The URL can be used to link to this page

Home My WebLink AboutTR-6620Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0585C Date: September 24~ 2010 THIS CERTIFIES that the construction of a single-family dwelling with deck on pilings, pervious driveway, and sanitary system with gutters to leaders to drgwells on the dwelling At 2404 Camp Mineola Road, Ext., Mattituck, New York Suffolk County Tax Map # 122-9-7.20 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated 10/28/05 pursuant to which Trustees Wetland Permit # 6620 Dated 5/16/07 was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a single-family dwelling with deck on pilings, pervious driveway, and sanitary system with gutters to leaders to drywells on the dwelling The certificate is issued to STERLING HARBOR, 1NCJPAUL PAWLOWSKI owner of the aforesaid property. Jill 'M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF. INSPECTION: ~//'Ch. 275 Ch. 111 INSPECTION SCHEDULE I/~Pre-construction, ~ha¥ bale line/silt boom/silt curtain Ist day of construction INSPECTED BY: COMMENTS: % constructed Project complete, compliance inspection. CERTIFICATE OF COMPLIANCE: Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 11,2010 Mr. Paul Pawlowski Sterling Harbor, Inc. P.O. Box 783 Mattituck, NY 11952 RE: 2404 CAMP MINEOLA RD., MATTITUCK SCTM#122-9-7.20 Dear Mr. Pawlowski: The Southold Town Board of Trustees reviewed your application dated May 24, 2010 and APPROVES the request for a Transfer of Wetland Permit #6620 from David Shamoon to Steding Harbor, Inc., as issued on May 16, 2007. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Jill I~1Doherty ~/ PresYdent, Board of Tm§tees JMD:lms Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town HallAnnex 54375MainRoad P.O. Box 1179 Southold, NewYork 11971-0959 Telephone (631) 765-1692 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Apdl 21,2010 Mr. David Shamoon P.O. Box 446 Bddgehampton, NY 11932 RE: 2404 CAMP MINEOLA ROAD EXT,, MATTITUCK SCTM# 122-9-7.20 Dear Mr. Shamoon: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, April 21, 2010: RESOLVED that the Southold Town Board of Trustees grants the last One-Year Extension to Permit ~6620, as issued on May 16, 2007. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, J,IIM ~he~y '~)~ I~resi e~n~t,h Boa'rd of Trustees JMD:eac James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town H~lAnnex 54375MainRoad P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Apdl 22, 2009 Mr. David Shamoon P.O. Box 446 Bridgehampton, NY 11932 RE: 2404 CAMP MINEOLA RD. EXT., MATTITUCK SCTM#122-9-7.20 Dear Mr: Shamoon: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., April 22, 2009: RESOLVED, that the Southold Town Board of Trustees grants a One-Year Extension to Permit #6620, as issued on May 16, 2007. This is not an approval from any other agency. Sincerely, ja sn~F. KingC~'~ President, Board of Trustees JFK:lms James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 $outhold, New York I1971-0959 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Telephone (631) 765-1892 Fax (631) 765-6641 MAY 24 2010 /L~ Souf:hllold ?omi Board ~f Truste_e.$ APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE ADDRESS ~ b'~'~ 7,~"~ AGENT ' PHONE ADDRESS o'~ ~0 ~ c/~,'4¥'v'l/0 /./~'~ PROPERTY LOCATION TAX MAP NO. ,,/Z~-- -- ~ ~ --~, 2_O Signed By: ~~~------~__ LeRoy Van lqostrard, Jr. Humb~ O. Ma~in 1959-1989 William C. Mort~U J0armo Allar David S. l~smond V~ NOS~,a3no & M~I]N ATI'ORNEYS AT LAW 53 B~way P.O. ~x 307 ~i~illg ~ 11701 Td 631-264-0303 Fax 631-264-0314 'l'his number is not tO be reed for s~wic~ ofproc¢~ or litigation documems To: Jill/Lauren ~'r~n. David S. Desmond, Esq. Fax: 7656641 ~es: 3 ~ Ua~ May 24, 2010 ~e: David & Jill Shamoon to cc., Sterling Harbor, Inc. [] U~gent [] For Review [] Please Comment [] Please Reply Following please find copy of deed showing Sterling Harbor, Inc. pumhased the property at Camp Mineola. I trust this will be sufficient to transfer the permit. Any questions please call. 'n~i$ eommunicafion is intended only for the used of the individual 0r enfity to which it is addressed and may conteln information that is privileged, confidential and exempt from disclosure under applicable law, If the reader of the rnessage is not the intended recipient or the empleyee or agent responsible for delivering the message to the intended recipient, you am hereby nolJ~d that any dissemination, distribution, or copying of this communication is strictly prohibited, If you I'~ve received this eommuniss~on in error, plea,,e notify ~, immediately by collect telephone call tO (631) 284-0303 and retom the original tO us et the above address via the US Postel ~en~ce, and va~ ~]nall reimburse you for the postage cost Thank you for your prompt cooperation. £00/I00 u!la pu alsog Ig0t9g[£9 gg: I OIOg/gg/ O paz~7 oft~ fl~ p~ and Stating He~bor, hc~ MAY 2 4 20~0 $outhhold ]own Board of Trusteos AND the party o~the f~'t p~t covmants ti~t thc p~ or ~e ~t ~n ~s not ~One ~ s~md ~{~ ~ ~ gO0/lO0~ uIlael pu~ puea~sog UeA H~Ot9Z[~9 ~& gg:gI ~0# OIOg/t~/gO evMen~e ~o be the individual(s) w'm~se name(s) Lq (am) ~ubsc~bed exeemd thc ~c h h~c~ ~i~i~), ~d ~ ~ ~ ~s) ~ ~ ~ ~e ~di~s), or ~e ~ ~ ~ m ~ f~o~ ~L wi~ whom ~ p~y ~ ~, ~hg ~ ~ duty ~m, did ev~dc~cc to be he in~vtdual(s) whose name(s) is (a~) subscribed eamcuted the same m bL~net/~eit cap~itT(~), and ~z b~ his/her/~eir si~namr~$) on the ina~mmnt, d~ bidivi6roai(s), ortho pC~on upon b~.q~of~bJ~b~e individual(s) Bored, e~ ~ ~ sJ~(s) ~ the ~ ~e ~s), m ~e ~ BA~C~m~ & SAL~ D~ uBaei pm puea~sog u~A tlfotg~l~9 ~'~ ;~:~I ~Oi OIO~/t[/90 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 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 A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE I~Pre-construction, hay bale line 1st day of construction rconstructed Ject complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6620 DATE: MAY 16, 2007 ISSUED TO: DAVID SHAMOON PROPERTY ADDRESS: 2404 CAMP MINEOLA ROAD~ EXT, MATTITUCK SCTM# 122-9-7.20 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on May 16, 2007, and in consideration of application fee in the sum of $250~00 paid by David Shamoon and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a single-family dwelling, deck, driveway, and sanitary system with the condition that the dwelling and deck be on pilings, installation of gutters and drywells to contain roof runoff, no fill except for the sanitary system, no additional and/or nor further expansion to dwelling will be permitted, a pervious driveway, and a line of staked hay bales to be installed prior to construction, and as depicted on the survey prepared by Nathan Taft Corwin III, last revised July 12, 2007, and received on August 20, 2007. 1N WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee David Shamoon, residing at 2404 Camp Mineola Road, Ext. Mattituck, New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Perrrfit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 May 16, 2007 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Bruce A. Anderson Suffolk Environmental Consulting, inc. P.O. Box 2003 Bridgehampton, NY 11932-2003 RE: DAVID SHAMOON 2404 CAMP MINEOLA ROAD, EXT., MATTITUCK SCTM# 122-9-7.20 Dear Mr. Anderson: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 16, 2007 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of DAVID SHAMOON applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated October 28, 2005, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6 of the Local Water-front Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: dwelling and deck on pilings, installation of gutters and drywells to contain roof runoff, no fill except for the sanitary system, no additional and/or no further expansion to dwelling will be permitted, a pervious driveway, and a line of staked hay bales placed down prior to construction, and, 2 WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 16, 2007, at which time all interested persons were given an oppor[unity 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 standards set forth in Chapter 275 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of DAVID SHAMOON to construct a single-family dwelling, deck, driveway, and sanitary system with the condition that the dwelling and deck be on pilings, installation of gutters and drywells to contain roof runoff, no fill except for the sanitary system, no additional and/or nor further expansion to dwelling will be permitted, a pervious driveway, and a line of staked hay bales to be installed prior to construction, and as depicted on the survey prepared by Nathan Taft Corwin III, last revised July 12, 2007, and received on August 20, 2007. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $100.00 Very truly yours, James F. King President, Board of Trustees JFK/eac New York State Department of Environmental Conservation Division of Environmental Permits Building 40 - SUNY, Stony Brook, NY 11790~2356 Telephone (631) 444-0404 Facsimile (631) 444-0360 Denise M. Sheehan Commissioner June 15, 2006 Mr. David Shamoon P.O. Box 446 Bridgehampton, NY 11932 RE: 1-4738-03533/00001 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerely, Darleen M. Gerbino Environmental Analyst DMG/Is Enclosure NEW YO R K~J~T E DEC PERMIT NUMBER 1 ~4738-03533/00001 FACILITY/PROGRAM NUMBER(S) DEPARTMENT OF ENVIRONMENTAL PERMIT Under the Environmental Conservation Law EFFECTIVE DATE June 15, 2006 EXPIRATION DATE(S) June 14, 2011 TYPE OF PERMIT M New []Renewal[]Modiflcation[]PermittoConstruct [3 Permit to Operate [] Article 15, Title 5: Protection of Waters [] Article 15, Title 15: Water Supply [] Article 15, Title 15: Water Transport [] Article 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers [] 6NYCRR 608: Water Quality Certifica- tion [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [] Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands [] Article 27, Title 7; 6NYCRR 360: Solid Waste Management [] Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management [] Article 36: Floodplain Management [] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO David Shamoon TELEPHONE NUMBER (631) 537-2177 ADDRESS OF PERMITi'EE P.O. Box 446, Brid~lehampton, NY 11932 CONTACT PERSON FOR PERMI~I-ED WORK Bruce A. Anderson, Suffolk Environmental Consultin~l, P.O. Box 2003, Brid~lehampton, NY NAME AND ADDRESS OF PROJECT/FACILITY Shamoon property, Kreh Road, Mattituck COUNTY TOWN Suffolk Southold SCTM # 1000-122-9-7.2 TELEPHONE NUMBER (631) 537-5160 WATERCOURSE NYTM COORDINATES Jones Creek DESCRIPTION OF AUTHORIZED ACTIVITY: Construct a single family dwelling, garage, pool, decking, sanitary system, drywells and pervious driveway. Place 400 cubic yards of fill and grade. All work must be done in accordance with the attached plans stamped NYSDEC approved on 6/15/06. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Geor~le W. Hammarth (DMG) Region 1 Headquarters, BId~l. #40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE. s.. ~f__~ .~~~ [DATEjune 15, 2006 I Page 1 of 4 SPECIAL CONDITIONS 1. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and/or protected buffer areas. 2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands or protected buffer areas. 3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 4. All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 5. The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 6. All disturbed areas where soil wilt be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales / silt curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 7. All fill shall consist of "clean" sand, gravel or soil (not asphalt, slag, flyash, broken concrete or demolition debris). 8. To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 50 linear feet landward of the tidal wetland boundary. 9. A mw of staked haybales or other approved erosion control devices shall be placed at the landward edge of the buffer area or 50 linear feet from the tidal wetland boundary, or as per the NYSDEC approved plan, prior to commencement of any regulated activities and remain in place and in good, functional condition until the project is completed and all disturbed areas are stabilized with vegetation. 10. Necessary erosion control measures e.g., staked haybales, silt fencing, etc. are to be placed on the downslope edge of any disturbed areas. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is established. 11. Roof runoff shall be directed into dry wells a minimum of 75 linear feet landward of the tidal wetland boundary for immediate on-site recharge. 12. Dry wells for pool filter backwash shall be located a minimum of 100 linear feet landward of the tidal wetland boundary. 13. There shall be no draining of swimming pool water directly or indirectly in tidal wetlands or protected buffer areas. 14. Driveway must be 100% pervious (no asphalt or oil and stone surface.) 15. Driveways and parking areas shall be constructed of NYSDEC approved pervious materials. 16. Roads, driveways and parking areas shall be graded to direct runoff away from tidal wetlands and protected buffer areas. 17. Sanitary systems (bottom of the tank and leaching pools) shall be located a minimum of 2' above seasonal high groundwater. DEC PERMIT NUMBER 1-4738-03533/00001 PAGE 2 of 4 ( TIDAL WETLANDS) If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. The State of New York shatl in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across t.he bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 5. There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302,303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 8. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 9. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved survey was prepared by Joseph A. Ingegno on 7/24/04 and last revised on 4/10/06. DEC PERMIT NUMBER PAGE 3 of 4 1-4738-03533/00001 Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights prevision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition '1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg ~0, Stony Breok NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DEC PERMITNUMBER I I PAGE 4 OF 4 I 1-4738-03533/00001 RETURN THIS FORM TO: PERMIT NUMBER: PROJECT LOCATIONIADDRE88: CONTRACTOR NAME: ADDRE88: TELEPHONE: COMPLIANCE :~ OR FAX TO: 63~1-444-0297 Medne Habitat Protection NYSDEC Building 40 - SUNY 8tony,Brook, NY 11790-2356 188UED TO: Dear 8lt. .. PERMITEE DATE CONTRACTOR DATE ]'HIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS A T, LEAST TWO DA YS PRIOR TO COMMENCEMENT OF THE PROJECT AND /OR ANY ASSOCIATED REGUUiTED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE ~8.ANDVOR CONTRACTOR TO APPUCABLE SANCTIONS AND PENALTIES FOR NON-COMPUANCE WITH PERMIT* ~.t Iiong ads line ~ =< NOTICE OF CO~PLb'TIO, OF CO~STRUCnON .... RETURN 11.118 FORM TO: COMPLIANCE OR FAX 1'O: 631-444-0297 Ma~ne Habitat Protection NYeDEC Building 4O - SUNY 8tony Broolq NY 117902356 laERMrr NUMBER: PROdC-G'T LOCATION/ADDRESS: ~ONTRACTOR NAME: 18SUED TO: ADDRESS: TELF?HONE: Dear Sic Ptlrauant to General .C~.. d./t/on, .~..9 of the ..referenced I~. rmit, yo~ are hereby notified that the authodznd activity was oomPleted on , vve nave ~u,y complied with the terms and ~x~lltlone of the permit and approved plans. (Both signatures required) ~ERMITEE ' DATE CONTRACTOR DATE , .' THIS NOTICE, 'WITH PHOTO~F. AF~2= G~ ~-hE CG~-FLE ~ cu ;,~,~F~k-,.~-~'D/~/4 COMPLETED SURVEY, A8 APPROPRIATE, MUST BE ,~ENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMFq.~'TION OF THE PROJECT. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated (~:¢,.4~;/cPOO.5~ has been reviewed by this Board at the regular meeting of ff)o..~/4; ~2o") and the following action was taken: ( V/~'}Application Approved (see below) (__.)Application Denied (see below) (__.) Application Tabled (see bel0TM) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ /(~c;x:~::~ BY: James F. King, President Board of Trustees Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., April 11,2007, the following recommendation was made: DAVID SHAMOON to construct a single-family dwelling, deck, driveway, and sanitary system. Located: 2404 Camp Mineola Rd. Ext., Mattituck. SCTM#122-9-7.20 This application was inspected by Peter Young and Jacob Smith and both members found a discrepancy with the flagging of the proposed location of the structures compared to what was being proposed on the plans. The flags appeared to be too close to the wetlands. James F. King~ President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. · Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone-(631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Work session Report Date/Time: t~4~] l 'O '~ DAVID SHAMOON requests a Wetland Permit to construct a single-family dwelling, deck, driveway, and sanitary system. Located: 2404 Camp Mineola Rd. Ext., Mattituck. SCTM#122-9-7.20 Type of area to be impacted: ~/Saltwater Wetland ~/Freshwater Wetland Sound Bay Distance of proposed work to edge of above: .P~cc of Town Code proposed work falls under: hapt.275 Chapt. 111 other Type of Application: ~'//Wetland __Coastal Erosion __Amendment __Administrative __Emergency Pre-Submission Violation Info needed: Conditions: Pres t Were ~J Kin ~J Doherty 4 Dickerson I/D Bergen ~ Ghosio, Jr .Cus&-'D. , owski -- ' Mailed/Faxed to: Environmental Technician Review Date: James F. King, President JflI M. Doherty, Vice~President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1592 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Work session Report Date/Time: Suffolk Environmental Consulting, Inc. on behalf of DAVID SHAMOON requests a Wetland Permit to construct a single-family dwelling with wood deck attached to the east side, install a 20'X 40' pool to the north of the proposed dwelling, construct a new garage, and install a sanitary system with a retaining wall. Located: 2404 Camp Mineola Rd. Ext., Mattituck. SCTM#122-9-7.20 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Distance of proposed work to edge of above: Sound Front Bay Front Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: Wetland __Coastal Erosion __Amendment __Administrative __Emergency Info needed: Modifications: Conditions: Pr/esent Were:b/J.King J.Doherty ~.D~ckerson D. Bergen~.B.. Ghosio, Jr ~/H. Cusack ~D. Dzen~owski o~er ~ Mailed/Faxed to: Date: Environmental Technician Aerial photograph of subject and surrounding properties with graphical approximation of ? proposed improvements. Proposed dwelling is +-1,210 ft2, proposed deck is _+525 ft- and proposed sanitary system is -+55' x 63'. feb 8, 2006 Field James F. K/rig, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095Route 25 P.O. Box 1179 Southold, New York11971-0959 Telephone(631) 765-1892 Fax(631) 765-664! BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Name of Applicant: Name of Agent: Property Location: SCTM# & Street Brief Description of proposed action: Type of area to be impacted: __Saltwater Wetland x./Freshwater Wetland Sotmd Front Bay Front Distance of proposed work to edge of above: Parpof Town Code proposed work falls under: 5zChapt.97 Chapt. 37 other Type of Application: __ Info needed: t//Wetland Coastal Erosion __Emergency __Amendment __Administrative Modifications: Conditions: Present Were: __J.King __J.Doherty __P.Dickcrson D. Bergen__J.Holzapfel Other: Mailed/Faxed to: Date: FORMULA I TRONG S "Home o£ Super Service" To: Southold Town Trustees Date 12-20-05 Reft Application of David Shamoon S.C.T.M. 1000-122-9-7.20 From: Jeffery Strong, Pres. Strong's Marine Dear Trustees, I am writing to you in regards to the above application. I have several concerns and questions. 1. Water run off on to my property: The way the house and pool are currently proposed on the survey leaves the pool only 15' from my property line. They are proposing to elevate the ground approx. 4 feet, 15' from my property line to accomplish this. I am very concerned that even though they are proposing a 70' concrete wall, this will create significant water runoff onto my property and ultimately to the creek. Suggested #1 Solution: Either move the entire project to the south or move the pool to the south of the house. This would relieve the need for such dramatic land elevation increases. This would minimize or eliminate water runoff on to my property and the creek. Proposed concrete retaining wall along my property line: A. The way it is proposed the finished grade would be at the very top of the wall. Water runoff would spill over the top of this onto my property and possibly to the creek. B. Construction of the wall proposed is of raw concrete and 3' above my property line. This is extremely unsightly and not at all in keeping with the local architecture. If the wall has to remain (which it may not if suggestion #1 is adopted) it should be made or covered in materials that would be consistent with our local North Fork architecture. C. The concrete wall is right along my property line and within 40' of tidal wetlands. Is this consistent with Southold Town Code? Please get back to me in regards to these concerns. Thank you. Camp Mlneola Road 1110 Flanders Road 781 County Road 39 Mattituck, NY 119,52 Flanders, NY 11901 Southampton, NY 11968 (631) 298-4770 (631) 727-1028 (631) 283-6736 Fax (631) 298-3801 Fax (631) 727-7431 Fax (631) 283-7041 c-mall: lnfo@strongsmarlne.com · www. strongsmarlne.com Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., December 14, 2005, the following recommendation was made: Moved by Jack McGreevy, seconded by Don Wilder, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of DAVID SHAMOON to construct a 36'X 60' single-family dwelling with 12'X 34' wood deck attached to the east side, install a 20'X 40' pool to the north of the proposed dwelling, construct a 30'X 24' garage, and install a sanitary system with a retaining wall. Located: 2404 Camp Mineola Rd. Ext., Mattituck. SCTM#122-9-7.20 The CAC recommends Approval of the application with the Condition of a 5' non-turf buffer and 10' non-disturbance buffer. Vote of Council: Ayes: Ail Motion Carried PHOTOS OF SHAMOON PROPERTY Situate: Kreh Road; Mattituck; Town of Southold, NY SCTM#: 1000-122-9-7.2 Photo taken from the northern lot line facing east showing the stake indicating the northwest corner of the proposed pool. *Photos taken on 10-21-2005' PHOTOS OF SHAMOON PROPERTY Situate: Kreh Road; Mattituck; Town of Southold, NY SCTM#: 1000-122-9-7.2 Photo showing the stake indicating the location of the northeast comer of the proposed pool. *Photos taken on 10-21-2005' t PHOTOS OF SHAMOON PROPERTY Situate: Kreh Road; Mattituck; Town of Southold, NY SCTM#: 1000-122-9-7.2 Photo showing the stake indicating the northwest corner of the proposed garage. *Photos taken on 10-21-2005' PHOTOS OF SHAMOON PROPERTY Situate: Kreh Road; Mattituck; Town of Southold, NY SCTM#: 1000-122-9-7.2 Photo showing the stake indicating the southwest corner of the proposed deck. *Photos taken on 10-21-2005' PHOTOS OF SHAMOON PROPERTY Situate: Kreh Road; Mattituck; Town of Southold, NY SCTM#: 1000-122-9-7.2 Photo showing the stake indicating the southwest corner of the proposed dwelling. *Photos taken on 10-21-2005' PHOTOS OF SHAMOON PROPERTY Situate: Kreh Road; Mattituck; Town of Southold, NY SCTM#: 1000-122-9-7.2 Photo showing the stake indicating the southeast corner of the proposed dwelling. *Photos taken on 10-21-2005' PHOTOS OF SHAMOON PROPERTY Situate: Kreh Road; Mattituck; Town of Southold, NY SCTM#: 1000-122-9-7.2 Photo showing stake indicating location of proposed septic tank. *Photos taken on 10-21-2005' PHOTOS OF SHAMOON PROPERTY Situate: Kreh Road; Mattituck; Town of Southold, NY SCTM#: 1000-122-9-7.2 Photo showing stake indicating northeast corner of proposed dwelling. *Photos taken on 10-21-2005' PHOTOS OF SHAMOON PROPERTY Situate: Kreh Road; Mattituck; Town of Southold, NY SCTM#: 1000-122-9-7.2 Photo showing stake indicating the northwest corner of proposed dwelling. *Photos taken on 10-21-2005' PHOTOS OF SHAMOON PROPERTY Situate: Kreh Road; Mattituck; Town of Southold, NY SCTM#: 1000-122-9-7.2 Photo showing stake indicating northwest corner of proposed deck. *Photos taken on 10-21-2005' PHOTOS OF SHAMOON PROPERTY Situate: Kreh Road; Mattituck; Town of Southold, NY SCTM#: 1000-122-9-7.2 Photo showing eastern property line which is contiguous with Kreh Road. *Photos taken on 10-21-2005' PHOTOS OF SHAMOON PROPERTY Situate: Kreh Road; Mattituck; Town of Southold, NY SCTM#: 1000-122-9-7.2 Photo showing northernmost property line which is adjacent to Strong's Marina. *Photos taken on 10-21-2005' LOCATION MAP FOR Situate: Kreh Road; Mattituck Town of Southold, New York SCTM #: 1000-122-09-7.20 blue) LOCATION MAP FOR Situate: Kreh Road; Mattituck Town of Southold, New York SCTM #: 1000-122-09-7.20 Suffolk Environmental Consulti Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President August 17, 2007 Mr. James King; President Southold Town Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Situate: SCTM #: Shamoon Property Kreh Road Town of Southold, New York 1000 - 122 - 9 - 7.2 Dear Mr. King, Pursuant to the conditions of approval of the wetlands permit for the aBove referenced property, please find enclosed: 1. Two (2) original copies of a revised survey depicting the approved improvements; and 2. Check in the mount of $100.00 to cover the requisite final inspection fee. Should you requixe any additional information, please do not hesitate to contact me. Sincerely, w/end. Cc: D. Shamoon OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD MEMORANDUM To: James King, President Town of Southold Board of Trustees Mark Terry, Pnnc~pal Planner LWRP Coordinator Date: May 11,2007 ' ' . Re~ Request for Wetland Permit for DAVID SHAMOON SCTM# 122-9-7.2 DAVID SHAMOON requests a Wetland Permit to construct a single-family dwelling, deck, driveway, and sanitary system. Located: 2404 Camp Mineola Rd. Ext., Mattituck. SCTM#122-9-7.20 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP: 4.1 Minimize losses of human life and structures from flooding and erosion hazards. Move existing development and structures as far away from flooding and erosion hazards as practical. Maintaining existing development and structures in hazard areas may be warranted for: a. structures which functionally require a location on the coast or in coastal waters. b. water-dependent uses which cannot avoid exposure to hazards. sites in areas with extensive public investment, public infrastructure, or major public facilities. sites where relocation of an existing structure is not practical. Policy 6 Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The proposed distance to the new residence from the freshwater wetland boundary is 20' feet; the proposed distance to the deck from the wetland is 15'; the proposed distance to the new residence from the tidal wetland is 80'; a minimum setback distance of 100 feet is required pursuant to Chapter 275-3. Findings; purpose; ]urisdiction; setbacks. The proposed residence is in an AE flood zone elevation 8. Please require that the applicant amend the application to meet the above policy to the greatest extent practical. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President April 13, 2007 James King, President Southold Town Trustees P. O. Box 1179 Southold, NY 11971 Shamoon Situate: Kreh Road, Mattituck SCTM # 1000-122-9-7.2 Dear Mr. King, Kindly adjourn the above referenced permit amendment to the next meeting of your Board in May as it is important that we meet in the field during your next inspection date in May. Cc. D. Shamoon Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-529l Bruce Anderson, M.S., President March 9, 2007 Mr. James King, President Southold Town Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Situate: SC'I'M #: Shamoon Property Kreh Road Town of Southold, New York 1000 - 122 - 9 - 7.2 Dear Mr. King, Please find the following enclosed herewith as it relates to the proposal at the above referenced property: Revised Survey prepared by Joseph A. Ingegno and last dated 3/5/2007 indicating the changes to the proposal discussed with Mr. Anderson of this Firm two [2] copies). Please note that said changes have been staked in the field for your Board's inspection~ Kindly review the enclosed items and schedule this matter for the first available meeting of your Board. If you have any questions, or require additional information, please don't hesitate to contact me. Thank you as always for your attention and consideration. Sincerely, Encl. Cc: D. Shamoon Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWni1P policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 122 09 - 7.20 The Application has been submitted to (check appropriate response): TownBoard [] Planning Dept. [] Building Dept. [] Board of Trustees [] 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Owner proposes to construct a 36' x 54'~ four bedroom single family dwelling on pilings with attendant sanitary system and wood deck attached to the north side of the proposed dwelling. Approximately 400 cy of clean upland fill will be imported for the proposed sanitary system and will be contained by a retaining wall. Owner also pronoses to install a 590-~: SF pervious driveway accessing Kreh Road. Location of action: Site acreage: Kreh Road{ Mattituck; Town of Southold 0.937 acre ± Present land use: vacant Present zoning classification: R-80 If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: David Shamoon (b) Mailing address: P.O. Box 446 Bridgehampton~ NY 11932 (c) Telephone number: Area Code ( 631 ) 537-2177 (d) Application number, if any: N/A Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No [] If yes, which state or federal agency? NYSDEC DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section IH - Policies; Page 2 for evaluation criteria. [] Yes [] No [] Not Applicable As indicated within Policy 1, "Development that does not reinforce the traditional land use pattern of the Town of Southold would result in a loss of the community and landscape character of Southold.", this project is a proposal to improve an undevelaped lot with a dwellin.q and related appurtenances that are common to the surroundin~l area, which is hiqhly developed. The proposal, as desianed, will not result in adverse effects to the surroundinq environment in that it meets all required setbacks from situate wetlands. In addition, all dwellinqs in the surroundin~l area have coexisted harmoniously with the environment for years. $ituatin~ dwellin.qs this close to a marina makes qoad use of infrastructure as it removes the need to construct separate dackinq facilities for each dwellin.q. Accordinalv, we believe that this Draiect is consistent with this policy. At~ach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section HI - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No [] Not Applicable Policy 2 is not applicable in that subject lot and the surroundinq neiqhborhood cannot be deemed a substantial historic and/or archaeoloqical resources. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 5 through 7 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal will not adversely impact the visual qualify of the surroundin~l area in that the surroundina area is currently comprised of properties improved with sinqle-family dwellinqs of similar, if not lar.qer, size. While the area of the proposal is lackinq in scenic resources, the proposed dwellinq will not impede line of Siglht throuclh subject lot any more than it is impeded now as said lot is highly veqetated. Therefore, this proposal will comply with Policy 3. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal will fully comply with Policy 4 in that the proposed dwellinq will be constructed on pilinqs to raise its heiqht to 8' above mean sea level as required by Federal Flood Requlations. This hei.qht and the fact that the proposal is located inland off a sheltered branch of James Creek greatly limits the potential for loss of life, structures or natural resources from floodin.q. As the proposal is not directly adjacent to any surface waters and will remain substantially veqetated, the potential for dama.qe from erosion is neqliqible. Accordinqly, the proposal is consistent with Policy 4. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal will comply with Policy 5 in that the property will utilize public water, as well as to utilize an efficient sanitary system, which will be compliant with the requirements of the Suffolk County Department of Health Services. Accordingjly, no adverse impacts to either the water quality and/or water suDDlv of Southold Town are anticipated. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal will comply with Policy 6 in that the proposed improvements are, as closely as possible desif:lned to meet the environmental quidelines and requirements of both the Town of Southald Board of Trustees and the New York State Department of Environmental Conservation, and conseauentlv, will maintain the inte.clrity of the surroundinq ecosystem. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria [] Yes [] No [] Not Applicable Policy 7 is not applicable to the instant proposal in that the proposal is simply to improve subject property with a sinqle family dwellinfl with attached deck and attendant sanitary system which historically do not result in any form of adverse effects to air quality. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [] Yes [] No [] Not Applicable Policy 8 is not applicable to the instant proposal in that the proposal does not involve disposal and/or transportation of solid waste, hazardous waste, toxic pollutants, or petroleum products. Attach additional sheets if necessary PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section IH - Policies; Pages 38 through 46 for evaluation criteria [] Yes [] No [] Not Applicable Policy 9 is not applicable to the instant proposal in that the proposal is not situated within a property canto n n.q, or havinq the potential to contain, public access to coastal waters, public lands and/or public resources within the Town of Southold. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section HI - Policies; Pages 47 through 56 for evaluation criteria [] Yes [--]'No [] Not Applicable Policy 10 is not applicable to the instant proposal in that the proposal does not involve a water-dependent use li.e. marina, aquaculture, etc...). Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town Waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria [] Yes [] No [] Not Applicable Policy 11 is not applicable to the instant proposal in that the proposal does not involve any form of marine resource manaqement li.e. commercial fisheries, recreational fisheries, aquaculture, etc...). Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No [] Not Applicable Policy 12 is not applicable to the instant proposal in that the proposal does not involve aoricultural lands li.e. the conversion of farmland, the establishment and/or maintenance of new coastal aaricultural production, etc...) Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [] No [] Not Applicable Policy 13 is not applicable to the instant orolDosal in that the IDrooosal does not involve the conservation of enerqy resources on a commercial level and/or the promotion of alternative ener,qy sources, proper maintenance of fuel storaqe facilities and/or the extraction of mineral extraction Attach additional sheets if necessary Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President April 6, 2007 Mr. James King; President Southold Town Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Situate: SCTM #: Shamoon Property Kreh Road Town of Southold, New York 1000 - 122 - 9 - 7.2 DearMr. King; As you know, the above referenced matter has been scheduled for the April 18% 2007 reg, lar meeting of your Board. Therefore, in accordance with Town Code please find the following enclosed herewith: Signed and Notarized Affidavit of Posting; Copy of the Notice to Adjacent Property Owner; · Original Certified Mail Receipts and copies of the same. Kindly add these items to your records. The green signature cards will be delivered the night of the hearing. If you have any questions, or require additional information, please don't hesitate to contact me. Thank you as always for your attention and consideration. Sincerely, William J. Lohn Cc: D. Shamoon PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: William J. Tufano P.O. Box 1744 Mattituck, NY 11952 Anthony Annunziata 6Vassar Place Scarsdale, NY 10583 Paul & Milta Annunziata 2403 Camp Mineola Road Mattituck, NY 11952 Strong's Marina, Inc. P.O. Box 1409 Mattituck, NY 11952 STATE OF NEW YORK COUNTY OF NEW YORK William J. Lohn , residing at 2322 Main St.; Newman Village Suite E; P.O. Box 2003; Bridgehampton, NY 11932 , being duly sworn deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Bridgehampton , that said Notices were mailed to each of said persons by (ce~) (registered) mail. Sworn to blef,o, re me this ~_(_O~t~ /N6tary Public Matthew D. Ivans Notary' P~lb, c ol New Yorl~ k0 01!V6053859 Qualified ir} Sutlolk County Commismon Expires January 22, 20~~ 8 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: David Shamoon SCTM# 1000- 122-9-7.20 YOU ARE HEREBY GIVEN NOTICE: 1. That is the intention of the undersigned to request a Permit from the Board of Trustees to: Owner proposes to construct a 36' x 54'~ four bedroom single family dwelling on pilinc,s with attendant sanitary system and wood deck attached to the north side of the proposed dwelling. Approximately 400 cy of clean upland fill will be imported for the proposed sanitary system and will be contained by a retaining wall. Owner also proposes to install a 590~: SF pervious driveway accessing Kreh Road. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: Located at Kreh Road, Mattituck, New York. 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: David Shamoon MAILING ADDRESS: P.O. Box 446 Bridgehampton, NY 11932 PHONE # : 631 537-2177 Enc.: Copy of sketch or plan showing proposal for your convenience. Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President March 14, 2007 Ms. Lauren Standish Southold Town Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Situate: SC'I'M #: Shamoon Property Kreh Road Town of Southold, New York 1000 - 122 - 9 - 7~. Dear Ms. Standish, As promised, please find the following enclosed herewith as it relates to the above referenced property: · TownofSoutholdLWRPConsistencyAssessmentForm(four[4]copies). Kindly review the enclosed item and continue processing the revised proposal. If you have any questions, or require additional information, please don't hesitate to contact me. Thank you as always for your attention and consideration. Sincerely, William J. Lohn Encl. Cc: D. Shamoon Dec 29 05 01:~1p Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York I 1932-2003 (631) 537-5160 Fax: (63 I) 537-529 I Bruce Anderson, M.S., President Mr. James King, President Southold Town Trustees P. O. Box 1179 Southold, NY 11971 Februmy 14, 1007 Re; Application of David Shamoon Situate: Kreh Road, Mattituck SCTM # 1000-122-9-7.2 Dear Mr. King, This is to request that the above referenced application be adjourned to the next regular meeting of your Board during which time the following activities will be The site plan elements including dwelllnoo deck and septic system and restoration are will be transferred onto the survey. The existing stakes and flags will be removed and the revised structural elements and restoration area will be staked in the field. The application will be re-noticed (posting and mailing). Thank you for your cooperation. Bruce A. Anderson Cc. D. Shamoon 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 Via Facsimile and Regxdar Mailinff December 5, ~006 Mrs. Lauren Standish Southold Town Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Situate: SCTM #: SHAMOON Site Inspection Kreh Road; Town of Southold, New York 10oo - l~t - 09 - O07.t Dear Mrs. Standish, As per our telephone conversation this afternoon regarding the scheduled site inspection of the Shamoon property tomorrow afternoon by the Board of Trustees, please note that Bruce Anderson of this office had requested that he be present to potentially resolve certain issues with this application prior to the public hearing concerning same. Unfortunately, Bruce is suffering from a herniated disc at this time and will not be able to meet the Board at the site. Accordingly, please allow this correspondence to act as our request to the Board to postpone the site inspection tomorrow afternoon until the next available opportunity so that Bruce can be present at the site. Should you have any questions regarding this matter, please feel free to contact this office at any time. Thank you as always for your attention and consideration. Sincerely, Matt D. Ivans '--.. eric. cc: D. Shamoon 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 December 4, 2006 Mr. James King, President Southold Town Board of Trustees Town Hall P.O. Box 1 ! 79 Southold, NY 11971 Re,' Situate: SCTM #: Shamoon Property Kreh Road Town of Southold, New York 1000 - 122 - 9 - 7.2 Dear Mr. King, As you may remember, this Finn represents the owner of the above referenced property who is seeking approval from your Board to construct a new single family dwelling with related appurtanances thereon. This matter has been added to the December 13~, 2006 regular meeting agenda of your Board. Therefore, in accordance with Town Code, please find enclosed herewith: 1) Signed and Notarized Affidavit of Mailing;, and 2) Original Certified Mailing Receipts & copies of the same; and 3) Copy of the Legal Notice that was mailed to adjacent property owners. If you have any questions regarding this matter, please feel free to contact this office at any time. Thank you in advance for your attention and consideration. Sincerely, William J. Lohn Encl. Cc: D. Shamoon PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: William J. TuFano P.O. Box 1744 Maltituck, NY 11952 Anthony Annunziata 6 Vassar Place Scarsdale, NY 10583 Paul & Milta Annunziata 2403 Camp Mineola Road Mattituck, NY 11952 Slrong's Marina, lac. P.O. Box 1409 Mattituck. NY 11952 STATE OF NEW YORK COUNTY OF NEW YORK William J. Lohn , residing at 2322 Main St.; Newman Village Suite E; P.O. Box 2003; Bridgehampton, NY 11932 , being duly sworn deposes and says that on the ~4h day of ~~ , 20 O~ , 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 Post Office at mailed to each mail. said Notices were mailed at the United States Bridgehampton , that said Notices were of said person~ered), Sworn to before me this day/°;~° ~riOp~lic~ -- Metthew D. Wans Notary Public of New York No 01iV6053859 Oualified in Suffolk Coun~ Commission Expires .January 22, 20~ 7 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: David Shamoon SCTM# 1000- 122-9-7.20 YOU ARE HEREBY GIVEN NOTICE: 1. That is the intention of the undersigned to request a Permit from the Board of Trustees to: Owner proposes to construct a 36' x 50' four bedroom single family dwelling with 12' x 58' wood deck attached to the west side. Owner also proposes to install a 20' x 40' pool to the south of the proposed dwelling that will be connected to the proposed deck. To the immediate north of the proposed dwelling~ the owner proposes to construct a 30' x 24' garage. Owner also proposes to install sanitary system with retaining wall~ 5 dr~wells which will handle the runoff from the proposed dwelling and garage~ and one dryweH that will serve the pool. Owner also proposes to bring in approximatol¥ 400 yards3 of fill. Finally~ the owner proposes to install a pervious gravel driveway connecting the garage with Kreh Road. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: Located at Kreh Road, Mattituck, New York. 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: David Shamoon MAILING ADDRESS: P.O. Box 446 Bridqehampton, NY 11932 PHONE # : 631 537-2177 Enc.: Copy of sketch or plan showing proposal for your convenience. m B'" (Endorsement Requ~rsd $0.0( D Total Postage & Feel $4.88 12/04,;2006 : J~:i~..~..,..~.,.: ................................. p-~ -- lcd, ~, ~ d. ti,--' ' [ .............................. L ......... . ......... C.~ ~/~ /,~o- 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 November 8, 2006 James King, President Southold Town Trustees P. O. Box 1179 Southold, NY 11971 Re: Shamoon Situate: Kreh Road, Mattituck SCTM # 1000-122-9-7.2 Dear Mr. King, As you know, this Firm represents David Shamoom who owns the property referenced above. Last spring you had identified what you believed to be additional wetlands that were not shown on the surveys filed with your office. Enclosed herewith please find two survey copies prepared by Joseph A. Ingegno last dated October 26th, 2006. As can be seen, the surveyed location of the additional flags are problematic. I believe that this lot should be inspected by the full Board. Kindly schedule this matter for full Board inspection and let me know when that will be so that I can meet with you at the site. Thank you in advance for your cooperation. Bruce A. Anderson Cc. D. Shamoon Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 53%5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President Via Telecopier and ReR. ular Mail August 15, 2006 James King, President Southold Town Trustees P. O. Box 1179 Southold, NY 11971 Re: Shamoon Situate: Kreh Road, Mattituck SCTM # 1000-122-9-7.20 Dear Mr. King, Kindly adjourn the above referenced permit matter to your regular inspection date and meeting in September, 2006. In the mean time, I shall (with the client's permission) cause the wetland boundary that you delineated to be added to the survey. Bruce A. Anderson Cc. D. Shamoon J. Igegno Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President April 3, 2006 James King, President Southold Town Trustees P. O. Box 1179 Southold, NY 11971 Re: Shamoon Situate: Kreh Road, Mattituck SCTM # 1000-122-9-7.2 Dear Mr. King, Kindly accept his correspondence as our request to adjourn this matter for your regular meeting of May 2006. As you know, it has been our intention to meet out in the field prior to the hearing date. Your inspection of the site was scheduled for April 12th and I will be out of town on that date. Accordingly, I look forward to meeting you out in the field at the next inspection date and hopefully bring this matter to a close during the next meeting of your Board in May. ~incere~ ..~/ / i ~ Bruc~ ~. ,~nd~rson~ ~'"""~ Cc. D, Shamoon p.1 Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631 ) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President Via Telecopier March 14, 2006 James King, President Southold Town Trustees P. O. Box 1179 Southold, NY 11971 Re'. Shamoon Situate: Kreh Road, Mattituck SCTM # 1000-122-9-7.2 Dear Mr. King, Kindly adjourn the above referenced permit matter to your regular meeting of April, 2006 as we are awaiting the stakeout of the property. I also request a joint field inspection of the site in April so that any outstanding issues and concerns can be discussed at that time. MAR 1 4 2006 Cc. D. Shamoon 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 February 1 O, 2006 Mr. James King, President Southold Town Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Attn: Ms. Heather Cusack ge~ Situate: SCTM #: Shamoon Property Kreh Road Town of Southold, New York 1000 - 122 - 9 - 7.2 Dear Mr. King, As you know, this Firm represents Mr. Shamoon whose application to improve upon the property referenced above is currently before your Board. On behalf of Mr. Shamoon, I respectfully request that this matter be postponed until the March meeting of the Southold Town Board of Trustees. In addition, Mr. Anderson of this Firm requests to meet the Board at subject parcel during the next scheduled field inspection to discuss the pending application. If you have any questions, please feel free to contact this office at any time. Sincerely, William J. Lohn Cc: D. Shamoon D~c 02 04 02:38p p.1 Suffolk Environmental Consulting, Inc. Newman Village, Suile E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (63 I) 537-5160 Fax: (631 ) 537-529 I Bruce Anderson, M.S., President Via Telecopier January 18, 2006 Albert Krupski, Jr., President Southold Town Trustees P. O. Box 1179 Southold, NY 11971 Re: Shamoon Situate: Kreh Road, Mattituck SCTM # 1000-122-9-7.2 Dear Mr. King, Kindly adjourn the public hearing for the application referenced above until the next regular meeting of your Board in February, 2005. The project is being revised in accordance with the suggestions of your Board made during the public hearing of December 2005 to wit: The proposed pool is being relocated to the southern portion of the lot. The proposed fill on the lot is to be eliminated with the exception of the septic area. The dwelling will be built on piles; and The retaining wall adjacent to the road at Strongs Marina will be eliminated and a 30" buffer would be maintained adjacent to the road at Strong's Marina. I expect that your Board will re-inspect the premises in advance of the next meeting. Sincerely,~ i? ~) / Bruce A. Anderson Albert J. Krupski, President Peggy A. Dickerson, Vice President James F. King Kenneth D. Poliwoda Arthur P. Foster BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P. O. Box l 179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 Office Use only X Coastal Erosion Permit Application __ Wetland Permit Application Grandfather Permit Application __ Waiver/Amendment/Changes /Received Application: ~O.~l~ !Of /Received Fee: $ /Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination: (date sent) CAC Referral Sent: ~.~ Date of Inspection: __Receipt of CAC Report: Lead Agency Determination: Technical Review: ~Public Hearing Held: /l Resolution: LCO~P f Name of Applicant David Shamoon Address P.O. Box 446 Brid~eham~ton~ NY 11932 Suffolk County Tax Map Number: Property Location: Kreh Road; Mattituck; (please refer to attached location ma~). (provide LILCO Pole %, distance to cross streets, and Phone Number: (631) 537-2177 1000-122-9-7.20 Town of Southold~ NY location) AGENT: Suffolk Environmental Consulting, Inc. Address: P.O. Box 2003 Bridgehampton, NY 11932 Phone Number: (516) 537-5160 Fax: #(516) 537-5291 Board of Trustees Application GENERAL DATA Land Area ( in square feet) : 40~816.9 ft2 Area Zoning: R-80 Previous use of property: Vacant Intended use of property: Single Family Dwelling Prior permits/approvals Agency NYS DEC SCDHS for site improvements: Date Pending Pending No prior permits/approvals for site improvements. Has any permit/approval governmental agency? ever been revoked or suspended by a X No Yes If yes, provide explanation: Project Description (use attachments if necessary) : Owuer proposes to construct a 36' x 60' four bedroom sinl~le family dwelling with 12' x 34' wood deck attached to the east side. Owner also proposes to install a 20' x 40' pool to the north of the proposed dwelling. To the immediate east of the proposed pool~ the owner proposes to construct a 30' x 24' garage. Owner also proposes to install sanitary system with retaining wall~ 4 drywells which will handle the runoff from the proposed dwelling and garage~ and one dr~vell that will serve the pool. The owner proposes to erect a 70t± wall northwest of the proposed pool runnin~ north-south along the northern lot line. Owner also proposes to bring in approximately 1400 yards3 of fill to raise the elevation of the area to be built to approximately 10'+ above mean sea level. Finally~ the owner proposes to install a 1100 ft2-+ gravel driveway connecting the garage with Kreh Road. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Provide living s~ace and comfort for the owners of a vacant lot. Area of wetlands on lot: 762 square feet Percent coverage of lot: 1.9 % Closest distance between nearest existing structure and upland edge of wetland 0 (no structures) feet Closest distance between nearest proposed structure and upland edge of wetlands: 81 (southerly, on property wetland) and 55 (norhterly, off property) feet Does the project involve excavation or No X Yes filling: If yes, how much material will be excavated? 0± cubic yards How much material will be filled? 1400± cubic yards Depth of which material will be removed or deposited: deposited to 10± feet above mean sea level. Proposed slope throughout the area of operations: 0.2± Manner in which material will be removed or deposited: Material will be deposited using standard backhoe and shovels 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): Please note again that there are two wetlands burdening develo~ment on this ~arcel. The first is on site and located near the southern end of the property. The second is located off site of the ~arcel to the northwest on land now occupied by Strong's Marina. Please note that this wetland line is a wood bulkhead heavily laden with boats and that the area landward of said wetland 4 line is used by the marina as a boat storage area. There will be no detriment to the situate wetlands as a result of this project. However, mitigation measures have been employed to protect both wetlands from any adverse impacts as a result of the proposed improvements. These include installation of five dr~wells and two retaining walls (one for the sanitary system and one to brase the fill). The installation of a gravel cLriveway over an impervious one also prevents adverse impacts to the situate wetlands by lowering the amount of impervious surface on the lot. Board of Trustees Application COASTAL EROSION APPLICATION DATA *N/A* Purpose of Proposed Activity:__ Are wetlands present within 75 feet No Yes If Yes, how much material will be excavated? How much material will be filled? 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) Albert J. Krupski, President James King, Vice-President Artie Foster 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) BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ..... .................... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 1 I, L.)t'[/(CC~.O-'~-. ~o[rv~ ,residingat~d,.~ ff/aMCf~[//ea.ou.a.a~ {_~'[!,~tt ~.~ being ~ly swom~depos~ and say: That on the2 ~day of~, 209~I perso~lly posted the prope~y ~own as by placing the Bo~d of Trustees official poster ~here ~t c~ easily be seen, ~d that I have checked to be s~e the poster h~ remained in place for eight days prior to the date of~e public he~ng. Date ofhe~ng noted thereon to be held ~., ~C, ~tr ~ ' Dated: DgC. (si~ature) Sworn to before me this Matthew D. Naris Notary Pubt[c o! New York No. 01[V6053859 Qualified in Suftolk County Commission Expires January 22, 200'~ Board of Trustees Application County of Suffolk State of New York William J. Lohn BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE 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 REPRESENTATIVE(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN BEFORE ME THIS ~ry Public Matthew O. Nans Notary put~lic of New Yo~ No. 01iV6053859 Qua ified in Suflotk County Commission Exp res JanuarY 22, 20 d '~ DAY OF 20 9 Board of Trustees Application AUTHORIZATION (where applicant is not the owner) Road; Bridgehampton, NY 11932 Suffolk Environmental Consultinq, David Shamoon residing at 724 Millstone , do hereby authorize Inc. to apply for (Agent) permit(s) from the Southold Board of Trustees on my behalf. (Owner's signature) PROJECT ID NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEQRA PART I- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Suffolk Environmental Consulting, Inc. SHAMOON 3. PROJECT LOCATION: Municipality Southold County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc. or provide map) Kreh Road; Mattituck; Town of Southold (see attached location map) 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Owner proposes to constmct a 36' x 60' four bedroom single family dwelling with 12' x 34' wood deck attached to the east side. Owner also proposes to install a 20' x 40' pool to the north of the proposed dwelling. To the immediate east of the proposed pool, the owner proposes to construct a 30' x 24' garage. Owner also proposes to install sanitary system with retaining wall, 4 drywells which will handle the mnoff from the proposed dwelling and garage, and one drywall that will serve the pool. Finally, the owner proposes to erect a 70'± wall northwest of the proposed pool mnning north° south along the northern lot line. Owner also proposes to bring in approximately 1400 yards3 of fill to raise the elevation of the area to be built to approximately 10'e above mean sea level. 7. AMOUNT OF LAND EFFECTED: Initially 0 acres Ultimately 0.09 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 [-]Park/Forest/Open space [-]Other Describe: single family dwellings with related appurtenances 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 NYS DEC 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 l CERTIFY THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: William J. Lohn- Suffolk Environmental Consulting, Inc. Date: 10/26/2005 Signature: lfthe action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II- ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE l THRESHOLD IN 6 NYCRR, PART 617.12? review process and use the FULL EAF. [] Yes [] NO If yes, coordinate thc B. 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 another involved agency. [] Yes [] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if lagible) Cl. Existing air quality, surface or groundwater quality, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archeological, historical or other natural or cultural resources; or community or neighborhood character? Explain bflefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitat, or threatened or endangered species? Explain briefly: C4, A community's existing plans or goals as officially adopted, or change in use or intensity of use of land or natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly: C7. Other impacts (including changes in use ofeitber quantity or type of energy)? Explain briefly: D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If yes, explain briefly PART 1II - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important, or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments ~s necessary, the reasons supporting this determination: Name of Lead Agency Print or Type Name of Responsible Officer Signature of Responsible Officer in Lead Agency Title ofResponsibleOfficer Signature of Preparer (if different From responsible officer) Date Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (6311 537-5160 Fax: (6311 537-5291 Bruce Anderson, M.S., President Via Regular Mail December 6, 2005 Mr. Albert J. Kmpski, President Town Hall P.O. Box 1179 Southold, NY 11971 Re: Hearing Date: Situate: SCTM #: Shamoon Application December 21st, 2005 Kreh Road; Mattituck Town of Southold, New York 1000 - 122 - 9 - 7.2 Dear Mr. Knlpski, As you may remember, this Firm represents the owner of the above referenced property who is seeking approval from your Board to construct a new single family dwelling with related appurtenances thereon. This matter has been added to the Board of Trustees of the Town of Southold agenda for December 21a, 2005. Therefore, in accordance with Town Code, please find enclosed herewith: 11 Signed and Notarized Affidavit of Mailing; and 2) Original Certified Mailing Receipts & copies of the same; and 3) Copy of the LegalNotice that was mailed to adjacent property owners. If you have any questions regarding this matter, please feel free to contact this office at any time. Thank you in advance for your attention and consideration. encl. cc: D. Shamoon Name: PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: William J. Tufano P.O. Box 1744 Mattituck, NY 11952 Anthony Annunziata 6 Vassar Place Scarsdale, NY 10583 Paul & Milta Annunziata 2403 Camp Mineola Road Mattituck, NY 11952 Strong's Marina, Inc. P.O. Box 1409 Mattituck, NY 11952 STATE OF NEW YORK COUNTY OF NEW YORK William J. Lohn , residing at 2322 Main St.; Newman Village Suite E; P.O. Box 2003; Bridgehampton, NY 11932 , being duly sworn deposes and says that on the 6th day of December , 20 05 , 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 Bridgehampton , that said Notices were mailed to each of said persons by (~e~tified) (registered) mail. Sworn to before me this /~9~p% day o f~2 0~__~ /-/ Notary ?ubli~ Notary Public of New York No. 011V6053859 Qualified in Suffolk County Commission Expires Januau 22, 20 07 $ 0.3? 2.~) $ Clerk: KO"/FY2 12/06/05 Postage (Endorsemenl Required) 1 Total Postage & Fees /~.42 r--I Postage ,--3 r"l T01al Postage & Fees Mr. Jeff Strong c/o Strong's Marina P.O. Box 1409 Mattituck, NY 11952 Situate: Shamoon Property Kreh Road; Mattituck Dear Mr. Strong, Enclosed herewith please find a copy of the survey of subject parcel. Please be advised that you may obtain copies of the Southold Town Code and NYSDEC Tidal Wetlands Land Use Regulations online or from the respective agencies. This concludes correspondence between us. Re,sp, e~t~lly, William J. Lohn encl. cc: D. Shamoon Southold Trustees NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: David Shamoon SCTM# 1000- 122-9-7.20 YOU ARE HEREBY GIVEN NOTICE: 1. That is the intention of the undersigned to request a Permit from the Board of Trustees to: Owner proposes to construct a 36' x 60' four bedroom single family dwelling with 12' x 34' wood deck attached to the east side. Owner also proposes to install a 20' x 40' pool to the north of the proposed dwelling. To the immediate east of the proposed pool, the owner proposes to construct a 30' x 24' garage. Owner also proposes to install sanitary system with retaining wall, 4 drywells which will handle the runoff from the proposed dwelling and garage, and one drywell that will serve the pool. The owner proposes to erect a 70'± wall northwest of the proposed pool running north-south along the northern lot line. Owner also proposes to bring in approximately 1400 yards3 of fill to raise the elevation of the area to be built to approximately 10'+ above mean sea level. Finally~ the owner proposes to install a 1100 ftc+ gravel driveway connecting the garage with Kreh Road. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: Located at Kreh Road, Mattituck, New York. 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: David Shamoon MAILING ADDRESS: P.O. Box 446 Bridgehampton, NY 11932 PHONE # : 631 537-2177 Enc.: Copy of sketch or plan showing proposal for your convenience. 7 Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President Via Regular Mail October 26, 2005 Mr. Albert J. Krupski, President Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re-' Situate: SCTM #: OCT 2 8 2uu5 Shamoon Property Kreh Road Town of Southold, New York 1000 - 122 - 9 - 7.2 Dear Mr. Krupski, This Firm represents Mr. Shamoon, owner of the above referenced property, who is seeking all necessary regulatory approval to construct a single family dwelling and related appurtenances thereon. In order to do so, a Wetland Permit from 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 Environmental Assessment Form; (3) Photographs of subject property, indicating present conditions at the site; (4) Location Map for easy reference (two [2] copies); (5) Survey of the property, prepared by Joseph A. Ingegno, last dated September 21st, 2005 (two [2] copies); (6) Check made payable to the Town of Southold in the amount of $250.00 dollars to cover the requisite application fee. By way of this correspondence, and on behalf of Mr. Shamoon, I request that you commence review of this application. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time. Thank you as always for your attention and consideration. William J. Lohn encl. cc: D. Shamoon Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions, lfan action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Sonthold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 122 09 - 7.20 The Application has been submitted to (check appropriate response): Town Board [] Planning Dept. [] Building Dept. [] Board of Trustees [] 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Owner nronoses to construct a 36' x 60' four bedroom single family dwelling with 12' x 34' wood deck atlached to the east side. Owner also Drouoses to install a 20' x 40' pool to the north of the proposed dwelling. To the immediate east of the proposed pool~ the owner ~roooses to construct a 30' x 24' garage. Owner also proposes to install sanitary system with retaining wall~ 4 drywells which will handle the runoff from the I~rol>osed dwellinn and earaee~ and one drywell that will serve the pool. The owner proposes to erect a 70'+ wall northwest of the oronosed t*ool runnin~ north-south along the northern lot line. Owner also proposes to bring in approximately 1400 yardss of fill to raise the elevation of the area to be built to approximately 10'+ above mean sea level. Finally~ the owner propos~ to install a II00 ~+ oravel driveway connectin~ the earaee with Kreh Road. Location of action: Kreh Road; Mattituck; Town of Southold Site acreage: 0.937 acre ± Present land use: vacant Present zoning classification: R-80 If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: David Shamoon (b) Mailing address: P.O. Box 446 Bridgehampton~ NY 11932 (c) Telephone number: Area Code ( 631 ) 537-2177 (d) Application number, if any: N/A Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No [] If yes, which state or federal agency? NYSDEC DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. [] Yes [] No [] Not Applicable As indicated within Policy 1, "Development that does not reinforce the traditional land use pattern of the Town af Southold would result in a loss of the community and landscape character of $outhald.", thi~ proiect is a proposal to improve an undeveloped lot with a dwellinq and related appurtenances that are common to the surroundinq area, which is hi~lhly developed. The proposal, as desiqned, will not result in adverse effects to the surroundinq environment in that it meets all required setbacks from situate wetlands. In addition, all dwellinqs in the surroundinq area have coexisted harmoniously with the environment for years. $ituatinq dwellinqs this close to a marina makes ~laod use of infrastructure as it removes the need tn construct separate dockin~l facilities for each dwellincl. Accordinqly~ we believe that this project iT consistent with this policy. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section HI - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No [] Not Applicable Policy 2 is not applicable in that subiect lot and the surroundinq neiqhborhood cannot be deemed substantial historic and/or archaeoloqical resources. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 5 through 7 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal will not adversely impact the visual quality of the surroundinq area in that the surrounding area is currently comprised of properties improved with sinqle-family dwellinqs of similar, if not larqeB size. While the area of the proposal is lackinq in scenic resources, the proposed dwellinq will not impede line of sight throuqh subject lot any more than it is impeded now as said lot is hiqhly ve.qetated. Therefore, this proposal will comply with Policy 3. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal will fully comply with Policy 4 in that the construction will be completed after clean fill has been imported to raise the built area to an elevation of approximately 10 ft above mean sea level. This heiqht and the fact that the proposal is located inland off a sheltered branch of James Creek qreatly limit the potential for loss of life, structures or natural resources from floodinq. As the proposal is not directly adjacent to any surface waters, the potential for damaqe from erosion is neqliqible. Accordinqly, the proposal is consistent with Policy 4. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal will comply with Policy 5 in that the property will utilize a private well, as well as to utilize an efficient sanitary system, which will be compliant with the requirements of the Suffolk County Depadment of Health Services. As a substantial portion of Southold Town is now on public water, this proposed private well will not adversely impact the quantity of potable water in the Town of Southold. As the proposed sanitary system is compliant with Health Code, it will not adversely impact the quality of potable water in the Town of Southold. Accordin.qly, the proposal is cansistent with Policy 5. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southoid ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal will comply with Policy 6 in that the proposed improvements are, as closely as possible desi,qned to meet the environmental quidelines and requirements of both the Town of Southold Board of Trustees and the New York State Department of Environmental Conservation, and conseauentlv, will maintain the nte.qr ty of the surround n~1 ecosystem. In addition, the raisin~l of the construction site to a h qher e evation will further separate the proposal from situate wetlands. Policy 7. Protect and improve air quality in the Town of Southoid. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria [] Yes [] No [] Not Applicablc Subject proposal is not applicable in that the proposal is simply to improve subject property with several small additions to the dwellin.q and a qaraqe which historically do not result in any form of adverse effects to air quality. Accordinqly, this proposal is not applicable with this policy. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the proposal does not involve disposal and/or transportation of solid waste, hazardous waste, toxic pollutants, or petroleum products. At~ach additional sheets if necessary PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the proposal is not situated within a property containin.q, or havin.q the potential to contain, public access to coastal waters, public lands and/or oublic resources within the Town of Sauthald. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the proposal does not involve a water-dependent use (i.e. marina, aquaculture, etc...). Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town Waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the proposal does not involve any form of marine resource manaqement (i.e. commercial fisheries, recreational fisheries, aquaculture, etc...). Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the proposal does not involve agricultural lands fi.e. the conversion of farmland, the establishment and/or maintenance of new coasta aglr cu rural production etc...) Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [] No [] Not Applieable Subject proposal is not applicable in that the proposal does not involve the conservation of enerav resources on a commercial level and/or the promotion of alternative energty sources, proper maintenance of fuel stora.qe facilities and/or the extraction of mineral extraction Attach additional sheets if necessary Created on 9-28-2005 ~ l l : 40AM Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President Via Regular Mail December 1, 2005 Ms. Lauren Standish Town Hall P.O. Box 1179 Southold, NY 11971 Re: Hearing Date: Situate: SCTM #: Shamoon Application ~ December 21~t, 2005 Kreh Road; Mattituck Town of Southold, New York 1000 - 122 - 9 - 7.2 Dear Ms. Standish, As per our phone conversation, please find enclosed herewith two [2] copies of the Local Waterfront Revitalization Program Consistency Assessment Form. Kindly review the enclosed items and add them to your files. If you have any questions regarding this matter, please feel free to contact this office at any time. Thank you as always for your attention and consideration. William J. Lohn encl. cc: D. Shamoon SURVEY OF PROPERTY SITUA TED A T MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-09-7.20 " $0' SCALE 1 = JULY 24, 2004 JUNE 3 2005 ADDED TOPOGRAPHICAL SURVEY SEPTEMBER 21, 2005 ADDED SiTE PLAN ~VEMSER 29, 2005 REUSED AS PER N.YD.E.C NOT~CE OF INCOIdRLETION JANUARY ! 3, 2006 ADDED PROPOSED WATER LiNE MARCH 21, 2006 SET LATH FOR SITE iNSPECTiON MARCH 30, 2006 REMOVED RET WALL ALONG DRIVE'WAY & GARAGE APRIL 10, 2008 REVISED PROPOSED DECK & POOL IUNE 7, 2006 RE~ASED DRYWELLS PER NYSDEC NOT[CE DATED 5/25/06 AREA = 40,816.90 sq. fi. 0.937 DC. CERTIFIED TO: DAVID SHAMOON FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK CROSS-SECTION PROPOSED HOUSE 'NV'~L; min. PffCH 1/4"/1' SEPTIC SYSTEM DETAIL (NOT TO ~CALE) SEPTIC TANK LEACHING POOLS (6) ELEVATIONS ARE REFERENCED TO N.G.V,D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: EXISTING CONTOUR LINES ARE SHOWN THUS: AREA OF WETLANDS = 762 sq. UPLAND ADJACENT AREA = 40,055 sq. ff. THIS PROPERTY IS IN FLOOD ZONE AE (EL. 8) FLOOD INSURANCE RATE MAP No. 56105C0482 G ZONE AE: BASE FLO00 ELEVATIONS DETERM!NEC OF PROPOSED CONC. RETAINING WALL FOR SEPTIC SYSTEM WALL · "-~'2 · ~' 'i T-.t,-; \'. .h 0 LOT COVERAGE DATA (OVER UPLAND ADJACENT ARF~A 40.045 sq ft) DESCRIPTION PROPOSED HOUSE PROPOSED DECK ' AREA % LOT COVERAGE i TOTAL 4,520 sq. ff. 1,800 sq. ff. 4.49X ! 1,200 sq. fi. 3.0% tPROPOSED POOL ! 800 sq. fl, 2.00% ~PROPOSED GARAGE 720 sq ff. 1.80% I I 11.29% TEST HOLE DATA (TEST ~OLE DuO BY McDONALD GEOSC/ENCE ON M~Y ~i. 2005 ~T ~2:00pm) SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No, 1000-122-09-7.20 SCALE 1"=30' JULY 24, 2004 AREA = 40,816.90 sq. ff. 0.93"7 ac. DAVID SHAMOON FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK PROPOSED SEPTIC SYSTEM DETAIL KRAUS CROSS-SECTION OF PROPOSED CONC. SEPTIC SYSTEM WALL ROAD SEPTIC TANK (1~ LEACHING POOLS RETAINING WALL FOR NOTES; 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: 5o EXISTING CONTOUR LINES ARE SHOWN THUS:--- --5 -- 2. AREA OF WETLANDS = 762 sq. ff. UPLAND ADJACENT AREA = 40,055 sq. ff. S.THIS PROPERTY IS IN FLOOD ZONE AE (EL. 8) FLOOD INSURANCE RATE MAP No. S6103C0482 G ZONE AE BASE FLOOD ELEVATIONS DETERMINED 4. SEPTIC SYSTEM STRUCTURES SHOWN THUS: 'f,~ PROPOSED EXPANSION POOL ProPOSED LEACHING POOL (~ PROPOSED SEPTIC TANN (~ PROPOSED B' OIA, 2' DEEP DRYWELL 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD ~&O' OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. ~ ¥' ~- 6. APPROXIMATELY 400 cu. yds. OF CLEAN FILL TRUCKED IN FROM /~: ~ AN UPLAND SOURCE SHALL BE NEEDED. OI,~ ~'~' BOUNDARY AB SOUTHOLB TOWN TRUSTEES / / / APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE ZF/~ ~//~ 2 / / / / S 84'50'50" W / 130.00' ALJO 20 20,07 LOT COVERAGE DATA DESCRIPTION AREA % LOT COVERAGE PROPOSED HOUSE 1,21o sq, ft. 3.0% PROPOSED DECK 490 sq, ft. 1.2% TOTAL 1,7oo sq, fl. 4,2% TEST HOLE DATA THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. N,Y,S, LIe, No, 50467 Nathan Taft Corwin III Land Surveyor PHONE (651)727-2090 Fax (651)727 1727 24-244},