HomeMy WebLinkAboutTR-6876
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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
1 st day of construction
--/ constructed
L Project complete, compliance inspection.
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TERMS AND CONDITIONS
The Permittee Arielle S. Gerosa. residing at 415 Alluaview Avenue. East Marion. New York as
part of the consideration for the issuance ofthe Permit does understand and prescribe to the
following:
I. 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 South old.
2. That this Permit is valid for a period of24 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.
3. 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.
4. 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 Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation as a result of the work
herein authorized.
6. 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.
7. That if future operations ofthe Town of South old 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.
8. 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.
9. That the said Board will be notified by the Permittee of the completion of the work
authorized.
10. 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.
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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
May 21,2008
Ms. Nancy Dwyer
Nancy Dwyer Design Consulting, Inc.
P.O. Box 632
Southold, NY 11971
RE: ARIELLE S. GEROSA
415 AQUAVIEW AVENUE, EAST MARION
SCTM# 21-2-5.1
Dear Ms. Dwyer:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, May 21, 2008 regarding the above matter:
WHEREAS, Nancy Dwyer Design Consulting, Inc. on behalf of ARIELLE S. GEROSA
applied to the Southold Town Trustees for a permit under the provisions of Chapter 275
of the South old Town Code, the Wetland Ordinance of the Town of Southold,
application dated March 13, 2008, and,
WHEREAS, said application was referred to the South old Town Conservation Advisory
Council and to the Local Waterfront Revitalization Program Coordinator for their findings
and recommendations, and,
WHEREAS, the LWRP Coordinator issued a recommendation that the application be
found Consistent with the Local Waterfront Revitalization Program policy standards,
and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on May 21, 2008, at which time all interested persons were given an
opportunity to be heard, and,
WHEREAS, the Board members have personally viewed and are familiar with the
premises in question and the surrounding area, and,
2
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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
South old Town Code,
WHEREAS, the Board has determined that the project as proposed will not affect the
health, safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees have found the application to be Consistent
with the Local Waterfront Revitalization Program, and,
RESOLVED, that the Board of Trustees approve the application of ARIELLE S.
GEROSA to construct a new full second-story addition to the existing one-story
dwelling, reconstruct existing deck, and increase the size of the existing septic system,
with the conditions of the installation of gutters, leaders and drywells to contain roof
runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, a 10'
Non-Turf Buffer is installed along the bluff line, a line of staked hay bales is installed
prior to construction, and as depicted on the survey prepared by Peconic Surveyors,
P.C., last dated May 13, 2008, and received on May 15, 2008.
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,
ro<~
James F. King
President, Board of Trustees
JFKleac
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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
TO: A(,'e.l\e. s.. Ger05a
Please be advised that your application dated moJcA- I
been reviewed by this Board at the regular meeting of
and your application has been approved pending the comp
following items checked off below.
has
Revised Plans for proposed project
/pre-construction Hay Bale Line Inspection Fee ($50.00)
1st Day of Construction ($50.00)
';2 Constructed ($50.00)
~nallnspection Fee ($50.00)
Dock Fees ($3.00 per sq. ft.)
Permit fees are now due. Please make check or money order payable to Town
of Southold. The fee is computed below according to the schedule of rates as
set forth in Chapter 275 of the South old Town Code.
The following fee must be paid within 90 days or re-application fees will be
necessary. You will receive your permit upon completion of the above.
COMPUTATION OF PERMIT FEES:
00
TOTAL FEES DUE: $ I()O c..---
BY: James F. King, President
Board of Trustees
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James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghasia, Jr.
P.O. Box 1179
Southold, NY 11971
Telephone (631) 765.1892
Fax (631) 765-6641
Southold Town Board of Trustees
Field InspectionlWorksession Report
DatefTime:
~/dJ/{I B
ARIELLE S. GEROSA requests a Wetland Permit to construct a new full second-
story addition to the existing one-story dwelling, reconstruct existing deck, and
increase the size of the existing septic system. Located: 415 Aquaview Ave.,
East Marion. SCTM#21-2-5.1
Type of area to be impacted: /
vlSaltwaterWetland _Freshwater Wetland V Sound _Bay
Distance of proposed work to edge of wetland
Part of Town Code proposed work falls under:
o.../Chapt.275 _Chapt. 111 _other
Type of Application: _ Wetland _Coastal Erosion _Amendment
_Administrative_Emergency _Pre-Submission Violation
Info needed: _
.5 E,!oTIC /f/EI1Je )f' {t/JCJC
.J3/.-vfP <!LIit?/t-IJj{y I!U)(..ff77d,v?
Modifications:
Conditions: ,(/t3c/) I3AJ6/;.)pU. recPPR.,-
(;oItrl;,(t{, LG.I/)tC-e~ Dli--ylt)i~') 14-.;;c ~-d~
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Present Were: ~King ~Doherty V;;.Dickerson ~. Bergen_
~II. Cl.I'6__lc_ D. Dzenkowski V'Mark Terry_other
B.Ghosio,
Form filled out in the field by
Mailed/Faxed to:
Date:
Environmental Technician Review-
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Donald Wilder, Chairman
Lauren Standish, Secretary
Town Hall, 53095 Main Rd.
P.O. Box 1179
Southold, NY 11971
Telephone (631) 765-1892
Fax (631) 765-6641
Conservation Advisory Council
Town of Southold
At the meeting of the Southold Town Conservation Advisory Council held Wed., April 9,
2008, the following recommendation was made:
Moved by Don Wilder, seconded by James Eckert, it was
RESOLVED to SUPPORT the Wetland Permit application of ARIELLE S. GEROSA to
construct a new full second-story addition to the existing one-story dwelling, reconstruct
existing deck, and increase the size of the existing septic system.
Located: 415 Aquaview Ave., East Marion. SCTM#21-2-5.1
Inspected by: Don Wilder, Glen McNab, Peter Young
The CAC Supports the application with the Condition gutters and drywells are installed to
contain all roof run-off, and the installation of a 10' non-turf buffer. In the event the first
floor cannot support the second-floor addition, the CAC requests the opportunity to re-visit
the site for a further review of the project.
Vote of Council: Ayes: All
Motion Carried
New York State Departm! of Environmental conservatn
Division of Environmental Permits, Region One
SUNY@StonyBrook, 50 Circle Road, Stony Brook, NY 11790 - 3409
Phone: (631) 444-0365 . FAX: (631) 444-0360
Website: www.dec.state.ny.us
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LE'ITER OF NON-JURISDlCTION - Article 25
January 15,2008
Mr. Greg Gerosa
5 Church Street
Pleasantville, NY 10570
Re: Application #1-4738-03772/00001
415 Aquaview Avenue, East Marion
SCTM# I 000-21-02-5. I
Dear Mr. Gerosa:
Based on the information you have submitted the Department of Environmental Conservation
has determined that:
The property landward of the topographic crest of a bluff in excess of 10 feet in elevation as
shown on the survey prepared by Peconic Surveyors last revised 9/12/07, is beyond Tidal
Wetlands Act (Article 25) jurisdiction. Therefore, in accordance with the current Tidal
Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required.
Be advised, no eonstnlction, sedimentation, or disturbance of any kind may take place
seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit.
It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or
other alteration or disturbance to the ground surface or vegetation within Article 25 jurisdiction
which may result from your project. Such precautions may include maintaining adequate work
area between the tidal wetland jurisdictional boundary and your project (Le. a 15' to 20' wide
construction area) or erecting a temporary fence, barrier, or hale bay berm.
Please note that this letter does not relieve you of the responsibility of obtaining any necessary
permits or approvals from other agencies or local municipalities.
Sincerely,
/~-~N
Mark Carrara
Permit Administrator
cc: MHP
Nancy Dwyer
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SURVEY OF PROPERTY
AT EAST AlARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. 1':
1000-21-02-5.1
SCALE: 1"=30'
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ANY AL TERA nON OR ADDmON TO THIS SURVEY IS A VIOLA nON
OF'SECnON 72D90F THE NEW YORK STATE EDUCAnON LAW.
EXCEPT AS PER SEcnON 72D9-SUBDIVlSlON 2. ALL CERnFiCA nONS
HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONL Y IF
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f;IIR1Il 473889 S!',,'llold
6erosa, A,ielle S RollYear [2008 Next Yr
415 Aquaview Ave Land Size, 0,67 acres
Owner Talal: 1
Name, Ariell" S 6 "rosa
Add! f"ddr
Street 134 Palm"r Ave
PO Bo,
City:
Sale
Book
12513
-------"
_.~_ ,.,W,M
Active R/S,l
1 F arnllJl Res tw'lrlt
School Oys,,,r Ponds Set
Land AV, 4,500
TotalAV: 8,500
Miscellaneous
Book. 12513
Page, 996
Mortg:
Bank.
Acct No' 04
land 0 01
Taxable Value
Couri"): 8,500
M un;: 8.500
Schciol: 8,500
Sleep" Hollow. NY Zip: 10591,
T alai: 1
Sale Dale Sale P.ica 0_
OS/22/01 1 6e.osa, Arielle S
Page
996
Schl ~fter Star: It500
Site 1 011
P 1 FamilJl Res
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Exemption
Code
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OFFICE WCATION:
Town Hall Annex
54375 State Route 25
(cor. Main Rd. & Youngs Ave.)
Southold, NY
MAlUNG ADDRESS:
P.O. Box 1179
Southold, NY 11971
Telephone: 631 765-1938
Fax: 631 765-3136
LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR
TOWN OF SOUTHOLD
(,,", Ii
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To:
Jim King, President
Town of Southold Board of Trustees
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MAY 2 1 2008
From: Scott Hilary, L WRP Coordinator
Planner
Date: May 7, 2008
Re: Chapter 268: Waterfront Consistency Review
Wetland Permit for ARIELLE S. GEROSA
SCTM#2l-2-5.1
Nancy Dwyer Design Consulting, Inc. on behalf of ARIELLE S. GEROSA requests a Wetland
Permit to construct a new full second-story addition to the existing one-story dwelling,
reconstruct existing deck, and increase the size of the existing septic system. Located: 415
Aquaview Ave., East Marion. SCTM#21-2-5.1
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 (L WRP) 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 CONSISTENT with LWRP policy standards and therefore is
CONSISTENT with the LWRP; provided that the proposed action meets LWRP sub-
policies 5.2 and 5.3, as outlined below.
Policy 5 Protect and improve water quality and supply in the Town of Southold.
5.2 Minimize non-point pollution of coastal waters and manage activities causing nonpoint
pollution.
A. Minimize non-point pollution of coastal waters using the following approaches,
which are presented in order of priority.
1. Avoid non-point pollution by limiting non-point sources.
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b. Avoid activities which would increase off-site storm water runoff
and transport of pollutants.
. achieve no net increase of runoff where unimpaired stormwater runoff
conditions exist
d. Retain or establish vegetation to maintain or provide:
. soil stabilization
. filtering capacity in riparian and littoral zones
e. Preserve natural hydrologic conditions.
. Maintain natural surface water flow characteristics.
. Retain natural watercourses and drainage systems where present.
. Where natural drainage systems are absent or incapable of handling the
anticipated runoff demands:
. develop open vegetated drainage systems as the preferred approach and
design these systems to include long and indirect flow paths and to decrease
peak runoff flows
. use closed drainage systems only where site constraints and storm water flow
demands make open water systems infeasible
2. Reduce pollutant loads to coastal waters by managing unavoidable non point sources
and by using appropriate best management practices as determined by site
characteristics, design standards, operational conditions, and maintenance programs.
B. Reduce non-point source pollution using specific management measures
appropriate to specific land use or pollution source categories.
5.3 Protect and enhance quality of coastal waters.
C. Protect water quality of coastal waters from adverse impacts associated with
excavation, fill, dredging, and disposal of dredged material.
To further L WRP policy standards the applicant must comply with erosion control and
drainal!e standards pursuant to & 275-11.
~ 275-11 Construction and operation standards.
(1) Drainage upgrade. Applicants for a permit for any form of construction may be required
to upgrade the site's drainage system such that all surface water generated from impervious
surfaces shall be kept onsite through infdtration or retention. Applicants proposing grading or
filling operations will be required to submit a drainage plan for the entire site at the discretion of
the Trustees. See J 275-6A(14)for requirements.
(2) Erosion control. Installation of an erosion control structure is necessary during any
building, grading, landscaping or site work activity within Trustee jurisdiction. This structure
may include, but is not limited to, installation of a silt fence, hay bales, wood chip berm and silt
booms. The placement of the erosion control structure(s) shall be determined by the Trustees or
their designee. All intertidal construction and excavation requires the installation of a silt boom
that will retain all suspended sediments within the immediate project area.
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JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
Date: April 28, 2008
To: Town of Southold Trustees
Re:
Foundation Inspection
Gerosa
415 Aquaview Ave
East Marion, NY
ScrM# 10000-21-2-5.1
,
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To Whom It May Concern:
This letter certifies that the foundation at the above address is of sufficient size, structnrally
sound, and in good working order to support the addition of a second story above the
existing wood framed structure. Any questions please feel free to call.
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eerkoski P.E.
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James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob linosio, 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
Office Use Only
-Pastal Erosion Permit Application
L Wetland Permit Application _ Administrative Permit
AmendmentlTra fer xtension
Ueceived Application: 3 13 (? I("
1L- Received Fee:$ '"
..,LCompleted Application '3 I
_Incomplete
_SEQRA Classification:
Type I_Type I1_Unlisted_
_ Coordination:( date sent)
_-I::WRP Consistency Assessment Form ~11.\1~
_e'ACReferraI sent~
-LDate of Inspection:
_Receipt of CAC Report:
_Lead Agency Determination:_
Technical Review:
...public Hearing Held:~
_Resolution:
~ ~~C~~': 2: ~ ~
Southhold Town
~1'\~I.rl "f Tr'w'~ps
f1rldle 5.
Name of Applicant 0Uo<;,o-- RtSiJeVle...c.
Address~ 16 AfftJ. V;~W -Av~. t:aM MMloll
Phone Number:~I~ q( (.,-'1(.,50
Suffolk County Tax Map Number: 1000.. <:2 I - 0::1 - 5. \
Property Location: 3 '75' ea b+ of ~ Ril\.'-{ J2d.
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:_I'J'tVlu,I Du''-I''V k<;"~f\ (]i1$uf"h^" Inc.-.
(If applicable) J
Address: PO. f:>w. ~~'2 Sou-H,t'leL
Phone: t,.~,- 1 b5 -bH"]
x~'t
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tIIIld of Trustees APPlicati~
GENERAL DATA
Land Area (in square feet):
3;2,IoQ;l
Area Zoning:
Previous use of property: S I' "5 k
Intended use of property: Yl Nj I<.
tJ.1Vl1 kl rf~ld'MC..L
~M11..l.) (,ibl'drA'It.f-
Covenants and Restrictions:_Yes
If "Yes", please provide copy.
\::' No
Prior permits/approvals for site improvements:
Agency
Date
ills D~C.
Jo..V\t)turi..-l 'Z.oDb
\
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
~No_ Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
_hJ i\ ~c1.Co(\d ""tv '1 ~c-Id I --Ii of) --Iv ~ L )('I~ h fl.j-
I <;,-\-0(,,\ OS,ldGV1C.......) (~COfl<Strv(.+ L)C..('S4 I ~ ~(.,(-)
,../ltt~ haul.- ~ "(\t-ruu3<- ':JIU 0+ ~el;)-h// s~5k.i1I\.-
.h lot MirnA, l1<.l bt1 ~ur..cc II-- (1-L' (; f\*1 ~C- f+.
tlllfd of Trustees APPlicattlllt
WETLANDrrRUSTEE LANDS APPLICATION DATA
Area of wetlands on lot:
square feet
Percent coverage of lot:
%
Closest distance between nearest existing structure and upland
edge of wetlands: 3lf feet
Closest distance between nearest proposed structure and upland
edge of wetlands: 4- / feet
Does the project involve excavation or filling?
x
No
Yes
If yes, how much material will be excavated?
cubic yards
How much material will be filled?
cubic yards
Depth of which material will be removed or deposited:
feet
Proposed slope throughout the area of operations: ~s+> IIC) . +I.:L+
Marmer in which material will be removed or deposited:
u~taterrJ.ent of1:l1e (:[f~ct, ifanl',on t~e wetl~nds andtidll!wll!(l~ of~e to\V!lt1J.a!~!!y !esu!t1JY .
reason of such proposed operations (use attachments if appropriate):
~(nIM'" ( l+c. i'A- J ~')-lr(I/l+ o-C (;+rvc..+Vre.. IS
,Q..'l,i<::,t1 {l1J. \l 1.\JIl.-t laVld CVofrLiA- WI \\ b.:.. rrt9h~
I )
"
617.20
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
(To be completed by Applicant or Project Sponsor)
.
SEQR
PROJECT ID NUMBER
PART 1 .. PROJECT INFORMATION
1. APPLICANT I SPONSOR
Ill'\~' Tdw
3.PROJECT LOCATION:
Municipalily Ltl5 A Vlt. V,LLU
2. PROJECT NAME
0-aob
v
County
Su.Q'
4. PRECISE lOCATION: Slre Addess and Road Intersections. Prominent landmarks ete - or Drovide maD
315 I e"l'St o-f Rc>e
5. IS PROPOSED ACTION: D New ~panSion
1ft
D Modification I alteration
kd.
eas+ A.!taxlon
6. DESCRIBE PROJECT BRIEFLY:
.0.
I '-OrOS<.cl
..Duil ~Q.cMd ~+v(V/ o..dc\i-hon -to C~n Q.-l<-is-h'VlC1
blf\t\k ~~VlAdt,.I' I ~fot"vj f/blde-na...
7. AMOUNT OF LAND AFFECTED:
Initialty acres Ultimately acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
~Yes 0 No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY
~ReSjdent;al D Industnal 0 Commercial
OF PROJECT? (Choose as many as apply.)
DAgriculture D Park I Forest I Open Space
o Other (describe)
10.' DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, Stale or local)
~Yes 0 No If yes, list agency name and permit I approval:
.e. c..., - (Ion . 200b
ANY A~P!::.(;IUt- I He Af,; liON HAV!::. A CURRENTLY VALID PERMIT OR APPROVAL?
DNO If yes, list agency name and permit I approval:
.-n. uut:.~
~Yes
fJ
SUl)e.c
PROPOSED ACTION WILL EXISTING PERMiT I APPROVAL REQUIRE MODIFICATION?
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant I Sponsor Name
Si nature
Date:
'\.
d'dO.6/!:>
If the action Is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
.
.
PART II - IMPACT ASSESSMENT To be com leted b Lead A enc
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.41 If yes. coordinate the review process ancl use the FULL EAF.
DYes fiSbNO
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 ~ No, a negative
declaration may be superseded by another involved agency.
DYes [lj No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be han~written, ~ legible)
C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal,
potential for erosion, drainage or flooding problems? Explain briefly:
f:> . (.uL ~.<<c,l U,L /L I S
C3. Vegetation or fauna, ellfish or wildlife species, significant
L~o I
C4. A community's existing plans or goals as officially adopted. or a change in use or intensity of use of land or other natural resources? Explain brieny.
[Yb{1u_ I
C5. Growth. subsequent development, or related activities likely to be induced by the proposed action? Explain briefly:
I ~6 I
C6. long term, short term, cumulative, or other effects not identified in C1.C5? Explain briefly:
Lwt' I
C7. Other im acts (includin chan es in use of either uanti or e of energ ? Explain briefly:
\JODe-,
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONM~NTAl AREA (CEA)? (If yes, explain briefly;
DYes ~NO I
E. ID~:'E, p~r UKE~Y TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAlIMPACTS7 If yes ~p~in '1
PART 111- 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; (e) 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. If question d of part ii was checked
yaE, the detem:linatian at E:igniflGanG&fRlJ&t evaluate the peteAtial impac-t of the prepeseEl aetiefl6" the entirenmefltal eharacteri3tic.s of the CCA.
Check this box If you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed dlrectty to the FUL
EAF and/or prepare a positive declaration.
cheCk-hiS" box Ifyou'have-detemimed:l>asedon -the Information and analysis abOve arid- any supporting" d'owmenlation;" ihiittheprop-os-eda-ctlo-
WILL_NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi
determination"
Name of Lead Agency
Date
,",nnt or Type Name of ResponSible Officer In Lead Agency
TiUe of Responsible Officer
Signature of Responsible Officer in Lead Agency
Signature of Preparer (If different from responsible officer)
.
.
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES. TOWN OF SOUTHOLD
In the matter of applicant:
Ge-o(' t>Sa.....
SCTM# ;(00- ,),1- 0;). - $. L
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a Permit from the Board of Trustees
to: Add. 0.... su;.<7{1d s+'Y,-,\ -k +h..:. (l.x.ISHl1tl) 15.fol'~11
f,i ni) le. -Ck~l\ lvl nSlckhce, re.CN1 s-rrvc-+ L)<-\",.t-,I1') de-dc.
2. That the property which is the subject of Environmental Review is located adjacent to
your property and is described as follows:
Si~IL ~II\iI.(tVj I I 5J.e,'-"1 nSlde-VlCe. J de-kdne.d tj~vO-JQ....
'J L\.Ja..4-u 51 de.. de. e-lL .
3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or
97 of the Town Code is open to public comment on: . 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 South old
and does not reference any other agency that might have to review same proposal.
Enc: Copy of sketch or plan showing proposal for your convenience.
.
.
PROOF OF MAll.,ING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
STATE OF NEW YORK
COUNTY OF SUFFOLK
. residing at
, 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 ofTrostees Application, directed to each of the above named
persons at the addresses set opposite there respective names; that the addresses set
opposite the names of said persons are the address of said persons as shown on the current
assessment roll of the Town ofSouthold; that said Notices were mailed at the United States Post
Office at . that said Notices were mailed to each of said persons by
(certified) (registered) mail.
Sworn to before me this
Day of .20_
Notary Public
. .
Board of Trustees Application
County of Suffolk
State of New York
yJt\.\f"\'::~ b~y BEING DULY SWORN
DEPOSES AFF S 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 SOurnOLD TOWN BOARD OF TRUSTEES. THE APPLICANT
AGREES TO HOLD THE TOWN OF SOurnOLD 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 AurnORlZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
'Yl ""Jf.,q- ~
SWORN TO BEFORE ME THIS 8 ~
DAY OF fe-8~_,20 0'8""
~Q~'
\. ~,
tary Public
~-:L_
:
/
,
/-
.-
.
.
APPLICANT/AGENTIREPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
TIle Town ofSouthold9s Code of Ethics omhibitsconflicts of interest on the cart of town officers and Cltlnlovees. The numose of
this fonn is to nrovide information which can alert the town of DOssiblc conflicts of interest and allow it to take whatever action is
nc......QC!Anf to avoid same. .
YOUR NAME:
\~('(':~IU I lJ(tI/l';;h
(Last name, first name, l/Iiddle - -tial, unless you are applying in the name of
someone else or other entity, such as a company. If so, indicate the other
person's or company's name.)"
NAME OF APPLICATION: (Check all that apply_)
Tax grievance
Variance
Change of Zone
Approval of plat
Exemption from plat or official map
Other
(If "Other", name the activity.)
Building
Trustee
Coastal Erosion
Mooring
Planning
x.
Do you personally (or rhrough your company. spouse, sibling, parent. or child) have a relationship with any officer or employee
of the Town of Southold? "Relationship" includes by blood,marriage, or buSiness iQteresL "Business interest" means a business,
including a partnership, in which the town officer or employee has even a partial ownership of (or 'employment by) a corporation
in which the town officer or employee owns more than 5% of the shares.
YES
NO
x
If you answered "YES", complete the balance of this fonn and date and sign where indicated.
Name of person employed by the Town of South old
Title or position of that person
Describe the relationship between yourself(the applicantlagenVrepresentative) and the town officer or employee. Either check
the appropriate line A) through D) andlor describe in the space provided_
The town officer or employee or his or her spouse, sibling, paren~ o. child is (check all that apply):
_A) the owner of greater than 5%oflhe shares of the corporale stock of the apj>liqlnt
(when the applicant is a corporation);
_B) the legal or beneficial own~ of any interest in a non-.corporate entity (when the
applicant is not a corporation); .
_ C) an officer, director, partner, or employee of the applicant; or
_D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Form TS I
~~:n:1~~ fuis ~daY ~~
Print Nam-if3 a. '
\
200~
.
.
Town of Southold
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
1. All applicants for pennits. including Town of Southold agencies, sbaIl complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency ReviewLaw. This
assessment is intended to supplement other infol1lllllion 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.
2. Before answering the questions in Section C, the prep.ue. of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revita1ization Program. A proposed action will be evaluated as to its significant
beneficial and adverse effects upon the ooasta1 area (which includes all of Southold Town).
3. 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 nec.essary, modified prior to making a
detennination that it is consistent to the maximum extent practicable with the LWRP policy
standards and conditions. If an action cannot be certified as consistent with the LWRP policy
standards and conditions., it ....all not be undertakEn
A copy of the LWRP is available in the following p1aces: online at the Town of Soutbold'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# (000 - -:)",1 - Od. - S.,
The Applica1ion bas been IlUbmiUed to (check appIopriate response):
Town Board ca Planning Dept. ca Building Dept. ca Board of1'rus1ees JSa
1. CategoIY of Town of Southold agency action (check appropriate response):
(a) Action tmdertaken directly by Town agency (e.g. capital
construction, planning activity, agency regulation, land transaction)
G
ca
(b) Financial assistance (e.g. grant, loan, subsidy)
(c)
Permit, approval, license, certification:
~
Nature and extent of action:
ProfOStd S<U.;ond S~ addl-HO/l *' ~V1 (.x.iS-Htlj
\ s-kJr'1 J 5>1,,\')"1<.. .QllAiI ~II r'tC;:da/((,
.
.
Location of action: Lf 15 P-fjrt-VI(,.\.V Nt... 161<::'1 ~vJO()
Site acreage: ~,/Pq~ ~.-Pe.l!.--I.
Present land use: r l bl d iVV'II:l!J
Present zoning classification:
2. If an application for 1he proposed action has been filed wi1h 1he Town of Southold agency, 1he following
infonnation shall be provided:
(a) Nameofapplicant: 0M1~1 twi<<
(b) Mailing address: ~ 0o-r &; ?;/'l-
G,l,I#tO Id ! !tl11
(c) Telephone number: Area Code (~11 '11/5,f,1l?t;1
(d) Application number, if any:
WiII1he action be directly IDldertaken. require fimding, or approval by a state or federal agency?
Yes D No ~ If yes, which state or federal agency?
DEVEWPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space, m.k.... efficient use of infnstmcture, m-kes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section m - Policies; Page 2 for evaluation
criteria.
Dyes D No ~ (Not Applicable- please explain)
t-J "-..\-v 0.... 04
....,.'1 "* f 6 Q..........,
Attach additional sheets if necessary
Policy 2. Protect and preserve histnrk: and arcbaeoIogic:aI resoon:es of the Town of Southold. See
LWRP Section m - Policies Pages 3 through .. for evaluation criteria
G Yes G No fEJ (NotApplicable-pleaseexplain)
rL~icLiI\<l-lf.t I f\iii)ltlhorlnood Ie, Wi'l-trL prc1Yl.-+ lob \"CtL..\-02d
.
.
Attach additional sheets if necessary
Policy 3. F.nh..nc:e vfiuaI quality and protect sc:eoic resources throughout the Town of Southold. See
LWRP Section nI - Policies Pages 6 through 7 for evaluatioB criteria
ca Yes ca No ca (Not Applicable-please explain)
.!-
41) r JI OJ f'td.-t r"")
?v{1 'f";>ttuc
i 10
? (~l<>dCi
a.,v~.
Attach additional sheets if necessary
NATURAL COASI' POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section m - Policies Pages 8 through 16 for evaluation criteria
ca Yes G No ~(NotAPPlicable-PleaseeXplain)
~ao-.l p,il"l.-1 0.(.' prc>pos.z.d S-t-r....C.+vVR /<, .~d'f.-hn'1 i J1b,r<':.t w. II
-poL rrv~,".~rL
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and snpply in the Town of Southold. See LWRP Section III
- Policies Pages 16 through 21 for evaluation criteria
G Yes G No ~otAPPlicable-p1easeexPIain)
Vr<.('ur~ 'I work:. i~ I o~W ~+ +tu.. -bp 0\-' ()... bllJ+:-P-
Attach additinnaJ sheets if necessary
Policy 6. Protect and restore the quality and fuBctioo. of the Town of Southold ecosystems including
SigPir.....nt Coastal Fim and Widlife Habitafs and wetlands. See LWRP Section m - Policies; Pages 22
through 32 for evaluation criteria.
G Yes GNo[3 (NotApplicable-pleaseexplain)
f}", <?'..'>ce.J tZ.(.A-iot'lS WI I I [/lVOivL
biu-<+-
+~ tv
o-t" ~kc..
.
.
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in 1he Town of Southold. See LWRP Section m - Policies
Pages 32 1hrough 34 for evaluation criteria. See Section m - Policies Pages; 34 1hrough 38 for evaluation
criteria.
$ Yes GNO~otAPPlicable-PleaseeXPlain)
f<..''>ick-n-ha...../ frOC'J vC-.;+s ,in~ Ivdll'\4 'cjV.u...n bVi /cL 11 '7 II w, II b<2..-
r'<'>fo-s.e.ci \Y1 "^--\ \ (LVl.tl.-~ ,dll<ZV!, prJduck C&VoZ- ~.da!ole .
Attach additional sheets if necessmy
Policy 8. M'mimb.e environmental degradation in Town of Sou1hold from solid waste and hazardous
substances and wastes. See LWRP Section m - Policies; Pages 341hrough 38 for evaluation criteria.
Gyes 0 No ~ (Not Applicable- please explain)
L10/ru1t~d.i>lJG SV~~lA~ or ~6~~ LtJill~ rrcdvc.ed
~'>U I-:l::-~ ~ r{(1-~ i'lIl'5iy'L"'L_~(l7-,--.
LA. ':, t::L-
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, c:oastaI waters, public lands, and public
resources of 1he Town of Sou1hold. See LWRP Section m - Policies; Pages 38 through 46 for evaluation
criteria.
ca yeCJ NO@,(NotApplicable-pleaseexplain)
---.fro f",r'01 own" rs t'L.Ssoc;.i ",--h en')
("/Dr" v..j.-,;,\ ,v~1-4 w. j / r{/v","Lil'l a.../".l.-r
IS loc.....M cdy~Y1 +
G-S t:a.s,,! tLCL-t'SoS -fv
.J-o
Lt..kt:~.-v ,
Attach additional sheets if necessmy
WORKING COAST POLICIES
.
.
Policy 10. Protect Southold's watel"-dependent uses and promote siting of new watel"-dependent uses in
snitable Iocatioos:..::r LWRP Section m - Policies; Pages 47 through 56 for evaluation criteria.
Gyes 0 No ~otAPPlicable-pleaseexPlain)
(,VAtU ~/A1~ .IJSc2-=- (l,{P..-- lIlc>t--.JI.r'A.lJ-t.d. n/AV" prl~p&5e_c1
r--"?(l-stfoC+(oVl <;;1 +c.-.,
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconk
&tuary and Town waters. See L WRP Section m - Policies; Pages 57 through 62 for evaluation criteria.
CD Yes D No JiflNot Applicable - please explain
~-A.~ ~ ~lL~_JlGOU(ce6 PcYt~ ~, }N'.ftkt;( fl.iM' or wl/l~
~fl.LA-Il..\ a...HWc.d.. 124 pl'i~l'd _ D.aLL
Attach additional sheets if necessmy
Policy 12. Protect agricuIturaIlancls in the Town of SonthoId. See LWRP Section m - Policies; Pages
62 through 65 for evaluation criteria.
G Yes D No ~Not Applicable - please explain
=t~i.U aru.~ 0+ ~w I~(~~ GAAd., a.){f~ 1~4d tYL '+0- IML1l.dlt4<-
SV((OVI1._VU; I)y _ 'i- _()C- b1~,
Attach additional sheets if necessmy
Policy 13. Promote appropriate use and developmalt of energy and mioeraI cesu...'Cit&. See LWRP
Section m - Policies; Pages 65 through 68 for evaluation criteria.
~es D No ca Not Applicable - please explain
~fll'}~S ~f1~ -b~~l~ &
{' . ope",' r1iIw SIt'. fit. '
fbt;l h /i~
o-C' Sd~ v pa-n t-/ S
.
.
Page 2 of2
William A. Gerosa
19 Tioga Lane
Pleasantville, NY 10570
212-916-9650 (Work)
914-741-2340 (Home)
October 911l, 2007
Nancy Dwyer
PO Box 362
Southold, NY 11971
Nancy,
This letter serves to authorize you to pursue any and all permits required to commence
work on the property at 415 Aquaview Avenue, East Marion, NY 11939.
Feel free to contact me with any questions.
elle S., Gregory A. and Alexandra N. Gerosa
Fridav. November 02. 2007 America Online: NDWYER 1216
.'. .
New York State Department of Environmental Conservation
Division of Environmental Permits, Region One
SUNY@StonyBrook, 50 Circle Road, Stony Brook, NY 11790 - 3409
Phone: (631) 444-0365 . FAX: (631) 444-0360
Webslte: www.dec.state.ny.us
..
.....
~
LETTER OF NON-JURISDlCTION - Article 25
January 15,2008
Mr. Greg Gerosa
5 Church Street
Pleasantville, NY 10570
Re: Application #1-4738-03772/00001
415 Aquaview Avenue, East Marion
SC1M# 1 000-21-02-5.1
Dear Mr. Gerosa:
Based on the information you have submitted the Department of Environmental Conservation
has determined that:
The property landward of the topographic crest of a bluff in excess of 10 feet in elevation as
shown on the survey prepared by Peconic Surveyors last revised 9/12/07, is beyond Tidal
Wetlands Act (Article 25) jurisdiction. Therefore, in accordance with the current Tidal
Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required.
Be advised, no constmction, sedimentation, or disturbance of any kind may take place
seaward ofthe tidal wetlands jurisdictional boundary, as indicated above, without a permit.
It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or
other alteration or disturbance to the ground surface or vegetation within Article 25 jurisdiction
which may result from your project. Such precautions may include maintaining adequate work
area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide
construction area) or erecting a temporary fence, barrier, or hale bay berm.
Please note that this letter does not relieve you of the responsibility of obtaining any necessary
permits or approvals from other agencies or local municipalities.
Sincerely,
/~-~~
Mark Carrara
Permit Administrator
cc: MHP
Nancy Dwyer
file
SURVEY OF PROPERTY
AT EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. 1':
1000-21-02-5.1
SCALE: 1-=30'
JANUARY 31, 2007
MARCH 6, 2008 (B.O.H.)
Ma, 13, 200S laddlllonsl
F.F. EI.. 39:7
.,.. APPRO'rUJ
PIPE:
GRADING PLAN SCDHS Ref# RI0-08-0037
FINISHED GRADE EL Ja'
'-
T
2
I.e.
34.2'
.r 8'_l.EAOiING
POa.
SOUND
1
PROPOSED SEPnc SYSTEM
(AVC BEDROOMS)
;,
ISLAND
LONG
[lJ LEACHING POOU10' DEEP WITH J' CLEAN
SAND COLLAR. RElJoVC MA TERIAL DOWN
TO SAND SP AND BACKFILL WITH CLEAN SAND.
INCLUDES S" . S' EXPA~/ON POOL
[lJ 1,500 GALLON SEpnc TANK.
EI.. 15
8. DlAJJETfR
SAND
.. GARin
S77-.. "
<T!!.J5'"c
--
l1F:iUii __82.52'
--
-
'7
a -20.1'
TO BE BUILT TO SUFFOLK COUNTY DEPARTMENT OF~ _--
HEALTH SERVICES SPECIFlCAnONS. '1.0 \>>'.t /~.-
EXISTING WELL TO BE REMOVED OR ~<f>" ,,~y
FILLED IN ~ // ___6- _ _ _ --
EXISTING CESSPOOLS TO BE REMOVED ,dI. ./ / ./
OR FILLED IN 1Ip>:;../
~~ / ./ r-- 8 BOTroII OF BL1If'F
,#i1 /./ 1~
.,....>/1 /..,; /' ~ 12- --__
.,.v /" /' r----1+_ -__ -__
/" ./ /./ .- - - -1ir- ~ ~ _- - - - - ::- - - ---
LOT .,coVERAGE iTO .TOP OF / ,r /./ /' /',- - -18- - _ _ ~ -= - - _ -=- - -......----
BLUFF ,r ./'/ /'./ /' ---20--__ =.-_ ____ ---~ ~
AREA TO TOP OF BLUFF = 19,125sq.ft: ,. / ./ / /' /' ./ >-::_ =- =:t.=... - - - -=- -= _ -=- - ~...... --- \
/,. //,././ ---- --......--.. ---...... ",-~
Dwelling witheE-if 1/35 sq./I. / 1'./ /' / ;;. ": - --;-- - - - - =- .::- _____ ...... --- ___ ...C -., \
Deek wilh Sleps & Sloops 720 sq. fl. -z I /' t' /' ./ ~JO-- ..::.- ~ ~ - - _ ~:-___ ___.::...... _-., \ "-
Garage 208 sq.fl. /~ / / I /' ",-~ - - - ---...... --- --- ___ --- 01 \ '
Cone Driveway '402 sq. fl. /' ~ / / / 1- ,-TOP OF 8I..tJFF ~...... ---.:::............ --- --- r4 \ \ \
2465 sq. fl. /0\." ,I / / / "f 0-........ --- ___ ....... ....... ............ I, \ \ \.
2465//9/25 = 12.8% ./~ / "/./ uf ....v.:.... --- -scr
/' EJ(IS''''''-. ....... .....
, ,,/ /".;. cEssPOOLS ~....., RE11Af \ \ \ \
." ././ Z ToofF1-L ~ ~ ) 1 \ \ \..
/./ LJ', "1\ \
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RAIN RUNOFF IHOUSE & DECK!
1/55 sq.fI..
1/55 " 0./7 ;. I = 315 cu.lI.
315/42.2 : 7.5 VF. ~
PROVIDE I DW 8'~x 81 Deplh or equal 0
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TEST HOLE DA TA
BY McOONAW GEOSCIENCE
JANUARY 25. 2008
EL J7.9'
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375'
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fllGE (Jf pA s7f) g'5q-W
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DARK BROIW LOAU a.
A Y8Nug
lL 4.I8'
- l'
BRO'MI SIt TY SAND SM
30'
BY
BOARD OF TRUSTEES
TOWN OF S~~~p
DA E ..5"/;2/ / tie .
WA TEN IN BRO~ S1L TY SAND
AND a.A l'EY SAND SU ... SC
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a. -20.1' - 58'
WA TfR IN BROItN FiNE ro MEDIUM SAND SP
64'
r7'
I am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCnON OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES
and will abide by the conditions set forth therein and on the
permit to construct.
7he location of wells and cesspools shown hereon are
from field observations and or from data obtained from others.
ELEVA nONS REFERENCED TO N. G. V.D.
ANY AL TERA nON OR ADDmON TO THIS SURVCY IS A VIOLA nON
OF SEcnON 72090F THE NEW YORK STATE EDUCAnON LAW.
EXCEPT AS PER SEcnON 7209-SUBDIVlSION 2. ALL CERnFlCAnONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVCYOR
WHOSE SIGNA TURE APPEARS HEREON.
COASTAL EROSION HAZARD LINE
FROM COASTAL EOSION HAZARD
AREA MAP PHOTO NO. 50-617-83
AREA=32,692 SO. FT.
TO TIE LINES
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