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Home My WebLink AboutTR-6878 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 July 23, 2008 Thomas C. Samuels, Architect Samuels & Steelman 25235 Main Rd. Cutchogue, NY 11935 RE: EDWARD FOX 2503 CAMP MINEOLA RD., MATTITUCK SCTM#122-9-9.4 Dear Mr. Samuels: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., July 23, 2008: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #6878 to install two (2) 8'X 2' leaching pools, remove the existing septic tank and install a new 1500 gallon septic tank, and relocate two (2) 8'X 2' leaching pools, and as depicted on the plan prepared by Thomas C. Samuels last revised May 14, 2008. This is not a determination from any other agency. Sincerely, Jam F~. King ~::~' ~ 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 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 __ Pre-construction, hay bale line __ 1st day of construction ½ constructed J Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6878 DATE: MAY 21~ 2008 ISSUED TO: EDWARD FOX PROPERTY ADDRESS: 2503 CAMP MINEOLA RD, MATTITUCK SCTM#122-9-9.4 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter I 11 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 21,2008 in consideration of application fee in the sum of $250.00 paid by Edward Fox and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits following: Wetland Permit to construct additions to the existing residence and modify the existing sanitary system, and as depicted on the plan prepared by Samuels & Steelman Architects dated March 8, 2008. IN 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, Edward Fox, residing at 2503 Camp Mineola Rd., Mattituck, NY, 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 Permit 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. 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 21, 2008 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Thomas Samuels Samuels & Steelman Architects 25235 Main Rd. Cutchogue, NY 11935 RE: EDWARD FOX 2503 CAMP MINEOLA RD., MATTITUCK SCTM#'122-9-9.4 Dear Mr. Samuels: The Board of Town Trustees took the following action during its regular meeting held on Wed., May 21, 2008 regarding the above matter: WHEREAS, Samuels & Steelman Architects on behalf of EDWARD FOX 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 March 31,2008, 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 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, 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 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 EDWARD FOX to construct additions to the existing residence and modify the existing sanitary system, and as depicted on the plan prepared by Samuels & Steelman Architects dated March 8, 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: $50.00 Very truly yours, President, Board of Trustees JFK/Ims 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: ~ ~n~,,',/ ,~OX Please be advised that your application dated f~/,~.//O~ has been reviewed by this Board at the regular meeting of ~'/~!/C~' and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ¼ Constructed ($50.00) ~ Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE:$ ,.~,D~ BY: James F. King, President Board of Trustees Donald Wilder, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box I 179 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., May 14, 2008, the following recommendation was made: Moved by Glen McNab, seconded by Don Wilder, it was RESOLVED to SUPPORT the Wetland Permit application of ED FOX to construct additions to the existing residence and modify the existing sanitary system. Located: 2503 Camp Mineola Rd., Mattituck. SCTM#122-9-9.4 Inspected by: Peter Young, Glen McNab The CAC Supports the application with the Condition gutters and drywells are installed to contain the roof run-off. Vote of Council: Ayes: All Motion Carried James F. King, President Jill M. Doherty, Vice-Preside~lt Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (63 I) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ED FOX requests a Wetland Permit to construct additions to the existing residence and modify the existing sanitary system. Located: 2503 Camp Mineola Rd., Mattituck. SCTM#122-9-9.4 TY.I;~of area to be impacted: ~/Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland ~Pa,~fTown Code proposed work falls under: L/Chapt.275 Chapt. 111 other Type of Application: ~'~etland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Present Were: ~J.King L/J~. Doherty ckerson __ D. Dzenkowski Mark Terry..~pttCer:s,~, Form filled out in the field by L,D/'. Bergen~B. G hosio, Mailed/Faxed to: Date: Environmental Technician Review- Alb~ert J. Krupski, President James King, Vice-President Henry Smith Artie Fester Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold~ New York 11971 Telephone (516) 765-18~2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 24, 2000 Ms. Tanya Lachenmeyer Land Use Ecological Services 2576 Sound Ave. Baiting Hollow, NY 11933 Inc RE: EDWARD FOX SCTM #122-9-9.4 Dear Tanya, The following action was taken by the Southold Town Board of Trustees at their Regular Meeting on February 24, 2000: RESOLVED, that the Southold Town Board of Trustees grant an Amendment to Permit #5084 to reflect a new dwelling configuration and location, sanitary design, stone terrace instead of decking, a pool house and the addition of a 55' non-disturbance buffer located to the north of the proposed improvements, with condition that drywells and backwash be placed for pool and haybales be placed at the 55' setback line. Located: 1250 Jackson's Landing, Mattituck. However, this permit does not constitute any other permits from other agencies. If you have any questions, please call our office at 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees aJK/djh cc. Bldg. Dept. Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 3, 1999 Ms. Tanya Lachenmeyer Land Use Ecological Services, 2576 Sound Ave. Baiting Hollow, NY 11933 Inc. Re: Edward Fox SCTM#122-9-9.4 Dear Ms. Lachenmeyer: The following action was taken by the Board of Town Trustees during its regular meeting held on October 27, 1999 regarding the above matter: WHEREAS, Land Use Ecological Services, Inc. on behalf of EDWARD FOX applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated August 12, 1999, and, WHEREAS, said application was referred to the $outhold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 27, 1999, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of EDWARD FOX to construct a single-family dwelling, deck and pool, and approx. 125 c.y. of clean fill required for proposed septic system with the condition that there be haybales at 55' except for the driveway, before construction and shown on a new set of plans. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required an~ the Trustees are to be notified upon completion of said project-. Fees: None Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/lms cc: DEC Dept. of Health Building Dept. Board Of Southold Town Trustees SOUTHOLD, NEW YORK EDWARD FOX ISSUED TO Pursuant fo the provisions of Chapter 615 of the Laws of fha State of New York, 1893; and C)napfer 404 of fha Laws of the State of New York 1952; and fha Southold ToWn Ordinance eh- rifled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and fha REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS:!~. and in accordance with the Resolution of The Board adopted ?f a meeting held on ..Q~..,.~.Z, ....... 19. ?.~..., and in consideration of ~rhe sum of $ ]~:.~0 paid by . ~and ~.,E~ol0~ se[yices for Edwa6~ .~q~ ............................ of ......... ~.~.~.~ N.Y. ~nd subject to the Terms and Conditions listed on the reverse side hereof, of Soufhold Town Trustees eufhorlzes and permits fha following: Construct a sin~e-family dwelling, deck and pool, and approx. 125 cy. of clean fill required for proposed septic system with the condition that there be haybales at 55',except for driveway,before construction and shown on a new set of plans. all in accordance with the detailed specificMions as pre~nted in the originating application. IN WITNESS WHEREOF, ~e said Board of Trustees ~re- by causes, its Corporaf~ S?I fo be at?xed, and these p[esent$ to be subscribed by a'malordy of the sa~ Board es of th~s date. T~stees TEST DA TA APPROVED BY BOARD OF T~.UST~E$ TOWN OF SOUTHOLD LOT COVI · 40'46" W 46.81' 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 To: Jim King, President Town of Southold Board of Trustees From: Scott Hilary, LWRP Coordinator Planner Date: May 7, 2008 Chapter 268: Waterfront Consistency Review Wetland Permit for ED FOX SCTM# 122-9 -9.4 Samuels & Steelman Architects on behalf of ED FOX requests a Wetland Permit to construct additions to the existing residence and modify the existing sanitary system. Located: 2503 Camp Mineola Rd., Mattituck. SCTM# 122-9-9.4 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Watert~ont 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 CONSISTENT with the following LWRP policy standards and therefore is CONSISTENT with the LWRP. LWRP Policy 6-Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. A. 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. To further LWRP policy standards~ the following Chapter 275 compliance standards may be required. § 275-11 Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: 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 infiltration 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 3~ 275-6A(14) for requirements. Erosion control. Installation of an erosion control structure is necessary during any building, grading, landscaping or site work activi~ 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) shah 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. · Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office UseOnly ~.(3wOaStaJ Erosion Permit Application etland Permit Application Major R_ Waiver/Amendment/Changes eceived Application: eceived Fee:$ ~5-O~ ~-~Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent)~ -~'~CAC Referral Sent:' t/] ~ate of Inspection: ~../q/O~ Receipt of CAC Report: Lead Agency Determination:__ Technical Review: /Public Hearing Held: Resolution: Name of Applicant MinoF Phone Number:( ) ~/17-~ GfoO I~o0 ~ Bo3 Suffolk County Tax Map Number: 1000- I~" OC~ - q,4 Prope~yLocation: ~503 t2bn~P ~ U~t~-0b/~ gD,.. 'l-t,q~Ct gTg0t~6'~ (provide LILCO Pole #, distance to cross stree{s, and location) Phone: AGENT: (If applicable) Board of Trustees Application Land Area (in square feet): Area Zoning: ~- GENERAL DATA Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency v~o # l-qBf-O~5?3 sodas ~ ~o-00- ~7 __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency7 V' No Yes If yes, provide explanation: Project Description (use attachments if necessary): ~t"-'LIJ gDOtTtOAkq T_.o ¢"l,l,.qrtP[ 6 ~¢-~t De~6.~. / t~klb ~Dt Ft(.,l~Tl otJ~ 'ID Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: 47~) square feet Percent coverage of lot: 7¢ 4 % Closest distance between nearest existing structure and unland edge of wetlands: I ~5 feet JOOOL htO05 J~ ~)JQ Closest distance between nearest proposed structure and upland edge of wetlands: I~/~% feet-~ ~PD('[IOAJ ~ CI~E"K' Does the project involve excavation or filling? No V Yes If yes, how much material will be excavated? How much material will be filled? JO0 cubic yards cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: feet 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes &proposed activity: ]~00l-[{Diq d ~ID~h'UC~[ Are wetlands presem Mthin 100 feet of the proposed a~ivity? ~ No Yes Does the project involve excavation or filling? No ~ Yes If Yes, how much material will be excavated? [~ How much material will be filled? ~ Manner in which material will be removed or deposited: To (cubic yards) (cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING . residing at '?0t~2 ,~[~_,~{1 ~ ~4' being duly sworn, depose and say: That on the ]g day,of 0'c" tjX, 200 , I personally posted the property known as by placing the Board of Tm~ees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public heating. Date of hearing noted thereon to be held ~00d: ~VlOa_~ ell ~ ~)g - . oo dbtxtt ,;00 Dated: (signatureSJ~' ....) Swom to before me this o~day °f~00g N~y Public - PATRICIA RICHARDS Notary Public, State of New York No. 01RI6042467 Qualified in Suffolk County Commission Exoires May 30, ~ 7/3.0 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM FOr UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by Applicant or Pro.iect Sponsor) 1. APPLICANT/SPONSOR I 2. PROJECT NAME 3. PROJECT LOCATION: Municipality /~V~"[ "~ [ T[.~ ~.,~ County oFfccK 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 5. PROPOSED ACTION IS.~.~ . [] New ~ Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: t-~oo W,z) .%Off'l~6 To F.,~G'r,,'~O ~=SlD~NC~.; I'~0OlFtC/:kTlCA1 t-o 7. AMOUNT OP LAND AFFECTED: Initially O,~.,~ acres Ultimately O' TS acres 8. WILL PRgPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? DYes [] No If No, describe briefly 9. WHAT,~IS/PRESENT LAND USE IN VICINITY OF PROJECT? ~ Residential [] Industrial [] Commercial [] Agriculture [] Park/ForestrOpen Space [] Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAl. AGENCY (FED~a,L, STATE OR LOCAL)? ~Yea [] No If Yes, list agency(s) name and perm[t/approvals: 11. DOES ANY ASPECT,_~OF/THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes ~ No If Yes, list agency(s) name and permit/approvals: 12. AS A RESULT OF PR,~POSED ACTION W~LL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes L_~ No CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEsT OF MY KNOWLEDG~ App,,.nt/,,on,o, aame: Da,e: J If the action is in the Coastal Area, and you are a stat?, agency, complete the Coastal Assessment Form before proceeding with is assessment J OVER 1 PART II - IMPACT AS,~ npleted by Lead A~lenc¥) ,A. DO~ES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, csordinate the review procass and use the FULL EAF. · [] Yes [] No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative decraration may be superseded by another involved agency. r~Yes QNo c. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, sun~aca or groundwater qual~ or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threafaned or endangered species? Explain briefly: 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 bdefly: 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-C67 Explain briefly: C7. Other impacts (including changes in use of either quant~ or type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? [] Yes [] No If Yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If Yes, explain briefly: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: Foreachadverseeffectidentifiedabove, detarminewhetheritissubstantial, large, importantorotherwisesigniltcent. 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. If question d of part ii was checked yes, the determination of significance must evaluate the potentJal impact of the proposed action on the environmental characteristics of the CEA. EAF and/or prepare a positive declaration. [] Check this box if you have defarmined, based on the information and analysis above and any supporting documentation, that the proposed actior WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi., determination. Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Dale Title of Responsible Officer Signature of Preparer (If different from responsible officer) PROOF OF MAILING OF NOTICE ATTACH' CERTIFIED MAIL RECEIPTS N~tne: Address: STATE OF NEW YORK COUNTY OF SUFFOLK .~30~[~A~04 , being duly sworn, deposes and says that on the ~ day of pl~ ,200~, deponent mailed a tree copy of the Notice · set forth, in the Board of TY-ustees 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 of Southold; 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 toltlefore me this Day of ~] ~ , 20__~ 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. 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.notttffork. net), the Board of Trustees Office; :the Planning Department, all local libraries and the Town Clerk's office. DESCRIPTION OF SITE AND PROPOSED ACTION ' ~ ~ ' ' SCTIVI# 122 09 9.4 The Application has been submitted to (check appropriate response): TownBoard [] Planning Dept. [-~ Building Dept. [] BoardofTrustees [] 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: Additions to existinq residence, and relocation of existing septic tank (Leaching pools to remain) Locationofaction: 2503 Camp Mineola Rd (R.O.W) & Great Peconic Bay Site acreage: 1. 469Ac Present land use: Single Family Residence Present zoning classification: R- 4 0 If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nameofapplicant: Thomas C. Samuels (For Ed Fox) (b) Mailing address: 25235 Main Rd, Cutchogue, NY 11935 (c) Telephone number: Area Code ( ) 631-734-6405 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No[~ Ifyes, which state or federal agency?. NYS DEC 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 'Adding to an existing residence preserves open space around the existing residence and makes efficient use of the existing structure and property. Also the addition to the property is far less than the 20% lot coverage allowed by zoninq. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No [-~ Not Applicable There are no historic or archeological structures on property. 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 6 through 7 for evaluation criteria [-~ Yes [] No [] Not Applicable The addition to the existin9 residence is in keeping in style and scale of neiqhborinq structures. 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 All rainwater runoff is and will be retained on site with the use of underqround dr}wells. During construction hay bales placed temporarily between the construction and shore will k~ep runoff spoils on site. 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 Annlicable All rainwater runoff ~g and will be retained wit the use of underground drywells. The sanitary system for the residence meets current Suffolk County Dept. of Health Services standards for sanitary waste water. The property is 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 HI - Policies; Pages 22 through 32 for evaluation criteria. [] Yes [] No ~-~ Not Applicable No development will take place in the "protected" or "natural indi~inous environment". 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 Vd No[] Not Applicable The development will not add pollutants into the air. All construction vehicles meet the Federal standards for air pollution discharge. The mechanical systems of the residence meet the federal standards for air Pollution discharge. 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 The construction and use of the residence will make use of the town's disposal and recycling center. Ail waste water "sanitary" will be discharged 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 No public land involved. Littoral access unimpeded. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. [-~ Yes [~ No [] Not Applicable There are no public or commercial activities or uses on site. Historically this property and neiqhborinq properties are residential in use and will 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 IH - Policies; Pages 57 through 62 for evaluation criteria. ~ Yes [] No ~-~ Not Applicable This project will protect and preserve the living marine resources by maintaining all rainwater discharge and sanitary flow from the residence on site by approved SCDHS sanitary system and drywells for rainwater runoff. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section HI - Policies; Pages 62 through 65 for evaluation criteria. ~-~ Yes [] No ~ Not Applicable There are no agricultural lands on site. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energ~ and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~-~ Yes [] No ~ Not Applicable The construction will be using equipment approved by the Federal government for energy usage. The residence will meet Federal standards for conserving enerqy "enerqy Star Proqram" and will use "NY State Enerqy Conservation and PREPARED BY Created on 5/25/05 TITLE~~ DATE Board of Trustees Application County of Suffolk State of New York BEINGD YSWO 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 REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~Signatur~e SWORN TO BEFORE ME THIS DAY OF /~~ ,2000c'' Notary Public State of New York ~!6042467 Suffolk County E~pires May 30,~ Ed Fox PO Box 596 Mattituck, NY 11952 March 5, 2008 I hereby authorize Thomas C. Samuels of Samuels and Steelman Architects or 25235 Main Road, Cutchogue, NY, to apply for all required permits from the Town of Southold, Suffolk County and State of New York, for my project at 2503 Camp Mineola Road, Mattituck, NY 11952. Sincerely, Ed Fox TRANSACTIONAL interest on the part o{ town officers and omplo ~e~ The ' pbrpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action ia necessary to avoid same. (bast ~ame, ~ - ~ you are applying in the name o~ someone else er other shelby, such ,~s aeOl, pan~,. I~ go, indicate NATURE OF APP~CATIONt (Cheek all that apply":') Tax grievance Change o~ zone A~p{t~val of pl~ ,+ Ex~tption from plet.o~ official map other (If "other," name the aotivi~y,) , , ,., ,,,,. , , Do you personally (or ~hrough your co~pany~ ep~une, sibling, parent, or child) have a relationship with any of[leer or e~ployee si the Town of Southold? 'Relationship' inclnden by blood, marriage, or business lnteree2. "Dueinee~ interest" means a business, including a partnership, in which 2he 2own officer or employee has even a partial ownership of (or employment by) a corpgration in which the town officer or employee owns more than 5% of the eh~ree. YES NO V If you annvered *~ES,".ccmplete the balance Of thi~ ~orm and date and mige where indicated. Name of person employed by the ToWn o~ Southold Title or position ag that person Describe the ralationship between yourself (the applicant) and the town o~loer er employee. Either cheek the appropriate line ~) through D) and/o~ deeoribe in the apace provided. The town officer or employee Or hie or her epouee~' sibling, parent, or child ie (check all that apply)~ A) the owner o~ greater than 5% of the chares of the corporate stock of the applicant (when the applicant' · ia a corporation)) B) ~he legal or bknaficial owner cE any interest in a noneorporate'eatity (when time applicant is not a eorporation)l c) an officer~ direetor~ pa~t~er~ or employee of the applicant/ or __D) the ~tual spplicant. DESCRIPTION OF RELATIONSIIIP ...' .,..e!.''' "'" S A M U E L S & S T E E / M A N March 24, 2008 Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 RE: ADDITIONS TO THE FOX RESIDENCE 2503 Camp Mineola Road Mattituck, NY 11952 TAX MAP # 1000-122-09-9.4 Dear Sir/Madam: We are requesting a Permit for the above reference project, for additions to an existing single family residence, and the modification to the existing sanitary system beyond the 100 foot setback. For your review we are submitting the following documents: 2. 3. 4. 5. 6. 7. 8. 9. Application Short Environmental Assessment Form Application Affidavit (2) LWRP Consistency Assessment Form (3) SITE PLANS prepared by Samuels & Steelman Architects Copy of original Trustees permit #5084 Current Survey Letter of authorization from Owner Check for $250 Please call us with any questions or concerns. If application is complete, please schedule a public hearing and notify our office about posting the site and notifying the neighbors. Sincerely, SAMUELS & STEELMAN ARCHITECTS Architect eric. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK 11935 (631) 734-6405 FAX (631) 734-6407 SITE DATA TEST HOLE DA TA ,,, TEST HOLE DUG BY McDONALD GEOSCIENCE SCTM # 1000-122-9-9.4 ON JUNE 2, 1999 of: 11 AM PROPERTY: 2503 CAMP MINEOLA ROAD EXT. ADDRESS MATTITUCK, NY EL. 0' .~' / MIXED SAND, LOAM & CLAY ,~o, ~O~ r~ ~ OWNER: ED & ARLENE FOX EL. 2.0' 3.6 / ~ ~ ~-.,.,,u ~. .~'o~ ~ ./o~ o ~ 455 EAST 80th ST. APT 8E WATER IN BROWN BOG Pt ~o~ ~o' ~ ~:~ ~ '~' PO BOX 13' WATER IN GR~ C~Y~ SAND SC ~ I o~ ../._~:~. ~, ~,~n"~ = ~ ~ ~'--~.,: ~* RIVERHEAD, NY 11901 / ]~ ~ * ' : ~Z~ LICENSE~ 50467 WATER IN BROWN C~Y~ BOG Pt ~._~ ~ ":--~ ~':'. '" 20' / i '~-. ................ . .... ~ / ~,~' w 25'WATER IN GR~ C~Y~ SAND SC ~"r/, .............................. ..... "'~=~ .......... ·. / %,... COVE~GE I /' i..-"" *""~ ~ ~ ~o~ SITE AR~ 63,993 8F = ~.469 ACRES ..' ,.',---' /., 7 ' ~ NOTES: WATER IN PALE BROWN FINE ~ .... ~.-"" ~.' ~,4 ~99 EX. HOUSE& 2,107SF .. ~-,-., '-. POOL HOUSE TO COURSE SAND SW ~;~ , ,', . ... ,..~, ,/, ,, L AUGU~ 2. 1999 ADDED PRO~SED HOUSE 29' .. /' · %, ., ...'., , , ~l~ AUGUST 50, 1999 S~ ~ FOR N.Y.S.D.E.C. INSPEC~ON " * ' ' .~ * " STONE PAVING _ 6 ~ ~:, ~ ~ueuc ~w~euue J~U~ 12, 2000 R~ISED SITE P~N EX. POOL · 3~2~7 SF · ' ,~ JULY 1 I, 2000 ADDED PROPOSED WATER SER~CE . ' ,-,. /. J~U~ 30, 2001 UNDER CON~U~ON SU~ , o · ~RIL 8, 2002 RN~ SU~ EX. COVE~GE 5,404 SF - 8.4% ~ '..,: : ~'~,~'~"'~"~' JUNE 14, 2002 R~SED C~SPOOL M~UREM~ ~; ' ~ . ~ - ~ JULY ~1, 2002 R~SED CESSPOOL M~UREME~ .2 ~; ... . , . ~ AUGUST 19, 2002 ADDED ROOF O~R~O AT POOL HOUSE -: ~ '... , JUNE 27, 2003 S~ MONUME~ · RE-BARS · * · · , ~ ~'~'~,~*'"'"" JUNE ~6, 2oo~ s~ RELO~ H.W.M. · S~ RE-B~S AT 75' ~ ~00' S~uACKS .... DECEMBER 7, 2007 UPDA~ HIGH WA~R MARK LOCA~ON · ~AKE 100' SChiCK PROPOSED 1,740 SF ~ ~ ~ ~o~*~. ~ =~,~,.~ ADDITIONS ,/,~,~ ~, ~ o. ~,L,~, =x,~,.~ .E~,C ~.< ~o e~ I. E~A~ONS ~E RE~RENCED TO N.G.V.D, 1 ~2S DA~M PROPOSED 216 SE ~^:~ ~*,H Fou~:~^'rlO~ ~ov~ EXISTING E~ATIONS ~E SHO~ THUS: ,0~ PORCHES ' ~DITIO~ 2. ~NDS IF A~ ~E NOT O 3. ~OO ZONE IN~RMA~N TAKEN e~..~HF F~OD INSU~NCE ~TE M~ No. 36103~2 G PROPOSED 7,360 SF = 11.5% zo.; ~ ~E ~. ~*~o~ ~,~.~.~ COVE~GE ZONE~ C~D ~ ~ ~D ~0~; ', '"'-* ' BUILDIN~ ~LL , ........ I / ~ ~E +q.2 APPROVED BY ................ s I/ / . ~1 ~JN ~' ~AX ~j~J' ~JN ~' ~AX J BOARD OF TRUSTEES IIY J TOWN OFSOUTHOLD ....... .~ 7 TOP OF POOL ¢.04' J DATE ~ ...... 't /l~:~[,L~ I/ 11 mlS~lB. LEAGH~ ........--. --. ' iq~, / ¢ ,~[~ +7.1~: /I~OOLS I ~qOLS IBOT OF POOL ..................... SEPTIC PROFILE --~- 4 ~ ...... -' - .................... LOCATION MAP GREAT PE CONIC BAY SITE PLAN SCALE: 1" = 30' -0" gREAT PffCOZVIC BAY PROJECT NO: 0511 DRAWN BY: TCS CHECKED BY: DATE: 318/08 SCALE:I '"=30' SHEET TITLE: SITE PLAN SHEETNO: 1 ~E¥1SIONS TEST HOLE DATA TE~T HOLE ~U~ J~ Hf¢~2ONAL~ ON JUNE 2 I~ ~ II SITE DATA SCTM # 1000-122-9-9.4 PROPERTY: 2503 CAMP MINEOLA ROAD EXT. EL. ~, , ~ ~ ADDRESS MATTITUCK, NY , / MIXED SAND, LOAN ~ CLAY _ ~ ~ OWNER. ED & ARLENE FOX EL. 2.0' ~ / ~ ~ ~~o o~ 455 EAST8Oth ST. APT8E ~A~R IN HIXE~ 5AND, LOAM ~ CLAY ~'/ /~ ~ ~ ~o., NEWYORK, NY 10021 ~ATE~ IN ~O~N ~0~ P~ ~./:~ ~ ~ ZONING.' R40 . % ~ ~ '~r ',~ ~3' , ~~- : G~ SURVEYOR:NATHAN TAFT CORWIN III ~1:~ . ~:~-~ ,,, ~ ~ ~ _., ~ - ~,,~ ~ POBOX1931 ~ATE~ IN ~RE~ ~LA~E~ 5AN~ 5C ~ I ~ · ~ "~t '~ ,"~ ~ ~ _ =~ or-*,, ~. · '.~-~ ~ RIVERHEAD, NY 11901 ~ I ~ I I .. '~ ~ ~' ''. '-~ " ~~, ~ :" ' .. '. ' ':~- '/' ~ " ~ - ~~....; .. ;' .~ '......-.... _~... LICENSE~ 50467 ~ATEE IN ~REY CLAYEY SAND I ..'''-- ~ 'r ~ __Z~ ~ ~ SITE AREA 63,993 SF = 1.469 ACRES ~AT~R IN PALE DRO~N TO GOURSE DANG 5~ ~-'" ~:-"-J~ 1 ~/ JUNE 24, 1999 POOL HOUSE ~ ~/ ~ ~' ~"~ ~ ~/ZX DTIN~ UNDergrOUND AUGUST 2 1999 ADDED PROPOSED HOUSE ~ 2~' . ~ . , ,, ~, , , ~/~ ~ ~ H~ AUGUST 50, 1999 S~ ~TH FOR N.Y.S.D.E.C. INSPECTION 6 --' I,.~' ' "-~: ~' ,~ STONE PAVING _ ~, ~ ~ . ., / ........ , ~u,Y ~1, ~ooo A~ED P~OPOSE~ WA~E~ SERWC~ (2) P~OPO5~D ~ x2 LZAOHIN~ POOL5 JANUARY SO, 200~ UNDER CONSTRUCTION SURV~ !' APRIL 8, 2002 FINAL SURV~ EX. COVE~OE 5,404 SF-8.4% ~ /~ ~XI~TI~ ~'x~' LEACHIN~ POOL5 JUNE 1~ 2002 ~EVlSED CESSPOOL MEASUREMENT "'-.'.~ -~ ~ , .,... '~ / JULY 31, 2002 REVISED CESSPOOL M~SUREMENT ~'" ""~' '"' - ' '- EXI~TIN~ %~D~ ~ETAININ¢ AUGUST 19, 2002 ADDED ROOF OVERHANG AT POOL HOUSE i *"~'. . ,., ~ALL TO ~E~A[N JUNE 16, 2004 SET RELOCATE H.W.M. · SET RE-BARS AT 75' ~ 100' SETBACKS DECEMBER 7, 2007 UPDATE HIGH WATER MARK LOCATION & STAKE 100' S~BACK PROPOSED 1,~40SF 1500 ~ALLON ~E~TIO TAN~ ADDITIOI~ :~%,%%~%~%~*%%%,-~. ~..~.w~o,s *,, ,,r,,,,:,, TO ,.~.v.,. ~,~, ~*~u, PROPOSED 216 8F & ~R[.L~q' PYMM ZONE ZONE 7J. 7 5.9 73 t=XISTIN® SEPTIC, TANK TO DE F:.Eh4OVED PP. OPOSIE~ TIAIO STO~'r' ADDITION INC,LUDIN® 2-C,A~ 5At~.A~E ~ HAE~ITADLE SPACE ON F:ILIN5 ~ ~P-.ADE DEAN1 FOUNDATION STIN5 ~IATE~P~OOf= ~ASON~"r' RETAININ5 .V',IAL L ~..ELO~ATED' 8x2 LEAOHIN® POOLS EXISTIN~ ~OO 5AL, SEPTIC.. TANK --NE~ I" UN~E~.¢~OtJND' AATE~ LINE, I0' MIN. OlM. TO SANITARY SYSTEM I~JAM J'. ~DF.~FO EXISTING ELEVATIONS ARE SHOWN THUS:J~0 2. WETLANDS IF ANY ARE NOT SHOWN 5. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 36105C0482 G ZONE AE: BASE FLOOD ELEVATIONS DETERMINED ZONE VE: COASTAL FLOOD WiTH VELOCITY HAZARD (WAVE ACTION); BARE FLOOD ELEVATIONS DETERMINED ZONE X*: AREAS OF 500-YF-~R FLOOD; AREAS OF IO0-YEAR FLOOD WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN PORCHES PROPOSED COVERAGE 7,360 SF = 11.5% BUILDIN¢ I~ALL FF +11.66 /--~RAOE LINE ELEVATIO,N IO.O' / ~RADE +q.lO' / /-- ~ADE +~'.2, / / . ~1' MIN :2 MAX / . /-I' MIN 2' MAX ~ FTOP OF POOL 8-04' 't /l'~C_.~,l.L~ II /I DISite, IB. LEAGH'~ I LEAGH~ I i .o,o- POOL D' ~IN 5 SEPTIC PROFILE LOCATION MAP GREAT PECONIC BAY SITE PLAN SCALE: 1" = 30' -0" APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD GREAT PECONIC 0511 TCS 3/29108 SHEET TITLE: SITE PLAN SHEET NO: 1