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TR-7180
Michael J.Domino,President � 0f SUUryolo Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski pQ Telephone(631) 765-1892 Greg Williams Ol IroUFax(631) 765-6641 NTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 17, 2018 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: FOROSICH FAMILY IRREVOCABLE TRUST 1405 ANCHOR LANE, SOUTHOLD SCTM# 1000-79-4-4.1 Dear Mr. Patanjo: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, October 17, 2018: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#7180 from Anthony Forosich to Forosich Family Irrevocable Trust, as issued on September 23, 2009. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd Michael J. Domino,Presiden� t 0Fol NQS �'C Town Hall Annex John M. Bredemeyer III,Vice-Presii&;nL ,,�� ��, 54375 Route 25 Glenn Goldsmith P.O.Box 1179 Ze A.Nicholas Krupski Southold,NY 11971 Greg Williams y ®! Telephone(631)765-1892 ®� �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: 4dg!2�� Jeffrey Patanjo on behalf of FOROSICH FAMILY IRREVOCABLE TRUST requests a Transfer of Wetland Permit#7180 from Anthony Forosich to Forosich Family Irrevocable Trust, as issued on September 23, 2009. Located: 1405 Anchor Lane, Southold. SCTM# 1000-79-4-4.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 -Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredeme er M. Domino G. Goldsmith N. Kr y upskl G. Williams Other August 9, 2018, Town of Southold Trustees TownTown Hall Annex Building D 54375 Rte. 25 j P.O. Box 1179 AUG 2 0 2018 Southold, New York 11971 RE: 1405 ANCHOR LANE. - SOUTHOLD Southold Town SCTM No. 1000-79-04-4.1 Boardof Trustees PERMIT TRANSFER Dear Trustees: We hereby request all permits for the above referenced property be transferred into the new owner's names as follows: 1. Forosich Family Irrevocable Trust If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, )effrey Patanjo P.O. Box 582 Bohemia, NY 11716 September 23, 2018 Town of Southold Trustees - Town Hall Annex Building -- 54375 Rte. 25 Q�rE _�C � St1�P.O. Box 1179 � Southold, New York 11971 ; SEP 2 7 201$ RE: 1405 ANCHOR LANE. -SOUTHOLD SCTM No. 1000-79-04-4.1 Southold Town PERMIT TRANSFER CHECK B a Tr it n ` Dear Trustees: Attached, please find check in the amount of$50 as requested for permit transfers. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 V �OgpfFO(,�� ti� Gy Jill M.Doherty,President Q Town Hall,53095 Main Rd. N Bob Ghosio Jr.,Vice-President . ,y. .� P.O. Box 1179 James F. King O Southold, NY 11971 Dave Bergen y'1y� ��� Telephone(631)765-1892 John Bredemeyer 1 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #0619C Date: January 18, 2011 THIS CERTIFIES that the renovation and construction of additions to existing dwelling including two additions to the footprint new covered porches on the landward and seaward sides of dwelling-, addition to existing garage; installation of Butters to leaders to drvwells At 1405 Anchor Lane Southold,New York Suffolk County Tax Map# 79-4-4.1 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated 8/25/09 pursuant to which Trustees Wetland Permit#7180 Dated 9/23/09 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 renovation and construction of additions to existing dwelling including two additions to the footprint: new covered porches on the landward and seaward sides of dwelling; addition to existing garage: installation of Butters to leaders to drywells The certificate is issued to ANTHONY FOROSICH owner of the aforesaid property. ?thorized Signatur 0 0 Jill M.Doherty,President St7(/Ty Town Hall Annex James F. King,Vice President ��� Old 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 Bob Ghosio,Jr. co John Bredemeyer Telephone(631) 765-1592 , tom Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DAzOh. 275 NSPECTION: S� `7I Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 15` day of construction '/z constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: c__ James F. King,President ��Of so yo Town Hall Jill M. Doherty,Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen Bob Ghosio, Jr. '� �� Telephone(631)765-1892 IyCOU ' 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 1st day of construction Y2 constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK r� PERMIT NO.7180 DATE: SEPTEMBER 23, 2009 ISSUED TO: ANTHONY FOROSICH PROPERTY ADDRESS: 1405 ANCHOR LANE, SOUTHOLD SCTM# 794-4.1 AUTHORIZATION i 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 23,2009,and in consideration of application fee in the sum of$250.00 paid by Anthony Forosich and subject to the Terns and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to renovate and construct additions to the existing 1 '% story dwelling with two additions to the footprint, addition to garage, and new covered porches on landward and seaward sides of dwelling,with the conditions of a line of staked bay 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, and as depicted on the site plan prepared Samuels & Steelman Architects, last dated August 24, 2009, and received on August 25, 2009. 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. ro N or TERMS AND CONDITIONS The Permittee Anthony Forosicb. residing at 1405 Anchor Lane Southold New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. 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. 2. 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. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations 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. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. 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. 0 0 James F.King,President ��OF SO(/lyo Town Hall Annex Jill M.Doherty,Vice-President 54375 Main Road P.O.Box 1179 Peggy A.Dickerson l�( # Southold,New York 11971-0959 Dave Bergen o %- Bob Ghosio,Jr. 0 �� Telephone(631) 765-1592 l`CO Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 23, 2009 Mr. Tom Samuels Samuels & Steelman Architects 25235 Main Road Cutchogue, NY 11935 RE: ANTHONY FOROSICH 1405 ANCHOR LANE, SOUTHOLD SCTM# 79-4-4.1 Dear Mr. Samuels: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 23, 2009 regarding the above matter: WHEREAS, Samuels & Steelman Architects on behalf of ANTHONY FOROSICH 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 25, 2009, 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 23, 2009, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 • ! 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 ANTHONY FOROSICH to renovate and construct additions to the existing 1 '/z story dwelling with two additions to the footprint, addition to garage, and new covered porches on landward and seaward sides of dwelling, with the conditions 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, and as depicted on the site plan prepared Samuels & Steelman Architects, last dated August 24, 2009, and received on August 25, 2009. 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, .cZ James F. King President, Board of Trustees JFK/eac • • James F. King, President ��of so�Tyo Town Hall Jill M. Doherty,Vice-President ,�O l� 53095 Route 25 yL P.O. Box 1179 Peggy A.Dickerson T Southold, New York 11971-0959 Dave Bergen G Q Bob Ghosio,Jr. O �O Telephone(631)765-1892 �y00UNT'1, Fax(631)765-6641� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: a FnonT rho rd s 1 ch Please be advised that your application dated &9U,S4a.S_c20& has been reviewed by this Board at the regular meeting'4f 0�3 and your application has been approved pending the conipletion 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) '/2 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: $ /GYM BY: James F. King, President Board of Trustees • pgyFFD14. James Eckert,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary 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 16, 2009, the following recommendation was made: Moved by Jack McGreevy, seconded by Doug Hardy, it was RESOLVED to SUPPORT the Wetland Permit application of ANTHONY FOROSICH to renovate and construct additions to the existing 1 'Y2 story dwelling with two additions to the footprint, addition to garage, and new covered porches on landward and seawards sides of dwelling. Located: 1405 Anchor Lane, Southold. SCTM#79-4-4.1 Inspected by: Jack McGreevy, Doug Hardy The CAC Supports the application with the Condition gutters, leaders, and drywells are installed to contain roof run-off, the installation of a 20' non-turf buffer, and the drainage problem is addressed. Vote of Council: Ayes: All Motion Carried � r •�6p� '4 - ".} x°sis' v � dye tpti#10.. a ���! , "C r r t A f 1y 1 •;F,,,.E _ f. f 09/09/2009 16 : 31 • x T` M• "b]•�_f'Ysj i I ! t do >� """� 09/09/2009 16 : 33 osutFa t James F.King,President pV Cp P.O. Box 1179 Jill M.Doherty,Vice-President jSouthold.NY 11971 Peggy A.Dickerson 2 Telephone(63 1)765-1892 Dave Bergen0 m Fax(631)765-6641 Bob Ghosio,Jr. 'F Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: 6 ANTHONY FOROSICH requests a Wetland Permit to renovate and construct additions to the existing 1 1/2 story dwelling with two additions to the footprint, addition to garage, and new covered porches on landward and seawards sides of dwelling. Located: 1405 Anchor Lane, Southold. SCTM#79-4-4.1 Typ of area to be impacted: altwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland YPari of Town Code proposed work falls under: YCof _Chapt. 111 _other Type of Application: k, (Wetland _Coastal Erosion _Amendment —Administrative—Emergency Pre �-Submission Violation Info needed: Modifications: Conditions: Present Were: LKing _J.Doherty _P.Dickerson B Bergen B Ghosio, D. Dzenkowski other Form filled out in the field by Y(9 Mailed/Faxed to: Date: . . . +eft r _ � �-. �.� � ,,e,a .w �! ✓s� tl,SYR ♦_'P�af .. t;1b�r 141 '9 �� � ✓ vi � 'AV AL Ir � Iw.• •1 1"1" JPI - 1� � _� ♦ � SSC /�� .,(f S(c'r. �'t : 'r `'_ � I '�'i/ ..; a /F9 E.-•S; ` / t,���, gyri i xEl+ ✓ � i 1'h11 %' t d Y WIN Al V1, Il 2 i.. ( 't av 1,/,� y '0 -��.. a 'F' I,��y'}��,'� �;ti��`n / / rv1 r,:`�.. . � t .•� f�.� 5 iN���� f J' �. '/ ,/ Y i;� � 1 t ♦ / �� /(�' a p=` (f•�b ,1(,1 f;*� �K '(�h /ll� I � r • � � I I � I Ir �� R fir•.d � .. A, IV r � ` r '1 !�j �a .�i y fS ♦ '4 lit, .r ` r A AMKIL I I 9• R e 1 ♦ a v ♦ � 1f x • x Y f V fs • s W _ • ,x ,t.y W � y r Wu r6 S W - ,.• � .a � _ � OO,� �� iia >♦ ,�, Me A N L OO i v _ 1W mwwiwnno . • n +a ° 8 A _ ; i'Y a LETIyp a ' ' i COWTY OF SUFFOLK Q i SOUTHOLD vCi9H X0 Ked ProWty Taxso"Im Awcy + .. .r. 441 ILL � fp•r1Y y�l. X+ 11111 �•.: v e •rw.. mmvw.sv e.u•m. 1 6 OFFICE LOCATION: O��OF SO(/lyOl MAILING ADDRESS: Town Hall Annex O Y.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) N Southold, NY 11971 Q Telephone: 631 765-1938 � �� Fax: 631785-3136 �IyCOUNTI,a LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM Q To: Jim King, President D Town of Southold Board of Trustees SouthholTown Board From: Mark Terry, Principal Planner of d Ta tee$ LWRP Coordinator Date: September 15, 2009 Re: Proposed Wetland Permit ANTHONY FOROSICH SCTM#1000-79-4-4.1 Samuels & Steelman Architects on behalf of ANTHONY FOROSICH requests a Wetland Permit to renovate and construct additions to the existing 1 'Y2 story dwelling with two additions to the footprint, addition to garage, and new covered porches on landward and seawards sides of dwelling. Located: 1405 Anchor Lane, Southold. SCTM#79-4-4.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (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 denoted following Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James F. King, President ��q soil Town Hall Jill M. Doherty, Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold, New York 11971-0959 Dave Bergen G C Bob Ghosio,Jr. �� Telephone(631) 765-1892 UNT r,N Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application _Wetland Pemrit Application ___Administrative Permit _ _Aniendment/Transf /Ext nsion Received Application: 3 Q Received FeeS J5-0 _,_0mpleted Application 0 (� _Incomplete_ D E C 110 f2 _SEQRA Classification: Type I__Type II__Unlisted Coordination:(date sent)_ O /LWRI' Consistency Assess me t Form AUG 2 5 Lw -CAC Referral Sent: 1A l7� _ �TSate of Inspection:_7WQC__ Southhold Town _Receipt of CAC Report: _ Board of Trustees _Lead Agency Determination: _Technical Review: ,,Pttblic Hearing Held.1 � Resolution: Name of Applicant Address 10 � ltil (1� L(f� 1Lf7hlLNt9Sei , �(� Phone Number:( 15, q Suffolk County Tax Map Number: ��1""000 - jI — a f 4, Property Location: J+Vd /�►nWWr '� "e� l44r-W Lie Ntfates loo ¢eA tact o � 6jrvhr TFOL46 (provide LILCO Pole #, distance to cross streets, nd location) AGENT: TOM 4yhyV V , Lau /W 4 �fwf~ (If applicable) Address: julo 0 --- Phone: 4A _ 64-V5 �6` Boo of Trustees Application gGENERAL DATA r Land Area (in square feet): d� t t� d ST d / GSC. Area Zoning: Previous use of property: �e Q ( "twce Intended use of property: SaWLL Covenants and Restrictions: Yes No If"Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Ib M 6 rf Cad 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): ��a re�`dettc�, wz Ewo acQdit�ons � KcSfivt�l oo % Kt Uxae, a ( �� E its � stew coyaat P1DV-d e3 00 rOci4 B Ae, W Water Srd,e Bd of Trustees Applicatioi� WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: G PGal6V1 0 ( Qyfst(r(l� &W11/ bdr �>k carne ami wooJAwL Fe WTe Area of wetlands on lot: > l ooh square feet Percent coverage of lot: 4, 6 Closest distance between nearest existing structure and upland edge of wetlands: P/_ b lI feet Closest distance between nearest proposed structure and upland edge of wetlands: 1_ It feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated'? 10 cubic yards Wk (� rf r , How much material will be filled? 0 cubic yards �. ['l Vl ox0�. Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material willbe removed or deposited: rN.e�l�:l c�.elti]. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of suchproposed operations (use attachments if appropriate): p 4Vs�i e Ul(.Q !-& K0 t'1 ��Ct (-Lt, fr`ot PROJECT ID NUMBER 9 61720 • SEQR 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.APP4-_ f T/SPONSOR 2. PRROJECT NAME -ami elv Te&ide j G2 3.PROJECT LOCATION. ' U Municipality � aCounty 4. PRECISE LOCATION: Street Access and Road Intersections. Prominent landmarks etc -or provide map 1405 hme-kor 4.µ-e So",t- tib, aoa fejt east of %( Jwoi'Lg� Le tet- "efk sid_2 DF roar- 5. IS PROPOSED ACTION ❑ New LJI Vi Expansion 1:1Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: /YIGtSt2V �t/e� f �4 ftS �K %`/ �0(oor 42,K IWcc{ec( 6�4�Q-P �x�c�d�l ��c tot �Coor ©ver e xe� (rye kza- �a�v )"70 OF Ovet- Pd rffoM ©re4 ofgck 12e 'o cC>✓ QVed f7-bJt,f dotS>kCJ.;,,. 7.AMOUNT OF LAND AFFECTED. Initially Q. / acres Ultimately ©, 1 acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? MYes ❑ No If no,describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential ❑Industrial E]Commercial DAgriculture ❑Park/Forest/Open Space r Other (describe) F 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOWAlOR ULTIMATELY FROM ANY OTHER (ate ERNMENTAL AGENCY (Federal, State or Local) N YS bE!' 601/C&'r�^ Y- 1 b� Yes ❑No If yes, list agency name antl permit / approval: / '`oma/ J✓e(/ 11 DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? nYes ly"o If yes, list agency name and permit / approval: 12 AS A RES T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? LJres No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date / Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment 0 • PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. 0 Yes 0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. 0 Yes 11 No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING. (Answers may be handwritten,if legible) Cl. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: 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 threatened 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 briefly. C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly. C6. Long term,short term cumulative,or other effects not identified in C1-059 Explain briefly. C7 Other impacts(including changes in use of either quantity 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)? If yes.ex Iain briefly: nYes ❑No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain. ❑ Yes 0 No L. I PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e. urban or rural); (b)probability of occurring; (c)duration; (d)irreversibility;(e) geographic scope;and (f)magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the F U L EAF and/or prepare a positive declaration. Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thin determination. Name of Lead Agency Date Print or Type Name of esponslb a icer m Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) • o�g�►FFO(,�� James F. King,President . Town Hall,53095 Main Rd. Jill M. Doherty,Vice-President P.O.Box 1179 Peggy A. Dickerson � �' Southold,NY 11971 Dave Bergen 'J�'0 ��' Telephone(631)765-1892 Bob Ghosio,Jr. 1 a* �' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD D. ECEjVE BOARD OF TRUSTEES: TOWN OF SOUTHOLD SEP 2 Z D --------------------------------------------------------------- 2009 In the Matter of the Application of Board °M T°w° ANTHONY FOROSICH °f irus COUNTY OF SUFFOLK) STATE OF NEW YORK) '__ II AFFIDAVIT OF POSTING I, 6M S(gu(,tF�it-S residing atddba '-_�(�a3S- being duly sworn, depose and say: That on the (-S day ofSe)d_ ' 200q' 200`x, I ersonally posted the property known as -x0S1C�i ZeNIro. -0 by placing the Board of Trustees 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 hearing. Date of hearing noted thereon to be held Wed. September 23 20 on or about 6:00 PM. Dated:ci/�� / it Uw (signature) Sworn to before me this �,q qday of Sei¢/-2009 Notary Public PATRICIA RICHARDS Notary Public, State of'New York No. 01 R16042467 Qualified in Suffolk County Commission Expires May 30,.200t-- -Z,e)Iv SEP 2 2 � � PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIP S Southhoid Town Board of Trustees CERTIFIEDU.S. ppstal Service,- I MAIL,, RECEIPT Address: ir,surance coverage Provided) N14 r-1 Postage $ $I1.A22 0935 3�s A� �� . � 4 ll%7/ 7 Certified Fee $2.80 14 Return Receipt Fee $ 30 Here C3 (EndorsementRegNretl) O Restricted ne'ws'y Fee $0.00 a (Endorsement Re9wred) M $6.32 09/10/2009 1 f OI I (J /JV�• (/ C3TotalPostage 8 Fees ,r) Esen'Te Robert & Joan Rogers -------------------------------- (� Sheet -V 9 Broadway Ave. or PO 9oi Atm """"""""" ar rr residing at AZO 6-lv -x-e bean duly swom, deposes and says that on the day of Spt 20deponent 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 -'g that said Notices were mailed to each of said persons by (certified) (registere mar . 4ASwom t 'befor me this Day of 20V Notary Public CONSTANCE LISOWY Nuary Public,State of Now Yolk No. 01 LI6110g00 Qualified in Suffolk Co Commission Expim June 0112 Oard of Trustees Applicati• County of Suffolk State of New York 0 kmyeA 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_-C�_�DAY OF ,206 1 Notary Public PATRICIA RICHARDS Notary Public, State of New York No. ();R16042467 Qualified in Suffolk County Commission Expires May �` ANTHONY FOROSICFI 1405 Anchor Lane Southold, NY 11971 August 6, 2009 1 hereby authorize Thomas C. Samuels of Samuels and Steelman Architects, at 25235 Main Road, Cutchogue, NY, to apply for all required pe-mits from the Town of Southold, Suffolk County and State of New York, for my project a 1405 Anchor Lane, Southold, NY 11971. Sincerely, Anthony Forosich r Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. 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. 2. 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). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if 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.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# 79 - 04 _ 4 . 1 The Application has been submitted to(check appropriate response): Town Board Ea Planning Dept. E Building Dept. [11 Board of Trustees I. 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: 2 Nature and extent of action: Renovations and additions to existing one and one-half story frame residence Location of action: 1405 Anchor Lane, Southold, NY Site acreage: 21, 782 sf = 0 . 50 acre Present land use: Residential Present zoning classification: R-40 2. If an application for the proposed action has been tiled with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Tom Samuels, Architect (b) Mailing address: 25235 Main Rd. Cutchogue, NY 11935 (c) Telephone number: Area Code O 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 0 if yes,which state or federal agency? 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 LW-RP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ❑ Not Applicible Adding to an existing residence preserves open space around e 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 zoning. 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 0 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 F1 Yes E No F� Not Applicable By improving the existing residence, and not demolishing it and expanding it greatly, the scenic resources are thereby reserved and enhanced 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 E Yes 11 No 1�1 Not Applicable All rainwater runoff is and will be retained on site with the use of underground drywells. During construction hay bales placed temporarily between the construction and shore will krcn r Hoff snoi I on si tP 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 E Yes El No 0 Not Applicable All rainwater runoff is and wi 1 be retained with 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 served with public water from Suffolk County. 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. R Yes E No® Not Applicable No development will take place in the "protected" or "natural indiginous 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 ❑ 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. E Yes ❑ No ❑ Not Applicable The construction and use of the residence will make use of the town's disposal and recycling center. All waste water "sanitary" will be discharged into an approved SCDHS sanitary system. 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. © YeO No❑ Not Applicable There is currenity a right-of-way which will be protected and maintained throughout the course of construction. 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 0 • There are no public or commercial activities or uses on site. Historically this property and neighboring properties are residential in use and will remain residential. 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 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 III — Policies; Pages 62 through 65 for evaluation criteria. E Yes ❑ No© Not Applicable There are no agricultural lands on site. 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 0 Not Applicable The construction will be using equipment approved by the Federal government for energy usage. The residence will meet Federal standards for conserving energy "energy Star Program" and will use "New York Stat Energy Conservation and Construction Code" for construction of the residence Created on 5125105 11:20 AM � �a� (0 . 8p8H0058E8A8A8A8A8X 98gy/888 )8088? A ±>P>A85>B88>A88 8>8a8i888>j A ±->^ ± i i S A M U E L S & S T E E L M A N � ECEI E August 24, 2009 AUG 2 5 '0g f"J Southold Town Board of Trustees old Town Hall Annex Board 03rd of TrTr tow, ustees Main Road Southold, NY 11971 RE: RENOVATIONS &ADDITION TO THE FOROSICH RESIDENCE 1405 ANCHOR LANE SOUTHOLD, NY 11971 TAX MAP # 1000-79-04-4.1 Dear Sir/Madam: We are requesting a WETLANDS PERMIT for the above reference project, which involves two modest additions to an existing residence, the expansion of an existing second floor, the partial covering of an existing deck, a new covered porch, and associated improvements. For your review we are submitting the following documents: 1. Application 2. Short Environmental Assessment Form 3. Application Affidavit 4. LWRP Consistency Assessment Form 5. (3) SITE, FLOOR PLANS and ELEVATIONS prepared by Samuels&Steelman Architects 6. Site Survey 7. Letter of authorization from Owner 8. Four (4) photos 9. Check for$250.00 Please call us with any questions or concerns. Sincerely, SAMUELS & STEELMAN ARCHITECTS —goo t14 . Thomas C. Samuels, Architect enc. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 ;6311 734-6405 FAX(631) 734-6407 Ifo `7i 64, S g ~ 1040 %O, 3' p„{ R, h o SURVEY OF \ ' s4°S'1 , } � tajO T40 0 V 4i ' / yG LOT 15 o° ° P I 2 yw ! y MAP OF HARBOR LIGHTS ESTATES SECTION No. 1 w , /\\\ 3 $\1�, FILE No. 4362 FILED JUNE 8, 1965 o o. w SITUATE \ \ \ \\ \ 4P \ \ �n�' a BAYVIEW `/ \1\•� I \ \ �h m TOWN OF SOUTHOLD j” � \ \\\\ \ \\ \\\\\ \1\\ \\I ` \ „ 111 \ ` \y SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-79-04-4.1 SCALE 1 "=20' JULY 15, 2009 AT p,G.1 x \ `\ \\\\ \ \' yQ �O 3S`°`S 171 AREA = 21,782 sq. it. 0.500 ac. NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM w EXISTING ELEVATIONS ARE SHOWN THUS:.m9 — — C) EXISTING CONTOUR LINES ARE SHOWN THUS: — —to — — — — / 4�QY 'P• 1 �L,• Of q� a FA - FIRST FLOai e 74L�.• r arL - W R.ODR � / / � \ ?�iq +. 2. FLOOD ZONE INFORMATION TAKEN FROM: G ; FLOOD INSURANCE RATE MAP No. 36103CO166 G / / '''• ZONE X*: AREAS OF 500—YEAR FLOOD; AREAS OF 100—YEAR FLOOD WITH AVERAGE / ' ` Ay4, '•' DEPTH OF LESS THAN i FOOT OR WITH DRAINAGE AREAS LESS THAN j/ • •.: • \q 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 100—YEAR FLOOD. / ..A: . ••', ' t+,' \ �i ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN. ,�: � � 0. 11-16-917 COASTAL BARRIER 3 '05"'0. h� / O FLOOD INSURANCE NOT AVAILABLE FOR NEW CONSTRUCTION OR SUBSTANTIALLY f �,• /' s5 �'O �, .• . g Y IMPROVED STRUCTURES ON OR AFTER NOVEMBER 16, 1990, IN DESIGNATED ,h / + • Y COASTAL BARRIERS. = x •M �? ?07,01 AN. Awl: /XAr D 64.pAwa s/..• . AU s'7Oy `�i 2009 Sourhhala Boara a{Trustees l O Hh y L�q T Op, x ! " Sru,� FOR Dies As es AOMED • FOR THE LIALS. AND E NEW AND ATE LAN FOR ELISE R! D A NEVI YDRA SPATE LAND tIItE ASSaCN1xIN. N.Y.S. Oc. No. 50467 TO WITS SW 8 AIADi G Aa F TO TO SURVEY S A YNEW ON OF DxxATm OF THE �" °T �`"� Nathan Taft C o r FOUG,NIN RAW. MMIG WE LA OF TIS IRIA'SStfillfiINKED WP SI RFR TIE IANa 91EN. SHN OTI CO OR Land Surveyor TOBEORDERED SEAL RIAE . SE f.ON510FNED TO BE A WYJX TITE COPi. 12 PREGRED. AND H INmN 9O RIIN ONLY TO WE PERSON FON MIIOY THE WRIAN 6 PRFPMED, Ata ON NS fal1lF TO WE TRE COMM MINME K AOENTY ArD LENDN9 IXSIRIRION LISTED HEREON. ANT Tdp Sumya - 6h6dMNaM - 5ih Pknx - CWWWeflon Layout TO WE Ati90NEES OF THE LENDING IN6N- M ' CERTIFICATIONS ARE NOT nllxsFm/ae PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICE LO(Nim AT WILING x 12315 AN EASEMENTS OF IIECOIIq IF 1686 Main Rand P.O. Box 1931 ANY, NOT SHOWN ARE NOT GUARANTEED. JaIRalwrt, Nw York 11947 Rtaftod, NSW Yolk 11901-0965 V SITE DATA SCTM # 1000.79-04.4.1 LOT 15, SECTION #1 HARBOR LIGHTS ESTATES FILE #4362, filed June 8, 1965 PROPERTY: 1405 ANCHOR LANE Uj SOUTHOLD, NY 11971 V O OWNER: ANTHONY FOROSICH } z \ 41 S s lN�y!a SITE: 21,782 sf = 0.500 ac rLU O 4 �t e! W 3�pS'10., ac ZONING: R-40 I,I.I Q Z '4 )0+ O h ; GREEK BOTTOM OWNED BY SURVEYOR: NATHAN TAFT CORWIN III ~ O 4t 9� ' 1586 MAIN ROAD O M 4 I HARBOR LIGHTS PROPERTY JAMESPORT, NY 11947 W OWNERS' ASSOCIATION, INC. LICENSE# 50467 U) HAY BALES ff SILT FENCE � s` "V+r � s• � � � � `` � 3 DATED JULY 15, 2009 z Q DURING CONSTRUCTION ��` 4r�� \�� g I " c" NO WORK PROPOSED TO O (n rn EXISTING SANITARY 5100 ; I �In EXISTING DOCKS BULKHEADS, SYSTEM TO REMAIN '4 09 ETC . Z �_ O EXISTING WD. DECK /, w/PARTIAL NEW ROOF ABOVE 0 I? 'oo o N Parish D w O rO& / Z ♦^ NEW 1-STORY ADDITION SITE ° / (SHOWN DARK HATCH) 00 G° lfgh D rV Q 2 / EXISTING IY2 STORY FRAME RE5IDENGE e 'N NEW 5 FT. DIA. DRWELL o ore ♦ 1 Z / CONNECTED TO ROOF v SHOWN w/LIGHT HATCH 1 \ `, d ♦♦�AA / �' f GUTTERS (TYP.) O` e W v♦ w CID OUTLINE OF NEW 2nd FLR. d y p O Z EXISTING FRONT ��' /� `, AREA ABOVE, CONFORMING r; ,�, o R V r^ / PORCH \?� w/ REQ'D. SIDE YARD °' O 0 Q 1 / a �% SETBACK m a O o �� > L / IDW, LOCATION MAP r PROPOSED IY2 STORY ADDITION TO EXISTING GARAGE (5HOWN DARK HATCH) \ EXTEND GONG. WALKWAY AT GRADE as z• ----- - -- Q * `` ``` EXISTING PROPANE j E. 3 0 TANK TO BE REMOVED W J• rc "r s4. ,� / • NEW LOCATION EXISTING r© Q` i 1 M1 Os, 3 r, l- LU. Q) )Oe •�'. .. �� PROPANE TANK � VJ 0) \ 4, - - \ \ 100 ti loA Op, x d' •\ OF N6W \ \ \ \ AUG * �9 N 2 5 2009 '8360A 820 \ \ S,ufhhad TOW, IB3 T B„rd of Trustees R ARO \ \ \ SURVEY NOTES: PROJECT NO: 0904 \ 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM / EXISTING ELEVATIONS ARE SHOWN THUS: DRAWN BY: SITE PLAN EXISTING CONTOUR ONES ARE SHOWN THUS: — — — — — TCS / rn - FIRSTRCHECKED 8Y: FLO ca. — Q1XNiE ROOK 2. FLOOD ZONE INFORMATION TAKEN FROM: DATE: 111 = 20'-O” / FLOOD INSURANCE RATE MAP No. 36103CO166 G 8124109 SCALE: /� /\ ZONE X*: AREAS OF 500—YEAR FLOOD; AREAS OF 100—YEAR FLOOD WITH AVERAGE A•S, /� \ DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN SCALE: N yA \ 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 100—YEAR FLOOD. V. = 20'.0" / \ ZONE X: AREAS DETERMINED TO BE OUTSIDE 500—YEAR FLOODPLAIN. SHEET TITLE: 11-16-90 COASTAL BARRIER FLOOD INSURANCE NOT AVAILABLE FOR NEW CONSTRUCTION OR SUBSTANTIALLY SITE PLAN IMPROVED STRUCTURES ON OR AFTER NOVEMBER 16, 1990, IN DESIGNATED COASTAL BARRIERS. SHEET NO.: REGULATORY APPROVALS MUff --------------- --------------J "Oi I O I I Z r I WLU czW ll I— 'uw, I I I oW I I EAST ELEVATION 31-0II N 7 scup:w••1'a" I I I L _ O I II@S2H �Ty i � j. 2' I ADDITIONS SHOWN w/DARK WALLS 4 0 "1— \ V Ili HATCHED FLOORS O LLI_Ll I- X j I e I � ' eel 2 I I I'' '' 11� 13'�1��'�z z, V -- - , Z o I I W J I I I I O 0 co SECOND FLOOR PLAN NORTH ELEVATION SCALE:V4"=T-0" 9WLE:114'•1'd" m a- U) <. 11 .J 2. C W J• � i ------------------ 7 W• 9 V - - I I Q F• u0 I I N N• F_YIGTIYi I I I PAMLY I 2CQKI goob I I I I —tAFH FEr____________________ __ ______________J I _ I I a F -, �J III EOF NEW r_______________� ! 3 i' 3 i: i i li mr7l SPS O � O G I clam WEST ELEVATION I LINA FW 1 F----------------------- I P� 18350 o- ecaLE:ur•r.o•• I Tag d li III _____ O _--__ P OJECT NO: 0904 ❑� /� N NW RM. /LAIMORY I d <✓\Y/�J\ ' i orcAwN BY: TCS nole�uwlw' °�I CHECKED BY: I � I ALIA a i DATE: 8/24/09 ❑ � \\// SCALE: C d SaR�.0 I I-0" SHEET TITLE: --- --- =----------------------- ELEVATIONS FLR. PLANS 0000000 FIRST FLOOR PLAN SOUTH ELEVATION SCALE: 1/4"=1'-0" SHEET NO: 2 REGULATORY APPROVALS