HomeMy WebLinkAboutTR-6971 Jill M. Doherty, President
Bob Ghosio, Jr., Vice-President
James F. King
Dave Bergen
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
# 0659C
Date: June 23~ 2011
THIS CERTIFIES that the construction of additions to the front and rear of the
dwelling, new detached garage, new deck, demolish existing deck~ walls and roof of existing
structure to facilitate new framing and roof; gutters to leaders to drvwells on dwelling and
garage; a 10' wide non-turf buffer to be maintained along the landward edge of the rock
revetment
At 3125 Wells Avenue, Southold~ New York
Suffolk County Tax Map # 70-4-10
Conforms to the applications for a Trustees Permit heretofore filed in this office
Dated August 20~ 2008 pursuant to which Trustees Wetland Permit #6971 Dated
September 17, 2008 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 additions to the front and rear of the dwelling, new detached garage,
new deck, demolish existing deck~ walls and roof of existing structure to facilitate new framing
and roof; gutters to leaders to drywells on dwelling and garage; a 10' wide non-turf buffer to be
maintained along the landward edge of the rock revetment
The certificate is issued to THOMAS & MARY IRENE MARRON owner of the
aforesaid property.
Jill M. Doherty, President
Bob Ghosio, Jr., Vice-President
James F. King
Dave Bergen
John Bredemeyer
Town Hall, 53095 Main Rd.
P.O. Box 1179
Southold, NY 11971
Telephone (631 ) 765-1892
Fax (631) 765-6641
DATE OF INSPECTION:
__Ch. 275
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Ch. 111
INSPECTION SCHEDULE
Pre-construction, hay bale line/silt boom/silt curtain
1st day of construction
__ ~ constructed
V'~roject complete, compliance inspection.
INSPECTED BY:
COMMENTS:
CE RTIFICATE OF COMPLIANCE: /}54.-~L ~
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
Southo]d, 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
V~Pre-construction, hay bale line 0 6. ~
1st day of construction
p/rc°nstructed
eject complete, compliance inspection.
ESSEkS, Hefter & ANGEL, LLP
COUNSELORS AT LAW
108 EAST MAIN STREET
~IVERHEAD, N.M. II901-0B79
(631) 369
June 13, 2011
WATER MILL OFFICE
MONTAUK H ~G HWAY
P. O. Box 570
WATER MILL, N.Y 11976
(631) 726 6633
HAND DELIVERED
Southold Town Board of Trustees
53095 Route 25
PO Box 1179
Southold, NY 11971
Re:
Thomas & Mary Irene Marron
3125 Wells Avenue, Southold
SCTM No. 1000-070.00-04.00-010.000
Permit No. 6971
Dear Honorable Trustees:
Enclosed please find a certified copy of the Declaration of Covenants to Deed in
connection with the above-referenced property that was recorded in the Suffolk County
Clerk's office on June 6, 2011 under Liber D00012662 and Page 028.
If you require anything further, please contact me.
Ve~ly yours,
/do
cc: Thomas and Mary lrene Marron
COUNTY CLERK'S OFFICE
STATE OF NEW YORK
COUNTY OF SUFFOLK
CC#: C11-21133
I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court
of Record thereof do hereby certify that I have compared the annexed with the original
DECLARATION
recorded in my office on0610712011 under Liber D00012662 and Page 028 and,
that the same is a true copy thereof, and of the whole of such original.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County
and Court this 06107/20'11
SUFFOLK COUNTY CLERK
JUDITH A. PASCALE
SEAL
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DECLARATION
~lm~er of Pages: 4
Receipt Nl~m~er : 11-0064195
District:
1000
Recorded:
At:
06/07/2011
01:28:13 PM
Page/Filing
COE
TP-584
Cert. Copies
Received the Following Fees For Above Instrument
Exempt Exempt
$20.00 NO Handling $20.00 NO
$5.00 NO NYS SRCHG $15.00 NO
$0.00 NO Notation $0.00 NO
$5.00 NO RPT $30.00 NO
Fees Paid $95.00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
LIBER: D00012662
PAGE: 028
Section: Block: Lot:
070.00 04.00 010.000
EXAMINED AND CHARGED AS FOLLOWS
Number of pages
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
RECORdeD
2uii Jun 07 0!:28:!3
JUB!TH ~. PR£C~LE
CL£RK OF
SUFFOLK COUNTY
L B00012662
P 028
Deed/Mortgagelnstrument Deed/Mortgage Tax Stamp I Recording/Filing Stamps
3 I FEES
Page / Filing Fee
Handling 20. O0
TP-584
Notation
EA-S2 17 (County) Sub Total
EA-5217 (State)
..P.T.S.A. dO
Comm. of Ed. $. O0
Affidavit
_
NYS Surcharge 1S. 00 Sub Total ~ -
Other qS
Grand Total
4 I Dist. 1o''''1 ....... ,,..,,,,,~ I.,...-, o~ on I,ot OLO.OOO
1000 07000 0400 010000
Real Property (~
Tax Service
Agency
Verification ~'
6
atisfactio, ...........~ ..........
RECORD & RETbRI~ TO:
Theodore D. Sklar, Esq.
Esseks, Hefier & Angel, LLP
108 East Main Street
PO Box 279
Riverhead, NY 11901-0279
8
Mail to: Judith A. Pascale, Suffolk County Clerk
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
Spec./Add.
TOT. MTG, TAX
Dual Town __ Dual County
Held for Appointment
Transfer Tax
Mansion Tax
The property covered by this mortgage is
or will be improved by a one or two
family dwelling only.
YES or NO
If NO, see appropriate tax dauise c~n
page# of this instrum~til] iI
Community Preservation Fund
Consideration Amount $
CPF Tax Due $
Improved
VacantLand
TD
TD
TD
7C7o~.lName Title Company Information
I Title #
Suffolk County Recording & Endorsement Page
This page forms part of the attached
by:
MARY IRENE MARRON
DECLARATION OF COVENANTS
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
made
TO IntheTOWN of SOUTHOLD
In the VILLAGE
or HAMLET of SOUTHOLD
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
DECI2kRATION OF COVENANTS
THIS DECLARATION made this /~ day of May , 2011 , by Mary Iren$..
Matron , residing at 26 Randal Roa~ .~hort Hills, , hereinafter referred
N~w Jersey 07078
to as "DECLARANT~)":
WHEREAS, DECLARANT~)
on 3125 Wells Avenue_.
Southold, County of Suffolk, State of
Tax Map as District 1000, Section 070.00 , Block
more particularly bounded and described as set
hereto, hereinafter referred to as the Property;
WI TNES SETH :
is/~-~ the owner~) of certain real property located
, Southold , Towi1 of
New York, described in the Suffolk County
04.00 , Lot 010.000 which is
forth in Schedule "A" annexed
WHEREAS, the Property is situated on lands within the jurisdiction of the
Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant
to Chapter 275 of the Town Code of the Town of Southold or its successor, and
various activities conducted upon the property may thus be subject to the
regulation and approval of the Trustees prior to being conducted;
WHEREAS, the DECLARANT(~99
permit pursuant to the Wetlands
regulated activities; and
therefore ~de application to the Trustees for a
Law of the Town of Southold to undertake certain
WHEREAS, as a condition of the granting of a Wetlands Perm/t to undertake
such regulated activities, the Trustees required t~..~ a
10' "non-turf buffer" adjacent
to and landward of the rock revetment on the site plan prepared by Nathan Taft Corwin
III. last dated August 11,2008, and received on August 20, 2008.
NOW, THEREFORE, the DECLARANT~) do/does hereby covenant and agree as
follows:
1) Upon the substantial completion of the aforementioned permitted
activities there shall be established and subsequently maintained
adjacent to and landward of the rock revetment on the site plan prepared by
Nathan Taft C'orwin III; last dated Ausust 11. 2008 and received on AuKust 20, 2008,
a I0' ~ "non-turf buffer" as defined by Chapter 275 of the Town Code;
and
2)
These covenants shall run with the land and shall be binding on the
DECLARANT(~, =~her/~ heirs, assigns, purchasers, or successors in
interest and ~nay only be modified after a public hearing and upon
resolution of the Trustees.
IN WITNESS WHEREOF, the
day of / / /~ ,
owner 9s~ has44~m~ duly executed this instrument
20It .
- --~v/-O~IGNArUM. E 'Mary Irene Marron
this
STATE OF ~'7~1 ~ :
ss:
oF
On the /! day of /~Y , in the year 20~/ , before me the
undersigned, a Notary Publ~ for said State, personally appeared
f~V /~E~F_~) , [p~dnally~o me or proved to me on the basis of
satisfactory evidence to zn 'vidual(s) whose n~e(s) is/are s~scribed to
the within instr~nt and ac~owledged to me ~at he/she/they exerted the s~e in
his/he=/their capacity, ~d that by his/her/~eir si~ature(s) on the inst~ent,
the i~vidual or the persons on behalf of whi~ the in~vidual(s) acted, executed
Notar~~lz~
2
Title No. Lt-00013109-NYS
SCHEDULE "A"
\LL that certain plot, piece or parcel of land, situate, lying and being at Southold in the Town of Southold, County of
Suffolk and State of New York, being kmoxam and desi~mated as Lot No. 10 on a certain map known as "Plan of'Lots
Owned by George H. Wells, situate at Southold, Suffolk County, New York. dated November 10, 1927, Otto E. Van
Puyl. Professional Engineer and Land Surveyor, Greenport, N.Y.", which map was filed in the Suffolk Court .ty Clerk's
Office on November 28, 1927, as Map No. 859, said premises being more particularly bounded and described on said
map as follows;
BEGINNING at a monument set on the Southwesterly sidc of Wells Avenue at the Northwesterly comer of said Lot No.
~0 on said Map which point of Beginning is also 853.21 feet Southeasterly from the comer fomaed by the intersection of
-the Northeasterly side of Oaklawn Avenue and the Southwesterly side of Wells Avenue;
{t, UNNING THENCE along the Southeasterly side o f Wells Avenue, North 47 degree 50 minutes East, a distance of 70
~et to the Northwesterly comer of Lot No. 11 on said map;
ri'HENCE South 50 de~ees 40 minutes East, a distance of 243.35 feet to the mean high water mark of Jockey Creek;
THENCE in a general Southwesterly direction along said mean high water mark of Jockey Creek the following (2) tie
line courses and distances:
1) South 45 degrees 43 minutes 00 seconds West 74.71 feet;
2) South 36 degrees 31 minutes 00 seconds West, 61.23 feet to the Southeasterly comer of Lot 9 on the above
mentioned map;
THENCE North 35 degrees 45 minutes 00 seconds West along the division line between Lot 9 and Lot 10 on the above
nentioned map 257.06 feet to file Southeasterly side of Wells Avenue and the point or place of BEGINNING
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
V~Pre-construction, hay bate line
1st day of construction
I~p/rc°nstructed
oject complete, compliance inspection.
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD, NEW YORK
PERMIT NO. 6971 DATE: SEPTEMBER 17~ 2008
ISSUED TO: THOMAS & MARY IRENE MARRON
PROPERTY ADDRESS: 3125 WELLS AVENUE~ SOUTHOLD
SCTM# 70-4-10
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
September 17, 2008, and in consideration of application fee in the sum of $250.00 paid by Thomas & Mar,/
Irene Marron 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 additions to the front and rear of the existing
dwelling, add detached garage and new deck, demolish existing deck, walls and roof of
existing structure to facilitate new framing of taller (9') walls and steeper roof with
dormers into the attic, with the condition of a line of staked hay bales with silt fencing is
installed prior to construction, the installation of gutters, leaders and drywells to
contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm
Water Runoff, the installation of a 10' non-turf buffer landward of the rock revetment,
there is to be no further removal of trees, and as depicted on the site plan prepared by
Nathan Taft Corwin III, last dated August 11, 2008, and received on August 20, 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 Thomas & Mary Irene Matron, residin~ at 26 Randall Road, Short Hills, New
Jersey 07078 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.
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
September 17, 2008
BOARD OFTOWNTRUSTEES
TOWN OFSOUTHOLD
Mr. Douglas McGahan
P.O. Box 602
Cutchogue, NY 11935
RE:
THOMAS & MARY IRENE MARRON
3125 WELLS AVENUE, SOUTHOLD
SCTM# 70-4-10
Dear Mr. McGahan:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, September 17, 2008 regarding the above matter:
WHEREAS, Douglas McGahan on behalf of THOMAS & MARY IRENE MARRON
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 August 20, 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 September 17, 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 THOMAS & MARY
IRENE MARRON to construct additions to the front and rear of the existing dwelling,
add detached garage and new deck, demolish existing deck, walls and roof of existing
structure to facilitate new framing of taller (9') walls and steeper roof with dormers into
the attic, with the condition of a line of staked hay bales with silt fencing is installed prior
to construction, the installation of gutters, leaders and drywells to contain roof runoff and
in accordance with Chapter 236 of the Town Code-Storm Water Runoff, the installation
of a 10' non-turf buffer landward of the rock revetment, there is to be no further removal
of trees, and as depicted on the site plan prepared by Nathan Taft Corwin III, last dated
August 11, 2008, and received on August 20, 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,
m~es F. Ki nC~g
President, Board of Trustees
JFK/eac
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 /E~/~x,~,t~,-~L,~, ,~2¢~p~ has
been reviewed by this Board at the regular meeti'ng~f _~o~,~x~_r'- 17, c,74¢~
and your application has been approved pending the comlJletion 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)
__ ½ Constructed ($50.00)
//Final Inspection Fee ($50.00)
__ Dock Fees ($3.00 per sq. ft.)
Permit fees are now due. Please make check or money order payable to Town
of Southold. The fee is computed below according to the schedule of rates as
set forth in Chapter 275 of the Southold Town Code.
The following fee must be paid within 90 days or re-application fees will be
necessary. You will receive your permit upon completion of the above.
COMPUTATION OF PERMIT FEES:
TOTALFEESDUE:$ /~0 ~
BY: James F. King, President
Board of Trustees
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.,
September 10, 2008, the following recommendation was made:
Moved by Jim Eckert, seconded by Don Wilder, it was
RESOLVED to SUPPORT the Wetland Permit application of THOMAS & MARY IRENE
MARRON to construct additions to the front and rear of the existing dwelling, add
detached garage and new deck, demolish existing deck, walls and roof of existing
structure to facilitate new framing of taller (9') walls and steeper roof with dormers into the
attic.
Located: 3125 Wells Ave., Southold. SCTM#70-4-10
Inspected by: Jim Eckert
The CAC Supports the application with the Condition of a 20' non-turf below the 8'
contour, the driveway is pervious, drywells and gutters are installed to contain roof run-off,
and there is no further tree removal.
Vote of Council: Ayes: All
Motion Carded
Southold Town Police
Incident Report
Report 08/15/2008 09:04
Case Number 01-08-007408
· aee Number Report Occurred On/From Occurred To Report Type
01-08-007408 08/t 5/2008 09:04 08/15/2008 09:04 08/15/2008 09:09 Original
Incident Type Case Status Case Status Date
TOWN CODE VIOL.-OTHER F ELD ARRESTFF CKET ISSU 08/15/2008 Cleared
IlL Common Name
3125 WELLS AVE SOUTHOLD, NY 11971 (SUFFOLK County)
Day of Week: FRIDAY
Map Reference: SOPEC1
Location Type: YARD
Sector: 3 803
Sector: 3 803
Total Damaged Property Value: $0.00
Total Stolen Property Value: $0.00
Total Recovered Property Value: ~0.00
State Classification
TOWN CODE VIOL.-OTHER
Statute/Ordinance
TC275-5
Attack Reason: NO BiAS/NOT APPLICABLE (-)
Location Type
YARD
Attempted/Committed
COMPLETED
D spos t on Date
Federal Disposition: FIELD ARREST/TICKET ISSUED
Person Type Business/Person Name Business Phone
OTHER (eT) Dou01as Mc~lahan 631-
Home Phone Person Address Map Reference
631-~ 1820 Stillwater AVE Cutcho~ue, NY 11935, SUFFOLK Count,/
Other Phone Employer Address
(631) 445-4763
Race Sex I SSN DL Exp. Date DL Number
WHITE MaleI 04/18/2009 459572466
Birth Date Birth City
04/18/1966
Age: 42 Adult/Juvenile: ADULT
DL State: NY Arrest Number: 01- -
DL Country: United States
p Person Type Business/Person Name Business Phone
E OTHER (eT) Mary Matron 631-
I~ Home Phone Person Address Map Reference
OS 11416 Golf View LN North Palm Beach, FL 33408, OTHER-OUT OF NEW YORK
Other Phone Employer Address
N (9731715-4112
.- Race Sex I SSN DL Exp. Date DL Number
· WHITE FemaleI 01/08/2009 M650589445080
Birth Date Birth City
01/08/1944
Age: 64 Ethnic Origin: DOES NOT APPLY
DL State: FL Adult/Juvenile: ADULT
DL Country: United States Arrest Number: 01- -
Rep0~ing Officer
~C JqHN P KIRINCIC (4371)
Department
SOUTHOLD TOWN POLICE
'~eport Status:
Approved
Officer Name Date/Time
Verifying Officer Department Date / Time
SGT RAYMOND E. VAN ETTEN (8885) SOUTHOLD TOWN POLICE 08/18/2008 23:41
c
c
o
c
1 of 2 e
Southold Town Police
Incident Report
Report 08/15/2008 09:04
Case Number 01-08-007408
Topic Original
Received call from Town Trustees of work being done without permit at i/I. Upon arrival found
contractors had done work other than what was permitted. Issued summons #A 4570 to contractor
Douglas Mcgahan and #A 4575 to homeowner Mary Matron for conducting activities within 100 feet of
wetlands without trustees permit.
Trustees
Reporting Officer Department Report Status:
BC JOHN P KIRINCIC (4371) SOUTHOLD TOWN POLICE Approved
Officer Name Date/Time
Verifying Officer Department Date I Time
SGT RAYMOND E. VAN E"n'EN (8885) SOUTHOLD TOWN POLICE 08/18/2008 23:41
2 of 2
James F. King, President
Jill M. Doher~, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
P.O. Box 1179
Southold, NY 11971
Telephone (631) 765-1892
Fax (631) 765-6641
Southold Town Board of Trustees
Field Inspection/Worksession Report
Date/Time: ~_/////¢d cC
THOMAS & MARY IRENE MARRON request a Wetland Permit to construct
additions to the front and rear of the existing dwelling, add detached
garage and new deck, demolish existing deck, walls and roof of existing
structure to facilitate new framing of taller (9') walls and steeper roof with
dormers into the attic. Located: 3125 Wells Ave,, Southold. SCTM#70-4-10
Type of area to be impacted:
~galtwater Wetland __Freshwater Wetland
Sound __Bay
Distance of proposed work to edge of wetland
~haf Town Code proposed work falls under:
pt.275 Chapt. 111 other
Type of Application: I~etland __Coastal Erosion __Amendment
__Administrative__Emergency __Pre-Submission Violation
Info needed:
Modifications:
Present Were: ~v~J.King ~J.Doherty ~'~P.Dickerson __
D. Dzenkowski Merk-T-m-~ other
Form filled out in the field ~yy~~'~
~D. Bergen~z~--~B.G hosio,
Mailed/Faxed to:
Date:
OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
Main Rd. & Youngs Ave.
Southold, NY 11971
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MAILING ADDRESS:
P.O. Box 1179
Southold, NY 11971
Telephone: 63 l 765-1938
Fax: 631 765-3136
From:
Jim King, President
Town of Southold Board of Trustees
Scott Hilary and Mark Teny, LWRP Coordinators
Date: September 13,2008
Re: Chapter 268, WATERFRONT CONSISTENCY REVIEW
Wetland Permit for THOMAS & MARY IRENE MARRON
SCTM#70-4-10
The following proposed action has been previously reviewed to Chapter 286, Waterfront Consistency Review on October
17, 2005, *see attached*.
Douglas McGahan on behalf of THOMAS & MARY IRENE MARRON requests a Wetland Permit to construct additions to the
front and rear of the existing dwelling, add detached garage and new deck, demolish existing deck, walls and roof of existing
structure to facilitate new framing of taller (9') walls and steeper roof with dormers into the attic. Located: 3125 Wells Ave.,
Southold. SCTM#70-4-10
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 our recommendation that
the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP.
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
Southotd, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
~t~welStal Erosion Permit Application
~Wetland Permit Application .... Administrative Permit
AmendmenV'Transfer/Extension
.~ece~ved Application:~[C~)~
~-t~celved Fee:$
,ff, ompleted Application___~]
__ Incomplete
__SEQRA Classification:
Type I Type II Unlisted
.,~ ~(~w rdination: (date sent)
LWRP Consistency Assessment Form
.,4~AC Referral Sent: ~ ~ ~
~.l~te of Inspection: q ] i~
__Receipt of CAC Report~ '
__Lead Agency Determination:
Technical Review:
~ublic Hearing Held:~~
Resolution:
Southo!d Town
Board of Trustees
Name of Applicant
Address
Phone Number:( ) q'l'~ q~,:~-'9--totoq
Suffolk County Tax Map Number: 1000 - ~[o - Oq' [o
Property Location: '~ ~ Lq ~..~ct-$ tv, J~,,..~ , 5~,.~x'x-,~x-.o, ~,~. IxO, q x
pm.~ 4~t , o*gS. zt T~
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Phone:
~oard of Trustees Ap~
Land Area (in square feet):
Area Zoning:.
GENERAL DATA
Previous use of property:
Intended use of property:
Covenants and Restrictions: Yes t.-~No
If "Yes", please provide copy.
Prior permits/approvals for site improvements:
Agency
$ ~,4x-~a,~ Oo~. ~ ~ ~t.- ~:h'-.
Date
__ 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): ~ ffl>~x'~'x~5 ~ ~
~oard of Trustees Applical
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: 'r~ ~?~-4) ~ ~
Area of wetlands on lot: -~ square feet
Percent coverage of lot: -O- %
Closest distance between nearest existing structure and upland
edge of wetlands: ~5 feet
Closest distance between nearest proposed structure and upland
edge of wetlands: ~?g- feet
Does the project involve excavation or filling?
No ~ Yes
If yes, how much material will be excavated.~. ~oq cubic yards
How much material will be filled? ~ cubic yards
Depth of which material will be removed or deposited: :3
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):
~ard of Trustees Applicat
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: ~pea,~, ~-'
Are wetlands present within 100 feet of the proposed activity?
No ~,~ Yes
Does the project involve excavation or filling?
No I/ Yes
If Yes, how much material will be excavated?,,.
How much material will be filled?
Manner in which material will be removed or deposited:
(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)
PROJECT ID NUMBER
61T.20
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
PART 1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor)
1 APPLICANT/SPONSOR 2 PROJECT NAME
~ O~J ~lb~'~ ~ ~ ~ County
3 PROJECT LOCATION:
Municipality ..~ o ~-r~c*~.~
SEQR
4 PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map
5. IS PROPOSED ACTION: [] New g~pansion [~odiflcation / alteration
6 DESCRIBE PROJECT BRIEFLY:
7 AMOUNT OF LAND AFFECTED:
Initially acres Uflimately acres
8 WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
[~Yes [] No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
E~esidential [~lndustrial E~]Commercial E~Agriculture E~Park/Forest/OpenSpace []Other(describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Local)
---]Yes [~ff, lo If yes, list agency name and permit / approval:
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~es ~]No If yes, list agency name and permit t approval:
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
[ es I--lNG
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Signature
If the action is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
O Board of Trustees ApplicaOon
County of Suffolk
State of New York
Qou&~&~ 1o.¢ ~eh, hS'~ 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
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
Signature
SWORN TO BEFORE ME THIS I '~ DAY OF t~a(°"3 'V ,20 c~
Notary Public
CONNIE O. BUNCH
Notary Public. State of New York
No. 01BU6185050
Corn Qualified n Suffolk Counh,,
mission Expires April 14. ~'0 [~
F~t ;~'K CRF.~K BUILDERS
19739129557 p !
(where the applicant'is not ~he owner)
(p~int , .'nez o~ ~ro~er:y)
residing at ~ ~
[mailing
do hereby authorize
[A~ent]
to apply for pemit[s~ fr~ the
$oughold Boaj I of T~wn Trustees on ~/ behalf.
8
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
I, Do~t, cN5 ~vttCA--,~mj , residing at t ~l.O
being duly swom, depose and say:
That on the ~,1~ day of &o~v~[ , 200~ I personally posted the property known as
by placing the Board of Trustees official poster where it can easily be seen, and thai ] have
checked to be sure the poster has remained in place for eight daffs prior to the date of the public
heating. Date of hearing noted thereon to be held ! ! ?oft. _.~I~D '~./ri. o't .00~' ~ ·
Dated:
(slgnature--'~ ~
Sworn to before me this
day of,,-gC,t3200 ~'
CONNIE D. BUNCH
Notary Public, State of New York
No. 01BU6185050
~alified in Suffolk County
Commissio~ Expires April 14, 20
Notary Public
Address:
~. o ·
STATE OF NEW YORK
COUNTY OF SUFFOLK
l>ooC_,l,~f5 ~,~_~ ~ , residing at [~2~B g%~ 0k'~a~'
C,~vc~coc~,.,~ · ~f, tLq%.< , being duly sworn, deposes and says that on the
~ o day of 5c~,,t~ct._~ , 20 q~, 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 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 c-,o(-c~C_~~ ,~. ,thatsaidNoticeswere~a~toeachofsaidpersonsby
~ (registered) mail. ~
Sworn to before me this
Day of ~.x~ ,20~%
Notary Public
I~y AUCIA WALKER
SMb#c, State of New Yod(
NO. 01WA61530~4
Corn .~.lifle~_ in So~o4k County
Expires bept. 25. 'C~c,
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES~ TOWN OF SOUTHOLD
In the matter of applicant:
YOU ARE HEREBY GIVEN NOTICE:
SCTM# 070 ~ Ock- ~,~
l. That it is the intention of the undersigned to request a Permit from the Board of Trustees
to:
2. That the property which is the subject of Environmental Review is located adjacent to
your property and is described as follows:
3. That the project xvhich is subject to Environmental Review under Chapters 32, 37, and/or
97 of the Town Code is open to public comment on: $~:vl:'r~ t-I ..'Lct~ . 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: Tox'~x
MAILING ADDRESS:
PHONE #: q.q'5
Enc: Copy of sketch or plan showing proposal for your convenience.
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the oart of town officers and employees. The pur0ose of
this form is to provide information which can alert the town of nossible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
YOUR NAME:
(Last name, first name, ~niddle initial, unless you am applying in the name of
someone else or other entity, such as a company. If so, indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee ~
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If "Other', name the activity.)
Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee
of the Town of Southold? "Relationship" includes by blood, nlarriage, or business interest. "Business interest" means a business,
including a partnership, ia 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 l//
If you answered "YES", complete the balance of this form and date and sign where indicated.
Name of porsoa employed by the Town of Southold
Title or position of that person
Describe the relationship between yourself(the applicant/agentJrepresentative) and the town officer or employee. Either check
the appropriate line A) through D) and/or describe in the space provided.
The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply):
___A) the owner of greater than 5% of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
B) the legal or beneficial owner of any interest in a non-coq~orate 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
Submitted this
Signature
Print Name_
200q5
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" or "no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus~ each answer must be explained in detail~ listing both supporting and non-
suooortin~ facts. 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# 6.)'~o - fgt{ ~ O
PROJECT NAME
The Application has been submitted to (check appropriate response):
Town Board [~ Planning Board [] Building Dept. [~ Board of Trustees ~
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:
Location of action:
Site acreage:
Present land use: .5 ~.ff~
Present zoning classification:
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:
(b) Mailing address:
(c) Telephone number: Area Code ( ) q W3 ~[~-'3 q4,bq
(d) Application number, if any: i-3n-*~,-~'r c0~2,~4
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?
C. Evaluate the project to the following policies by analyzing how the project will further support or
not support the policies. Provide all proposed Best Management Practices that will further each policy.
Incomplete answers will require that the form be returned for completion.
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 [--~ot Applicable
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
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
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
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
I~ Yes ~ No ~Not Applicable
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 ~ ~licable
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 Eot Applicable
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 Ill - Policies; Pages 34 through 38 for evaluation criteria.
~Yes ~ No ~-~ Not Applicable
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 Ill - Policies; Pages 38 through 46 for evaluation
criteria.
~] Yes~ No ~Not Applicable
Attach additional sheets if necessary
WORKING COAST POLI~S
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
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
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
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
PREPARED BY
TITLE ~e;'~lX--~ DATE
Joseph A. Ingegno
Land Surveyor
'%.
SURVEY OF
LOT ] 0
MAP OF
PLAN OF I~TS OWNED BY
GEORGE H. WELLS
SOUTHOLD
OlOHl~lOS ~0 N,%01
,kg O~AO~dd¥
N.Y.S. Uc. No. 50467
Nathan Taft Corw,n III
Land Surveyor
PHONE (651)727-2090
Fox (631)727-1727
NOTES:
1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM.
2. EXISTING CONTOUR LINES SHOWN THUS:
;5. EXISTING SPOT ELEVATIONS SHOWN THUS:
CERTIFIED TO:
FIRST AMERICAN TITLE INSURANCE
TITLE No, 141-S-8665
MARY IRENE BURNS
COMPANY OF NEW YOLK
THE EXIS'T£NCE OF RIGHTS OF WAY
/
/
/
SURVEY OF
LOT 10
MAP OF
PLAN OF LOTS OWNED BY
GEORGE H. WELLS
FILE No. 859 FILED NOVEMBER 28, 1927
SITUA TED A T
SOUTHOLD
IOWN OF SOUIHOLD
SUFFOLK COUNTY, NEW YORK
S.C, TAX No. 1000-70-04-10
SCALE 1 "=20'
SEPTEMBER 15, 1994
AUGUST 8, 1995 (UPDATED SURVEY)
SEPTEMBER 13, 1995 (REVISED AS PER SUFFOLK ENVIRONMENTAL CONSULTING, Inc.)
AUGUST 11. 2008 FOUNDATION LOCATION & STAKE WEST PROPERTY LINE
AREA = 25,64-0.80 sq.
(TO TIE UNE) O,BBB tlC.
PROPERTY OFNER: MARY IRENE BURNS
3125 WELLS [NUE
SOUTHOLD, 11971
,¢/
/
/
/
/
· %
J
~TORM DRAINAGE7 CALCU LATiONR
Roof Area - 1~T15 sq, ft.
Syste~f" C" :
NOTE:
THIS SITE PLAN WAS PREPARED WITH INFORMATION!TAKEN FROM
A SURVEY MADE BY JOSEPH A. INGEGNO~= LAND SuRVEYoR,
RIVERHEAD, NEW-YORK, DATED: SEPTEMBER 15, 1994 '
U~PDATED: AUGUST 8 t995
ALI. ELEVATION AND COUNTOUR LINES ARE REFERENCED TO N.G.V.D.
pRoPOSED SANITARY SYSTEM ELEVATIONS
FIRST FLQOR ELEVATION
EXI~ITING GRADE
~3ROUND W~TER
SOIL UNE AT BUILDING --
~lN. G RA'D.E
TOP OF
S.T. INLET
,B,T. OUTLET
BOTTQM OF S.T.
TOP OF ~
~B. OTTOM OF LP.
LEGEND
"S.T," - SepUo Tank
"LP. - Leaching Pool
~ANITARY SYSTEM DESIGN
BUILDING AREA
Proposed 3,954 sq. fl,
NUMBER OF BEDROOMS
Proposed 3
WATER SUPPLY
ExlsBng & SUFFOLK COUNTY
Proposed WATER AUTHORiTy
SANITARY SYSTEM
Proposed
ONE (1) 1.000 GALLON SEPTIC TANK
TWO (2) 8' DIAMETER X 6' DEEP
LEACHING POOLS
SiTE AREA
UPLAND AREA
TAX MAP ,~
FILED MAP DATA
ZONING
ELOOD 'ZONE
WATER SUPPLY
AUG 2 0 ZU08
GA'I 'IR:E T T:" A
a r. c:h i t E
~230 TraveLer Street Sc
/631-765- 5~,
C:t
dthGId N.Y. 11971 '
SITE_. DATA_
0.50 ACRES 25,041 .~;Q, FT.
MAP'O PLAN OF LG S GW iED
GEORGE H. WELLS
EX ST NG .... '~ 1' ' r
TOWN'~GENCY" ,'I r
iLDING AREA ' '
ExisTING 2, egg BO
,Building addition ; ' ¥,146 SQ. FT,
NYSDEC:
TOTAL IM P~RVIOUS
BUILDING A~D, PAVED AREAS
Brlak Terrace ~90 8Q~"FY~
TOTAL 5i~38 SQ. F~.
' P~PO~ED ~r'
' ' "~ ',, wla~dlt ohs
TOTAL IMPERVIOUS"
EXISTING
OWNER
20,8 % . ,; ..'
19.2% . . "'
THOMAS & MARY IRENE MARRON
, '26 RANDALL DR
. SHORTHILLS, NJ. 07078