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TR-7256
J John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 CERTIFICATE OF COMPLIANCE # 1130C Telephone (631) 765-1092 Fax (631) 765-6641 Date: June 23, 2015 TRIS CERTIFIES that the construction of a two-story addition with a footprint of 277.44sq.ft.; construct a two-story addition with a footprint of 226.8sq.ft., construct a 1,230sq.ft. second -story addition over the existing garage; construct a 54.6sq.ft. two-story addition; construct a 78sq.ft. covered porch; enclose the existing 187.2sq.ft. covered porch; construct new 11'x13' entry steps; construct two (2) new raised planters adjacent to the entry steps; install a new sanitary system located 112' from the wetland bounden at its closest point, remove the existing wood steps and part of the wood walk on the south side of the dwelling and construct a +/-534.5sq.ft. deck addition with new steps to grade; install five (5) new dMyells for roof runoff, eliminate existing outdoor stair from the deck above grade to the deck at grade and replace it with a deck atargde; provide a new outdoor stair and deck; relocate existing on -grade wood walkway; rebuild new outdoor deck at the area below the existing above grade deck; and rebuild a new foundation at grade level under the existing portion of the residence. At 960 Willis Drive, Mattituck Suffolk County Tax Map #123-10-1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 22, 2010 pursuant to which Trustees Wetland Permit #7256 Dated March 17, 2010, was issued, and Amended on August 18, 2010, and Amended again on December 12, 2012, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a two-story addition with a footprint of 277.44sq.ft.; construct a two-stM addition with a footprint of 226.8sq.ft.; construct a 1,230sq.ft. second -story addition over the existing garage; construct a 54.6sq.ft. two-story addition; construct a 78sq.ft. covered porch; _enclose the existing 187.2sq.ft. covered porch; construct new 11'x13' entr steps; construct two (2) new raised planters adjacent to the entry steps; install a new sanitary system located 112' from the wetland boundary at its closest point; remove the existing wood steps and part of the wood walk on the south side of the dwelling and construct a +/-534.5sq.ft. deck addition with new steps to grade; install five (5) new drywells for roof runoff; eliminate existing outdoor stair from the deck above grade to the deck at grade and replace it with a deck at grade; provide a new outdoor stair and deck; relocate existing on -grade wood walkway; rebuild new outdoor deck at the area below the existingabove bove grade deck; and rebuild a new foundation at grade level under the existing, portion of the residence. The certificate is issued to KENNETH & ELIZABETH LESTRANGE owner of the aforesaid property. Authorized Signature John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King Dave Bergen Charles J. Sanders BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: V1) 11 d Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre -construction, silt fence 1St day of construction '/ constructed )�_ Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: ° Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 C] James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 20, 2013 Kenneth & Elizabeth LeStrange 111 Farley Road Short Hills, NJ 07078 RE: KENNETH & ELIZABETH LESTRANGE 960 WILLIS CREEK DRIVE, MATTITUCK SCTM# 123-10-1 Dear Mr. & Mrs. LeStrange: • Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, February 20, 2013: RESOLVED that the Southold Town Board of Trustees grants the Last One -Year Extension to Wetland Permit #7256, as issued on March 17, 2010 and Amended on August 18, 2010, and Amended again on December 12, 2012. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, James F. King President, Board of Trustees JFK:amn 0 James F. King, President Bob Ghosio. Jr.. Vice -President Dave Bergen John Bredemevcr Michael J. Domino E Southold Town Board of Trustees Field InspectionMorksession Report Date/Time: �g P.O. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax(631)765-6641 KENNETH & ELIZABETH LeSTRANGE requests the last One Year Extension to Wetland Permit #7256, as issued on March 17, 2010, and Amended on August 18, 2010, and Amended again on December 12, 2012. Located: 960 Willis Creek Drive, Mattituck. SCTM# 123-10-1 Type of area to be impacted: Saltwater Wetland _Freshwater Wetland _Sound �y Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: �hapt.275 Chapt. 111 _other Type of Application: Wetland _Coastal Erosion _Amendment —Administrative—Emergency Pre -Submission Violation Info needed: Modifications: Conditions: D/C— Lr?S ✓- /Y�x7`�» .3r" Z' Present Were: "�J. King Ghosio �D. Bergen, c --J. Bredemeyer ✓ Michael Domino D. Dzenkowski other Form filled out in the field by / Mailed/Faxed to: Date: u January 10, 2013 Board of Town Trustees Town of Southold PO Box 1179 Southold, NY 11971-0959 RE: Kenneth & Elizabeth LeStrange 960 Willis Creek Drive Mattituck, NY SCTM#123-10-1 Dear Board of Town Trustees, Town of Southold: r� L We are requesting a one year extension of the Trustees Wetland Permit, Permit #SCTM#123-10-1. 0 7d5jP We are asking that this one year extension be added to the agenda and be brought up for consideration at the February 20, 2013 Board of Town Trustees meeting. Please mail all correspondence including the one-year permit extension to the following address: Kenneth & Elizabeth LeStrange 111 Farley Rd Short Hills, NJ 07078 We have included a check made out to the Town of Southold in the amount of $50.00 for this one-year extension. Thank you for your consideration in this matter. Cordially, Elizabeth LeStrange We�kr-c-, � �r1K; t P ,955�6 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 12, 2012 Mr. Shawn M. Barron, M.S. PO Box 494 Bridgehampton, NY 11932 RE: KENNETH & ELIZABETH LESTRANGE 960 WILLIS CREEK DRIVE, MATTITUCK SCTM# 123-10-1 Dear Mr. Barron: 0 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, December 12, 2012: RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit #7256 to construct a two-story addition with a footprint of 277.44 sq. ft.; construct a two-story addition with a footprint of 226.8 sq. ft.; construct a 1,230 sq. ft. second -story addition over the existing garage; construct a 54.6 sq. ft. two- story addition; construct a 78 sq. ft. covered porch; enclose the existing 187.2 sq. ft. covered porch; construct new 11'x13' entry steps; construct two (2) new raised planters adjacent to the entry steps; install a new sanitary system located 112' from the wetland boundary at its closest point; remove the existing wood steps and part of the wood walk on the south side of the dwelling and construct a +/-534.5 sq. ft. deck addition with new steps to grade; install five (5) new drywells for roof runoff; and as depicted on the revised site plan prepared by Suter and Suter, last dated November 8, 2012 and stamped approved on December 12, 2012; and as also depicted on the survey prepared by Frank J. Barylski, Land Surveyor, last dated October 2, 2012 and stamp approved on December 12, 2012. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. • 2 is if you have any questions, please call our office at (631) 765-1892. Sincerely, )X,-" C;?, �4 V James F. King President, Board of Trustees JFK:amn 6 James F. King, President Y��' COG�i P.O. Box 1179 11971 Bob Ghosio, Jr.. Vice -President �•7�h� S �' N Southold NY Telephone (631 765-1892 Dave Bereen John Bredemeyer BBr{ Fax (631) 765-6641 I. Domino 4�Michael Southold Town Board of Trustees Field Ins pectionNMorksession Report Date/Time: Shawn M. Barron, M.S. on behalf of KENNETH & ELIZABETH LeSTRANGE requests an Administrative Amendment to Wetland Permit # 7256 to construct a two-story addition with a footprint of 277.44 square foot; construct a two-story addition with a footprint of 226.8 square foot; construct a 1,230 square foot second -story addition over the existing garage; construct a 54.6 square foot two-story addition; construct a 78 square foot covered porch; enclose the existing 187.2 square foot covered porch; construct new 11'x13' entry steps; construct two (2) new raised planters adjacent to the entry steps; install a new sanitary system located 112' from the wetland boundary at its closest point; remove the existing wood steps and part of the wood walk on the south side of the dwelling and construct a +/-534.5 square foot deck addition with new steps to grade; install five (5) new drywelis for roof runoff. Located: 960 Willis Creek Drive, Mattituck. SCTM# 123-10-1 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls _Chapt.275 Chapt. 111 _other under: Type of Application:_ Wetland _Coastal Erosion _Amendment —Administrative—Emergency Pre -Submission Violation Info needed: Modifications: Conditions: Present Were: J. King B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: • SHAWN M. BARRON, M.S. • P.O. Box 494; Bridgehampton, NY 11932 631.786.6672 888.371.1833 (fax) shawn@bwonenvironmental.com LeStrange Property 960 Willis Creek Drive, Mattituck 1000-116-02-003.004 Photograph of the existing dwelling. The view is to the south. An addition is proposed above the existing garage and on either side of the existing entry. A revised covered porch is also proposed along with new retaining walls and planters. • SHAWN M. BARRON, M.S. . P.O. Box 494; Bridgehampton, NY 11932 631.786.6672 888.371.1833 (fax) shaven@ba nenvimnmemal.com LeStrange Property 960 Willis Creek Drive, Mattituck SCTM#: 1000-116-02-003.004 Photograph of the existing dwelling. The view is from the south side of the dwelling facing north in the area of the proposed deck addition with new steps to grade. . SHAWN M. BARRON, M.S. • P.O. Box 494; Bridgehampton, NY 11932 631.786.6672 888.371.1833 (fax) sha"@barronenvironmental.wm LeStrange Property 960 Willis Creek Drive, Mattituck SCTM#: 1000-116-02-003.004 .— Photograph of the east side of the dwelling. The view is to the north in the area of the propsed deck addition adjacent to the A/C condensers. NUI/ 1 5 2012 i' * SHAWN M. BARRON, M.S. P.O. Box 494; Bridgehampton, NY 11932 631.786.6672 888.371.1833 (fax) shawn@ba nenvim mtal.wm LeStrange Property 960 Alis Creek Drive, Mattituck SCTM#:1000-116-02-003.004 Aerial photograph of the subject property. 3�. .i �Sr Y iR �f'-waf i f�S. n L BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 22, 2012 Mr. & Mrs. Kenneth LeStrange 111 Farley Rd. Short Hill, NJ 07078 RE: WETLAND PERMIT #7256 960 WILLIS CREEK DR., MATTITUCK SCTM#123-10-1 Dear Mr. & Mrs. LeStrange: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., February 22, 2012: RESOLVED, that the Southold Town Board of Trustees grants a One -Year Extension to Wetland Permit #7256, as issued on March 17, 2010. This is not an approval from any other agency. Sincerely, Jame/ King, Presid,� Board of Trustees JFK:Ims James F. King, President ��F sotyp IO Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer G Q Michael J. Domino ��'YCOuu1v N� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 22, 2012 Mr. & Mrs. Kenneth LeStrange 111 Farley Rd. Short Hill, NJ 07078 RE: WETLAND PERMIT #7256 960 WILLIS CREEK DR., MATTITUCK SCTM#123-10-1 Dear Mr. & Mrs. LeStrange: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., February 22, 2012: RESOLVED, that the Southold Town Board of Trustees grants a One -Year Extension to Wetland Permit #7256, as issued on March 17, 2010. This is not an approval from any other agency. Sincerely, Jame/ King, Presid,� Board of Trustees JFK:Ims James F. King, President Bob Ghosio, h., Vice -President Dave Bergen John Bredemeyer Michael J. Domino Southold Town Board of Trustees Field InspectionMorksession Report Date/Time: %-e* ) 5- 7-012 P.O. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631)765-6641 KENNETH & ELIZABETH LESTRANGE request a One -Year Extension to Wetland Permit #7256, as issues on March 17, 2010. Located: 960 Willis Dr., Mattituck. SCTM#123-10-1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland _Sound -/Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 _other Type of Application: _ Wetland _Coastal Erosion _Amendment —Administrative—Emergency Pre -Submission Violation I�aeede�— / Al /•/-a U 5 F - X//� C /f R -W &rsy PC.ANS X r��- s/.✓ A) 4c Modifications: Condition Present Were: `J King B. Ghosio t/D. Bergen, 4'�J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: OFFICE LOCATION: • r3f $O!/jy0 • MAILING ADDRESS: Town Hall Annex �� l0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 C Telephone: 631 765-1938 �� Fax: 631765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: December 10, 2012 1L DEC 102012 1 �cu[h'1 Re: Proposed Wetland Permit for KENNETH & ELIZABETH LeSTRANGE SCTM#1000-123-10-1 Shawn M. Barron, M.S. on behalf of KENNETH & ELIZABETH LeSTRANGE requests an Administrative Amendment to Wetland Permit # 7256 to construct a two-story addition with a footprint of 277.44 square foot; construct a two-story addition with a footprint of 226.8 square foot; construct a 1,230 square foot second -story addition over the existing garage; construct a 54.6 square foot two-story addition; construct a 78 square foot covered porch; enclose the existing 187.2 square foot covered porch; construct new 11'x13' entry steps; construct two (2) new raised planters adjacent to the entry steps; install a new sanitary system located 112' from the wetland boundary at its closest point; remove the existing wood steps and part of the wood walk on the south side of the dwelling and construct a +/-534.5 square foot deck addition with new steps to grade; install five (5) new drywells for roof runoff. Located: 960 Willis Creek Drive, Mattituck. SCTM# 123-10-1 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 provided the following: 0 0 If the action is approved to further Policy 5: Protect and Improve Water Quality in the Town of Southold and Policy 6; Protect and Restore the Quality and Function of the Town of Southold Ecosystem it is recommended that: A Nondisturbance Buffer be required seaward of the referenced "limit of clearing, grading and ground disturbance" on the survey dated October 2, 2012. Chapter 275 Wetlands and Shorelines defines Nondisturbance Buffer as: NONDISTURBANCE BUFFER A vegetated area, a minimum of 30 feet wide or as designated by the Board of Trustees, immediately landward of the wetland boundary, shoreline structure, or other line designated by the Trustees where no operations, maintenance, placement of signs or other activities may take place, except that man-made debris may be removed from such area by hand without the permission of the Board of Trustees. [Amended 12-18-2007 by L.L. No. 23-2007] Pursuant to Chapter 268, the Board shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino 0 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOI Office Use Only _Coastal Erosion Permit Application Wetland Permit Application Administrative Permit EAmendmenvTransfer/Extension j_Received Applr allow j Received Fee:$ Z� _ Completed Application _Incomplete _SEQRA Classification: Type I_Type 11 Unlisted_ _Coordination:(date sent) _)LLWRP Consistency Assessment Form CAC Referral Sent — Date of Inspection: Receipt of CAC Report: _Lead Agency Determination: _Technical Review: _yPublic Hearing Held: la Resolution: Naive of Applicant Kenneth and Elizabeth LeStrange Mailing Address 111 Farley Road, Short Hills, NI, 07078 Phone Number:(973) 258-055a Suffolk County Tax Map Number: 1000- Property 000- Properly Location: 960 Willis Creek Drive, Mattituck ,/- 1,283South of Meadow Beach Lane (provide LILCO Pole #, distance to cross streets, and location) AGENT: Shawn M. Barron, M.S. (If applicable) Address: P.O. Box 494, Bridgehampton, NY 11932 Phone: 631.786.6672 Town Hall Annex 54875 Main Road P.O. Boz 1179 Southold, New York 11971-0959 Telephone (631) 766-1892 Fax (631) 765-6641 Land Area (in square feet): Ord of Trustees Applicatia 49,266 GENERAL DATA Area Zoning: Previous use of property:Single Family, Residential Intended use of property: Single Family, Residential Covenants and Restrictions on property? Yes X No If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If "Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure (s) on property have a valid Certificate of Occupancy? X Yes No Prior penniWapprovals for site improvements: Agency Date Southold Town Trustees March 17, 2012 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): See attached Project Description. 0 0 Project Description for Kenneth and Elizabeth LeStrange 960 Willis Creek Drive, Mattituck SCTM#:1000-146-2-3-4- Ida-lo Applicant is proposing to: 1. Construct a 2 -story addition with a footprint of 277.44 square foot, located 97' from the wetland boundary; 2. Construct a 2 -story addition with a footprint of 226.8 square foot, located 79.9' from the wetland boundary; 3. Construct a 1,230 square foot 2nd story addition over the existing garage, located 119' from the wetland boundary; 4. Construct a 54.6 square foot two story addition located 98' from the wetland boundary; 5. Construct a 78 square foot covered porch located 82' from the wetland boundary; 6. Enclose the existing 187.2 square foot covered porch located 91' from the wetland boundary; 7. Construct new 11' x 13' entry steps located 78' from the wetland boundary; 8. Construct two (2) new raised planters adjacent to the entry steps located 78' & 90' feet from the wetland boundary; 9. To install a new sanitary system located 112' from the wetland boundary at its closest point; 10. Remove the existing wood steps and part of the wood walk on the south side of the dwelling and construct a ±534.5 square foot deck addition with new steps to grade, located 75.3' from the wetland boundary; and 11. To install five (5) drywells for roof runoff. NOV 15 2012 B•d of Trustees Application* WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Proposed additions to the existing dwelling. Area of wetlands on lot: +/- 11299square feet Percent coverage of lot: 23% % Closest distance between nearest existing structure and upland edge of wetlands: 48' -wood walk fee Closest distance between nearest proposed structure and upland edge of wetlands: 75.3' -deck add feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? 0 cubic yards How much material will be filled?_0 cubic yards Depth of which material will be removed or deposited: 0 feet Proposed slope throughout the area of operations: +/-0 Manner in which material will be removed or deposited: 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): No effect from proposed improvements are anticipated. • 617.20 • SEQR PROJECT ID NUMBER 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 Shawn M. Barron, M.S. LeStrange M�ROJECT LOCATION:Mattituck Suffolk County 4, PRECISE LOCATION: Street Addess and Road IMersedions, Prominent landmaft etc - or provide map 960 Willis Creek Drive, Mattituck 5. IS PROPOSED ACTION: El New W3 Expansion E] Modification / alteration W� 6. DESCRIBE PROJECT BRIEFLY: Construct various additions to the existing dwelling, install new sanitary system. 7. AMOUNT OF LAND AFFECTED: Initially <0.25 acres Ultimately <0.25 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? mYes ❑ NO N no, describe briefly: S. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as marry as appy.) ® Residential M industrial M COmmercial [:]AprImRtxe 0 Park/ Forest /Open Space []Omer (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, Stateor Local) ®Yes MNo If yes, Ilst'agency name and permit / approval: NYSDEC; Town of Southold Building Department. 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ®Yea ElNo R yes, list agency name and permit / approval: Trustees Permit #7256 leA ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? s 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 kTown of Southold Erosion, Sedimentation & Stone -Water Run-off ASSESSMENT FORM +t PROPERLY LOCATION: S.C.T.10 ft THE FOLLOINING ACTIONS MAY REQUIRE THE SUBA UMM OF A 1000 123 10 001 wFURNPRATER,alkabow AND 1RtOSION TRVEr iii �i • T-mr— CERTNMD BY A unman rRurmanKmAL IN SCOPE OF WORK - PROPOSED CONSTRUCTION rIEM # / WORK ASSESSMENT Yes No a. What Is the Total Area of the Pmjsd Parcels? 1 WE Ods Project Retain AN StomrWater Run -ON (Inchde Total Area of all Parcels located w" 49,266 Generated by a Two (27 Ind, Rainfall on SM? the Scope to Work for Proposed CarahuKtlout) (S.P. rAdas) (Tits Mom will include all nm -off created by site ✓ b. What is the Total Area of Lard Clearing deerig andfar construction activities as well as all — andfor Ground Disturbance for the proposed +/-2,000 Site improvements and Via permerent creation of construction a~ impervious surfaces.) (s.a rAaes) 2 Does the Site Plan and/or Su�YShowAXPn PROVIDE BRIEF PROJECT' DESCRIPTION r+ Aaawndpwan,«aoe Drainage Strucuras Indicating Size 8 Location??This � ❑ Nem shall Include all Proposed Grade Changes and See attached Project Description. Construct Slopes Controlling Surface water Flow. $ Does me Site Plan andior survey describe One erosion ❑ ad sediment control practices that will beused to control site erosion and storm water discharges. This — various proposed additions and install new sanitary system. item must be maintained througthwt the Entire Construction Period. 4 WE this Prow Require any Land FNIng. Grading or Excavation where there is a charge to One Natural Exb1Mg Grade Involving more than 2W Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Fele Thousand ❑ (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Rurmi ng through the E]Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet M a Wetland or n Caal DEC SWPPP RasWrsmmb; Submission of a SWPPP Is rempaed tar of Qonerualkon sawbot ivolviry cap Beach? die rb:wn of am (1) or mese arses; lm of hp dbaateemss of W dao one see tnst 7 WD there be Site preparation on Us" Grade Slopes oma pen of a larger common pan Med will Wlmrabty disturb ons amore seas of MM: which Exceed Fifteen (15) feet of Vertical Rise to krdudig construction eebitles kwoWg a0 asoabarcee of lees gar one (1) see where One Hundred (100') of HdrizOntel Distance? — the DEC hes delermimd Ned a SPDW pe m t b mqulmd forstmm wsterdledmmges (SWPPP's Nate mast do Wnhaum Raqulmm ft ams SPDES Oenw* PmmR 8 WE Driveways, Parking Areas or other Impervious Sbnn Wald Dbehargn from camahoelbn ac"V -Paste No. OP -040-M.) Surfaces be Sloped to Direct Star -Wafer Run -ON F-1for be Prepared prior b the wW" of a N01. The Not seat be 1. The 3WPPP shit par Into and%or In the direction of a Town dgMof-wen? subtitled te ser DOpimnsnt Oft b the sosuraMMMA Of mMnicem acWly. z The SWPPP shell describe the erosion and sadbrwa coat proaff sandwneme 9 WE this Project Require the Placement of Material, meTAnd.pod-ounsucNao rearm water transparent pacloea that will be ussd and0br Removal of vegetation ardMr the Construction ofanl constructed b reduce the poluteree N slam water dledsnnges and to amens Item Within the Town RIpMof-Way or Road Shoulder — oompNemoa war, the lems and aedNaa of sae Parent In m im,de SWPPP shd Ares?nnrmeaaaorted edwkwwaa°eawr.rr.rAwe ) Nervy PaWJit somas of Pollution wbtl; may re ssombly be expected b alba ere Quality ofsbrm WOW ditaaass. NOTE: aAmy Am toQmdaawwtlaareh NlrxbAmwsedwhhaCbwk Wk 3. AN SWPPPa wed require the postcaalmodan Nommwaermeagenam midlos In a Bax and the combutdon sib aednhance Is between %000 S.F. a t Ass tram, comimama shat be papered by a gwKad opgn PafewleW Llammd in New York that Is krawNtlpsaW In de Principes and prxtloen of Siam Waw Mempsment a $WnwW&bn tlredhrg, Drainage i Erosion tetrad Plan to Requhd by InTsww of Souwad and Meed be Submitted for Rarbw Prim to humime of Any Building Pie {NOTE: AdwQ Nwk (i)and'arAamrllfrMd�Nenb wgsxaa finecampds Aysaeml STATE OF NEW YORK, �' .OL......A COUNTY OF ........................... SS Shawn M. Barron, M.S. Mat 1............................................................................ being duly sworn, deposes and says that he/she is the applicant for Permit (Hans aa.f knmd80"1laamedj Authorized Agent And that he/she is the (owner contractor gpere. Compom'ab OIOex, tor)' Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; � ......... ......... , 20...1. L. LOETSCHER— Notary Public:... .... GASEY Notaryl7u6GC-Statei>f•New•�-- -••...................... ................. i6402(Spm of Applicant) FORM - 06/10 Qualified in Suffolk County Commission Expires 0111911 e Ad of Trustees Application* County of Suffolk State of New York 11__�e {-1v-\ Ee�r,z �,� BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/9HE 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. SWORN TO BEFORE ME THIS Notary Public Signature of Property Owner DAY OF N � V Qwl 1 ,20 \� ALBENA MITOVA NOTARY PUBLIC -STATE OF NEW YORK No, 0I M16249841 Qualified In Suffolk County My Commission Expires Octbbef 11. 2015 Ord of Trustees Application• AUTHORIZATION (where the applicant is not the owner) I, E ( , t,4ci-�. 1 L-: residing at i be) (Alii ( ( l `� ( C-e-� L b 4^, % (print owner of property) (mailing address) ido hereby authorize. (Agent) 6 0n -A etnv cYanmo rt ° to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Ownees signature) APPLICANTIAGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM YOURNAME: Lf y dc""( tl(I L` ` 1 /.5 . n. ([.est none 4Wdla initial, urilwyodare applyingin the name of someone else or other entity, such as a company. If so. indicate the.oder person's or company's name.) NAME OF APPLICATION: (Cheek all that apply.) Tax grievance Builifing Trustee Variance Change of Zone Coastal Erosion Approval of plat Mooting Exemption from plat or official tap Planning Other (if "Other , tame the activity.) Do you personally (or through your company, spouse, sibling, patent, or child) have a relationship with any offices or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business inaeres r means a business, including a partnership, in which the town officeror employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns moo than 5% of the shares. YES NO ifyou answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicanvagentlrepresenhtive) and the town officer or employee. Either click the appropriate line A) tlauugh D) andbr describe in the space provided. The town officer or employee or his or her spore, sibling, praa, or child is (dick all tura apply): A) the owner of greater than 5%ofthis shares of the corporate stock of the applicttu (when the applicant is a corporation): B) the legal or beneficial owner of any interest in a non-ooporm entity (when the applicant is not a corpmmion} ^C) an offcm. director. partner, ar employee of the applicant; or ^D) the actual applicant. DESCRIVI'M OF RELATfONSHIP Form TS 1 Submitted this day ofT 1c. OAI�74(` 20011 signature � - fisc... — Print Name SLv wt, ILI— 15 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. 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 sienificant 3: 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 most be exDbdned in detail. listin¢ both sunnortina and non- supnortine facts If an action cannot be certified as consistent with the LWRP conditions, it shall not be undertaken. M. 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# 1000 _ 010 _ 001 PROJECT NAME LeStrange 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: Construct proposed additions to existing dwelling and install new sanitary system. Please see attached Project Description. 0 Location of action: 960 Willis Creek Drive, Mattituck Site acreage: 1.131 Present land use: Single Family Residential Present zoning classification: 0 2. 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: Kenneth and Elizabeth Lestrange (b) Iylalling address: 111 Farley Road, Short Hills, NJ 07078 (c) Telephone number: Area Code ( ) (973) 258-0558 (d) Application number, if any: #7256 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 JZ Not 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 W] 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 I" Section III — Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No Z Not Applicable Attach additional sheets if necessary Policy S. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III — Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No W1 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. Yea No 0/ Not Applicable 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 Z Not 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 III — Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No W] 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 III - Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye:❑ No © Not Applicable 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 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. ❑ Yea ❑ 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 Q Not Applicable PREPARED BY Shawn M. Barron. TITLE Agent DATE 11-10-12 January 25, 2012 Board of Town Trustees Town of Southold P.O. Box 1179 Southold, New York 11971-0959 RE: Kenneth & Elizabeth LeStrange 960 Willis Creek Dr., Mattituck SCTM#123-10-1 Dear Board of Town Trustees, Town of Southold: We are requesting a one year extension of the Trustees Wetland Permit, Permit # SCTM#123-10-1. We are asking that this one year extension be added to the agenda and be brought up for consideration at the February 22, 2012 Board of Town Trustees meeting. Please mail all correspondence including the one-year permit extension to the following address: Kenneth & Elizabeth LeStrange 111 Farley Road 1 ? Cr 212 Short Hills, NJ 07078 We have included a check made out to Town of Southold in the amount of $50.00 for this one-year extension. Thank you for your consideration in this matter. Cordially, Elizabet LeStrange 1 `J Jill M. Doherty, President James F. King, Vice -President Dave Bergen Bob Ghosio, Jr. John Bredemeyer August 18, 2010 0 SOUr�o�yy T CP • N �OOUNi4,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Ural Talgat, RA Samuels & Steelman Architects 25235 Main Road Cutchogue, NY 11935 RE: KENNETH & ELIZABETH LESTRANGE 960 WILLIS CREEK DRIVE, MATTITUCK SCTM# 123-10-1 Dear Mr. Talgat: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1592 Fax(631)765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 18, 2010: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit #7256 to eliminate existing outdoor stair from the deck above grade to the deck at grade and replace it with a deck at grade; provide a new outdoor stair and deck; relocate existing on -grade wood walkway; rebuild new outdoor deck at the area below the existing above grade deck; and rebuild a new foundation at grade level under the existing portion of the residence; and as depicted on the revised site plan prepared by Samuels & Steelman Architects, last dated July 26, 2010, and stamped approved on August 18, 2010. 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 call our office at (631) 765-1892. Sincerely, er ��Jill .Doherty President, Board of Trustees JMD:eac 0 Peter Young, Chairman Lauren Standish, Secretary 0 Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 At the meeting of the Southold Town Conservation Advisory Council held Wed., August 11, 2010, the following recommendation was made: Moved by Doug Hardy, seconded by Greta Schiller, it was RESOLVED to SUPPORT the application of KENNETH & ELIZABETH LESTRANGE to Amend Wetland Permit #7256 to eliminate existing outdoor stair from the deck above grade to the deck at grade and replace it with a deck at grade; provide a new outdoor stair and deck; relocate existing on -grade wood walkway; rebuild new outdoor deck at the area below the existing above grade deck; and rebuild a new foundation at grade level under the existing portion of the residence. Located: 960 Willis Creek Dr., Mattituck. SCTM#123-10-1 Inspected by: Doug Hardy, Greta Schiller Vote of Council: Ayes: All Motion Carried 11 Jill M. Doherty, President James F. King, Vice -President Dave Bergen Bob Ghosio, Jr. John Bredemeyer i Southold Town Board of Trustees Field InspectionMorksession Report r Date/Time:—"FS-1k–TD P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 KENNETH & ELIZABETH LESTRANGE request an Amendment to Wetland Permit #7256 to eliminate existing outdoor stair from the deck above grade to the deck at grade and replace it with a deck at grade; provide a new outdoor stair and deck; relocate existing on - grade wood walkway; rebuild new outdoor deck at the area below the existing above grade deck; and rebuild a new foundation at grade level under the existing portion of the residence. Located: 960 Willis Creek Dr., Mattituck. SCTM#123-10-1 Typ area to be impacted: altwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 _other Type of Application: --Wetland _Coastal Erosion _Amendment —Administrative—Emergency _Pre -Submission Violation Info needed: )l. Modifications: Cond Present Were: �ZJ.I B.Ghosio, D. ,ing J.Doherty �redemeyer D. Bergen_ Dzenkowski other Form filled out in the field by Mailed/Faxed to: i M S A M U E L S& S T E E L M A N July 27, 2010 Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 P CE � V 0 JUL 2 7 2 �",J Southhold Town Board of Trustees RE: RECONSTRUCTION OF THE LESTRANGE RESIDENCE 960 Willis Creek Drive Mattituck, NY 11952 TAX MAP# 1000-123-10-01 Permit # 7256 Dear Sir/Madam, Attached please find copies of the permit for the above mentioned project along with the original approved drawings dated 2/14/10 and 4 copies of the new amended drawing dated 7/26/10. The Owner of the property would like to do additional work to the proposed project beyond what has already been approved by the Southold Town Board of Trustees. The enclosed amended drawing dated July 26, 2010, indicates the following changes: 1. Eliminate the existing outdoor stair from the deck above grade to the deck at grade and replace it with a deck at grade as shown on the Site Plan . 2. Provide a new outdoor stair and deck located beyond 75 feet of wetlands as shown on the Site Plan. 3. Relocate the existing outdoor ongrade wood walkway as shown on the Site Plan. 4. Rebuild a new outdoor deck at the area below the existing above grade deck as shown on the Site Plan. 5. Rebuild a new foundation at grade level, under the existing portion of the residence as shown on the Site Plan. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (631) 734-6405 FAX (631) 734-6407 0 If these changes are satisfactory to the Southold Town Board of Trustees, We respectfully request that the Southold Town Board of Trustees amend the existing permit to include the above mentioned items. If you have any questions, please feel free to contact me at my office: (631) 734-6405. Sincerely Samuels and Steelman Architects Ural Talgat RA Enclosures SOUTHOLD TRUSTEES Issued T cotpots Date3fil/a THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 • 0 0 Jill M. Doherty, President James F. King, Vice -President Dave Bergen Bob Ghosio, Jr. John Bredemeyer BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD F BOARD OF TRUSTEES: TOWN OF SOUTHOLD!: -------------------------------------------------------------- In the Matter of the Application of KENNETH & ELIZABETH LESTRANGE COUNTY OF SUFFOLK) STATE OF NEW YORK) L- 0 Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 / AFFIDAVIT OF POSTING —; Wre?dmg at /dba 4,1 < 7/�;r 7 being duly sworn, depose and say: That on the IQ day ot`NJS�– 2010, I personally posted the property known as 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., August 18, 2010 on or about 6:00 PM. Dated: / -V / 0 Sworn to before me this � ? day of ' j 2010 Q� Notary Public MA t crate of ?J�W York .,i *uttolk County May 30, 2j PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: ?q5 w1pis d C�, yacik e� b'�C) �i 11n s (' -� ek t /(l may STATE OF NEW YORK COUNTY OF SUFFOLK being duly sworn, deposes and says that on the day of 20(d ,deponent mailed a true copy of the Notice set forth in the Boazd 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 asse;sment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at that said Notices were mailed to each of said persons by (certified) (registered) marl. Q�t,- g am - Sworn to before me this I C Day of ZS#t, 20�rT i� _ r —Notary Public LAUREN M.ST191SH Notary NobONTR6400Q6 York Qualified in W kril 9,12u— Commission E)O AP M1 u7 RJ m S -n O Postage S $1.22 0935 rq t Cemlled Fee Retum Receipt Fes $2.80 .: ,o J�� 14 ! M O(Endorsement Required)$2.30 ,! r �, , C3 Restdcted Dellvery Fee (Endorsement Required) $0 i t', Total Postage B Fees $6,32 i` � 08/03/�81Q SentTo s i. C3 pBfeotpex, 3Y " .11. ...._....jJ) . reOr,NO.[2..&�... n�fL.,�. .).. ZIP_+../A Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Mail® or Priority Mail, ■ Certified Mail is notavailable for any class of international mail. • NO INSURANCE COVERAGE IS PROVIDED with Certified *Mail. For valuables, please consider Insured or. Registered Mail. ■ For an additlyponet fee, a Return Ricaiptmar be requested to Provide proof of delivery. To attain Return Receipt service, please complete and attach a Return Receipt (PS Form 39112 to the article and add applicable postage to cover the fee. Endorse mailpiece Return Receipt Requested'. To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is required. .. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agant. Advise the clerk or mark the mailpiece with the endorsement 'Restrictetl Delivery'. ■ If a postmark on the Certified Mail receipt is desired, please present the arti- cle at Me post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, August 2006 (Reverse) PSN 7530.02-000.9097 ti N M O a S P O O N Total Postage & Fees 093,5 14 PosA Here 08/03/2010 • I i ♦ .�W. PS Form 3800. August 2006 Sce Flevcrse for lnslrudlans -0 Postage 0 r4 perlified Fee RJ C3 Return Receipt Fee O (Endorsement Required) C3 Restricted Delivery Fee (Endorsement Required) O a S P O O N Total Postage & Fees 093,5 14 PosA Here 08/03/2010 • I i ♦ .�W. PS Form 3800. August 2006 Sce Flevcrse for lnslrudlans Certified Mail Provides: in A mailing receipt ■ A unique ktentaferfor your maill iecs t ■ A record of delivery kept by the Postal Service for two years Important Reminders. - ■ Certified Mail may ONLY be combined with First -Class Maile or Priority Maile. ■ Certified Mail is notavailable for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, plesse consider Insured or Registered Mail. ■ For an additional fee, a Return Receipt mar be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3911) to the article and add applicable postage to cover the fee. Endorse mallpiece'Return Receipt Requested'. To receive a fee waiver for a duplicate return receipt, a USPS®postmark on your Certified Mail receipt is required. ■ For an additional fee,, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement 'Rwf ictadDefiveiy . ■ If a postmark on the Certified Mail receipt is desired, Please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, August 2006 (Reverse) PSN 7530.02-000.9067 ru rum m C3 O a ru O O O O ri S ri Er O O N Postage $ $1.22 0935 Certified Fee $2.80 14 ReturnReceipt Fee Required) PO (Endorsement $2 .30 Restricted Delivery Fee _. (Endorsement Required) $0.00 ..` Total Postage & Fees $6.32 Omwsz io _ Sent To Street Apt 760.; o,POBox No. 0fS ......................._` :............. City,'Nii. ZIP+4 S� / .......................... Certified Mail Provides: to A mailing receipt ■ A waique identifier for your r9pillpiece ■ A record of delivery kept by the Postal dervice for two y4m Important Reminders: - ■ Certified Mall may ONLY be combined with First -Class Mails or Priority Mails. ■ Certified Mail is not a4tailable for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insuredor Registered Mail. ■ For an additional fee, a Return Raceipfmar be requested to provide proof of delivery.To obtain Rehm Receipt sere e, please complete and attach a Return Receipt (PS Form 3511) to the article and add applicable postage to cover the fee. Endorse mailpiece'Retum Receipt Requested'. To receive a fee waiver for a duplicate return receipt. a USPS® postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorised agent. Advise the clerk or mark the mailpiece with the endorsement 'Restricted Delivery'. • If a postmark on the Certified Mail receipt is desired, Please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, August 2006 (Reverse) PSN 7530.02-000.9047 is Jill M. Doherty, President James F. King, Vice -President Dave Bergen Bob Ghosio, Jr. John Bredemeyer i 1 � 1 ( tt � rr BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE -CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre -construction, hay bale line I st day of construction % constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7256 DATE: _MARCH 17, 2010 ISSUED TO: KENNETH & ELIZABETH LESTRANGE PROPERTY ADDRESS: 960 WILLIS DR., MATTITUCK SCTM#123-10-1 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 11 I 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 March 17, 201 in consideration of application fee in the sum of $250.00 paid by Kenneth & Elizabeth Lel and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a second -floor addition above the residence, and as depicted,on the Site plan prepared by Samuels & Si Architects dated February 14, 2010. 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. 0 TERMS AND CONDITIONS The Permittee, Kenneth & Elizabeth LeStranpe, residing at 960 Willis Creek Dr.. Mattituck, NY, 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, andAhe 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. • Jill M. Doherty, President James F. King, Vice -President Dave Bergen Bob Ghosio, Jr. John Bredemeyer March 17, 2010 0 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Thomas Samuels Samuels & Steelman Architects 25235 Main Rd. Cutchogue, NY 11935 RE: KENNETH & ELIZABETH LESTRANGE 960 WILLIS DR., MATTITUCK SCTM#123-10-1 Dear Mr. Samuels: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The Board of Town Trustees took the following action during its regular meeting held on Wed., March 17, 2010 regarding the above matter: WHEREAS, Samuels & Steelman Architects on behalf of KENNETH & ELIZABETH LESTRANGE 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 February 22, 2010, 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, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on March 17, 2010, 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, 0 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 APPROVES the application of KENNETH & ELIZABETH LESTRANGE to construct a second -floor addition above the existing residence, and as depicted on the site plan prepared by Samuels & Steelman Architects dated February 14, 2010. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, 4&tlJill . Doherty President, Board of Trustees JMD/Ims Jill M. Doherty, President James F. King, Vice -President Dave Bergen Bob Ghosio, Jr. John Bredemeyer TO: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 Please be advised that your application dated 012 I W has been reviewed by this Board at the regular meeting of O and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre -Construction Hay Bale Line Inspection Fee ($50.00) 151 Day of Construction ($50.00) 'h Constructed ($50.00) ___I! 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: $ S -0,0L BY: Jill M. Doherty, President Board of Trustees • o�gpFFO(,� • Chairman Lauren Standish, Secretary Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 At the meeting of the Southold Town Conservation Advisory Council held Wed., March 10, 2010, the following recommendation was made: Moved by Doug Hardy, seconded by Audrey Horton, it was RESOLVED to SUPPORT the Wetland Permit application of KENNETH & ELIZABETH LESTRANGE to construct a second floor addition above the existing residence. Located: 960 Willis Dr., Mattituck. SCTM#123-10-1 Inspected by: Doug Hardy Vote of Council: Ayes: Doug Hardy, Audrey Horton, Peter Young Recused: Anne Trimble Motion Carried 0 Jill M. Doherty, President James F. King, Vice -President Dave Bergen Bob Ghosio, Jr. John Bredemeyer 6 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631)765-6641 KENNETH & ELIZABETH LESTRANGE request a Wetland Permit to construct a second floor addition above the existing residence. Located: 960 Willis Dr., Mattituck. SCTM#123-10-1 Type of area to be impacted: ✓Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Vthapt.275 _Chapt. 111 _other Type of Application: t./ etland _Coastal Erosion _Amendment —Administrative—Emergency _Pre -Submission Violation Info needed: Modifications: Conditions: Present Were:V J.King Doherty _�J/Bredemeyer vD. Bergen B.Ghosio, D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: 0 0 LeStrange Residence, 960 Willis Creek Dr 2/9/10, 11:30 am, #1 View East LeStrange Residence, 960 Willis Creek Dr 2/9/10, 11:30 am, #2 View West pig► �J LeStrange Residence, 960 Willis Creek Dr 2/9/10,11:30 am, #3 View East LeStrange Residence, 960 Willis Creek Dr 2/9/10, 11:30 am, #4 View West LeStrange Residence, 960 Willis Creek Dr 2/9/105 11:30 am, #5 View South LeStrange Residence, 960 Willis Creek Dr 2/9/10,11:30 am, #6 View North �l'�� �'- A I i PEOONN Ba GNEPr was SOUTHOLD W \M Yam N 123 Y J p Y �^ I, a'o°u uw \} N a y „n r \'n O °ye CYEER n \ n O y n N PEOONN Ba GNEPr was SOUTHOLD W \M Yam N 123 0 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 0 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jill Doherty, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: March 15, 2010 Re: Proposed Wetland Permit for KENNETH & ELIZABETH LESTRANGE SCTM# 1000-123-10-1 The proposed action is not located within the Coastal Erosion Hazard Area. Samuels & Steelman Architects on behalf of KENNETH & ELIZABETH LESTRANGE requests a Wetland Permit to construct a second floor addition above the existing residence. Located: 960 Willis Dr., Mattituck. SCTM#123-10-1 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 EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "II" which states: B. Additions to an existing building or rebuilt residential structure which results in no -net increase in ground coverage, except where parcel is located within the Coastal Erosion Hazard Area. Cc: Lori Hulse, Assistant Town Attorney 0 Office Use Only Coastal Erosion Permit Application ✓Wetland Permit Application Administrative Permit Amendment/Transfer/Extension _-Aeceived Application: —Received Fee:$ XW —Completed Application a-c)- _SEQRA Classification: Type I Type 11 Unlisted Coordination:(date sent) _..CAC Referral Sent' I l _Bate of Inspection: a _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: _PdbTic Hearing Held:1' Name of Applicant, 0 Kenneth and Elizabeth LeStrange 11 Farley Road Short Hills, NJ Phone Number:( ) 973-258-0558 Suffolk County Tax Map Number: 1000- 123-10-01 Property Location: 960 Willis Drive Mattituck, NY 11952 LILCO Pole #, distance to cross streets, and location) AGENT:_ (If applicable) Samuels and Steelman Architects Address: 25235 Main Rd. Cutchogue, NY 11935 631-734-6405 Hoard of Trustees Applicatis Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA 45605 S.F. AC Residential Residential Covenants and Restrictions: Yes X No If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Construction of a new second floor addition above an existing residence *oard of Trustees Applicatio WETLANDITRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Construction of a new second floor addition above an existing residence Area of wetlands on lot:+/- 11,568 square feet Percent coverage of lot: 25.3 Closest distance between nearest existing structure and upland edge of wetlands: 3 5 ' - 5 " feet Closest distance between nearest proposed structure and upland edge of wetlands: 681-1111 feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: 0 Manner in which material will be removed or deposited: 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): No effect Jill M. Doherty, President James F. King, Vice -President Dave Bergen Bob Ghosio, Jr. John Bredemeyer BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of Kenneth & Elizabeth LeStranLe COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 residing at dba �p t 1015 d- Slee k -t Q �J being duly sworn, depose and say: That on the t day of AKI(k 2010, 1 personally posted the property known as 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., March 17, 2010 on or about 6:00 PM. Dated: 3�/O/M (si ature) Sworn to before me this /0 day ofk1,020f-0 o ary u tc Public; Set c1 No. 01 R;tC)U'2� e7 Qualified in Sufi'jlk C ;;: fission Expiras ,9 'y • PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Narne: Address: 6-IeQ)Vpl,�t44+ \A S faratan0 890 W 111.s cla-k a,. �ok>P,t I I�Q4� K etLi� 9q 5 Wil ►i -S C�a 8& UI -ut'ti1 A vd-z: 136Y Q STATE OF NEW YORK COUNTY OF SUFFOLK , residing at 'AlD MIAL/tL/ / M"6b*�1 <�b m d being duly swom, deposes and says that on the I day of 201 deponent mailed a true copy of the Notice h in t set forthe 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 p�rsons 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 �U,�tUQA'��� that said Notices were mailed to each of said persons by (certified) (registeredjmail Swom to b fore me this 1 `J Day of n G% , 20 ly Notary Public CONNIE D. BUNCH Notary No.0lbU6185050 YorM Qualified in Suffolk County Commission Expires April 14, 0 p p • eno • Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I -PROJECT INFORMATInNI ITS tie rnrnnin«e,l 1... A--,:___, __ 1. APPLICANT/SPONSOR rIV G4lJ YIISVr 2. PROJECT NAME Thomas Samuels LeStrange Residence 3. PROJECT LOCATION: Municipality Mattituck County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 960 Willis Creek Drive 5. PROPOSED ACTION IS: ElNew ® Expansion ® Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Construction of a new second floor addition to an existing residential structure. 7. AMOUNT OF LAND AFFECTED: Initially 0.07 acres Ultimately 0.07 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 0 Yes [:] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? © Residential [3 Industrial E] Commercial Agriculture [] Park/Forest/Open Space Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ® Yes [] No If Yes, list agency(s) name and permittapprovals: Southold Town Trustees, Suffolk County Health Dept. 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes ® No If Yes, list agency(s) name and permittapprovals: 12. ASA RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes ® No . I CERTIFY THAT THE INFORMATION PR VIDEO ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: ,S Date: Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with Is assessment OVER 1 0 0 PART II - IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR, PART 617.47 ti yes, coordinate the review process and use the FULL FAF. [:]Yes © No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. ❑ Yes O No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, If legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: No C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: No C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: No 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: No C5. Growth, subsequent development, or related activities likely to be Induced by the proposed action? Explain briefly: No C6. Long term, short term, cumulative, or other effects not identified in C1-057 Explain briefly: No C7. Other Impacts(including changes in use of either quantity or type of energy? Explain briefly: No D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If"s, explain briefly: Yes ❑✓ No OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If s e Iain: ❑✓ No IT, PART 111- DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: Foreach adverse effect identified above, determine whether it is substantial, large, important orotherwise 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 Yee, me uecermmacon orsignmcance mustevawate me potential Impact of the proposed action on me environmental characteristics of the CFA Check this box dyou have Identified one or more potentially large or significant adverse impactswhlch MAY occur. Then proceed directly to the FUL 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 th determination. Board of Trustees l6 Name of Lead Agency Date President Title of Responsible Officer Signature of Preparer (If rent m responsible officer) County of Suffolk State of New York • Board of Trustees Applicatle C • �s(DA,(kQ IS 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. 1N 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 REVIF_W OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS_0_DAY OF g�D ,2010 Notary Pub tc KENNETH J. & ELIZABETH S. LESTRANGE 111 Farley Road Short Hills, NY 07078 February 8, 2010 I hereby authorize Thomas C. Samuels of Samuels and Steelman Architects, at 25235 Main Road, Cutchogue, NY, to apply for all required permits from the Town of Southold, Suffolk County and State of New York, for my project at 960 Willis Creek Drive in Mattituck, NY, NY 11952. Sincerely, Kenneth J. LeStran Elizabeth S LeStrange • APPLICANT • TRANSACTIONAL DISCLOSURE PORN YOUR NANEt (Last name, first name, middle initialp unless you are applying in the name of someone else or other entity, such as a cmnpany. If so, indicate the other person's or company'a name.) NATURE OP APPLICATION: (Check all that apply.) Tax grievance Variance Change of zone Appjpval of plat Exemption from plat or official map other (If "Other," name the activity,) •` Do you personally (or through your obmpany, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the eliares. YES NO If you answered "YES,".complete the balance of Wo form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the apace provk6ed. The town officer or employee or his or her apouseo sibling, parent, or child is (check all that apply)i A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant in a corporation), S) the legal or beneficial owner of any interest in a noncorporate•entity (when the applicant is not a corporation), C) an officer, director, partner, or employee, of the applicant) or O) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted bhlkV- Signature Print name h W 0 0 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. 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# 123 _ 10 _ 01 The Application has been submitted to (check appropriate response): Town Board 0 Planning Dept. E Building Dept. 0 Board of Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital 0 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: Construction of a new second floor addition above and existing residence 0 0 Location of action: 960 Willis Creek Drive Siteacreaee: 45605 SF / 1.046 Acres Present land use: Single Family Residence Present zoning classification: AC 2. 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: Kenneth and Elizabeth LeStrange 111 Farley Rd Short Hills, NJ 07078 (c) Telephone number: Area Code( ) 973-258-0558 (d) Application number, if 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? 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. X] Yes ❑ No ❑ Not Applicable Adding to an existing residence preserves open space around the existing residence and mac�ff ent 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 ❑X Not Applicable There are no historic or archeological structures on property. 0 0 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 Q No 0 Not Applicable By improving the existing residence, and not demolishing it and expanding it greatly, the scenic resources are thereby preserved 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 © Yes E No 11 Not Applicable All rainwater runoff is and will be retained on site with the use of underground drywells. During construction hay bales will be placed between the construction and the shore, to keep runoff spoils on the site. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III — Policies Pages 16 through 21 for evaluation criteria © Yes D No E Not Aoolicable the resiaence meets current SuLLoix county Dept. or Healtn Services stanaaras Lor sanitary waste water. The property is served by public water systems. 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 7 No © Not Applicable No development will take place in the "protected" or "natural indiginous environment". 0 0 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 E]No ❑ Not Applicable The development will not add pollutants into the air. All construction vehicles meet the Federal standards for air pollution discharge. The mechanical systems of the residence meet the federal standards for air pollution discharge Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III — Policies; Pages 34 through 38 for evaluation criteria. © Yes ❑ No ❑ Not Applicable The construction and use of the residence will make use of the town's disposal and recycling center. All waste water "sanitary" will be discharged into an approved SCDHS sanitaryystem. 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. ❑ YeL] No © Not Applicable There is no a right-of-way to public lands or coastal waters. Attach additional 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 0 There are no public or commercial activities or uses on site. Historically this property and neighboring properties are residential in use and will Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section 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. ❑ 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 ❑ 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 "NY State Energy Conservation and rnnctrurtion (`nrie" fnr rnnctrurtinn of the racidpnre_ Tom Samuels Architect Feb. 18, 2010 PREPARED BY TITLE DATE Created on 5125105 11:20 AM S A M U E L S& February 22, 2010 S T Southold Town Board of Trustees Town Hall Annex Main Road Southold, NY 11971 E E L M A N RE: RECONSTRUCTION OF THE LESTRANGE RESIDENCE 960 Willis Creek Drive Mattituck, NY 11952 TAX MAP #1000-123-10-01 Dear Sir/Madam: We are requesting a Permit for the above reference project, for a new second floor addition above the existing residence. For your review we are submitting the following documents: 1. Application 2. Short Environmental Assessment Form 3. Application Affidavit 4. (3) LWRP Consistency Assessment Form 5. (3) SITE PLANS prepared by Samuels & Steelman Architects 6. Current Survey 7. Letter of authorization from Owner 8. Check for $250 9. Photographs of existing site conditions Please call us with any questions or concerns. If application is complete, please schedule a public hearing and notify our office about posting the site and notifying the neighbors. Sincerely, SAMUELS & STEELMAN ARCHITECTS UV Thomas C. Samuels, Architect enc. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (631) 734-6405 FAX (631) 734-6407 AREA= 44605 sq. ft. (to tie A'ne) KS REF# 91 SO 13 CONTOUR Cl/ES & ELEVATIONS ARE REFERaNCED TO N. G. V. D. BUXDWG ZONE DISTRICT A -C 4 G FARM FLOOD ZONE MM.8) m i G 227.00' a e��(JiV,V R Ila ;A 05" ,po _1475-42, I 1Q V 4 E C I k, zV \� y W � \ I -- E 1 •rc4 s A Ip .w� f N q y InI t� A0 5 / ` 1.0 = 5Ise zm ss 10- 16;�mo k 2 CP T \ 1Qi mF � W y . � � � .6 ..�.,yr i 1 QUpmAQ k . �. L� �. y�tip% \ K v � � ``1 \� ` ���^L O p o iXib ppvW2 �\ _ = O �r \ i mmTN \ pOGK SURVEY OF LOT 15 MAP OF 1ARBOR VIEW A T MA TTITUCK FACED AM A 1887 ME NO. 8.977 A T MA TTI TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 123 - 10 - -01 Scale 1" = 40' May 9, 1988 OCTOBER 7, 2004 OCTOBER 28, 2004 TEST BORINGS 4-4-9i pJ 0.1 Llo.2 No.3 SL' 4S3 ' LEL.-- b 8 cR Ev SAw OY 1' LeArq See,, L.-. PALE ORoyyN PALE SR. SAND )ALD TO UE IAeo. i. GS- E 2 5 SANG G4cYr.M Orc SANG GP.OUHO CUVE> 51.w0 WAT(0. 35 cl = I.O * p 8c WAT E2 IN ".,Y C v.Y O-� G2EY� S4 <4t`aw 9n. GFOVND SANDY CLAY CLAYEY JA O caoL HO l` WATC It IN It It. WATC1 (e Eo"t•O $.gWATEA- WArE¢ I''I CL= 2.2'a MCO. 01 SAMI GEEYISN BO 7 WATER IN CLAYEY SAND WAYEA I� B G2" CLAY PALE em . H WATER. IN w4rE6 N Fwe To S2 f,.E OKO WN FINE COAM5E To COA95E TO COARSE $AICD AND SAND i 'LANDWARD EDGE OF TIDAL WETLANDS AS DELRVEAFE' ,�.-.'Y SUFFOLr! ENVlRr.'4,jwEN7AL CONSULTING Q = WETLANDS FLAG. INC. ON SEPTEAIBF-R 22,2004'.' I \ xt �/ NO./149618 PECONIC SURVEKQ ,'- !> / (631) 765 - 5020 P. 0. BOX 909 -- 1230 TRAVELER STREET SOUTHOLD N.Y. 11971 87 - 834 Z 0 4 DEEP HOLE or WILLIS GREEK e I 6 I I I I I TO ee I / 4 / 1 // % TEST HOLE N 75A�„E/ AL / AIL NL WETLANDS AL / ` / I SETH 'L dk AL AL / AL AL ALL Y� / AL ,m m iY WETLANDS z AL w N +� �Q 1FL / FLAG 3 / / / 4 _ FA / / � p INEWI (EXI (EXI / LP LF'/ EX 1 EXISTINS ' \'"/ \ SLP � PARKINS � AREA / EXISTINS SANITARY (5* SYSTEM WITH ADDITIONS NEN EXTERIOR ':;�!ARiA¢p'r:: • \ST/ STAIRS ............ WILLIE GREEK DRIVE 6.4 C� 66`�?• FILL IN ADDITIONAL SOIL TO COVER NEW LEAOHIN& POOLS I\ 74' IS /REMP oD 4G 5 \ \ I \yt\ \ EXISTING \ DECK EDSE OF `DAL WETLAND AS FLA66E BY SUFFOLK ` \ ENVIRONMEN ¢L CONSULTINS IN' ON 5EPTEMBER 22, .F004a I h\ FLAG 6 I I \ A�1D5 \ \ \ NL FLAG 7 \ \AL` `\ FLAG 6 iW \ AL AL — — WETLANDS i1` `� LINE ALONG HIGH WATER AL YIL \ \ \ N 76's dIARK A DEEP HOLE or WILLIS CREEK N SITE PLAN SCALE: 1" = 20'-0" 135.99' EXISTING RESIDENCE WITH NEW ADDITION ABOVE :rarri� :; i.. EXISTING , DECK 1,AG 9 '—FLAG 12 \ FLAG 11 \ — / Y4 \ FLAG 10 4 \ 1/4 WETLANDS N— NL _ AL — AL— _N AL ,YL In SITE GREY SANDY LOAM 2.5 FT. BROWN LOAMY SAND DATA /' 3.5 FT. WATER IN GREYISH BR SANDY CLAY AL WATER IN PALE BR FINE I TO COARSE SAND �Q 1FL / FLAG 3 / / / 4 _ FA / / � p INEWI (EXI (EXI / LP LF'/ EX 1 EXISTINS ' \'"/ \ SLP � PARKINS � AREA / EXISTINS SANITARY (5* SYSTEM WITH ADDITIONS NEN EXTERIOR ':;�!ARiA¢p'r:: • \ST/ STAIRS ............ WILLIE GREEK DRIVE 6.4 C� 66`�?• FILL IN ADDITIONAL SOIL TO COVER NEW LEAOHIN& POOLS I\ 74' IS /REMP oD 4G 5 \ \ I \yt\ \ EXISTING \ DECK EDSE OF `DAL WETLAND AS FLA66E BY SUFFOLK ` \ ENVIRONMEN ¢L CONSULTINS IN' ON 5EPTEMBER 22, .F004a I h\ FLAG 6 I I \ A�1D5 \ \ \ NL FLAG 7 \ \AL` `\ FLAG 6 iW \ AL AL — — WETLANDS i1` `� LINE ALONG HIGH WATER AL YIL \ \ \ N 76's dIARK A DEEP HOLE or WILLIS CREEK N SITE PLAN SCALE: 1" = 20'-0" 135.99' EXISTING RESIDENCE WITH NEW ADDITION ABOVE :rarri� :; i.. EXISTING , DECK 1,AG 9 '—FLAG 12 \ FLAG 11 \ — / Y4 \ FLAG 10 4 \ 1/4 WETLANDS N— NL _ AL — AL— _N AL ,YL In SITE GREY SANDY LOAM 2.5 FT. BROWN LOAMY SAND DATA GREYISH BR CLAYEY SAND 3.5 FT. WATER IN GREYISH BR SANDY CLAY 12 FT. WATER IN PALE BR FINE I TO COARSE SAND SCTM # 1000-123-10-01 PROPERTY: 960 WILLIS CREEK DR ADDRESS MATTITUCK , NY. 11952 OWNER: KENNETH J. LeSTRANGE Z & ELIZABETH S. LeSTRANGE SITE: 45,605 SQ. FT. = 1.046 ACRES TOTAL AREA ZONING: AC FLOOD: "A4"(EL.8) ZONE SURVEYOR: PECONIC SURVEYORS 1230 TRAVELER STREET SOUTHOLD, NY. 11971 LICENSE # 49618 DATED OCTOBER28,2004 NOTES, I..ELEVATIONS ARE REFERENCED TO N.G.V.D. EXISTING ELEVATIONS ARE SHOWN THUS: 10 0 2. WETLAND FLAGS MARK LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED BY SUFFOLK ENVIRONMENTAL CONSULTING INC ON SEPTEMBER 22, 2004 3. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS LOCATION MAP TEST HOLE NO SCALE TFST HOI F DATA 1 AIA/911 FLFV = A.5' +/- 1 FT. GREY SANDY LOAM 2.5 FT. BROWN LOAMY SAND 3.5 FT. GREYISH BR CLAYEY SAND 3.5 FT. WATER IN GREYISH BR SANDY CLAY 12 FT. WATER IN PALE BR FINE I TO COARSE SAND H_ B 9' 2010 APPROVED rBY LOARD OF TRUE"iEE3 TOWN OF SOUTHOLD DATE a /7 /C1 REGULATORY APPROVALS w z WZ ca Z OWa Lu ujT zOLu Q ~ Z ZIL 0 Z m 0 y Z Q CIO ad z • W J•�o 7 W•p�a u3 Q H• to W• •(E OF NEW Yo CD * PROJECT NO: 0908 DRAWN BY: UT CHECKED BY: TS DATE: 2/14/10 SCALE: 1" = 20'.0" SHEET TITLE: SITE PLAN SHEET NO.: 1 BUILDIN6 WALL FF EL 12.5 GRADE LINE ELEVATION 10.5 FT. CRAVE LINE ELEVATION 10.0 FT. I' MIN. 2' MAX. v4'vr GREY SANDY LOAM 1/8"/FT. BROWN LOAMY SAND NEN GREYISH BR CLAYEY SAND 3.5 FT. WATER IN GREYISH BR SANDY CLAY 12 FT. WATER IN PALE SR FINE TO COARSE SAND TANK IE. +10.0' "5.14215.42' IE.+8.92'IE. ca +8.0' J . zO O SEPTIC PROFILE RESIDENCE (N.T.S. RUNOFF RECHARGE SYSTEM: ROOF RUNOFF AREA X RAINFALL X RUNOFF FACTOR 2,82"1 5F. X (2/12 FT.) X 0.9 = 425 CU. FT. U5E: (4) 6' DIAMETER x 4' HIGH POOL (4) VX 4' STORM DRAIN RING = 675 CU. FT. PROVIDED REQUIRED 675 CU. FT. > 425 CU. FT. BUILDIN6 WALL GRADE LINE ELEVATION 10.0 FT. CONNECT TO ROOF &UTTERS AND DOWNSPOUTS GRASS NE ING .O FT TRAFFIC BEAR DRY WELL DRY WELL 8 FT DIA B FT DIA 4 FT HT 4 FT HT 17 z 0 m 0 0 C d 0 3.33' I' MIN. 2' MAX. ELEV 1.0 FT _ e I 6 I I I I STEPHEN k ELAINE SPARACINO 227.00 4 0' ' TEST HOLE / 10SETEI / I / N -7642.05 / AL AL AL / 75 SETBACK / I A< WETLAND5 & / RUNOFF'R€GHAR6E SYSTEM: 1 / D;; WINDERSKOUND DRYWEL.LS I I AL / (?SNI/ BFT DIA)K4FT HT CONNECT I A< AL dv. / \\ \TTq_RTE OOF GUTTERS AND I / / DOWNSPOUT / l HIGH WATERS Tjt, YL ti 4,1, A). F 20, roti 01 cy�oti DEEP HOLE or �q�R WILL15 GREEK es 0), I' MIN. 2' MAX. IE.+6.66' _ GROUND WATER ELEV 1.0 FT 2.0' 2.0' RAIN WATER RUNNOFF RECHARGE - DRYWELL PROFILE WILL15 CREEK DRIVE TG Bb TO OA \632. FILL IN ADDITIONAL SOIL TO COVER NEW LEACHIN6 POOLS EP SEP/ EX 1 AREA OF NEW FILL / FLAG 1 \\ g ,-,/ ' I \-/ SLP / 53 GU FT OF TOP 501L BROUGHT INTO > / `� _ i SITE FROM LOCAL TOWN LANDSCAPE AL A< 68'- " W CONTRACTORS YARD // V\ ST�/RS E �T IIRSOR /1 W\ / (NEIN EXISTING SANITARY AL AL/ /STjNG /ST/NG I / �Xi5 INC 6F 1 ST / SY5TEM WITH ADDITION5 / FLAG 2-YiSriryG '4/� / /V'A KING A FLAG 3 X15TIN :�:hF,eil;.�',k;,? N / F /} PATIO / /NEW\ / ROBERT W. 4 HELEN KEITH AL WETLANDS / /STj i ADW/ EXISTING RESIDENCE WITH /aw NEW ADDITION ABOVE W FLAG 4 :: is > is ... . AL NJL •F.IR$T:FLR:>ii:' RUNOFF RECHARGE SYSTEM: 4 I 74' / t7 /REM BD EC' "' NEW UNDERGROUND DRYIAELL (DW) :�:::::::.w:::: 1 IST/�rG _z � ,J/ �� BFT DIAx4FT HT CONNECT TO ROOF \ / I' / ::};:EXISTIN6� 'r44:+-'- Y." "X' &UTTERS AND DOWNSPOUTS +� FLAG 5 / / 1.?:::. \iiiRE51iJEN'GE:v::•ii'r::::.::: : \ / / RUNOFF RECHARGE SYSTEM. NEW UNDERGROUND ORYWELL (DW) EDEGK6 W BFT DIAx4FT HT CONNECT TO ROOF 1 I E 9S\N6 GUTTERS AND DOWN5POUT5 K\ `\\ ..•♦ .♦♦ 15TING EXISTING ONCRADE WOOD WALKWAY o I \ Ek/ST/NG TO BE RELOCATED AS SHOWN 111;11 +j1 ED6E OF TIDAL WETLAND `�L - e NEW OUTDOOR STAIRS AND DECK AS UFS .q BY SUFFOLK ADDITION LEVEL WITH THE EXISTING _ ENVIRONMEN111"',�L �� \ O DECK ABOVE GRADE y CONSULTING IM ON ��1 \ AL SEPTEMBER 22\2004 - - _ _ _ _ _ , IP EXISTING OUTDOOR STAIRS TO BE REMOVED AND REPLACED WITH A FUG B I ^ q DECK LEVEL WITH THE EXISTIN6 DECK AT 6RADE II\ -1 AREA BELOW EXISTING DECK ABOVE W N v+ WETLAh1D5 GRADE LEVEL TO BE REBUILT WITH WENDED GH WATER 1 G \ ,IL FLAG 7 \ \ xN NEW DECKIN JL `AL EXISTING PORTION OF RESIDENCE AT ADDITIONS \\\ FLAG a \\ 6R. FOUNDATION E LEVEL To BE REBUILT WITH TO EXISTING If - 6 PERMIT AL aW TE CINE ALONG HIGNM ,LR NDS ` \ \ �G� / IV 76*55"50"w MARK AL AL N. 135.99' DEEP HOLE Or APPARENT WILLI5 GREEK HIGH WATER N SITE PLAN SCALE: 1" = 20'-0" 1012CRON -FLAG 11 -FLAG 10 4 IETLANDS N_ N. APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD LATE r V SITE DATA SCTM # 1000-123-10-01 PROPERTY: 960 WILLIS CREEK DR ADDRESS MATTITUCK , NY. 11952 OWNER: KENNETH J. LeSTRANGE & ELIZABETH S. LeSTRANGE SITE: 45,605 SQ. FT. =1.046 ACRES TOTAL AREA ZONING: AC FLOOD: "A4"(EL.8) ZONE SURVEYOR: PECONIC SURVEYORS 1230 TRAVELER STREET SOUTHOLD, NY. 11971 LICENSE # 49618 DATED OCTOBER28,2004 NO TES 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. EXISTING ELEVATIONS ARE SHOWN THUS: 10.0 2. WETLAND FLAGS MARK LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED BY SUFFOLK ENVIRONMENTAL CONSULTING INC ON SEPTEMBER 22, 2004 3. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS LOCATION MAP TEST HOLE NO SCALE TEST HOLE DATA 14141911 ELEV = A 5' +1. 1FT. GREY SANDY LOAM 2.5 FT. BROWN LOAMY SAND 3.5 FT. GREYISH BR CLAYEY SAND 3.5 FT. WATER IN GREYISH BR SANDY CLAY 12 FT. WATER IN PALE SR FINE TO COARSE SAND EXISTING SITE AREA LANDWARD OF TIDAL WETLANDS: EXISTING GRAVEL DRIVEWAY: 3,005 SF, 8.5 % LOT COVERAGE PROPOSED GRAVEL DRIVEWAY: 2,903 SF, 83 % LOT COVERAGE EXI5TIN6 DECKS ON CRAVE: 960 5F, 2.7 % LOT COVERA&E PROPOSED DECKS ON GRADE: 960 5F, 2.7 % LOT COVERAGE EXISTING DECKS ABOVE CRAVE: 862 5F, 2.5 % LOT COVERA6E PROPOSED DECKS ABOVE &RADE: 862 SF, 25 % LOT COVERAGE EXI5TIN6 OUTDOOR ENTRY 5TAIR5: III 5F, 0.3 % LOT GOVERA&E PROPOSED OUTDOOR ENTRY STAIRS: 151 57, 0.4 % LOT COVERAGE EXISTING RESIDENTIAL 5TRUGTURE: 2,827 SF, 8 % LOT COVERAGE PROPOSED RESIDENTIAL STRUCTURE: 2,827 SF, 8 % LOT GOVERA6E JUL 2 7 2010 SF REGULATORY APPROVALS REVISIONS: 3/19/10 6/1/10 7/26/10 W z ujZ ca zO O a (� LU 'o W 0 LL r ZOW aF- Z Z CMD a O Z m aZ cn 4) mi ata Z Ina• mE; J �• o c Yd o F W J•� G 7 W. s « I C C Lu. N S t� Q F• U u OF NEFWj, c P9 C. S,q yG'P'f- 0. e" 0183 N� P OJECTNO: 0908 DRAWN BY: UT CHECKED BY: TS DATE: 2/14/10 SCALE: 1" = 20'-0" SHEET TITLE: SITE PLAN SHEET NO.: 1 SURVEYED FOR: KENNETH 8 ELIZABETH LESTRANGE PROPERTY LOCATED AT MATTITUCK LOT No. 15 MAP OF HARBOR VIEW AT MATTITUCK FILED: AUGUST 21, 1987: FILE No, 8377 TOWN OF SOUTHOLD SUFFOLK COUNTY. NEW YORK S.C.T.M. u 1000-123-1-1 AREA = 49.266 SF. = 1.131 ACRES ± SCALE: 1-=30' NOTE: THE EXISTENCE OF RIGHT OF WAYS. WETLANDS AND/OR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED. ELEVATION REFER TO NAVD FLOOD ZONE FROM FIRM MAP NUMBER 36103CO482H SEPTEMBER 25, 2009 ZONE AC SOUTHOLD BUILDING DEPT. AREA 49.266 SF. TO TIE LINES UPLAND AREAS = 37,957 SF. ± 20% = 7,593 SF ALLOWABLE LOT COVERAGE MAX. PROPOSED HOUSE. DECK. STEPS. FOOTPRINT = 4.960 SF EXISTING FOOT PRINT HOUSE . DECK. STEPS. FOOT PRINT = 3.701 SF. PROPOSED FOOT PRINT ADDITIONS = 1.279 SF. APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE 12_ 2- 12. 1 i l IN j5,42.05E FR RES. LOT 14 N/F STEPHEN 6 ELAINE '-� SPARACINO sp (PUBLIC WATER) s r �o \ln 196.55 EDGE OF LAWN r /1 '.4 NEW TE SRV GJ •"., 'PROPOS Y1' TY �. PAIS M PLA ERS 2M O 15.PROP .R 0 p COVERED - ]9.S' PORCH _ ' I ENCLOSE 4'$ EXIG.IWG PORCH m 3 W/PLA DER NDE (J WETLAND FLAGS Eaua TEST HOLE ` BY SHAWN BARRON \ D• s ESTEP 8. lN.LS 1 \ 7-20-2012 \ e SIHOWEe UNUER TEST HOLE BY OTHERS N DECK TEST HOLE DATA (4/4/91) ELEV • 4.5-. 60 Sq, 4 1.0' GREY SANDY LOAM 2.5' BROWN LOAMY SAND \ 2 STT PDRCI RE RExGVI 3.5' GREYISH BR CLAYEY SAND TO (hJ APPARENT H.W.M. ` 9.5WATER IN GREYISH BICSANDY CLAY 10-2-20t? \ S _ PQ 12. WATER IN PALE OR FINE CCNF TO COARSE SAND J \\ wnnn NEW RUNOFF RECHARGE SYSTEM: ROOF RUNOFF DRY WELL ROOF RUN OFF SYSTEM - NEW UNDERGROUND 8' DIA ORYWELLS COW) 8' DIA X 4- HT CONNECT TO GUTTERS 8 LEADERS 3' HT ORYWELLS FOR RUN OFF DISCHARGE SYSTEM DRAINAGE SYSTEM CALCULATIONS ROOF AREA; 3.355 SF 3,355 SF X 0.17 . 570.35 NEW SEPTIC SYSTEM PER SCHD OF HEALTH 570.35 CU FT / - 13.51 VERTICAL FT OF 6' DIA LEACHING POOL BUILDING REQUIRED LINE PROVIDED ISI 8' DIA X 3' DEEP RECHARGE DRY WELLS 'RADE LINE ELEVATION GNG COME. MONEXISTING 10.0' GRADE LINE ELEVATION CONNECT TO ROOF ....n n..o.,eonu.c / S.0' CONCRETE TRAFFIC I' MIN / -BEARING SLAB /2' MAX. NEW NEW DRY WELL DRY WELL 8' DIA B' DIA 3' HT 3 HT BUT OF POOL 3.0 FT GROUND WATER ELEL 1.0 FT. RAIN WATER RUNOFF RECHARGE — DRYWELL PROFILE (N.T.Sj ffspluriOlKs RAD = 40.00' LEN = 59.78' 04, EDGE OF WETLANDS NOOO BNLKNEAO ALONG FACE OF T"O BULKHEAD PER SHAWN BARRON 7-20-2012 ILLI` O�� s as°so'Ss"w 67.59' BUILDING WALL FF EL 1].2 GRADE LINE ELEVATION 105 J� N FA V RAD = 60.00' LEN = 66.32' a° NEW SEPTIC SYSTEM PER SCHD OF HEALTH PERMIT a R-10-0010-8-4-10 TO BE INSTALLED EXISTING SEPTIC SYSTEM TO BE PUMPED HOLE CLEANED 8 REMOVED IN ACCORDANCE W/S.C.O.H S. STANDARDS GNG COME. MONEXISTING SANITARY SYSTEM FOR THE 4 BEDROOM RESIDENCE E III 900 GAL SEPTIC TANK p (3) 4 FT HT LEACHING POOLS (EX LPI TO BE RE CONFIGURED REMOVE EXISTING SOO GAL SEPTIC TANK ADDITION TO THE EXISTING SANITARY FOR A 7 BEDROOM RESIDENCE PSYSTEM 6 (1) 2000 GAL SEPTIC TANK [NEW STI 121 4 FT HT LEACHING POOLS INEW LFI ST REVISED SANITARY SYSTEM FOR A 7 BEDROOM RESIDENCE �p 2000 GAL SEPTIC TANK - NEW i•10 131 4 FT HT LAECHING POOL - EXISTING D. BAY Nwuow 12' x zs, WITH ROOF DECK ABOVE 121 4 FT HT LEACHING POOLS NEW a® AC UNITS LOT AT GRADE 16 J PROP, IRR GAL 20 0• 4 BURIEDPROPANEPANfi g lk :, N/F ROBERT W.9 Rs HELEN KEITH [PUBLIC WATER) WOOD DECK � ry � N N N LINE ELEVATION ISO' N LIMIT T OF CLEARING, PROP ADO. GRGOINS. AND `W/NEN FOUND. GROUND DISTURBANCE UNDER EXIST NOW OF STAKED HAYBALES WITH SLOG PROJECT LIMITING FENCE TO RE IN PLACE TO START OF CONSTRUCTION REMOVE EXIST, ITAIRS. P/O WD00 WALK APPAREI LOCATION MAS' Nov 15 2012 IL`" P , L-/ FT :-N TOP OF POOL 8.33' NEW EkI5T 1/8' / FT. pF +10.0 SEPTIC SEPTIC �A TANK TANK E a8.92" IE aB BE 8" Hr 0.5' % 4.5' BOT OF POOL 4.99' S' DIA 5.5' HT IE a B.B' i SEPTIC PROFILE RESIDENCE (N. T. S.) SURVEYED Ty. 'ER ELEV 1_0' FRANK BARYLS RIVERHEAD, NY PHONE 631-727-1 FAX 631-284-369 OCTOBER 2, 2012 44224 0 'yYv a R 1 (- Aoom? + QEcKTo �LtnuN -4S' s ir '�. ! 111; ! •lwli! 1 —— I I y tiwta " II r21� 1°;del ICtN, %" � ;✓ vvel.JNti-- .k �6M elnlfi�- JK! h, 2, �Avol v� 634 u /L -77_7y041 ckoloak IIT Ttwb 1. r'4—UW- 1 17? 1 I'Y �DCISTI r.I � GBt--�f412. = I Iri �i'� F�1 1 1 I I m'Ex!W!Jfp ryrr�ovJ j I 1!PA,J Nr o\FPnL um Oow LAriJnl a /{A t n 4\ 011 � , 1- G �. Q V 2 , APPROVED BY a ,. BOARD OF TRUSTEES !' TOWN OF SOIITHOLC DATE l2 l Z S U. ,.T .....E _ R;. AND S U T E R 1, D.E S I G N ARCHITECTURE L A N D S -C A P E• RO.OX 1719124 JESSUP.AVENUE QU-bCtrUV, 1 1959 . 6: 3 1 .6 5 3: 3 8 7 7 www_suteMn suter.com E A X 6 3 1 .6 5 3. 3 8 7 8 I EETFt�ua17c3Q-skrE� AND S U T E R S U T E R D E S I G NA AA R 4, L A N D S C A P E 7L�E,5i !;>14N6 4. i III I EETFt�ua17c3Q-skrE� AND S U T E R S U T E R D E S I G NA AA R C H IT E{ C;'� T� U R E L A N D S C A P E 7L�E,5i !;>14N6 4. 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BOX 1709„ 124 JESSUP AVENUEQUDGU'E,,NY I19$9 6 3 3 "5 3,3 8 7" 7 . www.suWandsutitcom F A X' b 3 1 .6 5 3'. 3 8 7 8 T7 I ', ,.,,. s -mss',