 Pike Street Mattituck NY County Tax Map No. 1000—Section 140 Block 2 Lot 21 Is returned herewith and disapproved on the following grounds: The vrotiosed construction in the 7-onillgAstrict 1113 is not Permitted pursuant to Article xceDtion from the zoning hoard., In addition,the Dronosed construction Town Plan You may now apply to these agencies directly. �AQI'TAJ X. AViorized Signat®r Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. CC: file, Planning Board CC: file, ZBA ^ � 14� q r d`PIC' l� SITENPLAN,USE DETERMINATE ial�R 0 2025 ] anlc)d u:,TOWN a l e I n i t i Dterminationw��, C Date ���� �a. . .�� Date: 0'� 2,� 2 P rod e ct Name .._ .. :l�_.. Project Address; _.. �..._.- .... n..._.__..._.._. I LIDZoning District Y.. Suffolk County Tax Map No.. 1000-_ _w .-- q w . .... � ,: �w_ b.uil Request (Note- Copy of Building Permit Application and supporting documentation as to proposed use or uses should be submitted.) Initial Determination as to whether use is perrnitte& 2 ..._—._,�..�_.�.. ..w ,_. ...a. _.__. _.. _... . Initial Determination as to whether site plan is required: _ _..,w. ... . _... .. ...._ - .M ignature of B SJa uilding Inspec r S / j.... 5.. ...n._ . ... .. Planning Department (P.D.) Referral: Date of Comment: P.D. Date Received: a5 �� ►1� c .....w Comments:_...._...w__.._..._ _..., Signa re of Planning Dept, Staff Reviewer Final Determination Date: Signature of Building Inspector q�v FOR INTERNAL USE ONLY EMIR ��� SITE PLAN USE DETERMINATION TOWNInitl�termlnatlon OARD Date: �� � Date Sent: Project Name: v ai Project Address.,._i .. w _. Distric Suffolk County Tax Map No.: 1000- � w ._..`...._... W.._ g _........ _, .......a. __H ._ .._........_._ Request: �( . .. ..,. . �.._.. _ _.. s should (Note: Copy of Building Permit Application and supporting documentation as to proposed use or use be submitted.) Initial Determination as to whether use is ermitted: , I I Determination as to wet q Initial whether site Ian is re uiredw Signature o Building Inspec . r Planning Department (P.D.) Referral: ...._ .__..._....__. ��_ _.._.n._�...w�..�......_ ... .�.. ...._._��._. .. .w. _ .,_..�.. ..._M_.._ _.... ...�.�...�.�_.w... .... _„ .._.w..._, P.D. Date Received: �_� Date of Comment: Comments;_,, , .._.. ..._ _._ _..._. .�_..., w ..._w. .._m.__._ .. _ w_..._..._ __._..� �.�._.....,,,_. Signature of Planning Dept. Staff Reviewer Final Determination Date: �. _. m..�. ... Decision: Signature of Building Inspector q TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ltt :/� w »< ut.l�oldto ,l'xtat'ar Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only NE C E0VE PERMIT NO. � _ Building Inspector:M..... ... _..._......,..�....,... k A 2025 Applications and forms must be filled out in their entirety.incomplete applications will not be accepted. Where the Applicant is not the owner,an Sullcling 13011'artment Owners Authorization form(Page 2)shall be completed. Town Of Southold Date: OWNER(S)OF PROPERTY: Name:615 Pike Street LLC (Stephan Mazella) SCTM#1000-140-02-21 Project Address:615 Pike Street, Mattituck Phone#:631-848-8734 Email:chefmazz@gmail.com Mailing Address:350 Brook Lane, Southold CONTACT PERSON: Name:Brooke Epperson Mailing Address:PO Box 152, Mattituck, NY 11952 Phone#:631 603 9092 :::��Email�:�b�eppierson@amparchitect-com DESIGN PROFESSIONAL INFORMATION: Name:Anthony Portillo Mailing Address:PO Box 152, Mattituck, N.Y. 11952 Phone#:631 603 9092 mail:aportillo@amparchitect.com CONTRACTOR INFORMATION � _,.�,,,, Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION WNew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $500,000 es? *Yes ❑No Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premis 1 PROPERTY INFORMATION Existing use of property:Vacant Intended use of property: 1 Story Commercial Building Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to Hamlet Business this property? ❑Yes *No IF YES, PROVIDE A COPY. N Check Box After Reading: The owner/contractor/design pmfessksnal Is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPUCATIQN IS HEREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to the Building Zone ordinance of the Town of Southold,Suffolk,County,New York and other applicable laws,ordinances or Regulations,for the construction of bullilm additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with ell applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and In building(s)for necessary hispeWons.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal law. Application Submitted By name):, � � �,- t,vr� WAUthorized Agent ❑Owner Signature of Applicant: Date: g -311� z� Si STATE OF NEW YORK) COUNTY OFS,g4*- V,) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signin ontract) above named, (S)he is the Agent (Contractor,Agent, Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of r 1, 20 a Public WRvi~C€ Ui•E-N',i &f CR< PROPERTY OWNER AUTHORIZATION gee+ iK,,,f-atioi-, r,lo. 01PIU0019644 (Where the applicant is not the owner) O ,s I f e ssL,frul C unty 9, 2021 1,_. ... -� ........,.___ _ residing at_. AMP Architecture do hereby authorize to apply on my behalf to th Town f Sout d Building Department for approval as described herein, r ner's Sig Date Print Owner's Name 2 SURVEY OF PROPERTY N AT MATT UCK TOWN OF SOUTHOLD P`' °MF 0.6 E cm SUFFOLK COUNTY, N.Y. 0.5 �-` 1000-140-02-21 SCALE.- 1=30 MAY 27, 2020 P 41, +15.4' N/0IF STEPHAN MAZZELLA "NNA DEMMLER h i 9 FE.Erro� " 0."1 J ) ) t1t gtR 1 +15.2 'c ,CJ. +15.5' 75 +15.4' '�, +15.7' +15.7' NfO/F 7HUCVY PHAM END t } 'J WATER_ REFERENCED TO NA VD 88 �c3` s� } +i5.7' METER 2.4-N C0R \ voti. fl U" EL 15.8' KEY , 16.2'+ REBAR = 44ELL . J J 1.1 If - 1 = STAKE a }5 � o pJ r 8 = TEST HOLE �SID ,bp �PQ 0 = PIPE 6�-' c� 9,.56 A5 t = MONUMENT �j� G� v''� a � EL 6.3"k�� 44ETLAND FLAG 1 4 A Y s LIC. NO. 4961 Os= UTRITY POLE P.c. ANY ALTERARON OR ADDIRNt 7o 1NIS SURVEY IS A WOLA77ON OF SECWN 7209 OF THE NEW AREA= 22,817 SO. FT. (631��&�50�t� FAX (631) 765-1797 YORK STATE EDUCATKIN LAW.EXCEPT AS PER SECTION 7209—SUBDIWSIM 2. ALL CER77t7C4770NS F.O. SOX 909 HEREON ARE VALID FOR 1NIS MAP AND C0MES THEREOF OVLY 1F SOD MAP OR COPIES BEAR 1ME 1230 TRAVELER STREET AIPRESSED SEAL OF THE SURVEYM##)OSE SI0NAIURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 .19-058 ^.y S"-E LAYOUT NO"�5. ,:� �.` , r \\.��\\,\\. �..,\ \ NYC \\'\�` \\\ 1. TH1S i5 AN AACHITECTS SITE PLAN 8 IS T T RFCATION BY A LICENSED ` \�`\ `���` \ �'\\ \ �'�\ \\` \\\\\m\\ \\\\\\\\ \ \\BJEC, \\\ TAX MAP# 000-40-02-2 N I F� ( SURVEYOR. THE INFORMATION ,.\ REPRESENTED ON THIS SITE PLAN IS TO THE LOTFRON'TASE #O�TREES #OF TREES . VACANT_GT ARCHITECT'S BEST OP Y.NOWLEDGE. REQUIRED PROPOSED E ZONNS DISTRICT L_ U E 'l. r 2.SURVEY INFORMATION WA5 OBTAINED ( ONE SHADE TREE PER 40 FEET OF L07 FRONTAGE 130 4 0.5 ACRES 4 FROM A SURVEY DATED 05/2"1.`2020 _ HAMLET B"SMP55(HBl F OT AREA 1 AND PREPARE BY. \ \ �,. \ \ _ _ _. - _ 7 PECONIG SURVEYORS,A.�. a \\'. •.. •. PLANNING APPROVAL , PENDING i N.Y.STATE LAND SURVEYOR #O' AMOUNT AMOUNT -- - II t 3 . JC.#0496ib PARKING REQUIRED PROPOSED SUFFOLK COUNTY HD APPROVAL I PENDING t ' P.O.BOX 909 SPACES 4 TREES 1230 TRAVELER STREET SOUTHOLD,NY II9-11 ONE TREE FOR EVERY i0 PARKINS SPACES 19 2 TREES (REAR YARD) �3 \ _ (651)T65-5020 10 SF OF INTERIOR LAN05GAPINS FOR EACH ui 19 IQO SF 565P ' o� � z 17-7 DESCRL TION(FOOTPRINT) AREA COVERAGE a ml X TOTAL SOT AREA 22,S50 S F 25%OF LOT 'a�c33 "5,1 AL LOT AREA _ SF I PROPOSED LANDSCAPING I 4.955.0 SF A2 T%12 TPROPOSED COMMERCIAL ARE 5 22 00 BUILDING(A17H FRONT ROOF 4,420 S.F. 208% PROPGSED PARKING INTERIOR [ LAND5GAPIN6 "75605F _ .' - , TOTAL AREA OF ALL 5TRUG'fURES 4T42 0 Er, 20.8% R 3 AL LAND MAXIMUM LOT COVERAGE ALLOWED.40% TOTAL SGAPED AREA (^ 5 3 YARD ' ,�-� �y Aj. _ � t1tP FZE6t7LfAiCNS 1iRjPY 3,t?It GXXN6 ROW OF 'fC,iY$ICFE Lk1T �1^ •ATi" T 4' I (`� EVERGREENS ; _/ Q PRO 05ED COMPLIES — 4 . ! � i MIN FRONT YARD I50 I5G YES J i k 4 m i' MIN SIDE YARD YES I PROPOSED 2" f & }5 - �-- ;6- + t CALIPER 1 t Q '- MIN.COMBINED 25.0144.4' YES 7REE5 TO BE NATIVE, SIDE YARDS ' DROUGHT TOLERANT; N e(4( - _ - @ ice; MIN.REAR YARD j 25 0 52.1' Y .F 4 TOTAL I � 22.0 ee55 li. . - 266 YES _ t� !� G MAXIMUM NEISHT 350 HA.NDICAE' t O} ,1 Q 2- 8'XI9cl PARKING 5IGN —�.� - g {.�- 220=-' PARKIN65T,4LL ( �NO PARKING SiSN � �` Q VAN-AG ADA i� �J {hy Q 3 t?5€ 8 F BUFFER .r4.. - ELCI AD T PROP05 rtN TG^c :Y _ .T�- f3FF-742TAt�1'3+tL�P �f'� I GON"„'FRG Ar ,4LDiN -� � '�z v Lu Q =�Y w 0 055 c�P` - •D� FI¢5" 001-4451�F +P �^ :0 5V�l W (I'a PROP.ROflF Z' ' ' F, 5 a if1 - I ...Access eLe PALin KRKIh6�Ac� 1 � COVER i - (f) vAN-AcrfSSIeLE�ARKI�sFA..s _... o EXISTING FIRE HYDRANT i / - 2+ - C 44 4 ,� ---24.G t- r .R ar. AAA sTnn�ARo4 F =asp I T.+`,TO^ae a I 5FA.€�AR€* 3'i A.."?sTtG\TO T�ALG `HtE PARK h§9PAGE5 L _ rymm� I-t�4 r?=RCet A96W.Tom£sF+a A�F:SY 't A.GiP€PA¢Kii�'. PLES .'T C i _' - -. A..90 PROYR6E�AN Et�ARE-;T SNIMu.`*6 Si;DE AOLe AlS:s AS REO v A`E A .G i ems, { — 5 63 45'40 30.00' EXIST FOUND GONG.MI EXIST NS HEDGE - i f tt1 In i " `A I Q PROPOSED HERRINGBONEU J ry `-'I.s%MAX.SLOPE frYP.) N BRICK PATIO TO MATCHH, PROPOSED 2"CALIPER PROPERTY TO WEST SHADE 7REE-5 TO BE NATIVE, - DROUGHT-TOLERANT;4 TOTAL PROF05ED S1TE PLAN s}� SCALE:I•=30_0• €£ t\ -, OENERAL SYMBOL KEY: „ a= a , U El 4—J I " I � + o C) C I l OL6.HGHT G 6.y�iFc �GL6 H6HT.[ `Gr..6 H6M s zoo srOe ram^?a �s- oP�w FSQF KF 4rc .� cl 3 I,ObS S.F. 765 S.F. 1012 S.F. iob0 S.F. i i i J J F Ot W U N Z1 Y cr k :a i d U) E � o m<: O >z� Sq=" i a i ik cv I� ' n PROPOSED OSED POUt-VATION PLAN 1 SCALE,�f8`•I'-0" �a � ���6� �.y�� l I GENERAL SYMBOL KEY: PROPOSED PLANTERS g{ 1 IfTYPJ;SPECIES'BD � al , pP05Efi I p 3 3 BPAP +- 56 SF '� + Q fk I�'p° ?ROP C3 I; i t C -. �GL6.H6HT r a�ATn''2pON L u�i to � 56 SF ' Q Ul I TAKEOUT Q O' 094 S F UNDER I6 SEATS G 6 HSHT t} O '722 S.F. 1 ICL6 N.6.Ts' •GL6 Mf6HT1 1 _ pPGSa-D RrTAf' RE"AiL 1 883 S.F. TAKEOUT _ (j Lye 1,024 S.F. € E J G j N UNDER 16 SEATS _j m I W a N Q Iir is W V w iI i j d Ln o O t4 Ul m Ia O ' PROP05ED FIR5T FLOOR PLAN PROPOSED PLANTERS;NP);SPECIES=2D `y t I 3 I � g, SSG u tg 6 , � x : I CONTEXT DIAGRAM x F: G) m C I i � � i I Q i i i 3 �- 7 � J � f m k i --_ CL w i ILO Ir 00 5MTH EL=NATION FRONT) � | �\\ Q _ j © Dm | + / .CIO � I�cm 57 N RTH EVAf (RE4q ; FL WE e ,a c"w s z w, ~` � ^ L§ I �1 �a e� Aoni I U :3 - l^E5T ELEVATION (LEFT 51PE) U 1 C I Q c G) d o _ N Z Y 4� Lu Lf) m GI - � a co EAST ELEVATION (RIFT 5IPE)