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Home My WebLink AboutTR-5703Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda PegKv A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOA_RI) OF TOWN TRUSTEES TOWN OFSOUTHOLD May1,2003 Suffolk County Department of Health Services County Center Riverhead, NY 11901 RE: Martha & James Baker 1600 Grathwohl Rd., New Suffolk SCTM#117-4-4 To Whom It May Concern: The Southold Town Board of Trustees object to the placement of a septic system within 100' of tidal wetlands on West Creek, especially since other options are available to the property owner. Thank you. Very truly yours, Albert J. Krup{.~ki, Jr., President Board of Trustees AJK:lms cc: En-Consultants, Inc. Albert J. Krupski, President James King, Vice-President \ Artie Fester Ken Poliwoda Peggy A. Dickerson 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 January30,2003 Mr. Rob Herrmarm c/o En-Consultants, Inc. 1329 North Sea Southampton, NY 11968 RE: SCTM#117-4-4 Martha & James Baker 1600 Grathwohl Road New Suffolk, NY Dear Mr. Hen'mann: The Board of Town Trustees took the following action during a Regular Meeting, held on January 22, 2003 regarding the above matter. WHEREAS, Eh-Consultants, Inc. on behalf of Martha & James Baker applied to the S outhold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated December 27, 2002 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 January 22, 2003 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, 2 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 MARTHA & JAMES BAKER for a Wetland Permit to clear (as necessary) portion of property within 100 feet of tidal wetlands and install pervious driveway and public water service. 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. Fee must be paid, if applicable and permit issued within six months of the date of this notification. If inspections are required, at a fee of $5.00 per inspection (See attached schedule). FEES: None Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees lc/cjc cc DEC Building Department Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO ...... It~9~!~.~ DATE: .Januar~...ZZ.,. ZO0~ ISSUED TO .............. M.-5.~'r~.A....%. JAMES BAKER .......... Pursuant to the provisions of Chapter 615 of the I~ws of the State of New Yor~, 1893; and C~spter 4~ of ~e ~ of ~ State of New Yo~ 19~2: and ~e ~ho~ Town Ordi~nce en- t~ ."R~U~TIN~ AND ~E P~CIN~ OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBUC ~DS a~ ~ RE~OVAL OF SAND, ~VEL OR OTHER ~ATERIA~ ~O~ ~NDS UNDER TOWN WA~RS?. and in accmda~e w~h ~e Re~l~ion of ~e ~ard adopted at a meeting held on ..~.~.~....~2, ~0~3...'.., end in conslderefion of the sum of $.--30~-0~.-.- ~id by ~.Cons~ltan.ts...Inc ....~n.-.beh.a. lf...e~. Ma~t~a'-.&-.--J-~mes...B~-ker o[ ......... Son~hamp.toa.. ................ ~. Y. ~,~ ~m~* to the Te~s and ~nditions tided on the reve~ side ~f, of So~hdd Town Tr~es authorizes and perm~ the f~wing: Wetland Permit to clear (as necessary) portion of property within 100 feet of tidal wetlands and install pervious drive- way and public water service. a~ in accorda~e with the detai~d sp~icat~m as ~e~nted in ~e ~gi~fing appl~afi~. IN WITNESS WHERE., ~e said ~ of Tmdees ~- ~ ~i~dO~rate Seal to ~ a~xed, and ~e..we.n~ to by a'maj~iff of ~ said ~ad as of ~ darn. TERMS and CONDITIONS telling at 1600 Grathwohl Road. New S,f~. N. Y~ ~ That the sald ~ of T _t~___-~_ and the Town of So.hold a~e re. leased ,q-~ any and ~id~ ~l~t then:to, to Ihe eompl~e ~q~on of d~e i~1 of Tmst~ ~ dm To~n of 8,,,.iI,~1 ~. That fl~s P~-mlt should be t'etnined inde~mi~y, or ss 1o~ as the pM Perlite whhea to n~m~in the stmct~e or woject involved, to Wovide evMe~e to anyon~ mncen~l that 4. That d~e work ~.,,lved will be subject to d~e inspection hs a~n~ and non-~ompt;-~-,, with the prov~om of the originating ~ppllcatlon. n~y be That there ~ be no untea~,l,te interfet~ge with mtvi~ u · result of the woek authorized. upon d~e notice, to remove or ~ltet this ~k ot p~oject ~ stated vdd~t exl~mSes to the To~ 8. That the ~ald Board will be notified bI the Fennittee ot ~he ~iof the ~ sndz- odzed. 9. That the Pemduee will ohtaln all mher I,,~_ and ,~.~e~_ ~ d~t may he mtuiml mp- plenum-! to tiffs permit which may he subject to revoke upon bllm~ to dx:sin same. NOTICE TO ADJACENT PROPERTY BOAR~ ,OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant:MARTIJ~&JAMESBAI(ER SCTMgl000- 117-4-4 OWNER YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention o~ the undersigned to Permit from the Board of Trustees to: request a CLEAR (AS NECESSARY) PORTION OF PROPERTY WITHIN 100 FEET OF TIDAL WETLANDS AND INSTALL PERVIOUS DRIVEWAY AND PUBLIC WATER SERVICE, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY PAT SECCAFICO, LAST DATED DECEMBER 12, 2002. CONSTRUCTION OF DWELLING AND OTHER SITE IMPROVEMENTS ARE LOCATED MORE THAN 100 FEET FROM TIDAL WETLANDS AND THUS BEYOND THE BOARD'S JURISDICTION PURSUANT TO CHAPTER 97 OF THE TOWN CODE. 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 1600 GRA/H~;OHL ROA~ SOUTHOLD 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 on:JANUARY22,2003 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 ~o review same proposal. OWNERS NAME: MAILING ADDRESS: PHONE MARTHA & JAMES BAKER 126 OLD COLONY DRIVE MASHPEE, MA 02649 505~539-3599 Enc.: Copy of convenience. sketch or plan showing 5 proposal for your Telephone (631) 765-1892 Town H~ 5..'.'.'.'.'.'.'.'.~95 Main Road P.O. Box 1179 ,~thold, New Y~rk 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conse~ation Advisory Council held Wednesday, January 15, 2003, the following recommendation was made: Moved by Melvyn Morris, seconded by Tom Schlichter, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of MARTHA & JAMES BAKER to clear (as necessary) portion of property within 100' of tidal wetlands and install pervious driveway and public water service. Construction of a dwelling and other site improvements are located more than 100' from the tidal wetlands. Located: 1600 Grathwohl Rd., New Suffolk. SCTM#117-4-4 The CAC recommends Approval of the application, however a violation should be issued for the trees that were taken down within 100' of the wetlands. The CAC recommends that the large tree between the house and the garage remain. Vote of Council: Ayes: All Motion Carried EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon @ peconic.net www. enconsultants.com ENVIRONMENTAL SERVICES January 15, 2003 Albert Krupski, Chairman Board of Trustees, Town of Southold P.O. Box 1179 Southold. NY 11971 JAN I 6, ¢10~B Re: Martha and James Baker~ 1600 Grathwohl Road Dear Mr. Krupski: I received a copy of a letter from Evelyn Daskin, the easterly adjacent neighbor, indicating that the site plan we originally submitted incorrectly identifies her property as being connected to public water. We understand Ms. Daskin's claim to be correct. Because the surveyor did originally believe Ms. Daskin's property to be connected to public water, we situated the proposed sanitary, system as close to her property as possible in order to achieve the greatest possible setback t~om the wetlands located across Grathwohl Road. In light of this new information, however, the Bakers have completely redesigned their site plan to situate the sanitary system in the front yard, where it would be situated as far as possible from Ms. Daskin's well yet still more than 100 feet from the nearby wetlands and beyond the Board's jurisdiction. Three (3) copies of a revised site plan depicting these changes are attached hereto, and the property will be staked accordingly prior to your January 20tn inspection to confirm the validity of our non-jurisdiction request. Though emplacement of the sanitary system and all new construction will in fact be located beyond your jurisdiction anyway, we do wish to assure the Board that there will be no future need to submit a permit application to place the sanitary system within your jurisdiction because the Suffolk County Department of Health Services Board of Review has already granted variance approval to the prior owners for an almost identically situated sanitary system (copy attached). Despite its nonconforming separation distance, the proposed sanitary system is located significantly downgradient from Ms. Daskin's property, rendering impossible its ability to adversely impact her well. Respe~t~lly yours, Coastal Management Spocialist Enclosures cc: James and Martha Baker Evelyn Daskin Suffolk County Department of Health Services FA)< NO. : COUNTY OFSUFFOLK $~pmmb~ 2g, 2000 ~ PJcb~d/Cado PO ~ 129~ H~upmn {~ys, I'~ Subject: D~tr lViessr- Enclosed ~s ~ oopr of the Bo~d ot Revlew's findh~, tecomm~ndatiom~ and demerminal~on concerning the B~ on ~ in.con~H,~, n submiu'ed, dlc {3oa~d granted d~e reques~/or ~ wJrb t/~ provislous indlcawd in the determim, dofl. TlSe granring of ~ waiver doe~ not imply that ~ouc ai:~pflczd~c~ will b~ autou~ly ~proved. l~ i~ your re~ponsib{lity lo eimsitre dtat your mpp]icati~ i~ ~omp{cte; olharwiae, your ,m~prova[ v-ill b~ ~ubjea to unnecess=~ delay. Pooper T Permit ~io~ Peter Akra~ P.F~, ~.vd:m F~tX NO. ; 631-7Lu~",',',x3_~! Jan. ~ ~1 ~4:051:~1 P3 SUFFOLK COUNTY DE?ARTIvIEN"F OF HEALTH SERVICES DIVISION OF ENVIRON~ QUALITY A.aicle 2: Sec6on 220, Suffolk County Sanitary Code From: Subiea: Clare B. Bradley, M.D., M.P.H. Commissioner of Health Services James H. Pim, P.L, Chairman, Board uf Review Rcpor~ of Findir~s ~ud Recommcndafions of thc Review Board Re~rdin~.. R10-9~-0153; Propc~.~d l)welliu6, e/s C-~athwobi Rd., 215' sYo Georges P-.d., New Suffolk4 (t) Southold --- $CTM: 1000-117-1-12 M~srs. Ridaarg/Carlo Perrma PO Box 1296 I-/ampa~n Bays, NY 11946 August 10, 2000 14, 2000 Installation of prival~ water supply wells should be screened · minimum of 40 grouudwamr to comply wida thc inteilt of Article 760-606 A.4 of the Suffolk County San/ta~ Code and ~3 of the Department's Standm-ds and Procedures for Privam Water System~ The app{ic~mt is reques6ng approval of sba{low wcLI~. Comtrucdon standards require that thc distance between sanitary ~ysre~ and shallow privam ~ b* ac lea!rr 150 feet. The applicant i, pwpo~ing less than 150 feet from a private well 1. Proposed development of a three-bedroom dwelling, with on-site shallow well and · dispo~l system. 2. Sire is in Groundwater Management Zone #IV. 3. Area is zoned r~identisl. 4. Publ/c water is not yet available, bur is expected in ~h¢ near future from Suffolk County Water Au~ority. 5. Dcp~ to groundwater is approxirrmr~ly sevan ~. F;:~ NO. : 631-'F28793~ Circe B. Bradley, M.D., M.P.H., Commissioner Hcarin$ Dam: Seprxanb~ 14, 2000 Subject: Report of Findings and Recommendations of the R~vic~v Board Regarding: R10-99-0183; Proposed Dwelling, ed$ Grathwohl Rd., 215' s/o Gcorges Rd., New Suffolk; (0 $outhold - SC'TM: 1000-117-1-12 Findings and Fac~ (coar'd.) 6. Soils are sand and gravel. 7. Groundwamr flow is w the northwest. 8. Loraize ~ 12,525 square fee~ (sq. Proposal is 31~ of department standards, bur lot is single and eeparam. 10. Shrew well/~ required because of s~ wirer. 11. Screen is 25 ft. into groundwater. 12. PrOlx~ed locmion of the new le,~hi~ pools provide~ 105 ~ to the o~i~e well, 71 ~. ~o the noixh a~ghbor's well (Nee), 12~ ~- to &e e~r ne/ghbor's well (Doki~) md 88 k. m the south neighbor's well (Bhdd~)..also, the p~osed well Is 70 ~ to thc north and south neighbor'* le~ing poc~ The required r,~xwadon distance for each of these is 150 ft. 13. Water quality ;n rile t~Sr w'¢l! is s~dsfm:tory. 14. Thc lot is loca~-d ou Gr~thwohl Road, ax~'oss {rom thc shordi~e, with grom~dwatez flow mw~cl the shore. '15. The subject proimtqt has be~n in the family ofth~ applicant for 4.$ years, and th~ own no other aearby property. 16. Applicailr mad~ off¢~ to all adjat~-~t homeowners m pay for relocating their welts; ~one accevmt the offer. 17. The proposed leaching pool system is nor upgradien£ of any exisdng well. 18. Written protein to the variance .were received from neigbbor~: Marie Dicker~on az~d · EvetTn Daddn. James Biackley and Evelyn Da*kin appeared ~t the hearing to protest the variance in person. It was a 3 to 0 d~t~rmir~afion of d~c ]k~ard m grant the request for the variange, provided the applicant covenants the following, in hnguage accepra0alc to dm County Atwmey: F~ M3. : 631-7E~7'931 Cl~rc g. Bradley, M-D., M.P.H., Commissioner H~aUng Dare: September la,, 2000 Subject: l~port of Findi~ a~d P,~.-'ommctmdario~ of thc Kcview Board Regarding: R10-99-0183; laro~ l)wetllng, eds Grarhwoh{ Rd., 215' s/o C,~o.-g~ Rd., New gu~ol~.; (c) Southold ~ SGTM, 1000-117-1-12 D,:termimmtiou (contd.) Thc on-si~ v~ll do~ nor nmcr thc Dcpartment'$ ch~pth requircn~nrs and available po~mlmla w~ter is Limimd. / Applicant ~tl co~nccr to public war~r as soon a~ it b~omes avaihble. The r~quc~tcd varimc~ from &c p~p~r~y, i~ a{~ ~pprow~{. The ~q)pllca~mm {m be{n6 ~pprov~ {~asod on oar rcvicw of Ibc cri~rla in Su.ffo~k CountT Sanilm-y Code, S~iou 760-609(A) and the po~cn~ql public h~l~ impmc~ of your application. Spec~ca~Jy, the Board of Rev{aw ~irid~ that the saniuu'y flow i~ row&rd the shore and away from ne~hhorin8 wetls. Date {~ard~ H. ~ PJ~, of GgORGg'$ RD. LOCATIONS OF AND SANlYARY SYSTEMS PER O~RS OCCUPANT~ /~VD ARE NOT GLIARANI~Eu, ¢£RTIFIED TO: R~RD METRUSA SURVEY OF PROPERTY PREPARED FOR CARLO ~ RICHARD* PETRUSA SITUATE AT NEW SUFFOLK TOWN OF SOUTHOLO SUFFOLK COUNTY, MEV~ YORK SCALE I~ = 40' MAY 20, 1998 S.C.T,M. ~ IO00 SEC. tI~ J~.K. Ol LOT 12 S.C.T.M. ~ 1000 SEC. 117 I~J(. 04 LOT 04 EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon @peconic.net www. enconsultants.com ENVIRONMENTAL SERVICES December 23, 2002 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish Re: Mm'tim & James Baker 1600 Grathwohl Road, SCTM # 1000- l 17-4-4 DEC 2 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 3. 4. 5. 6. Three (3) Wetland Permit Applications, ( including Notice and Proof of Mailing to adjacent owners). Three (3) Short Environmental Assessment Forms. Three (3) copies of authorization & disclosure forms. Three (3) copies of survey. One (1) set of site photographs. Application fee of $200.00. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. R°b~ ~errmann Coastal Management Specialist Eric. Albert J. Kmpski, Presiderll~ James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box t 179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fex (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Eros ~on Permit Applicat'l~n Wetland Permit Application~Major Minor Waiver/Ame~drnent~C hinges Received Apphcatlo~a:. l , ~/~, Received Fee:$ ,S?~ ~' Completed Application I'~ incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent)~ CAC Referral Sent:~ Date of Inspection: ] ] Receipt of CAe Report: I Lead Agency Determination: Technical Review: Public Hearing Held: ] I Resolution: ' I Name of Applicant MARTHA & JAMES BAKER Address 126 OLD COLONY DRIVE, MASHPEE, MA 02649 Phone Number:(508 )539-3899 Suffolk County Tax Map Number: 1000 - 1174-4 Property Location: 1600 GRATHWOHL ROAD, SOfzfI'HI~D Illd[~ ~ I (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS, INC. (If applicable) Address: 1329 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone: 631-283-6360 Board of Trustees Appli~ion Land Area (in square feet): Area Zoning: Ro40 GENERAL DATA 15,525 Previous use of property: VACANT Intended use of property: SINGLE-FAMILY RESIDENCE. Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agenc~?~ X No Yes If yes, provide explanation: Project Description (use attachments if necessary): CLEAR (AS NECESSARY) PORTION OF PROPERTY WITHIN 100 FEET OF TIDAL WETLANDS AND INSTALL PERVIOUS DRIVEWAY AND PUBLIC WATER SERVICE, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY PAT SECCAFICO, LAST DATED DECEMBER 12, 2002. CONSTRUCTION OF DWELLING AND OTHER SITE IMPROVEMENTS ARE LOCATED MORE THAN 100 FEET FROM TIDAL WETLANDS AND THUS BEYOND THE BOARD'S JURISDICTION PURSUANT TO CHAPTER 97 OF THE TOWN CODE. Board of Trustees Appli ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: REPLACEMENT AND RELOCATION OF AN EXISTING DWELLING (AND RELOCATION AND UPGRADE OF A SANITARY SYSTEM LOCATED BEYOND TRUSTEES JURISDICTION). cubic yards cubic yards N/A Area of wetlands on lot: 0 _square feet Percent coverage of lot: 0 Closest distance between nearest existing structure and upland edge of wetlands: 27 feet Closest distance between nearest proposed structure and upland edge of wetlands: 35 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? N/A How much material will be filled? N/A Depth of which material will be removed or deposited: 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): THE AREA TO BE CLEARED tS LOCATED MORE THAN 50 FEET FROM TIDAL WETLANDS ASSOCIATED WITH WEST CREEK AND IS SEPARATED FROM THOSE WETLANDS BY A PAVED PUBLIC ROADWAY AND TWO CLEARED LAWN AREAS MAINTAINED IN ASSOCIATION WITH THAT ROADWAY. THE PROJECT WILL THEREFORE HAVE NO SIGNIFICANT EFFECTS ON THE WETLANDS OR ADJACENT TIDAL WATERS OF THE TOWN. 14-1~4 (2/B7)~Texl ~. PROJECT I.D. NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1 APPLICANT/SPONSOR:~LR~ ~ J.~t~l~S BA~ER BY I 2. PROJECT NAME I EN-CONSULTANTS, INC. 3 PROJECT LOCATION: Mun~c~pamy SOUTHOLD County SUFFOLK FORM SEQR 4 PREClSE~ LOCATION (Street address and road intersections, promir~rd landmarks, etc, or provide map) 1600 GRATHWOHL, TOWN OF SOUTHOLD, SCTM #1000-117-4-4 ~. ,s PROPOSE0 ACT, . ~ DESCRIBE PROJECT BRIEFLY: CLEAR (AS NECESSARY) PORTION OF PROPERTY WITHIN 100 FEET OF TIDAL WETLANDS AND INSTALL PERVIOUS DRIVEWAY AND PUBLIC WATER SERVICE, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY PAT SECCAFICO, LAST DATED DECEMBER 12, 2002. CONSTRUCTION OF DWELLENG AND OTHER SITE IMPROVEMENTS ARE LOCATED MORE THAN I00 FEET FROM TIDAL WETLANDS AND THUS BEYOND THE BOARD'S JURISDICTION PURSUANT TO CHAPTER 97 OF THE TOWN CODE. 7. AMOUNT OF LAND AFFECTED Initially 15,525 aci'es Ultimately ]5,525 aC~S W, LL PRO.OSED ACT,O. COMPLY W,TH E .ST,.G OR OTHER E .ST,.G LA.D OBE RE T.,CTIO.B? O. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industrial [] Comnlercial [] AodoJltur~ [] Park Forest/Open space [] Other Describe: io. DOES Ac'noN INVOLVE A PERMITAPPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes ~J NO If yes, list agency(s) and permit/approvals DEC, SCDH 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLy VALID PERMIT OR APPROVAL? ]Yes [] NO If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION VVILL EXISTING= PERMIT/APPROVAL REQUIRE MODIFICATION? I CEI~TIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE *e%oplicant/~pon$or na~ HE~, COASTAL MLANAGEMENT SPECIALIST DATE DECEMBER 23, 2002 Sigr~tur~: ~ ¢.~/X__.._ . ~ 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 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEESr TOWN OF SOUTHOLD In the matter of applicant:~4ARTH/%&3A~4ESBAKER SCTM#1000- 117~-4 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: CLEAR (AS NECESSARY) PORTION OF PROPERTY WITHIN 100 FEET OF TIDAL WETLANDS AND INSTALL PERVIOUS DRIVEWAY AND PUBLIC WATER SERV/CE, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY PAT SECCAFICO, LAST DATED DECEMBER 12, 2002. CONSTRUCT/ON OF DWELLING AND OTHER SITE IMPROVEMENTS ARE LOCATED MORE THAN 100 FEET FROM TIDAL WETLANDS AND THUS BEYOND THE BOARD'S JURISDICTION PURSUANT TO CHAPTER 97 OF THE TOWN CODE. 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 1600 GRATHWOHL ROAD, SOUTHOLD 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 on:JANUARY22,2~3 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 N3%/~E: ~/k~RT~& JAMBS BAKER MAILING ADDRESS: 126OLDCOLONYD~VE NL~SHPEE, MA 02~9 PHONE #: 508-539-38~ Enc.: Copy of sketch or plat] showing proposal for your convenience. 5 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: ROSEMARIE & W~LIAM BLANCHARD Address: 6 COTTONWOOD ROAD PORT WASHINGTON, NY 11050 KATHLEEN & JAMES BLACKLEY 2457 FOXDALE AVENUE OCEANS[DE, NY 11572 EVELYN DASKIN, TRUSTEE 515 EAST 89TH STREET, APT. 6H NEW YORK, NY 10028 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT HERRMANN 1329 NORTH SEA ROAD SOUTHAMPTON, NY 11968 doing business atEN~ONSL~TANTS,~4C- , being duly sworn, deposes and says that on the 23rd day of DECEMBER .2o 02 , 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 addressesset opposite there 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 SOUTH~uMPTON__ , that said Notices were mailed to each of said perso~ by (certified) ~) mail. Sworn to before me this 23£d day of DECEMBER .2o02 Notary Public Sent ~o Kathleen & James Blacklev ~] .................2457 Foxdale Avenue ' ...I ~l:~los~?,~t'6~ uuo~ Oceanside, NY 11572 ---I $ Evelyn Daskin, Trustee 515 East 89t~ Sn'eet, Apt. 6H New York, NY 10028 m ] $~n! '1'o Rosemarie & William Blanchard --] ca[ ................. 6 Cottonwood Road g[~%'6~'u~ Pon Washington, NY 11050 2.7 Ooard of Trustees Applicat~ AUTHORIZATION (where the applicant is not the owner) (print owner of property) (mailing adclress} (Agent) to apply for permit(s from the Southold Board of Town Trustees on my behalf. Owner' s signature) 8 Bomrd of Trustees Appli on County of Suffolk State of New York ~ ~, ~, 3~ ~ BErG D~Y SWO~ DEPOSES AND ~F~S THAT HE/S~ IS T~ ~PLIC~T FOR T~ ~O~ TR~ TO T~ BEST OF ~S~R ~O~EDGE ~ BEL~F, ~ T~T ~L WO~ ~L BE DO~ ~ T~ ~R SEI FORTH ~ T~S ~PLICATION ~ AS MAY BE ~PRO%~D BY T~ SOUTHOLD TO~ BO~ OF TRUSTEES. T~ ~PLIC~ AG~ES TO HOLD T~ TO~ OF SOUTHOLD ~ T~ TO~ TRUSSES ~ESS ~ F~E FROM ~' ~ ~L DAMAGES ~ CL~S ~S~G ~ER OR BY ~T~ OF S~ PE~T(S), W G~TED. ~ CO~LET~G T~S ~PLICATION, I ~BY AUTHO~ T~ ~US~ES, T~ AGENT(S) OR ~P~SENTATI~S(S), TO EN~R ONTO N~ PROPERTY TO ~SPECT T~ P~SES ~ CON~CTION ~TH ~X'~W OF T~S ~PLICATION. Signature SWORN TO BEFO~ ~ TINS_ \\'~ DAY OF 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 TRUST~:ES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application COUNTY OF SUPFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, depose and say: That on the /t~-day of ~' , 2005, I_ personally posted the property known as /~0~ /~P~4~o&~ by placing the Board of T~ustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held~ Dated: ( signature ) Sworn to befg~e me this .?_>~lay of ~-~ 2003 No~a ~y Public APPLICANT Tile Town of Southold's Code qf ~thice prohibi~s conflicts of inberes~ on bile part of town officers and employees. The purpose of this form is to provide information which can alert ~he town of possible conflicts of interest and allow it to take wllatever action is necessary to avoid same. (bast/name, first name, middle inlet'al, unless NATURB OF APPLICRTfON~ (Check all bhak apply.) Varlence Approval of piab · ~eMption from plat ~r' offlolal map Other . (If "Other," name the activity.) ~A/~/~ interest" means a business, including a partnership, in ~hich the town officer or employee has eves a partial ownership of (or employment by) a corporation in which the to~n officer or employee certs more titan §~ of NO ~ If you ansvered '¥E5,' complete the balance of thio form amd Name of 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 cheek the appropriate line A) through D) and/or describe in the space p~ovided. Tile town officer or employee or bis or her spouts, sibling, parent, or child is (check all that apply) i A) the owner of greater than 5% of the shares of the B) the legal or beneficial owner of any interest in a C) an officer, director, ps~bner, or employee Of bbs applicantl or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Su mitt.d 3/_d y o 3.d S.C.D.H.S. ENDORSEMENTS GRA ~/EL ' LAND 0 WELL (AE~JVDONEO pER OTHERS) CON/¥'ECT~R r0 oU~ziC o rHEp~ AREA: 12,525 S.F (UPLAND PARCEL) 1,500 S.F. (WATERFRONT PARCEL) ELEVATIONS ARE REFERENCED ?0 N.G.v.D. DATUM A,#~- DENOTES NUMBERED LATH · - DENOTES CONCRETE MONUMENT FOUND. LOCATIONS OF ADJACENT WELLS AND SANITARY SYSTEMS PER OWNERS AND/OR OCCUPANTS AND ARE NOT GUARANTEED. SURVEY OF PROPERTY ' PREPARED FOR MARTHA & JAMES BAKER SITUATE AT NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNfY, AIEW YORK SCALE 1"= #0' MAY 20, 1998 S.C.T.M. D/ST. 1000 SEC. 117 BLK. 01 LOT 12 & S.C.T.M. DIST. 1000 SEC. 117 BLK. 04 LOT 04 ZONE X OHOUSE AREA OF 500 YEAR FLOOD "4/bZ:) /k, DWELLING PROPOSED ..... ~ ~d AVG. COVER 2' ~ SE CESSPOOL ~/ PROPOSED SANITARY SYSTEM CROSS--SECTION GEORGE'S O.L ~ ?~.. cPO PROPOSED SANITARY SYSTEM 15t 1,000 GALLON SEPDC TANK 8' DIA. x 2' DEEP LEACHING POOLS ROOM FOR 50X EXPANSION RD. ZONE X OUTSIDE 500 YEAR FLOOD CONCRETE SANITARY LOCATION UNAVAILABLE w£LL ~ FILE NO. 1211 REVISIONS: $/27/99 ADD TOPOGRAPHY 9/28/99 ADJACENT WELL & SAN. 01/26/2000 RE~ PER SCOHS 4/i~/2000 REV 4/18/2000 REV 6/01/2000 AO0 D1~4% 10/17/2002 UPDATE 10/28/2002 REV. 12/12/2002 REV. 12/31/2002 REV. 01/06/2003 01/I0/2003 RE~ 01/17/200J STAKEOUT CERTIFIED TO: MARTHA BAKER JAMES BAKER TEST HOLE (EL. Z 1) ' (EL. O. I) - WAs2~;~ PAT PROFESSIONAL LAND SURVEYOR, - SUCCESSOR TO - DONALD TASE, L.S. RICHARD WILHELM AND ASSOCIATES PROFESSIONAL LAND SURVEYORS NORTHSTAR SURVEYING, P.C. PAUL T. CANAUZO, L.S., ROBERT A. KART, L.S. GOOD GROUND SURVEYORS, P.C. 107-5 W. Montouk Highwoy Hompton Bays, NY 11946 PHONE: (631) 728-5350 FAX: (651) 728-6707 N.Y.S. LIC. COPYRIGHT - 2002 PAT T. SECCAF/CO P.L.S., P,e. T. SECCAFICO P.C. 328,4 Main Street Center Modches, NY 11934 PHONE: (631) 878-0120 FAX: (631) 878-7~90 NO. 049287 5. C.D.H.S. ENDORSEMENTS Gt~A VEL' DR~,VE ZONE X ONOUS~ AREA OF 500 YEAR FLOOD 4'Og/ 00. ,oO~/ O~ DWELLING PROPO. SEB OI~BE °! ~' PROPOSED SANITARY SYSTEM CROSS--SECTION (NOr TO SCALE) GEORGE'S RD. ZONE X OUTSIDE 500 YEAR FLOOD UNAVAILABLE TO WELL ~-Y OF 0 WELL (ABANDONED PER OTHERS) CONNECTED rO PUBL/ PER OTH£p}C WATEp AREA: 12,525 S.F~ (UPLAND PARCEL) 1,500 S.~ (WATERFRONT PARCFL) ELEVATIONS ARE REFERENCED TO N.G.V.D. DATUM · -DENOTES CONCRETE MONUMENT FOUND· LOCATIONS OF ADJACENT WELLS AND SAN/?ARY SYSTEMS PER OWNERS AND/OR OCCUPANTS AND ARE NOT GUARANTEED. WELL 3' cPO PROPOSED SANITARY SYSTEM 1_5I 1,000 GALLON SEPTIC TANK 8' DIA. x 2' DEEP LEACHING POOLS ROOM FOR 50,~' EXPANSION TEST HOLE SURVEY OF PROPERTY PREPARED FOR MARTHA & JAMES BAKER SITUATE AT NEW SUFFOLK TOWN OF SOU?HOLD SUFFOLK COUNTY, NEW YORK SCALE 1" -~ MAY 20, 1998 S.C.T.M, DIST. 10005E0.117 BLK. 01 LOT 12 & S.C.T.M. DIST. 1000 SEC. 117 BLK. 04 LOT 04 EASEMENTS AND/OR SUBSURFACE STRUC?URES RECORDED OR UNRECORDED ARE FILE NO. 1211 REVISIONS: 01/26/2000 RE~X PER SCDI~S 4/14/2ooo REV 4/18/2000 REV 10/17/2002 UPDATE I0/28/2002 REV. 01/06/200J RE~ Ol/lO/200J PEK CERTIFIED TO: MARTHA BAKER JAMES BAt<ER PAT T. SECCAFICO PROFESSIONAL LAND SURVEYOR, P.C. - SUCCESSOR TO - DONALD TASE, L.S. RICHARD WILHELM AND ASSOCIATES PROFESSIONAL LAND SURVEYORS NORTHSTAR SURVEYING, P.C. PAUL T. CANALIZO, L.S., ROBERT A. KART, L.S. GOOD GROUND SURVEYORS, P.C. ]07-5 W. Montouk Highway 328A Main Street Hampton Boys, NY 11946 Center MoWches, NY 11934 PHONE: (631) 728-5330 PHONE: (631,) 878-0120 FAX: (651,) 728-6707 FAX.. (651) 878-7190 N.Y.$. LIC. NO. 049287 COPYRIGHT - 2002 PAT 1~ SECCAFICO P.L.S., P.C. TO: SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES OFFICE OF WASTEWATER MANAGEMENT SUFFOLK COUNTY CENTER RIVERHEAD, NEW YORK 11901 631-852-2100 NOTICE OF INCOMPLETE VARIANCE REQUEST - BOARD OF REVIEW 13. ? FILE REFERENCE: ~/0'"",~ -- The request for a Board of Review hearing has been received. Prior to scheduling or holding a hearing, this Office will require the following to be submitted: [ ] Variance Application Fee $. (check or money order payable to Suffolk County Environmental Health). [ ] Completed subdivision/commercial/residential application. [ ] See enclosed notice. ]Public water ~ availability/cost letter./~'~-.~ 5-7g" NYSDEC Wetlands Permi~er. Town Wetlands Permit o al~W.~.~ SEQRA determination letter from Town/Village/State. [ ] Grading plan (plan view and cross section). [ ] See enclosed Guidance Memorandum. Completed Variance Application. Test well results/well certificate. Completed Technical Report. Names & Mailing Addresses of Neighbors. Site plan. [ ] Show neighboring wells/septic systems Test Hole Results. Completed TDR Data Sheet. [ ] Survey/deed for sending parcel [ ] Tax map depicting sending parcel [ ] See enclosed comments. [ ] Yield map ~ -- , CC: Following receipt of all requested information, a hearing will be scheduled at the earliest available date. Please return a copy of this form with a~re~ubmiss~.~,. By // WWM-062 (Rev. 5/02/02)