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TR-7303
Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0696C Date October 21,2011 THIS CERTIFIES that the single-family dwelling, garage, swimming pool, sanitary system, deck, gravel driveway, drainage system, and 50' non-disturbance buffer landward of the wetland boundary At 580 Basin Rd., Southold Suffolk County Tax Map #81-1-16.7 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 4/23/10 pursuant to which Trustees Wetland Permit #7303 dated 5/19/10 was issued and Amended on 10/20/10 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 A single-family dwelling~ garage, swimming pool~ sanitary system, deck, gravel driveway, drainage system, and 50' non-disturbance buffer landward of the wetland boundary. The certificate is issued to MARY S. ZUPA owner of the Aforesaid property. Au~o~ized Signature Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE __ Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction ~ constructed __ Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Jolm Holzapf¢l Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Tele ,hone (631) 765-1892 c (__631) 765Z~6~_1 OCT - 8 2010 $outhhold lowu .____.__~ I~jarg of Trustees APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT AGENT /1////~ PHONE ADDRESS / PROPERTY LOCATION TAX MAP NO. ~;"",/--,/ -- z/~. 7 (~¢ /l~ ~/:~ '"/ ~. 2- 64P/~request an Amendment to Permit # 73 ~ 3 ? COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK CC #: C10-30276 I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on0811812010 under Liber D00012634 and Page 844 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 0811812010 SUFFOLK COUNTY CLERK JUDITH A. PASCALE SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Number of Pages: 5 Receipt Number : 10-0097136 District: 1000 Recorded: At: 08/18/2010 03:45:49 PM Page/Filing COE TP-584 Cert. Copies LIBER: D00012634 PAGE: 844 Section: Block: Lot: 081.00 01.00 016.007 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt $25.00 NO Handling $20.00 NO $5.00 NO NYS SRCHG $15.00 NO $0.00 NO Notation $0.00 NO $6.25 NO RPT $30.00 NO Fees Paid $101.25 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County This document will be public record. Please remove all Social Security Numbers prior to recording. Mail to: Judith A Pascale, Suffolk County Clerk 310 Center Drive, Riverhead, NY 11901 www suflolkcou ntyny, gov/cterk 05-1g 10 Community Preservation Fund r?Na,.e Title Conlpany lnlbrmation Title # Suffolk County Recording & Endorsement Page SUI'~O[ E COUNT~, NEW ~ORK NOTIC~ COVENANT undersigned, personally appearec~/ individual (s) whose n~e (s) i~ ~e subscribed ~ ~e witMn inst~ent =d ac~oMedged to me that h~ she I ~ey ex~uted the s~e in hi~ heal ~eir eapaciW (les), and that by his/heal their signa~e (s) on the ins~eat, the individual (s), or the person upon behalf of which the indNid~ (s) acted, executed &e i~t~ent. CHICAGO TITLE INSURANCE COMPANY LEGAL DESCRIPTION CHICAGO TITLE INSURANCE COMPANY LEGAL DESCRIPTION (Continued) BOARD OF SOUTiIOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7303 DATE: MAY 19~ 2010 ISSUED TO: MARY S. ZUPA PROPERTY ADDRESS: ~80 BASIN RD.~ SOUTHOLD SCTM#81-1-16.7 AUTHORIZATION Pursuant to thc provisions of Chapter 275 andIor Chapter I I I of the Town Code o£~he Town of Soult~old and in accordance with Iht Resolulion o£1hc Board of Trustees adopted at the meeting held on M~3y I C~. 2010 in consideration of appllcation fee in thc sum of $'2.50.00 paid by Mary S. Zuoa and subject to thc following: Wetland Permit to construct a single-family dwelling, garage, swlmmJng pool, sanitary system, deck, remove existing asphalt driveway and install new and landscape, with the condition the drainage system complies with Chapter 236- Stormwater Management of the Town Code, a line of staked hay bales and silt fencing is installed prior to construction activities and maintained until completion, and a 50' non- turf buffer landward of the wetland boundary, all as depicted on the survey prepared by Nathan Taft Corwiu last dated March 31, 2010. IN WITNESS WHEREOF, thc .*aid Board of Trustees hereby causes its Corporate Seal m be affixed, and these prcsenlS Io be subscfbed by a majorily or,be said Board a.s of Ihis dale. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971~0959 Telephone (631) 765-1892 Fax (631) 765-6641 October 20, 2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mrs. Mary Zupa 4565 Paradise Point Rd. Southold, NY 11971 RE: 580 BASIN RD., SOUTHOLD SCTM#81-1-16.7 Dear Mrs. Zupa: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., October 20, 2010: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit #7303 to reflect the revised footprint of the proposed single-family dwelling and to remove one dead tree located in the non-turf area on the northwest side toward the corner of the seaward side of the hay bale line, and as depicted on the survey prepared by Nathan Taft Corwin III last dated October 1, 2010 and stamped approved on October 20, 2010. This is not a determination from any other agency. Sincerely, JMD:lms Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375MainRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE L,// Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: § 275-5. Permit procedures. A. Permit required. Notwithstanding any prior course of conduct or permission granted, no person shall conduct operations on any area within Trustee jurisdiction (§ 275-3C) without first obtaining a written permit therefor issued by the Trustees as hereinafter provided and only while such permit remains in effect. B. Administrative permit. o) Installation or burial of a residential propane/liquid gas tank 25 feet or greater from wetlands in an existing, established yard area when more appropriate upland placement is not possible. Installation or burial of a propane tank less than 25 feet from wetlands is prohibited. § 275-4. Exceptions. A The provisions of this chapter shall not require a permit for the following: (9) Installation or burial of a residential propane tank within 100 feet of wetlands in an existing, established yard area when more appropriate upland placement is not possible. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765~6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ½ constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7303 DATE: MAy 19~ 2010 ISSUED TO: MARY S. ZUPA PROPERTY ADDRESS: 580 BASIN RD.n SOUTHOLD SCTM#81-1-16.7 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on May 19, 2010 in consideration of application fee in the sum of $250.00 paid by Mary S. Zupa and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and following: Wetland Permit to construct a single-family dwelling, garage, swimming pool, sanitary system, deck, remove 6xisting asphalt driveway and install new and landscape, with the condition the drainage system complies-with Chapter 236- Stoxmwater Management of th~ Town Code, a line of staked hay bales and silt fencing is installed prior to construction activities and maintained until completion, and a 50' non- turf buffer landward of the wetland boundary, all as depicted on the survey prepared by Nathan Taft Corwin last dated March 31, 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. TERMS AND CONDITIONS The Permittee, Mary S. Zupa, residing at 4565 Paradise Point Rd., Southold, NY, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Pennittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. Their this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be taus9 for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and re[mss along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free n~avigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcek Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. Jill M. Doherty, President James~ F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Brederneyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 May 19, 2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mrs. Mary S. Zupa 4565 Paradise Point Rd. Southold, NY 11971 RE: 580 BASIN RD., SOUTHOLD SCTM#81-1-16.7 Dear Mrs. Zupa: The Board of Town Trustees took the following action during its regular meeting held on Wed., May 19, 2010 regarding the above matter: WHEREAS, MARY S. ZUPA applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance, application dated April 23, 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, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 19, 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, 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, and, 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, and, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees has found the application to be Consistent with the Local Waterfront Revitalization Program, and, BE IT FUTHER RESOLVED, that the Board of Trustees APPROVES the application of MARY S. ZUPA to construct a single-family dwelling, garage, swimming pool, sanitary system, deck, remove existing asphalt driveway and install new gravel driveway, and landscape, with the condition the drainage system complies with Chapter 236- Stormwater Management of the Town Code, a line of staked hay bales and silt fencing is installed prior to construction activities and maintained until completion, and a 50' non-turf buffer landward of the wetland boundary, all as depicted on the survey prepared by Nathan Taft Corwin last dated Mamh 31, 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:$100.O0 Very truly yours, Jill~. Doherty, nt Board of Trustees JMD/Ims Jill M. Doherty, President James F. King, Vice-President Dave B~rgen Bob Ghosio, Jr. John Brcdcmeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Please be advised that your application dated /-II~110 has been reviewed by this Board at the regular meeting of ~"1 I~/~ lb and your application has been approved pending the completlbn o¥ the follow'ng 'terns checked off' below. __ Revised Plans for proposed project ~ Pre-Construction Hay Bale Line inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ¼ Constructed ($50.00) V/ 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: BY: Jill M. Doherty, President Board of Trustees Peter Young, Chairperson Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., May 12, 2010, the following recommendation was made: Moved by Peter Young, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of MARY S. ZUPA to construct a single-family dwelling, garage, swimming pool, sanitary system, deck, remove existing asphalt driveway and install new gravel driveway, and landscape. Located: 580 Basin Rd., Southold. SCTM#81-1-16.7 Inspected by: Peter Young The CAC Supports the application with the Condition the proposed structures are properly staked and the requirement of a detailed drainage plan. Vote of Council: Ayes: All Motion Carried Jill M. Doherty. President James F. King, Vice-Presiden! Dave Bergen Bob Ghosio. Jr. John Bredemeyer P.O Box 1179 Southold. NY 11971 Telephone(631)765-1892 Fax (631)765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report MARY S. ZUPA requests a Wetland Permit to construct a single-family dwelling, garage, swimming pool, sanitary system, deck, remove existing asphalt driveway and install new gravel driveway, and landscape. Located: 580 Basin Rd., Southold. SCTM#81-1-16.7 T~Yt~sa of area to be impacted: Itwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Par~ of Town Code proposed work falls under: /L/Ohapt.275 Chapt. 111 other Type of Application: )(' Wetland __Coastal Erosion __Amendment ~Ad ministrative__Emergency Pre-Submission __Violation Info needed: Conditions: v(.J.Doherty ~j. Bredemeyer Present Were.V//J.King __ . __ . __ B.Ghosio, __ D. Dzenkowski other Form filled out in the field by iD. Bergen~v'// Mailed/Faxed to: Date: New York State Department of Environmental Conservation Division of Environmental Permits- Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook NY 11790-3409 Main Phooe: (631) 444-0365 Website: www.dec.state.ny.us Fax: (631) 444-0360 Nexander B. Orannis Commissioner March 17, 2009 Mary S. Zupa 4565 Paradise Point Road Southold NY 11971 RE: Permit g 1-4738-03029/00010 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6 NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, Matthew R. Penski Environmental Analyst 1 Enclosure DEC PERMIT NUMBER 1-4738-03029100010 FACILITY/PROGRAM NUMBER(S) F PERMIT Under the Environmental Conservation Law EFFECTIVE DATE March 17, 2009 EXPIRATION DATE(S) March 16, 2014 TYPE OF PERMIT · New [] Renewal [3 Modification [] Permit to Construct [] Permit to Operate [] Article 15, Title 5: Protection of Wa- ters [] Article 15, Title 15: Water Supply [] Article 15, Title 15: Water Transport [] Article 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers [] 6NYCRR 608: Water Quality Cedification [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [] Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands [] Article 27, Title 7; 6NYCRR 360: Solid Waste Management [] Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management [] Article 36: Floodplain Management [] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO Mary S. Zupa ADDRESS OF PERMITI-EE 4565 Paradise Point Road, Southold NY 11971 CONTACT PERSON FOR PERMITFED WORK NAME AND ADDRESS OF PROJECT/FACILITY _~upa Property, 580 Basin Road, Southold TELEPHONE NUMBER /631) 765-6112 ITELEPHONENUMBER _OCATION OF PROJECT/FACILITY SCTM # 1000-81-1-16.7 COUNTY Suffolk TOWN Southold Description of Authorized Activity WATERCOURSE Southotd Bay & Basin INYTM COORDINATES E:719.4 N:4547.3 Construct a single family dwelling, garage, decks, swimming pool, sanitary system, pervious gravel driveway, remove asphalt, public water service, utilities, 4 foot wide access path, 4 foot by 4 foot seasonal steps to beach, and plant vegetation. Place 5 to 10 pound stone on filter fabric behind the bulkhead and return and revegetate. Regrade, stabilize, and revegetate the slope on Southold Bay. All work shall be performed in accordance with the conditions of this permit and the plans prepared by Nathan Taft Corwin III last revised on 2/9/09 and Sea Level Mapping last amended on 2/20/09, both stamped NYSDEC approved on 3/17/09. B~ pliance with the ECL, all applicable Conditions included as part of this permit. ADDRESS FC SUNY@Stony Brook; ircie Road; Stony Brook NY 11790-3409 DATE Page 1 of 5 March 17, 2009 1. The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 50 linear feet from the tidal wetland boundary. 2. To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 50 linear feet landward of the tidal wetland boundary. 3. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and/or protected buffer areas. 4. A row of staked haybales or other approved erosion control devices shall be placed at the landward edge of the buffer area or as per the NYSDEC approved plans and seaward of the toe of the embankment, prior to commencement of any regulated activities and remain in place and in good, functional condition until the project is completed and all disturbed areas are stabilized with vegetation. 5. Necessary erosion control measures e.g., staked haybales, silt fencing, etc. are to be placed on the downslope edge of any disturbed areas, This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is established. 6. Roof runoff shall be directed into dry wells a minimum of 75 linear feet landward of the tidal wetland boundary for immediate on-site recharge. 7. Dry wells for pool filter backwash shall be located a minimum of 75 linear feet landward of the tidal wetland boundary. 8. There shall be no draining of swimming pool water directly or indirectly in tidal wetlands or protected buffer areas. 9. Driveways and parking areas shall be constructed of NYSDEC approved pervious materials. 10. Roads, driveways and parking areas shall be graded to direct runoff away from tidal wetlands and protected buffer areas. 11. Sanitary systems (bottom of the tank and leaching pools) shall be located a minimum of 2' above seasonal high groundwater. 12. All fill shall consist of "clean" sand, gravel or soil (not asphalt, slag, flyash, broken concrete or demolition debris). 13. All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. DEC PERMIT NUMBER 1-4738-03029/000'10 PAGE 2 OF 5 14. All areas of soil disturbance resulting from the approved project shall be stabilized as per the specifications of the approved plans immediately following project completion or permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 15. If seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding performed at the earliest opportunity when weather favors germination and growth, but not more than six months after project completion. 16. All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales / silt curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 17. All erosion control devices shall be maintained in good and functional condition until the project has been completed and the area has been stabilized. 18. The permit holder shall cause all exposed faces and/or disturbed areas to be vegetated to prevent soil erosion prior to project completion or the expiration date of the permit, whichever comes first. 19. The wetland and associated buffer shall be planted as per the approved plans and the permit holder shall ensure a minimum of 85% survival of plantings by the end of five growing seasons. If this goal is not met, the permit holder shall re-evaluate the restoration project in order to determine how to meet the mitigation goal and submit plans to be approved by the office of Marine Habitat Protection, SUNY@Stony Brook; 50 Circle Road; Stony Brook NY 11790-3409. 20. There shall be no discharge of runoff or other effluent over or through any bulkhead or shoreline stabilization structure or into tidal wetland or protected buffer area. 21. There shall be no discharge of runoff or other effluent on, in or down the bluff face or onto the beach. 22. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 23. Any debris or excess material from construction of this project shall be completely removed from the adjacent area and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands or protected buffer areas. 24. This permit does not authorize the granting of easements for the construction of water access structures, mooring facilities, or other structures. 25. The permit holder shall incorporate the attached Covenant (or similar language) to the deed for the property where the project will be conducted and file it with the Clerk of Suffolk County within 30 days of the effective date of this permit. This deed covenant shall run with the land in perpetuity. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be submitted within 90 days and prior to commencement of any regulated activity at the site to: NYSDEC, Marine Habitat Protection,SU NY@Stony Brook; 50 Circle Road; Stony Brook NY 11790-3409, Attn: Compliance. DEC PERMIT NUMBER 1-4738-03029/00010 PAGE 3 OF 5 ~FW YORK STATE DEPARTMENT OF ENVIRONMENTAL CJ~i~ERVATION ~1 Ib'ICATION OF OTHER PERMITI'EE O~n~ATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee~ excepting state or federal agencies, expressly agrees to indenmify and hold hamdess the Deparm~ent of Environmental Conservation of the State o£New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee~s acts or omissions in connection with the pcrmittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the pemfit. This indemnification does not extend to any clain~s, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as thc permittee's agent with respect to the ~crmitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon dte lands or intert~rc with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1; Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hoars and intervals by an authorized representative of the Depar~nent of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The pennittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Deternfinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental infomtation the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The pemfittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, SUNY ~ Stony Brook, 50 Circle Road, Stony Brook NY 11790-3409 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Depa~nent reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the pcrmit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the pemUt application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DEC PERMIT NUMBER [ PAGE 4 OF 5 1-4738-03029/00010 EW YORK STATE DEPARTMENT OF ENVIRONMENTA NSERVATION ADDiTiONAL ~ ~ 25, 34 A""~'-~D 6 NYCRR PART 608 (TIDAL WETLANDS) If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across or along the bed of a waterway or floodplain, deposits within any regulatory floodway, or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 5. There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its fbrmer condition. No claim shall be made against the State of New York on account of any such removal or alteration. 7. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subj eot proj eot will not contravene effluent limitations or other limitations or standards under Sections 30 l, 302,303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 8. At least 48 hours prior to cornmencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 9. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or their designated agent as part of the permit application. Such approved plans were prepared by: Nathan Taft Corwin llI last revised on 2/9/09 (sheet 1 of 2) and Sea Level Mapping last amended on 2/20/09 (sheet 2 of 2), both stamped NYSDEC approved on 3/17/09. DEC PERMIT NUMBER 1-4738-03029/00010 PAGE 5 OF 5 Plan View Prepared for: Mary Zupa Surveyed: 05-29-08 Amended: 02-20-09 SCT# 1000-81-1-16.7 Town: Southold Suffolk County, NY ~ 1"=60' ' N Sections P/ace appro 5.10 lb - x. 6Cycl on filt~ qcern,-. ~Ulkhea~ ~ Oehin~ return A Plant inter.ticl · Species ~,~. al , ~'" °Ulkheacl Bi,,-- io, /N:~pllcont ~ropose~ Lo r~'grode steep slope using sf, ock pllecl mokerlol ~ to create op~rox. ~ on I slope ~'-~._ Plon~ hem slope ml~h cope ml~h ]ute mesh un~ll plants plmte~ ~re establlshe~ ore~ SE~ LEVEL MAPPING P,O. Box # 366 Aquebogue NY 11931 ROBERT H, FOX NYS PLS#50197 95-20-1 (11/03) New York State Department of Environmental Conservation NOTICE The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of the approved work and any Department conditions applied to the approval, contact the Regional Permit Administrator listed below. Please refer to the permit numl:~er show.n _when contacting the DEC, /~ ~--/~,~ ~'~ ~)~ ~ ~0~ /~ Regional Permit Administrator Permit Number Expiration Date NOTE: This notice is NOT a permit ROGER EVANS OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 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 J Date: May 19, 2010 k K Re: Proposed Wetland Permit for MARY S, Z SCTM#1000-81-1-16.7 MARY S. ZUPA requests a Wetland Permit to construct a single-family dwelling, garage, swimming pool, sanitary system, deck, remove existing asphalt driveway and install new gravel driveway, and landscape. Located: 580 Basin Rd., Southold. SCTM#81-1-16.7 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 below Policy Standards and therefore is CONSISTENT with the LWRP provided that the Board require a perpetual, natural vegetated buffer landward of the all wetland boundaries on the parcel. NATURAL VEGETATED BUFFER -- A land area of a certain length and width where existing vegetation occurs prior to the commencement of any grading or clearing activity. Vegetation shall be maintained to achieve a minimum percentage of ground cover of 95%. To achieve the percentage of ground cover, indigenous, drought-tolerant vegetation shall be planted. Survival of planted vegetation shall be 90% for a period of three years. Maintenance activities within the buffer are limited to removing vegetation which is hazardous to life and property, trimming tree limbs up to a height of 15 feet to maintain viewsheds, replanting of vegetation and establishing a four-foot-wide access path constructed of pervious material for access to the water-body. [Added 12-15-2009 by L.L. No. 15-2009] It is also recommended that the Board require that all trees within Chapter 275 jurisdiction be retained to the greatest extent practicable. Note that the species Russian Olive is identified as a native plant on the survey dated as last revised March 31, 2010. Russian Olive (Elaeagnus angustifolia) is a listed New York State invasive species. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action, Cc: Lori Hulse, Assistant Town Attorney Office Use Only Coastal Erosion Permit Application ~'~Vctland Permit Application Amendment/Trans[? ~/~,xtension /I~ece~vved Application:~[]~_ ,...~eceived Fee:$,Q'~-~ "~ " i/Completed Application~i~l Incomplete __SEQRA Classification: Type I Type 11 Unlisted Coordination:(date sent). ~'~NRP Consistency Assessment Form ~]c) [ f'~ --'CAC Referral Sent: ~clO-Ct I I~C~ ~-----'Date of Inspection: ,_.%-~, h:~l ~'D __Receipt of CAC Report: __Lead Agency Determination:__ Technical Review: __--,~-trdblic Hearing Held: '-%} iq! 10 Resolution: Administrative Permit Name of Applicant Mary S. Zupa Address 4565 Paradise Point Rd. Southold, NY 11971 Phone Number:( 6~1 765 6112 Suffolk County Tax Map Number: 1000 - 81- 1-16.7 Proper~Location: 580 Basin Road, Southold NY 11971 Property is 600' from Paradise Point Road. (provide LILCO Pole #, distance to cross streets, and location) AGENT: None (If applicable) Address: Phone: ~rd of Trustees Applicat~ Land Area (in square feet):_ Area Zoning: R-80 Previous use of property:~ Intended use of property: GENERAL DATA 72,747.53 sq. ft. (1.7 acres) vacant residential lot residential homesite with marine access and utilization of riparian rights Covenants and Restrictions: x Yes No If"Yes", please provide copy. DEC environmental Prior permits/approvals for site improvements: Agency NYS DEC SCHD Trustees (attached) Date ll/02(house) ;4/05(dredging);3/09(house) ;3/09(dock with elec) 2/03;3/09 9/02(house)extensions thru 9/06;9/05(dock) ;1/07(dredging); ~/u~(quarry scone, rescoraeion, etc.) Prior approved trustee survey for house is attached. __ 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: PrQect Description(use aUachmentsifnecessary): cn~v~,,~e ~4~1~ f~m~]y dwelling, garage, ~°''t, sanitary system, deck, gravel driveway(remove existing asphalt driveway) and landscape. All work to De performed ~n accordance with the attached survey of Nathan T. Corwin III last dated~~./~ ~C ~ 31) ~_~ I~ of Trustees Applicat WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Construct a single family dwelling, garage, sanitary system, swimming pool, deck, gravel driveway (remove existing asphalt)and landscape in accordance with attached survey of Nathan Corwin III Area of wetlands on lot: 4677 Percent coverage of lot: 8.47 % last dated April 23, 2010. square feet Closest distance between nearest existing structure and upland edge of wetlands: NA feet Closest distance between nearest proposed structure and upland edge of wetlands: 75 ' from BH feet Does the project involve excavation or filling? No x Yes If yes, how much material will be excavated?. How much material will be filled? 1185 cubic yards cubic yards Depth of which material will be removed or deposited: 10 feet Proposed slope throughout the area of operations: less than 5% Manner in which material will be removed or deposited: Anticipate use of material to grade front and sides material will be trucked away. of house. Excess 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): Use of haybales and other erosion measures will prevent any unfavorable impact on wetlands and waters. of Trustees Applicatl~ COASTAL EROSION APPLICATION DATA Purposesofproposedactivi~: Construct single family dwelling, garage,sanitary system,deck,gravel driveway (remove existing asphalt driveway) and landscape. Ail work shall be performed in accord with the attached survey of Nathan T. Corwin III last dated April 23, 2010; %16~R ~oml Are wetlands present within 1 O0 feet of the proposed activity? No x Yes Does the project involve excavation or filling? No x Yes If Yes, how much material will be excavated? llSS How much material will be filled? na (cubic yards) (cubic yards) Manner in which material will be removed or deposited: and the excess will be trucked away. Material will be used to grade around house Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) There are no unfavorable impacts anticipated. Al~tndbc C Stae~ Rn~ironm~tal ~.uallty Roi~ SHORT ~RO~ ~gB~ME~ ~0~ For ~I~T~D A~iO~ Otdp P~T I - Pmj~t ~o~tioa ~o b~ co~loto b~ Applier or Pmj~ ~ ' Hou~ zupa Zupa Proper~y ~ 580 basin Road, Sol,hold, NY 1~971 ~pprOx ~00 feat from in~e~se ~dzse poin~ Road ~C, S~t~ld Trustees, PART II - IMPACT ASSESSMENT (To be completed by Lead Agency)- A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, (~xdiuats the rm4~v process and use the FUlL EAF. B. W1LL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaredofl may be superseded by aeohh~ invotved agency. E]TM IZ]"o C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED TMTH THE FOLLOWING: (Answers may be handwritten, If legible) C1. Existing ah' quafity, suff~ce or groundwater quality or quantity, doise levels, e:dsiing traffic patfam, solid waste preduction or disposal, I"° I INo Vegetation or fauna, fish, shellfish or wildlife apexes, significant habitats, or Ihreofoned or efldongemd species? Explain Ixfafly: C3. C4. A comrnonity's existing plans or goals es ofticlalF/adored, or a change in use o~ intensity of use of land or oth~ natural resource;? Explain bdelly: C.5. Growth, subsequent develol~ent, or related ac~vltles likely to be induced by the proposed aclion? Explain bdefly: C6. Long term, shQrt term, cumulative, or other effects not identified in C1 -C57 Explain bdefly: O. W1LL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (if yes, explain brinfl)': I-I - 1'71 NeI E. IS THERE, OR IS THERE UKELY TO BEI CONTROVERSY RELATED TO'POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes ex~lain: PART III - DI-'~t=RMiNATION OF SIGNIFICANCE (To be completed by Agency) ~TRUCTION$: F~reachadvemee~ectident~adabeve~determinewhetheritissubstsntle~lerge~imp~darr~r~therw~signi~carr~ Each effect should be assessed in connection with its (a) setting (i.e. Urban or rural); (b) probability of occurring; (C) duration; (d) ifTeversibliity; {e) geographic scope; and (0 magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain · ufficlent detail to show that all relevant adverse impacts have been identified and adequately addmseed. If question d of part ii was cheda~:l yes, the,determination of signlflcanse muat evaluate the poterrJalimpact oftbe propo~d action o~ the envira~mental charactst'isf~cs of the CEA. Cbeck this bex If YOU ha~e identified one or mom pofonltally large or slgnlflcent edversu Imbects whk~h MAy occur. Then IXOuaad dlre~ly fa the FUU FAF and/or prepare a positive declem~n. WILL NOT result in any significant adverse environmental impacts AND prodde, co attachments as necessary, the masons supporting determination.. Board of Trustees Name of Lead Agency Jill M. Doherty President Date Signature of Preparer ( f different from responsible officer) Title of Responsible Officer Jill M Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of MARY S. ZUPA COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, NA~¥ 6. Z ~) PA , residing at/dba '9((-~g'" ?,4P. ADIs~' P©I.A;T />-.D being duly sworn, depose and say: That on the ~ r~day of ~/4)~ ,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 heating. Date of hearing noted thereon to be held Wed.~ May 19, 2010 on or about 6:00 PM. Dated: S_,w~om to before me this (s'gnature~t~// (4q~ary Public - LAUREN M. STANDISH Notary Public, State of New Yo~ No. 01ST6164008 O lalified in Suffo k Count./ Ccmmissi:>, Expires April 9, PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS N3zrle: STATE OF NEW YORK COUNTY OF SUFFOLK f/A-R'V ~. Z uPA ,residingat'7~ ~...,2D~, [~[ _/~, "/~ / /¢ 7 / , being duly sworn, deposes and says that on the ~ fk day of/k//t ~' ,20/d, deponent mailed a true copy of the Notice set forth, in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ~o, ,t¢~ }J~. It "/. / J~?/ , that said Notices were mailed to each of said persons by (certified) (registered)~mail. Sworn to before me this /ri~'- Day of "9'0(~ ., 2~0 Notary Public LAUREN M. STANDISH Notary ,P, ublic, State of Ne~ Yorl~ (~ua riO0 iO ~O~uh. ~0 Commission Exp res AOril 9, 2D/~L $ $1.05 $2.80 $2.30 $ ~.15 SOUTHOLD HPO SOUTHOLD, New York 119711000 3548330971-0097 05/06/2010 (800)275-8777 01:20;49 PM --' Sa]es Receipt ~ Product Sale Unit Final Description Qty Price Price SOUTHOLD NY 11971 $1.05 Zone-O First-Class Laroe Env 1.80 oz, Expected Delivery: Fri 05/07/10 Return Rcpt (Green Card) $2.30 Certified $2.80 Label ~: 70100290000289687524 Issue PVI: ======== $8,15 MAYNARD MA 01754 $1.05 Zone-2 First-Class Large Env 1.80 oz. Expected Delivery: Sat 05/08/]0 ; · Print your narr i an( so that we car ~retu · Attach this ca.'l to' or on the fron~ 'f sp 1. Article Addresse( to: 2. Article Numb~ f'rransfer from'serv/ce I Ps Form3811, Febru :IAL USE $2.3d ~ below: [] No eceipt for Merchandise [] Yes 102595-02-Mol 540 · Complete items 1, item 4 if Restrlcte( · Print your name af so that we can ret · Attach this card to or on the front if si 1. A~ticle Addressed to: below: [] No les Mall ~Reglstered [] Return Receipt for Merchandise [] Insured Mall [] C.O.D. 4. Restricted Daiive~j? (Ex'tm Fee) [] Yes 2. Article Number ~T~s~,~ 7010 0290 0002 8968 PS Form 3811, February 2004 DemeeUc Re~um Rec~iX 7524 of Trustees Applicat County of Suffolk State of New York Mary S. Zupa BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE 1S 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 PREM1SES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~/ ~Sf, b~na(d'r e SWORN TO BEFORE ME THIS c~:2l^ct DAYOF ,20/0 Public LAUREN M, STANDISH Nota[y Public, State of New York No. 01ST6164008 Qualified in Suffolk County , Commission Expires April 9, DECLARATION OF COVENANT THIS DECLARATION OF COVENANT made this~/day of October, 200S, by Mary S. Zupa (hereinafter the "Declarant") whose address is 365 Basin Road, Southold, NY 11971 WITNESSETH: WHEREAS, the State of New York is authorized and required to regulate the tidal wetlands as set forth in Article 25 of the New York Environmental Conservation Law (hereinafter "ECL"); and WHEREAS, Declarant is the owner of a residential lot in the Town of Southold, State of New York known as 580 Basin Road, Southold, NY, County Tax Map Number: District 1000, Section 81, Block 1, Lot 16.7 which she acquired by deed dated April 5, 2002, from Garrett Sinning, et al, grantors, and recorded in Liber 12181, Page 887 (hereinafter the "Property"), and WHEREAS, the Property includes tidal wetlands regulated by Article 25 of the ECL upon which certain regulated activities may occur only if prior approval is given by the New York State Department of Environmental Conservation; NOW, THEREFORE, the Declarant hereby covenants and agrees as follows: Regulated tidal wetlands associated with Southold Bay are located at the Property which is a residential lot known as 580 Basin Road, County Tax Map Number: District 1000, Section 8i, Block l, Lot 16.7, and otherwise know~ as the properties of Mary S. ~upa and her heirs, assigns, or successors. The Property is subject is subject to the prowstons of Article 25 of the ECL or its successor, and the conduct of regulated activities may occur only pursuant to ECL Article 25 if prior approval is given by the New York State Department of Environmental Conservation (NYRDt~O) o1- i~o ~uccessor anc~ oy Mary $. Zupa, her heirs, assigns, or successors. Regulated activities include, but are not limited to the erection of any dock(s) or other structure(s); excavation; dredging; grading and filling; clearing of vegetation; and application of chemicals. IN WITNESS WHEREOF, the Declarant has duly executed this Declaration of Covenant the day and year first above written. In the presence of: ant a STATE OF NEW YORK ss cOUNTY OF SUFFOLK On theDt day of October 2005, before me personally appeared Mary S. Zupa to me known to be the individual described in and who executed the foregoing instrument, a~ acknowledged that she executed the same. ~ , ~ Uniform Form Certificate of Acknowledgment State of New York County of Oathe ~ ,~t.. day of~a the year undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the indMdual (s) whose name (s) is/are subscribed to the within instrument and acknowledged to me that he/she / they executed the sm'ne in his/her/their capacity (ies), and that by his/her/their signature (s) on the instrument, the individual (s), or the person upon behalf of which the individual (s) acted, executed the instmmenk Notary Public APPLICABLE TO OWNER, CONTRACT VENDEE AND AGENT: TheTown of Southold's Code of Ethics ptohibila conflicts of interest on the pa~ of Town officers and employees. The purpose of this form ia to provide information, which can alert thc To,va of possible conflict~ of into'cat and allow it to lake whatever action is necessm-y to avoid same. Mary S. Zupa' and Victor J. Zupa (Last name,-first nnn~, middle initial, unl~a you are applying in the name of someone else or other entity, such ns a compnny. If$o, indic, ale the other person or compnny name.) NATURE OF APPLICATION: (Check all that apply.) Variance Special Exception *Other Approval or Exemption from plat or official map Chnnge of Zone .. Tax Orievnnce *if"Other" name the activity: ~ E'T' L,'~/~ ~ ,~ Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with nny officer or employee of the Town ol'$outhold? "R, elatjonshio" inslud~ by blood, mas'iaea, or business interesL "Business interest" means a business, inaluding a partnership, itl which the Town offiesr or emuloyec has even a oartial owncrahio of for - or t' ' wh'o T o ze I om n5o YES NO x If ye. atrswer~d "Y~gg'; completa the batanea of tM.v form and date and sign ~.Aere tndieatetL Name of person employed by'the Town of So~thold: Title or position ofthal person: Describc that relationship between yourself (the applicant, agent or contract vendee) and the Town officer or employee. Either check the spprepriate line A through D (below) and/or describe the relationship in Ihe space provided. The To'va ot~cer or employee or his or her, spouse, sibling, parent, or child is (check ntt that apply): A) file owner of greater titan 5% of the slmres of lite corporatc stock of thc apldicant (when the applicant is n corpomtidn); B) the legal or beneficial owner of any interns! in a non-Corporate entit~ (when the applicant ia not a corporation); C) an officer, director, partner, or employee of the applicant; or D) Ihe actual applicant. DESCRIPTION OF RELATIONSHIP PrintNan~: Nary./',~.,~? V~Ctor J/Z~f Towfl of SoufboM LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants fro' permits* including Town of Southold agencies, shall complete this CCAF for pmlxsed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is inlended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Ex, copt minor exempt aclloss including Buildisg Permits and other mlnisterlal ,oermlts not located wilhin the Comtnl F. rosion Hazm'd ,,fred. Before answering the questions in Section C, the preparer of this form should review the exempt minor actinn list, policies and explanations orcach policy contained in the Town of Somhold Local Waterfi'cot Revitalization Program. A pmpused action will be evaluated as to its significant beneficial and adverse effects upon tho coastal men (which includes all of 8outhold Town). If any question in Section C on this form is answered "ycs", then the proposed action may aft'est the uehlevement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if ns~.~qu7, modified p6or to makin8 a dcteflniuefion that it is consistenl to the maximum extent pmctlcchle with the LWRP policy stendm*ds and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, jif ~]mll not be undertaken. A copy of die LWRP is available in the followin8 places: online at the Town of Southold's webeite (southoldtown.northfork.net), the Board of Trustees Office. the Planning Department. all local libraries smd the Town Clezk*s off, ce. B. DESCRI~rlON OF SITE AND PROPOSED ACTION SCTM# 81 . 1 16.7 The Applicution has been submitted to (check approprietc response): Town Board [] Planning Dept. [] Building Dept. [] Board of Trustees [] Category of Town or Southold 8~ency action (cheek appropriate response): (n) Action undertaken directly by Town agnncy (e.g. capital [] construction, planning activity, agency regulation, land transaction) [] (b) Financial assistance (e.8. 8nmi. loan, subsidy) (c) Permi~ approval, license,, certification: [] Nature and cxtcnt ofa~ion: Construction of single family dwelling, i/g pool, on site sewage disposal system and associated site improvements as shown on it~ ;. - ~_ ....... Froze:e: acti': ............... Location oi.nction: Site vacant Present zonin~ clnssif~.,ntion: 580 Basin Road, Southold, NY R-80 If an a~pliontion for the proposed actio~ has been filed with the Town of Southold agency, the i.ollowing information shall be provided: (n) Nnmeofappiicant: . _Mary s. zupa and victor zupa (h) Mnqingnddr~ss: 4565 Paradise Point Rd., Southold NY 11971 (¢) Telephone number: A~a Code ( ) 631 765 6112 (d) Application number, Wnny: Will thc action be directly undertaken, requite funding, or approval by a state'or i.edeml agency? Yes [~ No[--] Il'yes, which star, or redend agency? DEC, SCHD DEVELOPED COAST POLICY Policy I. Foster n pattern of development in the Town of Southold that enhances community character, · preserves open space, makes efficient #se ofinfrnstructure~ makes beneficial use of a coastal location, and minimizes adverse effects of devetopment. See LWRP Section lll- Policies; Page 2 for evaluation criteria. ['-]Yes [] No [] (Not ApplJcnble- pie.se explain) Development of this site is proposed in a manner consistent with the ~l]rr~nt ~tandA~ ~n~ ~ con~Rt~nt w~th th~ ~pattern of development in Attach nddhiesal 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- please explain) '~'ne proposeo pro~ecc =s hOC ~ooauect near any his=oric district or sites. Attach additional sheels irnec~,y Pollay 3, EaSe yimal qunllty and protect scenic resources throughout the Town of* Southold, See LWRP Section Ill- Policies h~es 6 flJrouffh ? for evaluation cdterta [] Yes [] No [] (Not Applicable- please ex,his) Develgpment of this site is orouosed in a manner consistent with the AUcb nddifl0nM shew ifne~;~-y NATURAL COAST POLICIKS polfcy 4. Mlnimfze 10n of I~e, stFuctuFea, and n~turol FesouFce~ f~om fl0odln~ and erosMm See LWRP Secffon Ill - Policies Pages 8 through 16 for ~valulilon eFlteFJa [] Yes [] No [] (Not Applicable - please eaphJr,) Development of this site will be done in accordance with FEMA standards, Attach additional shccts jfne~ssau Policy 5, Protect and hnprove water quality and supply in the Town or $outhold. See LWRP Section - Policies ?a~es 1G tbrouffJt 21 For evaluation criteria [] Yes [] No [] (Not Applicable- please explain) Development of the site will be done in accordance with FEMA standards, Auach edditiomd sheets Policy 6. Protect and restore the quality and Function of the Town or Southold ecosystems Including SignJfieant Coastal Fish and Wildlife Habitats and wetlands. See LNNrRP Section Ill - Policies; Pages 22 through 32 for evsJuaflon criteria. [] Yes [] No ~ (Not Applicable - please biplain) ' Development of the site will be done in accordance with NYSDEC regulations Atm:h ~dditlonsl sheets If ~_~, Policy 7. Protect and improve air qualit~ In the Town of Southold. See LWI~ Section Ill - Policies Pages 32 tbrougb 34 for e~oluatlon criteria. See Section III - Policies Pages; 34 through 38 for evaluation criteria. [] Yes [] N~-~ (Not Applicable - please explain) It does not appear-tha.t Policy 7 is relevant to development of this A~h addltlomd sheets if'~ecessaf~ Policy 8. Minimize environmental degradation in Town of Southold From solid waste and b~o,Jous substances and wastes. See l. Wl~ Section 111 - Policies; Pages 34 through 38 for evaluation criteria. [] Yes [] NO [--~ (Not Applieuble- please explain) ~s zn a,~ feszaencza- ~eve~opm~nc, ic zs expecuea tnac will comply with the expected treatm.?nt of residential __ yard wa.~t~_, and r~c.vclablm mat~_r~al. one occupant solid waste, PUBLIC COAST POLICIES Policy 9. Provide For public access to, and reer~,!!onal use of, coastal waters, public ~ands, and public resources or the Town of Southold. See LWRP Section I!I- Policies; Pages 38 through 46 for evaluation crlterln. [] Ye~ No [] (Not Applicoble- please exphin) Development of this site has no impact on public access =o, and recreational use of 6oastal waters, etc. Attach edditio~ul sheets WORKING COAST POLICIF.,S Policy 10, Protect Southold's water-dependent uses and promote sitJnI of new water-dependent uses in suitable locations. See LWRP Section ITl -Policies; Pngea 47 through S6 for evaluation criteria. [] Yes [] NO [] (NOt Appficabio- pi.st explain) ~: uoes not appear that eo~zcy zo zs relevant to proposes aevelopment of this residential lot. A~.,~ additional sheets Policy 11. Prmnote sustainable use of* livin~ marine resources in Long Island Sound, the Pecon~c Estuary and Town waters. See LWRP Section I11 - Policies; ])ages 97 through 62 for evaluation criteria, [] Yes [] NO [] Not Applicable - please explain It does not appear that pollc_v ~1 is relevan~ ~0 proposed ~-c':: 1 c~mc.-.t cf Ana~h additieeal ~ Policy 12. ~ a~mim~ i~ in ~e Town o~ 8~l~ld. 62 though 65 for ~luation cflterh, ~ Y~ ~ ~o~ ~ot Appli~ble- plan ~pioin It does not appear that Policy 12 is relevank to proposed development Attach additional she~ts if'~'ces~, Policy 1;3. Promote npproprinte use and development of energ7 and mineral resources, See LWRP Section III - Pollcles~ Pages 65 fhrougb 68 for evaluation criteria. [] Yes [] No [] Not Applicable- please explain SECTION C SECTION A SURVEY OF PROPERTY SITUATED AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-81-01-16.7 SCALE 1"--40' JANUARY 7, 2002 JANUARy 29. 2002 REVISED LOT AREA NOTATION FEBRUARY 14, 2002 REVrSED DRIVEWAY LABELS MAY 15, 2002 LOCATED WETLANDS & ADDED TOPBGRAPHrCAL SURVEY JUNE L 2002 ADDED SITE PLAN AUGUST 5, 2002 REVISED WETLANDS LINE, SITE PLAN & ADDED TEST HOLE Nc,. 2 AUGUST 26, 2002 ADDED PROPOSED SEPTIC SYSTEM JANUARY 25, 2003 ADDED DRYWELLS & HAY SALES NOVEMBER 12 2003 REVSED PROPOSED HOUSE JUNE 6, 2007 REVISED TO SNOW PROPOSED LOT LNE CHANGE AT BASIN ROAD & UPDATED SURVEY FOR LOCATIONS OF NEW STRUCTURES JULY 23, 2008 ADDED PRESCRIPTIVE EASEMENT OCTOBER 7, 2008 ADDED METEB AND SOUNDS FOR PRESCRIPTWE EASEMENT FEBRUARY B, 2009 UPDATE SURVEY APRIL 15, 2009 ADDED PROP, CONVEYANCE AREA FEBRUARY S, 2010 LOCATED NEW DOCK & PLANTINGS MARCH 51, 2010 REVISES SEPTIC SYSTEM LOT AREA INCLUDING THE BULKHEAD AREA AT THE NORTHWEST PORTION OF = 75 8 5 sq. ff. THE LOT PROJECTING INTO SOSTHOLD BAY (TO BULKHEADS & TIE LINES) .~'40 LOT AREA EXCLUDING THE RULKHEAD AREA AT THE NORTHWEST PORTION OF = 72 875 THE LOT PROJECTING INTO BOUTNOLD ~AY (TO BULKHEADS & TIE LNES) 1.~75 ac. ff' LOT AREA EXCLUDING THE BULKHEAD AREA AT THE NORTHWEST PORTION OF -- 68,070 sq. ff. THE LOT PROJECTING INTO SOUTHOLD BAY (TO BULKHEADS & TIE LINES) AND THE WETLAND PORTION OP THE LOT PROPOSED LOT COVERAGE: AREA OP PROPOSED HOUSE, DECKS & POOL = 5,765 sR. ff. TIDAL WETLAND ADJACENT AREA = 68,070 sq. fi. LOT COVERAGE OVER ADJACENT AREA = S.47~ CE~FIE~ TO; CHICAGO TITLE INSURANCE COMPANY ~0 UTHOLD ZONE VE (EL. 21) ZONE X APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD TEST HOLES DATA LEGEND PI~4NTING SCHEDUf ~ N~ NORWAY SPRUCE LC L£YLAND SPRUCE ~-,[DA RSODADENDRONS ~-., GROUND COVER NATIVE PLANTS (IncL ROSA RUGOSA, RUSSIAN OLIVE, BAYBERRy, GRASSES) PREPAREG iN ACCORDANCE WITH THE M~NIMUM ',S, Llc. No 5040/ Nathan Taft Corwin III Land Surveyor PHONE (651)727-2090 Fox (631)727-1727 S 89'23'08" E 21.65' TEST HOLES DATA (TEST HOLE DUG EY McDONALD GEOSCI~NfTF} TEST HOLE No ~ (TEST H0££ OUG ON JULY 22, 2002) iiO, SURVEY OF PROPERTY SITUA TED A T BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No, 1000-81-01-16.7 SCALE 1"=$0' JANUARY 7, 2002 JANUARY 29, 2002 REVISED LOT AREA NOTATION FEBRUARY 14, 2002 R~VlSED DRIVEWAY LABELS MAY 15, 200~ LOCATED WETLANDS & ADDED TOPOGRAPHICAL SURVEY JUNE 1, 2002 ADDED SITE PLAN AUGUST 5, 2002 REVISED WETLANDS LINE, SiTE PLAN & ADDED TEST HOLE No. 2 AUGUST 26, 2002 ADDED PROPOSED SEPTIC SYSTEM JANUARY 23, 2003 ADDED DRYWELLS & HAY BALES LOT AREA INCLUDING THE BULKHEAD AREA AT THE NORTHWEST PORTION OF = 75,687.36 sq. ff. THE LOT PROJECTING INTO SOUTNOLD BAY (TO BULKHEADS & TIE LINES) 1.738 mc. LOT AREA EXCLUDING THE BULKHEAD AREA AT THE NORTHWEST PORTION OF 72,747.53 sq. ff. THE LOT PROJECTING INTO SOUTHOLD BAY (TO BULKHEADS & TIE LINES) 1,670 ac. CER~ CHICAGO TITLE INSURANCE COMPANY MARY S. ZUPA SO UTPIOLD (TOFN HARBOR) N 8B'54'02" E THE FACE OF BULKHF~B 154.02' F tgOA T .BASIN N.Y.S Lic, NO. 49668 ,seph A. Ingegno _and Surveyor 0727-20g0 Fax (631)727-1727 N 82'07 65,92 SECTION C SO UTHOLD [P NP NORWAY SPRUCE WHITE PINE LEYLAND SPRUCE RHODADENDRONS GROUND COVER NATIVE PLANTS (InoL ROSA RUOOSA, RUSSIAN OLIVE, BAYBERRY, GRASSES) TEST HOLES DATA METES AND BOUNDS FOR PRESCRIPTIVE EASEMENT B,4Y SURVEY OF PROPERTY SITUA TED A T BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-81-01-16.7 SCALE 1 "=40' JANUARY 7, 2002 JANUARY 29, 2002 REVISED LOT AREA NOTATION FEBRUARY 14, 2002 REVISED DRIVEWAY LABELS MAY 15, 2002 LOCATED WETLANDS & ADDED TOPOGRAPHICAL SURVEY JUNE 1, 2002 ADDED SITE PLAN AUGUST 5, 2002 REVISED WETLANDS LINE, SiTE PLAN & ADDED TEST HOLE No, 2 AUGUST 26, 2002 ADDED PROPOSED SEPTIC SYSTEM JANUARY 25, 2003 ADDED DRYWELLS & HAY BALES NOVEMBER 12, 2005 REVISED PROPOSED HOUSE JUNE 6, 2007 REVISED TO SHOW PROPOSED LOT LINE CHANGE AT BASIN ROAD & UPDATED SURVEY FOR LOCATIONS OF NEW STRUCTURES JULY 25, 2008 ADDED PRESCRIPTIVE EASEMENT OCTOBER 7, 2008 ADDED METES AND BOUNDS FOR PRESCRIPTIVE F~SEMEflT FEBRUARY g, 2009 UPDATE SURVEY LOT AREA INCLUDING THE BULKHEAD AREA AT THE NORTHWEST PORTION OF = 75815 sq. fl, THE LOT PROdECTING INTO SOUTHOLD BAy (TO BULKHEADS & TIE LINES) 1.940 LOT AREA EXCLUDING THE BULKHEAD AREA AT THE NORTHWEST PORTION OF = 72 875 sq. ft. THE LOT PROdECTING INTO SOUTHOLD BAY (TO BULKHEADS & TIE LINES) 1,i~73 ac, LOT AREA EXCLUD/NO THE BULKHEAD AREA AT THE NORTHWEST PORTION OF = 68,070 sq. ff. THE LOT PROJECTING INTO SOUTHOLD BAY (TO BULKHEADS ac TIE LINES) AND THE WETLAND PORTION OF THE LOT PROPOSED LOT COVERAGE: AREA OF PROPOSED HOUSE, DECKE & POOL = 5,765 sq. ft. TIDAL WETLAND ADJACENT AREA -- 68,070 sq. ft. LOT COVERAGE OVER ADJACENT AREA = 8.47~ CHICAGO TITLE INSURANCE COMPANY MARY S. ZUPA A?I~ 2 3 20]0 SECTION A [] S SO'08'AO" W g.05' ~ N 66'09'25" W 42.89' ~q R=217.00' L=68.92' ~] N 84°21'15" W 75.91' "¢q N 40°22'55" W 49.24' ~q R=60.O0' L=I 6.S4' [] N 06'16'50" W 2g.61' [] R=46.00' L=46.28' [] R=2.00' L=1.8g' ~ R=23.00' L=24.86' [] R=69.00' L=18.79' N? Nathan Taft Corwin III Land Surveyor PHONE (651)727-2090 Fax (631)727-1727 Z UTHOLD SURVEY OF PROPERTY SITUATED AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-81-01-16.7 SCALE 1 "=.4.0' JANUARY 7, 2002 JANUARY 29, 2002 REVISED LOT AREA NOTATION FEBRUARY 14, 2002 REVISED ORIVEWAY LABELS MAY 15, 2002 LOCATED WETLANDS & ADDED TOPODRAPHICAL SURVEY JUNE 1, 2002 ADDED SITE pLAN AUGUST 5, 2002 REVISED WETLANDS LINE, SITE PLAN & ADDED TEST HOLE No. 2 AUGUST 26, 2002 ADDED PROPOSED SEPTIC SYSTEM JANUARY 23, 2DOB ADDED DRYWELLS & HAY BALES NOVEMBER 12, 200B REVISED PROPOSED HOUSE JUNE 6, 2007 REVISED TO SHOW PROPOSED LOT LINE CHANGE AT BASIN ROAD & UPDATED SURVEY FOR LOCATIONS OF NEW STRUCTURES JULY 25, 2000 ADDED PRESCRIPTIVE EASEMENT OCTOBER 7, 200B ADDED METES AND BOUNDS FOR PRESCRIPTIVE EASEMENT FEBRUARY 9, 2009 UPDATE SURVEY APRIL 15, 2009 ADDED PROP, CONVEYANCE AREA EEBBUARY 3, 2010 LOCATED NEW DOCK & PLANTINGS MARCH 31, 2010 REVISED SEPTIC SYSTEM AUGUST 2, 2010 ADDED DRAINAGE CALCULATION AUGUST 12, 2010 ADDED TRENCH DRAIN OCTOBER 1, 2010 REVISER PROPOSED HOUSE LOT AREA NCLUD NO THE BULKHEAD AREA AT THE NORTHWEST PORTION OF = 75 815 sq. fl, THE LOT PROJECTING INTO SOUTHOLD BAY (TO DULKHEADS & TIE LINES) 1,~40 ac, LOT AREA EXCLUDING THE DULKHEAD AREA AT THE NORTHWEST PORTION OF = 72 875 sq. THE LOT PROJECTING INTO SOUTHOLD BAY (TO DULKHEADS & TIE LINES) 1,~73 LOT AREA EXCLUDING THE DULKHEAD AREA AT THE NORTHWEST PORTION OF = 6B.070 sq. ff. THE LOT PROJECTING INTO SOUTHOLD BAY (TO BULKHEADS & TIE LINES) AND THE WETLAND PORTION OF THE LOT PROPOSED LOT COVERAGE: AREA OF PROPOSED HOUSE, DECKS & POOL = 5,DB7 aq. fl. TIDAL WETLAND ADJACENT AREA = 68.070 aq. fl. LOT COVERAGE OVER ADJACENT AREA = 7.84% C~RTIFIED TO: CHICAGO TITLE INSURANCE COMPANY MARY S. ZUPA BAY N5 N5 ZONE V£ (EL. 21) ZONE X BOARD OF TRUSTEES TOWN OF $OUTHOLD NP NP TEST HOLES DATA LEGEND ~LANTING SCttEI)ULE N~ NORWAY SPRUCE ~A[~= WHITE PINE L~-~ LEYLAND SPRUCE ~,b~ RHODADENDRONS ~, GROUND COVER NF~ NATIVE PLANTS (nc ROSA RUGOSA, RUSSIAN OLIVE, BAYBERRY, GRASSES EXISTING PLANTINGS THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD~ IF ANY, NOT SHOWN ARE NOT GUARANTEED. Lic. Ne. 50467 Nathan Taft Corw n III Land Surveyor PHONE (651)727-2090 OFFICES LOCATED AT 1586 Main Roed Jemespo~, New York 11947 Fax (631)727-1727 SOUTHOLD SURVEY OF PROPERTY SITUATED AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK $.C. TAX No. 1000-81-01-16,7 SCALE 1'=40' JANUARY 7, 2002 JANUARY 29, 2002 REVISED LOT AREA NOTATION FEBRUARY 14, 2002 REVISED DRIV[1NAY LABELS MAY 15, 2002 LOCATED WETLANDS & ADDED TOPOGRAPHICAL SURVEY JUNE 1, 2002 ADDED SITE PLAN AUGUST 5, 2002 REVISED WETLANDS LINE, SITE PLAN &ADDEO TEST HOLE No. 2 AUGUST 26, 2002 ADDED PROPOSED SEPTIC SYSTEM JANUARY 25, 2005 ADDED DRYWELLS & HAY BALES NOVEMBER 12, 2005 REVISED PROPOSED HOUSE JUNE 6, 2007 REVISED TO SHOW PROPOSED LOT LINE CHANGE AT ~ASIN ROAD & UPDATED SURVEY FOR LOCATIONS OF NEW STRUCTURES dULY 25, 2008 ADDED PRESCRIPTIVE EASEMENT OCTOBER 7. 2008 ADDED METES AND BOUNDS FOR PRESCRIPTIVE EASEMENT FEBRUARY 9, 2009 UPDATE SURVEY APRIL 15, 2009 ADDED PROP. CONVEYANCE AREA FEBRUARY 3. 2010 LOCATED NEW DOCK & PLANTINGS MARCH 31, 2010 REVISED SEPTIC SYSTEM AUGUST 2 2010 ADDED DRAINAGE CALCULATION AUGUS~ 12, 2010 ADDED TRENCH DRAIN OCTOBER 1, 2010 REVISED PROPOSED HOUSE LOT AREA INCLUOING THE BULKHEAD AREA AT THE NORTHWEST PORTION OF = 75815 lq. fi. TBS LOT PROJECTING INTO SOUTBOLD BAY (TO BULKNEADS & TIE LINES) 1.~40 LOT AREA EXCLUDING THE BULKHEAD AREA AT THE NORTHWEST PORTION OF = 72 B75 sq. ff. THE LOT PROJECTING INTO SOUTHOLD BAY (TO BULKHEADS & TIE LINES) 1.J~73 LOT AREA EXCLUDING THE BULKHEAD AREA AT THE NORTHWEST PORTION OF = 65,070 sq. ft. THE LOT PROJECTING INTO SOUTHOLD BAY (TO BULKHEADS & TIE ENES) AND THE WETLAND PORTION OF THE LOT PROPOSED LOT COVERAGE: AREA OF PROPOSED HOUSE. DECKS & POOL = 5,337 sq. BAy OCT - 8 2010 N~= NP ,. ?fiST HOLffS DATA N~ NORWAY SPRUCE ~p WHITE PINE L~' LEyLAND SPRUCE ~J~A RHODADEMDRONS ~, GROUND COVER NJm NATIVE PLANTS (In=l, ROSA RUGOSA, RUSSIAN OUVE. BAYBERRY, GRASSES) N.Y.S. Uc, No. 50467 Nathan Taft Corw n III Land Surveyor Fax (631)727-1727