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Home My WebLink AboutTR-5177Albert J. Krupski, President~ James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Seuthold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 25, 2002 Mr. Bruce Anderson c/o Suffolk Environmental Consulting, Inc. PO Box 2003 Bridgehampton, NY 11832 Re~ Roger Coombe 4284 Wunneweta Road Cutchogue, NY SCTM#111-14-27.1 Dear Mr. Anderson: The following action was taken by thc Southold Town Board of Trustees at thcir Regular Meeting held on Wednesday, January 23, 2002. RESOLVED, that thc Southold Town Board of Trustees grant an Amendment to Permit # 5177 proposed dwelling reduced in size and shifted away from above ground power lines and other minor changes, drywells to handle all roof nm off, drywells to handle the pool drainage no disturbance at all in the wetland side of the driveways, all driveways. Final grading plan showing the low area recharge area to handle the mn-off from the driveway so that the driveway water is directed into that, not into the existing driveway as noted on survey dated January 24, 2002. If you have any questions, please call our office at 765-1892. Albert J. Krupaki, Jr. President, Board of Trustees AJI cjc CC Building Department Telephone (631) 765-1892 Hall.. 53095 Main Road P.O. Box 1179 Southold. New Yo~k 11971. SOUT]~OLD TOWN CONSERVATION ADVISORY COUNC/L At the meeting of the Southold Town Conservation Advisory Council held Wednesday, January 16, 2002, the following recommendation was made: _RQJ~.~k~, IMBE to Amend Permit #5177 for a single-family dWelling, reduced in.size '~n~'~'ifted slightly further away from the above ground power lines and other minor changes. Located: 4294 Wunneweta Rd., Cutchogue. SCTM#111-14-27.1 mc~ornmenc]a[ion of Disapproval to the ~oam of Trustees of the original permit request. Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 5, 2000 Mr. Bruce Anderson c/o Suffolk Environmental Consulting, Inc. PO Box 2003 Bridgehampton, NY 11932 RE: Roger Coombe 4294 Wunneweta Road Cutchogue, NY SCTM#111-14-27.1 Dear Mr. Anderson: The following action was taken by the Board of Town Trustees. during a Regular Meeting, held on May 25, 2000, regarding th~ above matter. WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of ROGER COOMBE applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated April 7, 2000, and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 25, 2000 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approved the application of ROGER COOMBE to construct a +/- 2550 sq. ft. (footprint) single family dwelling w/attached garage; an attached +/- 1015 sq. ft. deck, a +/- 800 sq. ft. swimming pool with a surrounding +/- 544 patio; and, a +/- 2000 sq. ft. pervious driveway. Drywells to handle all roof run-off. Drywells to handle the pool drainage. No disturbance at all on the wetland side of the driveways, all driveways. Final grading plan showing the low area, recharge area to handle that run-off from the driveway, so that the driveway water is directed into that and not onto the existing driveway. Relocation of the septic system, outside of our Jurisdiction. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued witin six months of the date of this notification. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified when project is started and on completion of said project. FEES: NONE Very truly yours, ~ Jr. President, Board of Trustees AJK/cjc cc: Department of State DEC ACE Board Of $outhold, iTown Trustees SOUTHOLD, NEW YORK PERMIT NO ....... DATE: .....~aY.. 2~....~.~00 ISSUED TO ROGER COOMBE Authorization Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 18931 and Chapter 404 of the ~ws of the. · State of New York 19S2; and'the 'Southold Town Ord,nance en- titled · "REGULATING ;AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS end' the REMOVAL OF SAND, GRAVEL' OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;.'.:r and in accordance with the Resolution of The Board adopted at a meeting hreld on ..J~.e~¥....2.4 ....... .... 2.0..~..0, and in consideration' of the sum of $.....~.~..0..,..~.0 ...... paid by. SUFFOLK ENVIRONMENTAL CONSULTING~ INC. 'Terms and Conditions listed on the reverse side hereof,~ : of Saufhold Town' Trustees authorizes and vermih the foEowinq= Wetland Permit to construct a +/- 2550 sq, it. (footprint) single family .~ ,. dwelling wlattached'garagel an attached +1- 1015 sq. ft. deck, a +l- Drywails to handle the pool drainage. No disturbance at all on the wetland side of the driveways, all driveways. Final grading plan showing the logy ell i area, recharge area to handle that run-off from the driveway, so that the ~ in dr]veway water is directed into that and not onto the existing driveway. the Relocation of the septic system, outside of our Jurisdiction. IN WITNESS WHEREOF, The said Board of Trustees here- by causes ifs Corporate Se. al to be a~xed, and these presents~ to be subscribed by ~'major,ty of the seed Board as of this dat~, ,- · TrmledZ TERMS ~nd CONDmONS 4. X'net dm work l~volved wi~ be mbj~ m the fmFec~,~cl ~ppm~d o~ the ~.n~. or term3tion oE cb~ Permit by ~soludon of die slid Board. 6. Thss there shall be tM inter~ereace with the right o~ the ~_,~!¢ eo ~ tod ~ tlm~ the beech between M~h find law w~er math. 7. ~ if furore opemiam of the Town of Southold require the remavtl tad/or shemtam in the location of the wo& herda ~mdu~.,.a, or i~, in the opinlaa of the Boozd of Trus~ee~ the. wozk shall cause ~le obstrucnon co free mvigttl(m, the nM peanit~e will be requia~ ~Xmsoudue nodce, to remove or ldte~ ~ wink o~ project bere~n rated without ezlx~es to the Town d~old. , 8. That the s~Id Board will be not, led by the Permittee ot the cempledm, o~ the ~ auth. 9. That the permittee will obtain aH other' ~ and consents d~at may b~ t~quked sup- p!emental to this pemdt which may be subject to revoke upon hilu~ to obtofu mune. Suffolk Environmental Consulting, Inc. Mr. Albert Krupski, Presidem Southold Board of Trustees Town Hall P. O. Box 1179 Southold, NY 11971 Newman Village, Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 ~ ]. ,~ ~ 537-5198 Bruce Anderson, M.S., President ~ &fi_, J ~ ember 22, 2000 Coombe Situate: Wunneweta Road, Nassau Point SCTM # 1000-111-14-27.1 Re~ Dear Mr. Krupski, As you know, this Firm represents Roger and Corinne Coombe who applied for a wetlands permit authorizing the construction of a single family dwelling, pool, septic system and driveway. A public hearing was held before your Board on April 24, 2000. At the conclusion of the public hearing, your Bo~d requested the relocation of the proposed septic system beyond the 75 foot jurisdictional limit from wetlands and a grading plan which featured the creation of a swale to capture and recharge runoff to the east of the proposed dwelling. I had represented that the grading plan would also feature a flattened area around the proposed swimming pool and all agreed to the appropriateness of such a plan. Enclosed herewith please find two revised surveys prepared by Joseph A. Ingegno last dated September 7, 2000 ("Revised Survey"). The Revised Survey features all amendments requested by your Board as described above. As all concerns have been addressed, I respectfully request that you for~vard to this office a wetlands permit authorizing the proposed actions as shown on the Revised Survey. Thank you in advance for your cooperation. cc. R. Coombe TRUSTEE KRUPSKI: W in favor. ALL AYES TRUSTEE KRUPSKI: I--will make a motion to approve the application, with the following conditions. Drywells to handle all roof run-off. Drywells to handle the pool drainage. No disturbance at all on the wetland side of the driveways, all driveways. Final grading plan showing the low area, recharge area to handle that run-off from the driveway. So that the driveway water is directed into that and not onto the existing driveway. Relocation of the septic system, outside of our jurisdiction. BRUCE ANDERSON: I will return to you a corrected survey and you will send me a permit, TRUSTEE FOSTER: You are going to have to have a serious amount of hay bales around that job. TRUSTEE KRUPSKI: It is true while we can have hay bales in place. BRUCE ANDERSON: I am just going to wrap the perimeter to keep then landward side of the driveways. Obviously, we can not do the other side, the survey. TRUSTEE FOSTER: plan. BRUCE ANDERSON: TRUSTEE FOSTER: BRUCE ANDERSON: TRUSTEE KRUPSKI: I because you have to get in. I will show it on You are going to have to indicate them on the See where I have drawn them in. Yes I see. Thank you very much. The placement of hay bales. need a seconded. Telephone (516) 765-18qZ Town Hall. 5309.5 Main Road P.O. Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, May 22, 2000, the following recommendation was made: Moved by Bill McDermott, seconded by Melvyn Morris, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit Application of ROGER COOMBE 111-14-27.1 to construct a +/-2550 sq.ft, single-family dwelling with attached garage; an attached +/- 1015 sq.~. deck; a +/-800 sq. f~. swimming pool with a surrounding +/- 544 patio; and a +/- 2000 sq.t~, pervious driveway. 4294 Wunneweta Rd., Cutchogue The CAC recommends Approval with the condition that there are drywells for the pool and the house and that they establish and maintain a non-turfbuffer~ Vote of Council: Ayes: All Motion Carried Suffolk Environmental Consulting, Inc. Newman Village, Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson, M.S., President April 5, 2000 Mr. Albert J. IG-upski, President Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 TOWN OF $OUTHOLD Re: Situate: SCTM #: Coombe property Wunneweta Road Cutchogue; Town of Southold, NY 1000-111-14-027.1 Dear Mr. Krupski, This Firm represents Roger Coombe who is seeking improvements to the above referenced property. In order to do so, a Wetland Permit fi'om your Board is required Enclosed herewith please find a completed Wetland Permit Application. Application contents are as follows: (1) Town of Southold Trustees Wetlands Permit Application; (2) Short Enviromental Assessment Form; (3) Two surveys prepared by Joseph A. Ingegno, Land Surveyor, last revised on March 5, 2000 showing all proposed structures and freshwater wetlands; and (4) Check made payable to the Town of Southold in the amount of $150.00 covering the requisite application fee. By way of this correspondence, I request that you commence review of this application. Thank you in advance for your cooperation. Hammarth/ 2 Matt D. Ivans eno. cc: R. Coombe Suffolk Environmental Consulting, Inc. Newman Village, Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson, M.S., President Mr. Albert Krupski, President Southold Board of Trustees Town Hall P. O. Box 1179 Southold, NY 11971 ge~ Coombe Situate: Wennuweta Road, Nassau Point SCTM # 1000-111-14-27.1 December 7, 2001 Dear Mr. Kmpski, This Firm represents Roger Coombe who applied for a received a wetlands permit from your Board on October 5, 2000. The permit authorizes the construction ora single family dwelling with attached garage and other residential appurtenances. Due to further design and costs considerations, the proposed dwelling has been reduced in size and shifter slightly further away from the above ground power lines and other minor changes. I enclose the following for your review and consideration. · Copy of the in-force Wetlands Permit # 51~4, 2000; and · Revised survey prepared by Joseph A. Ingegno last dated November 28, 2001 ("Revised Survey"). By way of this correspondence, I request that the in-force permit be amended and extended for an additional 1 year consistent with the Revised Survey. Thank you in advance for your cooperation. A. Anderson cc. R. Coombe Albert $. Kmpski, President John Holzapfel, Vice President 3ira King Martin H. Gan'ell Peter Wenczel Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ..... ..................... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn,/depoge ~hd say: / That on the /~day of~4 '_~ ~I pe_rs?nally posted the property known as (~_ -~f~ by placing the Board of Trustees official/poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing. (date of hearing noted thereon to be held ~bo~ Dated: Sworn to before me this Notary Public of New Yodl No, 011V6053859 Ouellfled in Suffolk County Commission Expires Janu~ ~, All~ert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 5, 2000 Mr. Bruce Anderson c/o Suffolk Environmental Consulting, PO Box 2003 Bridgehampton, NY 11932 RE: Roger Coombe 4294 Wunneweta Road Cutchogue, NY scTM#111-14-27.1 Dear Mr. Anderson: The following action was taken by the Board of Town Trustees during a Regular Meeting, held on May 25, 2000, regarding the above matter. WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of ROGER COOMBE applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated April 7, 2000, and WHEREAS, said application was referred to the $outhold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 25, 2000 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, , WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approved the application of ROGER COOMBE to construct a +/- 2550 sq. ft. (footprint) single family dwelling w/attached garage; an attached +/- 1015 sq. ft. deck, a +/- 800 sq. ft. swimming pool with a surrounding +/- 544 patio; and, a +/- 2000 sq. ft. pervious driveway. Drywells to handle all roof run-off. Drywells to handle the pool drainage. No disturbance at all on the wetland side of the driveways, all driveways. Final grading plan showing the low area, recharge area to handle that run-off from the driveway, so that the driveway water is directed into that and not onto the existing driveway. Relocation of the septic system, outside of our jurisdiction~ BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued witin six ~onths of the date of this notification. Fees must be paid, if applicable, and permit issued within six months of.the date of this notification. Two inspections a~e required and the Trustees are to be notified when project is started and on completion of said project. FEES: NONE Very truly yours, Albert J.~Krupski, Jr. President, Board of Trustees AJK/cjc cc: Department of State DEC ACE Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO.. '~/77 DATE: . May Z,~.~....~g00 ISSUED TO ROGER COOMBE Pursuant to the provisions of Chapter 615 of the Laws of the State of New York 18937 and Chapter 404 of the ~ws of fha State of'New York 19527 and the Southod Town Ord,nance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC ~NDS and RE~OVAL OF SAND, ~RAVEL OR OTHER ~ATERIALS FRO~ LANDS UNDER TOWN WA~RS:~. and in accordance with the Resolution of The Board adopted at a meeting held on . .Z.O.g.~ and in consideration of the sum of $.....~.~.g.,..g.O ...... paid by SUFFOLK ENVIRONMENTAL GONSULTING~ lNG. of ......... ~P~.~.~a~.0.~, N.Y. and subject to the Terms and ~onditions listed on the reverse side hereof, of Sm~thold Town Trustees authorizes and ~ermlts the followlnq: Wetland Permit~to construct a +1- Z550 eq. ft. (footprint) single family .~ . ~l[ [ area, recharge area to handle that run-off from the driveway, the Relocatim~ of the septic system, outside of our jurisdiction, IN WITNESS WHEREOF, The said Board of T~stees ~re- by ceuses its Corporate Seal to be ~ffixed, end these ~?senh to be subscribed by · m~jori~ of the s~id Board ~s of th~s d~te. ~enry .Smith ~ >sent) '- ' T~stees TER~S and CONDITIONS The Pe~mlttee Ro~er Coombe ,eslding at 4294 Wunneweta Road. Cutcho£ue. N. Y, sa ~ of the consideration for the tmumce of the Permlt dne~ ~nderstancl and paean'be to the for lowing: 1. That the said Bos_nt of Trustees and the Town of Southold a~e relet~l from any and all damages, or clnlm, for damage~ of ~ m~sing disectly ot lndh~y as s~ te~lt of my ol~et- atlon perfonned punuant to this permit, and the said l~ad~ee will, at Ms ot her own expense, defend any and aH such sults'intttated by thLed part~ and the said Pennlttee sasum~ fidl ~ with reSpect thereto, to the complete exclusion of the Bo~ed of Tt~tee~ o~ the Tov/u of ~o!d 2. That this Permit is' valid for a period of .. 24 race. which is considet~d to be the e~imated time' requi~ed to complete the work involved~ but should ahzumseances warcent, veqnest for an extension may be made to the Board at a later dam.. 3. That this Permit should be ~etalned indefinitely, or as long as the sald pt, rmlttze wishes to mn. intaln the stroctu~e or lpcoject involved, to provide evidence to anyone concerned that anth- odzatton was originally obtaihed. 4. That the work involved will be subject to the inspection and approval of the Boaxd ot its agents, and non-compliance with the provisions of the ofi~nnting application, may be _~-~ for revocation of this Permit by t~olution of the said Bo~d. 5. That there will be no un~easonable interfes~ace with mvigation as a result of the work herein au'thorized. 6. That there shall be no interference with the fight of the public to p~us and repass along the beach between Mgh and low w~ter m~rks. 7. That if future ope~atione of the Town of ,Southold require the cemoval and/or alterations in the locetlon of the work herein authorized, or if, in the opinion of the Board of Tmstee~ the work shaH cause uttreasuneble obstruction to free navigation, the said Pe~!~ce will be ~ upon due notice, to remove or zlter this work or project hezeln stated without expenses to the Town of Southold. S. That the sald Board will be notified by the Permlttee ot the coaipletton of the work ankh. orised, 9. That the Permittce will, obtain aH other pecmlcs and consents ~hat may be required mp- plemental to this permit which may be subject to revoke upon failure to obtain same. :( Albert J. Krupski, President James Fdng, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephene (516) 765-18~2 Fax (516) 765-1823 BOARD OF TOV~N TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the~ Matter of the Application ........... STATE OF NEW YORK) AFFIDAVIT OF POSTING I, Matt D. Ivans , residing atNewman VillaEe; Main Street; Bridgehampton, NY being duly sworn, depose and say: property known as J~K~~-- ~'~z~-~/3 ~ ~/~.~.m~ ~b/ ~r~oq-~ by placing the Board of Trust~e~ ~fficial poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of ~he _~t~ ~ublic hearing. (date of hearing noted thereon to be held Dated: Sworn to before me this Notary Public NOTARY ~l~ttC, STATE 0F N~ YOR~ NO, 01HI5063822, SOFf:OLK COUN1Y COM~TSSION £XPIR~S AUGUST Wetland Permit to construct a +/- 2550 sq. ft. (footprint) single family dwelling w/attached garage; an attached +/- 1015 sq. ft. deck, a +/- 800 sq. ft. swimming pool with a surrounding +/- 544 patio; and, a +/- 2000 sq. ft. pervious driveway. Drywells to handle all roof run-off. Drywells to handle the pool drainage. No disturbance at all on the wetland side of the driveways, all driveways. Final grading plan showing the low area, recharge area to handle that run-off from the driveway, so that the driveway water is directed into that and not onto the existing driveway. Relocation of the septic system, outside of our jurisdiction. Albert J. Krupski, President John Holzapfel, Vice Presideat Jim King Martin H. Garroll Peter Wenczel Town Hall 53095 Main Road P. O. Box 1179 Southold, New York 11971 Telephone (631) 765-1892 Fax (631) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use only ~Coastal Erosion Permit Application Wetland Permit Application Grandfather Permit Application Waiver/AmendmentfChanges w.~eceived Application: ~Received Fee: $ /~'~- -- ~.-'CompletedApplication Incomplete SEQRA Classification: Type I Type II Unlisted Coordination: (date sent) Referral Sent: .eAC ~..-Date of Inspection:-' ' - Receipt of CAC Report: Lead Agency Determination: Technical Review: ..--Public Hearing Held: Resolution: Name of Applicant Roger Coombe Address 1050 Park Avenue; New York, NY 10028 Phone Number(212) 369-7666 Suffolk County Tax~a~Number: Property Location:Wunneweta Road; Cutchogue, NY 1000-111-14-027.1 (provide LILCO Pole #, distance to cross streets, and location) AGENT: Suffolk Environmental Consulting, Inc. Address: P.O. Box 2003 Bridgehampton, NY 11932 Phone Number: (631) 537-5160 Fax: #(631) 537-5198 Board of Trustees Application WETIJtND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Construct a priv-~te single fmm~ly dwelling with related appurtenances. Area of wetlands on lot: < + 3000 square feet Percent coverage of lot: < _+ 4.1% Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands:79.0 feet Does the project involve excavation or filling: No X Yes If yes, how much material will be excavated? + 177.8 (for pool) cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: + 6.0 (for pool) feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): No impact to the wetlands anticipated due to the project design and the existence of other adjacent similar structures which have not produced any apparent impact to the wetlands. Boar f Trustees Application GENEPJ~-L D~T~ Land Area(in square feet): Area Zoning: Previous use of property: Intended use of property: 73,835.83 square feet R-40 Vacant Land Private single family dwelling with related appurtenances. Prior permits/approvals for site improvements: Agency Date X Has any permit/approval governmental agency? No prior permits/approvals for site improvements. ever been revoked or suspended by a X No Yes If yes, provide explanation: Project Description (use attachments if necessary) : Applicant proposes to construct a ± 2550 sq. ft. (footprint) single family dwelling w/attached garage; an attached ± 1015 sq. ft. deck; a ± 800 sq. ft. swimming pool with a surrounding ± 544 patio; and, a ± 2000 sq. ft. pervious driveway. 2 Purpose of Board of Trustees Application COASTAL EROSION APPLICATION DATA N/A Proposed Activity: Are wetlands present within 75 No Yes If Yes, how much material will be excavated? How much material will be filled? feet of the proposed activity? (cubic yards) (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from the implementation of the project as proposed. (Use attachments if necessary) 4 14-16-4 (9/95)-Text 12 PROJECT I.D. NUMBER 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEQR PART 1- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) ]. APPLICANT/SPONSOR 2. PROJECT NAME Suffolk Environmental Consulting, Inc. Coomb~ 3. PROJECT LOCATION: Munieipel~ Southold County Suffolk 4. PRECISE LOCATION (Street address and road intersections, promine~ landmarks, etc. or provide map) Wuuneweta Road C~tcho~u¢~ Town of Southold, NY 5m IS PROPOSED ACTION: 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to construct a ± 2550 SCl. fl. (footprint) single family dwelling w/attached garage; an attached 4- 1015 scI. fl. deck; a 4- 800 sq. fi. swimming pool with a surrounding 4- 544 patio; and, a * 2000 sq. ii. pervious driveway. 7. AMOUNT OF LAND EFFECTED: Initially <0.2 acres Ultimately < 0.2 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? []Residential []Industrial []Commercial []Agriculture DeSCribe: Private single family residential. [--~Park/Fo~eet/Open space [] Othor 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENT AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes []No If yes, list agency(s) and permit/approvals NYSDEC Tidal Wetland Permit approval. Suffolk County Department of Health Services 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If yes, list agency(s) and permit/approvals 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes [] No CERTIFY THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicact/spensor name: Matt D. lvans - Suffolk Environmental ConsulfinK. Inc. Date: SJgnatum: /~, / 04/04/00 If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART #- ENVIRONMENTAL ASSESSMENT (To be completed by A~ency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 If yes, coordinate the review process and ues the FULL EAF. [] Yes [] No WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by anofher in~lved agency. []Yes [] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be ha~, C1. E.~ding air quaitty, surface or grsundvmter quality, noies levels, e,~dsfing baffic pattems, aclid wesfa prod~ or d~l, C2. Aesthetic, agricultural, archeok~tcal, ff~orical or other natural or cultural reso4Jrces; or communi~ or neighborhood chamofer? Explain bdefly~ C3. Vegetation or fauna, fish, sha#nsh or wildlife species, significant habitat, or threatened or endangered species? E}0plain Ixlafly: C4. A community's e~,thg plans or ~esla es o~clal~ ~p~ed, or change in use or intensity of use of land or natural resources? Explain briefly: C5. GrovAh, subesque~c development, or related activities likely to be induced by the ~ action? Explain b~fly: C6. Longterm, shmt*~erm, cumulative, or ofhareffectsnofideflfibedin C1-C57 Explain briefly: C7. O~her intpects Oncludlng changes in use of either quantity Or type of energy)? F-~plain briefly: []Yes I-[No IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If yes, explain bdefly PART lB - DI: mk~mNAllON 0~= SIGNIFICANCE (To be ~ by A~moy) IN, TRUe'llOYd: FOreach~offact identified above, cic~ff.'rminewilelheritissubsfantial, large, impoltant, orofhel~dsesigntficant. Each effect sbeuld be aeseesed in cormection wflh ifa (a) eslfing (i.e. urbenor rural); (b) prchabiittyofaccurring; (c) duration; (d)irrevemibitity; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting matedals. Ensure that explanations contain [] Checkthisbexffyouhaveidanfif~Joneormorelxitanflallylargeorsignificant aclverse impacts which MAY occur. Thanprocesd directly to the FULL EAF and/or prepare a Ix~,itive daclaratian. [] Checkthis boxlfyou have deCermined, based an the informaflan and analysis above and anysuppo~ting dacumentation, tha~ the proposed action WILL NOT result k~ any significant adverse envinmmental impacts AND provide on attachments es necessary, the reasons supporting this defl~rminaticn: Name of Lead Agency Print or Type Name of Responsible ~r Tibe of Responsibla Officer Signature of Responsibk) Officer in Lead ~y . Signature of Preparer (if different From responsit~ ofrmer) Date 2 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Roger Coombe SCTM# 1000-111-14-027.4 YOU ARE HEREBY GIVEN NOTICE: 1. That is the intention of the,undersigned to request a Permit from the Board of Trustess to: Applicant proposes to construct a ± 2550 sq. ft. (footprint) single family dwelling w/attached garage; an attached ± 1015 sq. ft. deck; a ± 800 sq. ft. swimming pool with a surrounding ± 544 patio; and, a ± 2000 sq. ft. pervious driveway. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: Wunnewetta Road; Cutchogue; Town of Southold, NY 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: Roger Coombe MAILING ADDRESS: 1050 Park Avenue; New York, NY 10028 PHONE # : (212) 369-7666 Enc.: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS. Name: Address: Sebastian Avolese: 1000-111-14-025 5 South Drive Pandome, NY 11030-1424 Stephen & Libby Horowitz: 1000-111-14-028 10 Circle Lane Manhasset, NY 11030-1125 Richard/uaderson: 1000-111-14-030 333 East 30th Street New York, NY 10016-6416 Countess Suzanne G. 1000-111-14-032 DeCheney: PO Box 1294 Cutchogue, 11935-0896 STATE OF NEW YORK COUNTY OF NEW YORK I, Matt D. Ivans, residing at Suffolk Enviroranental Consulting, Inc.; New, nan Village; Main Street;Brid~eh~unpton, NY, being duly sworn deposes and says that on the ~z~ day of ~c, 2000, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Bridgehampt_~th~ said Notices were mailed to-each of said persons by ~fi~ (registered) mail. ~~ ,~"//US. Pos~a~$ervice CERTIFIED MAIL RECEIPT Sworn to before me this z/~ Ne. 01C04919556, Suffolk Ceu~ 6 Board of Trustees Application County of Suffolk ) State of New York ) Roger Cooke BEING DULY SWORN DEPOSES ~-ND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ~-RE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE M3kNNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HJkRMLESS AND FREE FROM ANY AND ALL DAY, AGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GPJkNTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVE(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJI/NCTION WITH REVIEW OF THIS APPLICATION. Signature #ota~j P~blic, State of New¥ottL I~. 01C04919559, Suffotk Couflf~ DAY OF~~2000 7 Board of Trustees Application AUTHORIZATION (where applicant is not the owner) NY, do hereby authorize Suffolk Environmental Consulting, Inc. (Agent) Roger Coombe residing at 1050 Park Avenue; New York, to apply for permit(s) from the Southold Board of Trustees on my behalf. (Owner' s sfgnature)