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HomeMy WebLinkAboutTR-6713A �pF V� Glenn Goldsmith,President So �' Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ®� ®�® P.O. Box 1179 Eric Sepeno ski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 Cou 11 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 14, 2023 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: JOSEPH BUCZEK & CHRISTINA SPORNBERGER 1605 NORTH PARISH DRIVE, SOUTHOLD SCTM# 1000-71-1-15 Dear Mrs. Moore: On September 11, 2023, a Field Inspection was performed and it was determined that the work was not completed on the above-mentioned property as permitted under Wetland Permit#6713A. Permit is expired. The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, September 13, 2023: RESOLVED, that the Southold Town Board of Trustees DENIES the request for a Transfer of Administrative Permit#6713A from Bernard and Carol Kiernan to Joseph Buczek & Christina Spornberger, as issued on September 19, 2007 If you have any questions, please contact our office at (631) 765-1892. Sincerely, 4_2 - -'X G enn Goldsmith President, Board of Trustees GG/dd s l Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 0 Eric Sepenoski P.O.Box 1179 Liz Gillooly �y • ��� Southold,NY 11971 Elizabeth Peeples ��� �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board,of Trustees Field Inspection Report Date/Time: StgA 11 2,013 Completed in field by: GIIub?IIRN PtGDW Patricia C. Moore, on behalf of JOSEPH BUCZEK & CHRISTINA SPORNBERGER requests a Transfer of Administrative Permit#6713A from Bernard and Carol Kiernan to Joseph Buczek & Christina Spornberger, as issued on September 19, 2007. Located: 1605 North Parish Drive, Southold. SCTM#: 1000-71-1-15 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type�f Application: Wetland Coastal Erosion Amendment ✓ Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: QEvtmL-VC 1�&Stya vk� Remove 0 r9platl _Sani6N s" +UhsS " NJoYk was nod comm e,4e.d .wa oviaihAi o xyv i& 8xeveA Present Were: G. Goldsmith N. Kru,pski E. Sepenoski L. Gillooly Peeples l � ® E C E � W E PATRICIA C. MOORE Attomey at Law A U G 1 7 2023 51020 Main Road ]U Southold,New York 11971 Southold Town Tel: (631)765-4330 Board of Yrustees Fax: (631)765-4643 August 17, 2023 Board of Trustees Town of Southold PO Box 1179 Southold NY 11971 hand delivered RE: PERMIT TRANSFER Dear President and Board: Please let this serve as a permit transfer request of permits: # 483, #5171,#10236, #6713A, #6538A, (copies enclosed) for property located at 1605 N. Parish Drive, Southold NY 11971 (sctm:1000-71-1-15) from Kiernan and McCulloch to Joseph Buczek and Christina Spornberger. They just purchased last week; I am also enclosing a copy of their deed. I am enclosing the Affidavit signed by the owners , authorization and disclosure together with my escrow check in the amount of$500.00 for said fee. Thank you and please do not hesitate to call should you have any questions. Very truce ours, �Fatricia C. Moore PCM/bp encls. and of Trustees Applicati AFFIDAVIT } Z L Ch f i S64 -e- ' BEING DULY SWORN DEPO ES AND AFFIRMS THAT HE/SITE IS E APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Si a f ro Owner /Signature of Pr erty Owner SWORN TO BEFORE ME THIS DAY OF20 Public BETSY A. PERKINS Notary Public, State of New York No. 01 PE6130636 Qualified in Suffolk Cou+�J Commission Expires July 18, AUTHORIZATION (Where the applicant is not the owner) I/We, lel e,- owners of the property identified as SCTM# 1000- _ I— _in the town of Ql�--l��Vl ,New York,hereby authorizes ��GI A- CC to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Pro!� wn is 'gnature Property Ow�r's Signature j SWORN TO BEFORE ME THIS DAY OF �`� L , 20 No ublic BETSY A.PERKINS Notary Public,State of New York No. 01 PE6130636 Qualified in Suffolk Coun Jr_ Commission Expires July 18, ;1� APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the hart of-town-officers and emolovees.The pumose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whateveraction is necessary to_.airoid;ame YOUR NAME: CZ JO � Y' //-1s�� (Last name,first name,r/riddle initial,unless you applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest'means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES F-1 , NO R If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): LJA)the owner of greater than 5%of the shares of the corporate stock of the appiigwt _n (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the C)-2applicant is not a corporation); an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this of 20 2-1 Y--Signa e Pri ame A t)SOil t 2 ate` Form TS I hri�i.�n fL txn bPi/g e''" aC '1 C.- Y t 00-e— r Bargain and Sale Deed,with Covenants against Grantor's Acts—Individual or Corporation. CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the 3 r day of August, 2023 BETWEEN KENNETH McCULLOCH AND ELIZABETH McCULLOCH, husband and wife, residing at 15 Middle Dr., Plandome,New York 11030 party of the first part, and JOSEPH BUCZEK and CHRISTINA SPORNBERGER, husband and wife, residing at 3895 Wells Ave., Southold,New York 11971 party of the second part, WITNESSETH, that the party of the first part, in consideration of ten dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land with the buildings and improvements thereon erected situate, lying and being in the hamlet of Southold, Town of Southold, County of Suffolk and State of New York, known as 1605 North Parish Drive, Southold,New York,and which said lot is more particularly bounded and described as follows: I See Schedule"A" attached. BEING AND INTENDED TO BE the same premises described in a deed made by Bernard W. Kiernan,Jr. and Matthew G. Kiernan, as Executors of the Estate of Bernard W. Kiernan,late who died on July 13, 2010 and recorded November 16, 2020 in Liber 10378, at page 196. TOGETHER with all right, title and interest, if any, of the party of the first part, in and to any streets and roads abutting the above-described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word"party"shall be construed as if it read "parties"whenever the sense of this indenture so requires. 1 FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO. 7404-016601 SCHEDULE A-1 (Description of the Land) For Tax Map ID(s): 1000-071.00-01.00-015.000 ALL that certain plot, piece or parcel of land, situate, lying and being at Bay View, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the northerly line of North Parish Drive which said point is distant 70.0 feet westerly along said northerly line from its intersection with the easterly line of Northfield Lane,from said point of beginning; RUNNING along said northerly line of North Parish Drive, North 71 degrees 24 minutes 50 seconds West, a distance of 155.0 feet to land of Hoolahan; THENCE along land of Hoolahan, North 18 degrees 35 minutes 10 seconds East a distance of 164 feet,to ordinary high water mark of Southold Bay/Peconic Bay; THENCE easterly along said high water mark, 155 feet more or less to a point which is a tie line course and distance of North 88 degrees 43 minutes 20 seconds East 164.81 feet; THENCE along land now or formerly of H. Sayre, South 18 degrees 35 minutes 10 seconds West a distance of 220.0 feet, to the point of BEGINNING. THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY: Together with all the right, title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. END OF SCHEDULE A 6 I Commitment for Title Insurance Printed: 07.25.23 @ 04:19 PM Schedule A-1 Description NY-FT-FRVH-01030.431004-SPS-1-23-7404-016601 IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE O G antor: Grantor: 1 - KE ETH McCULLOCH ELIZABE' H�CULLOCH STATE OF NEW YORK ss.. COUNTY OF A1145-"4L"' On the 3 r day of )August, 2023 before me, the undersigned, personally appeared Kenneth McCulloch personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted executed the instrument. Nota BRIAN A. ANDREWS Notary Public, State Of New York . :�. No. 02AN5014509 Qualified In Suffolk County Commission Expires 07/15/as`+— STATE OF NEW YORK ss.. COUNTY OF On the day of August, 2023 before me, the undersigned, personally appeared Elizabeth McCulloch personally known to me or proved_to me on the basis of satisfactory evidence to be the individual whose name is subscribed to within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted executed the instrument. No ry BRIAN A Notary Public, State Of New York No. 02AN5014509 ComQualified In mSuffolk ission Exp reso7/15/,—.7 2 BARGAIN AND SALE DEED WITH COVENANTS Title#7404-019901 Grantor: KENNETH McCULLOCH And ELIZABETH McCULLOCH TO Grantee: Joseph Buczek and Christina Spornberger ADDRESS: 1605 North Parish Dr. Southold,New York 11971 DISTRICT: 1000 c SECTION: 071.00 BLOCK: 01.00 LOT: 015.000 TOWN: Southold COUNTY: Suffolk Record and Return to: Patricia Moore,Esq. 51020 Main Rd, Southold,NY 11971 3 James F. King, President ~~OF SO!/j~o Town Hall Annex Jill M. Doherty, Vice-President ~O ~ 54375 Main Road Peggy A. Dickerson l~ ~ P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen Bob Ghosio, Jr. G ~ ~@ Telephone (631) 765-1892 ~l,`C0~ ~ Fax (631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 23, 2009 Mr. Thomas McCarthy 46520 County Rd. 48 Southold, NY 11971 RE: BERNARD & CAROL KIERNAN 1605 NORTH PARISH DR., SOUTHOLD SCTM#71-1-15 Dear Mr. McCarthy: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., September 23, 2009: RESOLVED, that the Southold Town Board of Trustees grants aOne-Year Extension to Permit #6713A, as issued on September 19, 2007. This is not an approval from any other agency. Sincerely, James ing n Presi nt, Board of T tees JFK:Ims ccar~xY • anagement, Inc. 46520 Route 48, Southold, New York 11971 (631) 765-5815 (631) 765-5816 FAX September 2, 2009 Town of Southold Board of Trustees P.O. Box 1179 Southold, NY 1197] RE: Extension on permit # 6713A Dear Lauren: Please let this letter serve as written request for a one year extension on permit # 6713A to renovate the basement and remove and replace the existing sanitary system. Applicants are Bernard & Carol Kiernan, 1605 North Parish Drive, Southold. I understand that your next meeting will be held on September 23, 2009 at which time this request will be addressed. Enclosed, you will find a check in the amount of $50.00 for the extension fee. Sincere y, w~v i Ruthie Love Office Manager i enc I - - ~ ' I t_ - Construction Management • General Contracting • Custom Homes ..,.e..~...eu.,[e. Lono Itlma Bullaen Intlllub, In[. er xe[[uVnp.. McCARTHY MANAGEMEN~INC. ~ 46520 County Raad 48 SOUTHOLD, NEW YORK 11971 DATE ~ JOB NO. (633) 765.5815 FAX {631) 765-5816 < ` ATTENTI TO 1.~ ~ RE: ~L WE ARE SENDING YOU Ll At~ched ? tJrWer separate cower vie the following items: ? Shop drawings - ? Prints ? Plans ? Samples ? Specifications ? Copy of letter ? Changeorder ? ~ ~ - 1 ~ ,e C THESE ARE TRANSMITTED as checked below: ? For approval ? Approved as submitted ? Resubmit copies for approval ? For your use ? Approved as noted ? Submit copies for distribution ? As requested ? Returned for corrections ? Return corrected prints ? For review and comment ? ? FOR BIDS DUE ? PRINTS RETURNED AFTER LOA(,V TO US REMARKS i COPY TO SIGNED: PRODUCT 2aor enc/oaurea are not a5 noted, kind/y notify us at once. James F. King, President ~~OF SOUTyO Town Hall Jill M. Doherty, Vice-President ~O l~ 53095 Route 25 Peggy A. Dickerson l~t ~ P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen Bob Ghosio, Jr. ~ ~ ~0 Telephone (631) 765-1592 lA'~,oU~'~~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 s~ day of construction _ constructed Project complete, compliance inspection. James F. King, President ~OF SO(/j~, Town Hall 0~ 53095 Route 25 Jill M. Doherty, Vice-President ~ O P.O. Box 1179 Peggy A. Dickerson ~ ~ Southold, New York 11971-0959 Dave Bergen ~ • ~ Telephone (631) 765-1892 Bob Ghosio, Jr. O ~ Fax (631) 765-6641 ~y00UMV BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6713A Date of Receipt of Application: September 11, 2007 Applicant: Bernard & Carol Kiernan SCTM#: 71-1-15 Project Location: 1605 North Parish Drive, Southold Date of Resolution/Issuance: September 19, 2007 Date of Expiration: September 19, 2009 Reviewed by: Board of Trustees Project Description: Renovate the basement and remove and replace the existing sanitary system. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by Nathan Taft Corwin III, last revised April 17, 2007, and received on August 6, 2007. Special Conditions: None. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. s James F. King, resident Board of Trustees JFK:eac James F. King, President ~~oF SOUryo Town Hall Jill M. Doherty, Vice-President ,~O l~ 53095 Route 25 Peggy A. Dickerson yy P.O. Box 1179 T Southold, New York 11971-0959 Dave Bergen • O Telephone (631) 765-1892 Bob Ghosio, Jr. O ~ Fax (631) 765-6641 ~y~~UNT'I,N~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ~ ~ o'1Gb7 has been reviewed by this Board at the regular meeting of o~'k>7 and your application has been approved pending the com letion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1s1 Day of Construction ($50.00) constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: a~ TOTAL FEES DUE: $ S~ V_ _q 1 BY: James F. King, President Board of Trustees • Issued TQ~~.~dF~~ K~~n~ Date Address /6r~,SiUd~, ;sti v~ _ 1~t THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD~ N.Y. 11971 TEL.: 765-1892 _ ~,.z..e FJ - _ ~.x .I~ e ~ -N- r sanrro~B BAY ~ -'e ~ _ a w~~ _ OS ~k 1~ O r ~n - rden 9 Q , S ~~°`r Y Y P n - "`*m ~s ~s a' r e ~ ~ av e~` _O _ uor~ FII COUITY OF SUFFOLK _ _ E ~ 4C11p11p x ~ . ~ . eed naerty im service agency sauiNaLo p n _ _ ra,n vn~w a,.~.stxY mn Y ` Q71 _ _ T ,nn.. P IOW pggceplY YN James F. King, President ~ o~~oF souryo • Town Hall Jill M. Doherty, Vice-President ti ~ 53095 Route 25 yy P.O. Box 1179 Peggy A. Dickerson ~ T Southold, New York 11971-0959 Dave Bergen G Q ;Q • ~O Telephone (631) 765-1892 Jolm Holzapfel O~CO Fax (631) 765-6641 ~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only -Coastal Erosion Permit Applicatio -Wetland Pemut Application _ Administrative Permit _AmendmenttTransferBxtension _ ~ceived Applicatiom~~ ~ ~ ~ i ~S i lReceived Fee:$ O - _~etnpleted Application v i .y r ~ -Incomplete i ~ I _SEQRA Classification: U l.. Type I_Type II_Unlisted_ Coordination:(date sent) ~ - LWRP Consistency Assessment Form ~ _ CAC Referzal Sent: ~ - /bate of Inspection: -Receipt of CAC Report: -Lead Agency Determination: -Technical Review: /lfublic Hearing Held: ~ -Resolution: ~et' n~ ~ ~ d ( ~1 e r naf./ Name of Applicant , Address tiD~0.r15~ ' ~D 19 T V]D Phone Number:( ) ~ ~ Suffolk County Tax Map Numnber~: 1000 - ~ ~ -~S Property Location: ~ (o~S 1 V~C-' I.S~12~AA ^ti D So~4~© l~ ~y ~ta?~ I (provide LILCO Pole distance to cross streets, and location) AGENT: ~WL~ ~ ? y~-~~ ~ U (If applicable) Address: l0~~~~ O ~t~`l--f'~t~ Phone: ~~~i 1- ~ ~ J~~ ~ ~ ~ard of Trustees Applicat~ n GENERAL DATA Land Area (in square feet): ~7c~ T_~%~ • ~ Area Zoning: p5l[I,Q~ QoX Previous use of property: ~t ri e vvLt I ~ ~ Intended use ofproperty: t ~ ~~t.~ Covenants and Restrictions: Yes No If "Yes", please provide copy. Prior permits/approvals for site improve~jment-s:' ~ - c~ ency / 'oL`-t ai~n C.b • 1-~"~b~~ ~O ?I '7_-t~t~ C.o. 1v-~-gg _ ~pA 371s- ?ldl~ ~,5v9 co - g-q~ N3 ~ EC - No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or susp nded by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments ifn~e]c_e.,ssary): ~`~V1-1~~?1[~'VON 1O(L~ ~ P OVP • _ • 5 3y '(~a~an Q ~r~1?~Z1~ , L~N~ Sorve~~ ~rd of Trustees Applicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations ~ ~ ~)'le {^(~a.QQ Area of wetlands on 1 t: n f-~ r1 D W ~quaze feet e~5 Percent coverage of lot: / tr.n o~C~ Closest distance between nearest existin structure and u land oo ~o ~ g P f 1 5P ~ ~Gt/~ o / edge of wetlands: feet ~,t7p~ l~elCTo ~ f I ~S ~U I Closest distance between n~azest proposed structure and upland edge of wetlands: ~~O -feet Does the project invo'lv/e excavation or filling? No Yes If yes, how much material will be excavated? ~D(~ cubic yazds How much material will be filled?cubic yards Depth of which material will be removed or deposited:~_ feet Proposed slope throughout the azea of operations: Manner in which material will be re (moved or deposited: a t i rv Q/1 f ~~-v~ e 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): Y, -f- ~ ~Q.plQ~l~ n.,o .eY t , nor ~ ,ice Pnti ~ w~`w~ n n Su~~eti-r.. ~a~' A~ l~dc~ S~4a 5. e~ iS ~ ~nn`~-ino~ ~P~o~~ , ~oard of Trustees Applica~ AUTHORS2ATION ` (where the applicant is not the /ownerFF1) Qp- z, DeRnP"~'-~1 ~(~Rt(~ residing at 16~ ~ N- ~~~(`I~~J ~~l ~~~Od7~G~ (print owner of property) (mailing address) ~Ifl/' I/, do hereby authorize '("-~~~7~ (Agent) ~u~ to apply for permit(s) from the Southold Board of Town Trustees on my behalf. i q (Owner's signa ure) _ _ 8 sn.zo ~ SEQR PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 • PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME JJ ter ~~?nCLt L l /1 r~ 3.PROJECT LOCATION: Municipality County ~ ~ L 4. PRECISE LOCATION: Street Addess and Roa~rsections. Prominent `ndmark e~(.~ a~ l (.QOM ~ 61~~~ ( 5. IS PROPOSED ACTION : ~ New ~ Expansion Modification /alteration DESCRIBE PROJECT BRIEF!'' ~axz~~ ~noVaJl loY~ ~lU ly-~il t'1e t~ I L Sibs 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately ~ acres B~L PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Ves ? No If no, describe bdefly: g~WrHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) N I Residential ~ Industrial ~ Commercial ?Agriculture ~ Park /Forest /Open Space ~Olher (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federel, State or Local) Yes No If yes, list agency name and permit / ap vat: ~ t d(~~ 11. DOES A Y ASPECT OF THE ACTI N HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~C7l Yes ~ 7NO It yes, list agency name and permit !approval: Ib,,1 1 ~ eP C~ YVL~Fin~ -eV1~C'LI.M 12. AS A RE ULT OF PROPOSED ACTION WILL EXISTING PERMITI APPROVAL REQUIRE MODIFICATION? ?Yes No I CERTIF THAT T E INFORMATION ROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Date: Applicant / S s me (D b Signature the actin s a Costal Area, and you are a state agency, complete the I Assessment Form before proceeding with this assessment ~oard of Trustees Application , County of Suffolk State of New York Dh'~/J - V r" Ct/!~ BEING DULY SWORN DEPOSES AND AFF S THAT HE/SHE IS APPLICANT FOR THE ABOVE DESCRIBED PERMI )AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THIi MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER O Y PROPERTY TO INSPECT THE PREMISES IN CONJiJNCTION WITH OFT S IIAPPLIC TON. V Sign t re SWORN TO BEFORE ME THIS 1 oTti DAY OF 20~~ \ ~Y~ Notary Pub tc Ruth Love Notary Public State of New York No,OtL06054063 f~ualified to Suffolk County II 11 Commission Expires March 5, 20..L~.. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of 5uthold's Code of Ethics prohibits conflicts of intere°S on Lhe part of town officers and emolovees The ouroose of this forth is to orovide information which can alert the town of possible conflicts of interest and allow i[ [o take whatever action is ne ssar t void same. ~A YOUR NAME• , QS ~ CI ~(Y l~l~ ~ T"y~ p~ ~ ~ ~j (Last name, first name,Atiddle initial, unless you applying in the name of / someone else or other entity, such as a company. If so, indicate the other K ) ~ person's or company's name.) { l NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Tmslee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name [he 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 If you answered "YES", complete the balance of this f~ormCand~date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself ([he applicant/agendrepresentative) 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 acorporation); B) the legal or beneficial owner of any interest in anon-corporate entity (when the applicant is no[ a corporation); C) an officer, director, partrter, or employee of the applicant; or D) the actual applicant. DESCRIPTION OP RELATIONSHIP Submitted thi day 200 I Signature Print Name N t,( Form TS 1 I McCARTHY MANAGEMEINC. ~ 46520 County Road 48 SOUTHOLD, NEW YORK 119`2 ~~Yi',~ljp~+'~65`r58L15 p oArE l ~ U .,cewo. ~~"QQ~~~•l`/l~~~a.31~~ 7V5-~p 16 i"~. ATTENTION V ~ ~ ~ P E d~ ~ 4J ~ ~ D ~ WE.ARE SENDINte~'SI!C~f,J;!,-Q k2nder separate CAVBE:v~ thA F~¢y;. ~ ? srop d s Cl s ` ? Plans ? ~mptes Cl,. Uan~ a u 4r .:k • ~ r i W ~V THESE ARE TRANSMITTED as checked below: ? For approval ? Approved as submitted ? Resubmit copies for approval ? For your use ? Approved as noted ? Submit copies for distribution ? As requested ? Returned for corrections ? Return corrected prints ? For review and comment ? ? FOR BIDS DUE ? PRINTS RETURNED AFTER LOAN TO US REMARKS - i li I COPY TO SIGNED: raooucr zaor N enclosures ere notes noted, k/ndly not/ty us et once. r NOTES SURVEY OF PROPERTY I. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 °ATUM v 1� 1EXISTING ELEVATIONS ARE SHOWN THUS: =n SITUATED AT 2 MINIMUTANKM SE TIC TANK CAPACITIES FOR A 8 BEDROOM HOUSE IS 2,000 GALLONS. BAY TnT 3. MINIMUM LEACHING SYSTEM FOR A B BEDROOM HOUSE IS 600 eq fi SIDEWALL AREA. V I {'Y 2 POOLS, 12' DEEP, S' dir. TOWN O F S O U T H O L D PROPOSED EXPANSION POOL SUFFOLK COUNTY, NEW YORK �PROPOSED LEACHING POOL S.C. TAX No. 1000-71 -01 - 15 / SCALE 1 "=20' ° n PROPOSED SEPTIC TANK \ry c JULY 13, 2000 4. THE°LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD Jt ` AUGUST 20, 2000 LOCATED WETLAND FLAGS OBSERVATIONS ANO/OR DATA OBTAINED FROM OTHERS. 7� Q APRIL 17, 2007 ADDED HEALTH DEPARTMENT DATA 5. FLOOD ZONE INFORMATION TAKEN FROM: S �5, UTUOLD f 3 �y FLOOD INSURANCE RATE MAP No. 3610300166 G \ S'0'2;x" ZONE AE BASE FLOOD ELEVATIONS DETERMINED AREA E 0.671 .01 sq. ft. ZONE VE: COASTAL OD EL WITH vELocm HAZARD (WAVE ACTON), '� (TO TIE LINE) 0.671 OC. BASE FLOOD ELEVATIONS DETERMINED Jae r iJO ZONE x^. DO DEPTH OF LESS THAN FI°FOOTAOR WITH DRAINAGERAREEAS LESS THAN AGE at" � , E N j 8. i 5Z16, E / N C/vyy 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 100—YEAR FLOOD ^N g5� UI ZONE x AREAS DETERMINED TO BE OUTSIDE SOD-YEAR FLOODPIN _— — fW�Vw,MV 6. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND W0p0 Ile Al, 11E uN µDNc An � TI�� PEMOVEO IN ACCORDANCE WITH S.C.D.H.S. STANDARDS. Mc D `_�-��_�TLS n OWA(( B'(KN EMIOH WATER K 7. COASTAL BARRIER IDENTIFIED 11-16-90 SHOWN THIRD. RW' Te�f, Fuc NOU(M N (MIOWARO E (l1D 44oJ 0.1•E EAO B@uf ON SCEFTE Y GLEN JVSa OF CLW S AS G SEP 1 1 2001 FLOOD INSURANCE NOT AVAILABLE FOR NEW CONSTRUCTION OR SUBSTANTIALLY BeLkM ° MB[p 14. 2000 JMe cr," c IMPROVED STRUCTURES ON OR AFTER NOVEMBER 16, 1990 IN DESIGNATED �AdIII F� COASTAL BARRIERS. l `I'o GG B O II <Kry g. LAC ILr�� , ZCN�, �NGp W 0 Fn I T , ___J OGhF� W 02W B01TGy OF F4 OEck W COAT PROPOSED SEPTIC SYSTEM DETAIL -N ' TIE,IDEN �BARR1j— E (NOT TO SCALE) I i 16�g0 HOUSE TOP BUrRIED F FL 2yZ 4' DEEP FINISHED GRADE ELEV 200, FINISH GRADE y / TOP PRECAST REINFORCED CONCRETE COVED 24'dm. LOCKING, WATERTIOUT k INSECT PROOF ELEV ° W } W °F Fj OVy BURIED 1' DEEP mla T DEEP mox 2..1 F am y -� M CAST IRON COVER TO GR/Df � � k 'W� �S MIN. 4" "a. 20'mm MIN 4' dm TOP EL 181' 3 2 3` �` Sr AGO APPROVED PIPE 2D"min rLp� k PITCHED 1 4' 1' TOP EIfV. .1H.p: ITCHDAPPRWED PIPE ' W0 l J µµnn RWPoO OfCI� '0Cq PITCH01 1/B'I1' S' d 3J \Q q � CTj'00 n.T ENCq v o ]' cLrAN a 4 O"S• INV. EL. ?q _ 1 do SWD q \ "S' \ S-°O RULkM 18.2' INVERT N m CPOSSOVEP COIlAR W $ fy \881' IFPg r EA EI£V ]➢.0' 3 m ROW EIEVFIVERT 75 Fn- PIPE a I_ Jy G \ W ATfPn WOO 31Y. � AR�R ' aoa _ B BOTTOM 3_ GR°UN° WATER 37 y ^� r,,9, ,:x WCOb a SI O0 3�C y4� GLEN,9.€ QW " EOr EPs " ` SEPTIC TANK (1) B>e, T44o 1 COWUNCIE SH HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3DOO psi AT 2e OATS, -- — SfPnCRON/AM 2 WALL TRCK All WALS,NBOROM PND TOP SEBB SH BE A IHAILL CONTAIN REINFORCING THICKNESS0RESIST AN APPLIED FORCEOM HOF N300 pESS e 4'. LEACHING POOLS (21 g� SEf NOjEE o�pM i�� �\ 1 F ��•�. 'v �N 3 ALL JOINTS SHALL BE SEALED SO THAT NE TANK IS WATEWIOM. Nn / // S 4 THE SEPDC TANK SHALL BE INSrALLEO AT LEVEL IN ALL DIRECTIONS (WIM A MAX. TOLERANCE OF 11/4 I, LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) CNVN(I 8 I \ °USE` TORY O 3 m ON A MINIMUM 3' THICK BED OF COMPACTED SAND OR PEA GRAVEL LEACHING STRUGNRES, SOLID CIXAES AND/OP SLABS. £ii Nk AMT._ R G., FR4M6, 2 ♦' (,�� a 4 S. A 10' mia DISTANCE BETWEEN SE70 TANK AND HOUSE CRAFT BE MAINTAINED 2, ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR LEGAL). NCF� / ° O �8_°`E$O CARS)'Bo�GE 1p'0 2 O,YC' k St 3, A 10' m n. DISTANCE BETWEEN LEACHING POOLS AND WATER UNE SHALL BE MAINTAINED Ra MS 4 AN B' mn DISTANCE BETWEEN ALL LEACHING POOLS SHALL BE MAHNIWNED f J 5 AN B' min DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE IA.VNTAINED Q E TEST �g�v� \ 1g'8• 0 8 q V� DOW OLE'R ry / Sf°OP 11�. KGa0 APPROVED BY � .. ' 4 % SPS TEST VOLE DATA Q) b^ARD OF TRUSTEES (TEST HOLE DUG BY MCDON4 OCG OSS IENCE ON APRIL 6, 2007) w� �� d p SL DID P e SG OE TOVt'N OF SOUTHOLD LL 1ee' D R„ BROWN LaAM GL 4 GWN BLDGK D ,f L D� a �S F O °LOSGRE °' SrEPs GOP _ x\.j T(•�/'(�, BRAWN SILT ML • ' ' J EL Mier 3' Z • � F Z { 4 • cREnsx N.HRN elm SANG su • • '4 30 4 � 1 �gyW3 a p \ 3\ x• \,y rV / .24 .SO „�_UpOr, y h/ es,STANDARDSPREPARED I FOR MEEANCE WITH THE SURVEYS AS ESITABUSHE 1p • .INIMUM /II � R'r' � ^ BY NE LIA.LS AND APPROVED AND ADOPTED - O FOR SUCH USE BY THE NEW YORK STATE HAND POE," •a • ' . . / [�� n TILE ASSOCIATION . ! 3 PALE BflaMl FINE SANG SP i�OF NEW y 3 4 MERr, M tAFT CO O Ci�P`a 'P,f, ., E,G Wines 47 +p R •EDGE a-,A L..� RIF y h` FL ze' Iii �� T�` 1G T • . ��_ 19fi CN� 4 N (3,�.0p'.,' zs s0" w YS Lic No. 50467 TpRI lNQ N STREET 1aq/ UNAUTHORIZED O THIS SURVEY LISRA's VIIOATOR OOFnoN U DUB,UAMG T . ' • , . , , \ Nathan Taft Corwin III EDUCATION LAW. SES WEL/ W R �.�-( T T` SECTION 7209 OF THE NEW YORK STATE V /�/,'/�I 4 D'D°' COPIES OF THIS SURVEY MAP NOT BEARING _ Land Surveyor THE LAND SURVEYOR'S INKED SEAL OR 9 EMBOSSED SELL SINAL NOT BE CONSIDERED TO BE A VALID TRUE COPY CERp9CAmONS INDICTED HEREON SHALL RUN ONLY TO ME PERSON FOR MOM THE SURVEY i,us Surveys - SubdTWsrans - Site Plans - Construction Layout ISSPREPARED, REPARE , AND ON HIS BEHALF TO RNMENT AGENCY E USES PUB(UN, �1 LENDING INSTRUTION LISTED HEREON, AND WA�eR �O PHONE (631)727-2090 Fax (631)727-1727 TO NE ASSIGNEES OF THE LENDNG INSD- MION CERTIFICATIONS ARE NOT TRANSFERABLE. OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 322 ROANOKE AVENUE P.O, Box 1931 ANO/OR EASEMENTS OF RECORD, IF Q RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 ANY, NOT SHOWN ARE NOT GUARANTEED. 20-391H NOTES SURVESURVEY OF PROPERTY I. ELEVATIONS ARE REFERENCED TO NG.V.D. 1929 DATUM Y EXISTING ELEVATIONS ARE SHOWN THUS; 11 S2.r r� n A m 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 8 BEDROOM HOUSE IS 2,000 GALLONS. 1 1 U 1 ED 1 1 TANK; 5' DEEP 10' DIA. ,L T T'T -T3r 3-1 Tnr 3. MINIMUM LEACHING SYSTEM FOR A 8 BEDROOM HOUSE IS 600 sq ft SIDEWALL AREA. H Y �/ ll�I NV 2 /PPlOOy�LS. 12' DEEP, B' dia. TOWN OF SOUTHOLD t^�j^ X PROPOSED EXPANSION POOL SUFFOLK COUNTY, NEW YORK (D PROPOSED LEACHING POLL S.C. TAX No. 1000-71 -01 - 15 / SCALE 1 "=20' 00 PROPOSED SEPTIC TANK ��\y yr JULY 13, 2000 A, THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD d AUGUST 20, 2000 LOCATED WETLAND FLAGS OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. \ j 7� $ � , APRIL 17, 2007 ADDED HEALTH DEPARTMENT DATA 5. FLOOD ZONE INFORMATION TAKEN FROM: S UTI10L T t3 /' y 'x�' FLOOD INSURANCE RATE MAP No. 3610300166 G ,`5,2'27» L N6 / ' LL ZONE AT BASE FLOOD ELEVATIONS DETERMINED 47 E / (0 AREA = 29,232.01 sq. f1. ZONE VE COASTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION), ilHc�t; (TG TIE LINE) 0.671 ac. BASE FL000 0-YEAR FL DETERMINED h m ,m, �S 81-36'511, 16" E / ZONE %' AREAS OF LESS YEAR FLOOD: AREAS OF 100-YEAR FLOOD WITH AVERAGE LO " — 51 " E 7g• 5. A'7 DEPTH OF LESS FHAN I FOOT OR CTEH DRAINAGE AREAS LESS THAT '�'- 47,9p' N 21, / N CUSAASQUARE MILE, AND AR SIDTECTED EY LEVEES ROM 100-YERR FLOOD ^N 35• ZONE % AREAS DETERMINED TO BE OUTSIDE 500–YEAR FLOODPLAIN - 07 6 EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND aOp TIE wnLL Orvc l� E M PEMOVED IN ACCORDANCE WITH S C O.H.S STANDARDS. °Lnc ILL ,IL ^R°A UN, ' lI \ °64LL BOIkNEpa I H WATER Mn N 7. COASTAL BARRIER IDENTIFIED 11–i6-90 SHOWN iHRU: \\ W BULkH eBa FArvcc�0 BY Fuc Erne S AS c FVD ALF D I W ARO E LLEN r ilMl I-/ O,,'E F4° , I 4 o d,q aN SEPTEMREq I{JECT 0p F JMO CNSULII G fL000 INSURANCE NOT AVAILABLE FOR NEW CONSTRUCTION OR SUBSTANTIALLY dill SEP 1 1 200 IMPROVED STRUCTURES ON OR AFTER NOVEMBER 16, 1990 IN DESIGNATED I J COASTAL BARRIERS L 2 °pD B[,lkN� TJ •'� c Q F NCE Dd° D, A °IW BO p� C/VF k WALL °M Dp k WEN Sw 1COAS IED gRRIER PROPOSED SEPTIC SYSTEM DETAIL HOUSE (NOT TO SCALE) I I / 16-9D FrL 237%, n' oP BURIED DEEP m.v rINISHEO CMDF / yyPop ELEV za o FINISH GRADE PRECAST REINFORCED CONCRETE COVER $ o./ TOp Op BDL BURIED 1' DEEP rn,n 2' DEEP mos 24'rlin LOCKING, WATERTIGHT k INSECT PROOF ET MIT W ,y 2 @qqk h/V W000 kHFtb CAST IRON COVER TO GRADE / MIN 4" dm 2p"min MIN C' dia TOP EL 181' 3 j(� �� j� �pOO ° kPq ap POS APPROVED PIPE 20•mm EC �.Lo W PITCHED I R. I' TOP E£V 90' 1 _ APPRIVEO PIPE _' ppxr. N PITLHIO \Qq' " \ Lo OO BaQh OO OfC,Y !d v INV. EL =q 4' dm 6gryp N Oro �AK '1 u \ \ 12'fl ' BOB B°LKH 1 B.2 MEET N m NVERr CROSSOVER f'O R yW }\` Ey \5g J W EPg 1 JE,AWO ELEV 149 3 P FLOW EI£V 17 5' PIPE Q m ID Al \ WPoA 91UP66° WBI°0 - BAFFLE S �eQ \ BOF l WfO0 Wp0 EP ED00 OC O B BOrtoM _3 GROUNDWATER 3� �" o /J9' WCpD DEC 'tNo ELEV. 9.iAPY: SEPTIC TANK (1) o° 1 CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 pe, AT 20 DAYS --- -- --- -- ---- -- On AXIS, UV D ~ 2 ALLLWALLS,NESS SHALL BE A MINIMUM OF 3'. A BOTTOM AIR TOP SHALL CONTAIN REINFORCING TO RESIST ANNAPPLIED FORCED A BOTTOM orTHICKNESS °I 4 �o SO,S, M_~/ �V 1 & 2 \ \ O 0,3 3. ALL JOINTS SHALLBE SEALED So THAT THE TANK IS WATERTIGHT °5 LEACHING POOLS (2) N A4 4 THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MRS. TOLERANCE OF ±1/4) 1 LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) LNAIN Nn 6 T T HOOSFSTOR)' p�LE,' 3nm ON A MINIMUM P TRICK BED OF COMPACTED SAND OR PG GRAVEL LEACHING STRUCTURES, SOLID DOMES AND/OR SIABS RN NK I I Hai @ GA FRAM � 2 V V� �a. 5 A 10' mm DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAIMAINED 2 ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL) CE\ Q (B B No l6oAGF C I°° ONF Wd� „y 3 A 10 m 0 OSrANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MAINTAINED eOROpMS 5 I0- ��> U O JN 4 PN B' min DISTANCE BETWEEN ALL LEACHING POOLS SHALL BE MAINTAINED �j/ / I 7 h 1� 5 AN 8' min DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED FpPF LEST D�LEv� / \ '.V _ CONNVEOVFQj IC ��'yj�. b. /APPROVED BY K � Pk n . PS ORon, l � RE TEST HOLE DATA o �° d , a,,, p L+..1ARD OF TRUSTEES (TEST HOLE DOG BY MCBOAALD GEOS MPS ON APRIL 6, 2007) \ s `� p ` ° 0. B.B, s°jsl°E TOWN OF SOUTHOLD B' \ MMM aW �LµN BLOCk C BB e ° a LJ ak Co" ENCL03p 9 q q 0MK BROWN LOAM OL \ V ;O °C • • n.• Q c, 9p� IF "Co, E n, l' l I( l I L'/ . ° a 'Y n4 S/EPR O BROWN SILT YL e a' a 3 LONG FOON° ° U. BF \MZ °° _ • (,. ° /+/// 391. d V cREnsH ri Ell SAMA sN /a' •° / / • gTu 14 4so IP PREPARED IN ACCORDANCE WITH THE MINIMUM N/ Ary°OLE 2 / • Q,% o ., STANDARDS FOR TIRE SURVEYS AS ESTABLISHED - e BY THE LIALS. AND APPROVED AND ADOPTED ° //S (pm FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION ° ° -` 3 PALE BROWN FINE SAND SP ,�EOF NEW e ° A 0�- s NO g�P�tPFT CO OR .f. N�O w^E9 q0 V Son OI'PA � HEMFNT ti * � VSs.p�, EL 26' IT 4 * ° i(.. ly - In p e. . 4 _ N flD&/CPISHAT -%LOryLDM°N IV 1� YS LIC, No. 50467 ER IN STET a , EET • yv, UNAUTHORIZED ALTERATION OR ADDITION Us: Nathan Taft Corwin III EOU �ON2 W FIS SURVEY ST THE VIOLATION STq� PUg/IN"RCR a Land Surveyor COPIES OF THIS SURVEY MAP NET BEARING 1 x�t • • •a •, 9 THE ES O SURVEYORS HISSU 'V INKED SEAL E EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SORMEY USES Ol,,e I-�1 The Sorai - SU6dUCSSOP5 - Sit, pi - CD,St BChaO LE Cof IS PREPARED, AND ON HIS BEHALF TO THE p WTV �y efT TITLE COMPANY, GOVERNMENTAL AGENCY AND U (/O G LENDING INSTRULON U9TED HEREON, AND WATPR 0 PHONE (631)727-2090 Fax (631)727-1727 TO THE ASSIGNEES OF THE LENDING INSTI- [-1 MION CERTIFICATIONS ABC NOT TRANSFERABLE OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 322 ROANOKE AVENUE PO Bax 1931 AND/OR EASEMENTS OF RECORD. IF Q RIVERHEAD, New YOU, 11901 Riverhead, New York 11901-0965 ANY, NOT SHOWN ARE NOT GUARANTEED. 20-3918