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TR-7325A
Bertani Builders 6317653916 p.1 John Bertani Builder Inc. 1380 Oakwood Ddve Southold, N.Y. 11971 (631)765-1594 FAX (631)785-3916 May 15, 2012 Philip & Jennifer Stantan-Parmit no. 7325A MAY 7 6 2012 Mr. James F. King, President Soulhold Town Trustees P.O. Box 1179 Southold, NY 11971 Dear Mr. King: This letter is to inform you that the existing sanitary system at the Stanton residence at 845 Maple Lane, 8outhold which was located less ~ 100' f'corn the tidal wetlands boundary has been abandoned. Altached is a copy of the Certification of Sewage Disrx~sal System Abandonment from La.am Sand e~qd Gravel for your records. Sincerely, IJnda D. Berlani Vice President Sent byfaxto 765-6641 -5/15/12 ~ertan~ ~u~]ders G3~?G53~G ~e~o0sopm~. ~,/.~Y : ' , -: . WWM~IO (]2~1~]) .. 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7325A Date of Receipt of Application: June 14, 2010 Applicant: Philip Stanton SCTM#: 64-1-29 Project Location: 845 Maple Lane, Southold Date of Resolution/Issuance: June 16, 2010 Date of Expiration: June 16, 2012 Reviewed by: Board of Trustees Project DesCription: To remove the existing sanitary system located less than 100' from the tidal wetlands boundary. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by En-Consultants, Inc., received on June 14, 2010, and stamped approved on June 16, 2010. Special Conditions: None. Inspections: None. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Jill Doherty, P~ JMD:eac 4- ! \/ Pr ./ S lo'Jg-30'£ .42' iTo 2t2.g6' rTe Tie LieJ 224.30' J Proposed tion d "AE" (BF£ ~) TOWN OF PROVi BY \ ~OF TR U S~i~.'~ ,, ~ 0© .' Land No~ B Mae.er docqueline public Water 5 10°3g'30-E (To CM) 21295' (To Tie Lie) "AZ" (~?£ ad 22430' SURVEY OF PRO AREA {OVERALL T,; TIE L,',q'E' L,' S(' ~ ', EN-CONSULTANTS, INC. 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com ENVIRONMENTAL CONSULTING Jill Doherty, Chairwoman Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 Re: Philip Stanton~ 845 Maple Lane~ East Marion 2010 Dear Mrs. Doherty: Pursuant to my discussion with Lauren Standish, please find attached for your file a full-sized hard copy of the survey prepared by Saskas Surveying Company, P.C., last dated Jane 14, 2010, which depicts the removal of the existing sanitary system located within 100 feet of tidal wetlands on the captioned property, as approved by your recently issued Wetlands Pcmfit 7325A. Resp{ Robe~ c, tfully yours, ~. Heiimann Coastal Management Specialist Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Brederneyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold,NY 11971 Telephone (63 l) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~Wetland Permit Application ~'~Administrative Permit Amendment/Transfer/Extension /Received Application: ~ ~ ~1~ ,/'Received Feel ~ -- ~2ompleted Application bttq!!9 Incomplete SEQRA Classification: Type I Type II Unlisted Coordination: (date sent) LWRP Consistency Assessment Form CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: ,~Public Hearing Held:_~L~ Resolution: Name of ApplicantPHILlP STANTON Address 18 ORCHARD STREET #5, NEW YORK, NY 10002 Phone Number: (212) 941-6101 Suffolk County Tax Map Number: 1000 - 64-1-29 Property Location: 845 MAPLE LANE, SOUTHOLD (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS, INC. (If applicable) Address: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone: 631-283-6360 Board of Trustees Appl GENERAL DATA Land Area (in square Let): 231,886 SQ. FT. AreaZoning: R-40 Previous use of property:. RESIDENTIAL Intended use of property: NO CHANGE Covenants and Restrictions:_ If "Yes", please provide copy. Yes x No Does this project require a variance from the Zoning Board of Appeals If "Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency Date SOUTHOLD WETLANDS #4074 & 2261 SOUTHOLD WETLANDS//7140 7/22/09 Yes X No __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): Remove existing sanitary system located less than 100' from tidal wetlands boundary, as depicted on the site plan prepared by Saskas Surveying Company, last dated June 14, 2010. Board of Trustees Appl ~tion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To remove existing sanitary system in favor of new sanitary system to be located more than 100' from wetlands. Area of wetlands on lot: +/-8,560 .square feet Percent coverage of lot: +/-3.7 % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A 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? Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: System to be removed and backfilled via backhoe. TBA cubic yards as necessary to remove septic system N/A cubic yards TBD feet as necessary to remove septic system 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): The project consists of the permanent removal of a non-conforming sanitary system from within Chapter 275 wetlands jurisdiction in favor of a new sanitary system to be located more than 100 feet from tidal wetlands and therefore beyond Chapter 275 jurisdiction. The project will therefore have a positive impact on the adjacent wetlands and town waters. PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR PHILIP STANTON BY EN-CONSULTANTS, INC. 3. PROJECT LOCATION: Municipality SOUTHOLD 617.20 ~ APPENDIX STATE ENVIRONMENTAL QU~TY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME County SUFFOLK 4. PRECISE LOCATION: Street Address and Road Intersections. Prominent landmarks etc - or provide map g45 MAPLE LANE, TOWN OF SOUTHOLD, SCTM #1000-64-1-29 5.'SPROPOSEOACTION: [] New [~Expansion r~Modiflcation/afleretion 8EQR 6. DESCRIBE PROJECT BRIEFLY: Remove existing sanitary system located less than 100' from tidal wetlands boundary, as depicted on the site plan prepared by Saskas Surveying Company, last dated June 14, 2010. 7. AMOUNT OF LAND AFFECTED: Initially 5.3234 acres Ultimately 5.3234 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? r~Yes [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) r~Residentia, Olndustdal F] commercial i~lt~gdculture F]ParklForestlOpenSpaes [~ Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, Newer ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) [~Yes r~ No If yes, list agency name and permit / approval: DEC 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes ~No If yes, list agency name and permit / approval: 1~...~S A F~ULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? I lYes 12SiNe I CERTIFY THAT ~-IE INFORMATION PROVIDED ABOVE iS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name~~T E. HERRMANN, COASTAL MANAGEMENT SPECIALIST Date: JUNE 14, 2010 Signature ~ /-~j ~ If the action is a Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency). A. DOES ACTION EXCEED ANy TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 ff yes, ueordtuate Ihs mvtew process and use the FULL EAF. r-]Y- 171.o B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNMSTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative decJam~ofl may be superseded by anath~ involved agency. I--1 171"o C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS/~SSOClATED WITH THE FOM.OWING: (Answers may be hafldwdifefl, If legible) Cl. ~ air qua~, surface o~ gmundwator quality o~ quantity, dolsu levels, e~ :. a~T~G pabem, soikl waste prnducaon or disposal, potential fog erosion, dmteapo or flooding problems? Explain briefly:. C2. Aesthetic. ogdou;tufa, archaeological, Idstoric, or other natural or cultural resmxces; or community or cetg~ shamc~or? Explain briefly:. C3. Ve~l=[aUu~t o4' tsurla, fish, shelliish or wild ire species, significant hah tste, or threatened or endangered species? Explain briefly:. C4. A co,,~,~unity's existing plans ¢x gee s as officially ado~oted, or a dmnge In use or Intsusity of usu of land ~ nth~ natural resoumes? Explain briefly: C5. Growth, subsequent development, or minted activti!es li~y to be induced by the proposed action? Explain tuielly: I,° I C~lt. I.o~ t~rm, ~hod t~nn, Cumulative. or othor efl~-~t* not ~ntified in 01-0~? E~ein ~: ° ' '1 cz. ?bet ~T~,~,lindu~~ ~suge~ in u-~ of e~her qua.~ or ~ of enarl~~ ~ ,,q~!~ brte~ D. ~A/1U. THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITiCAL ENVIRONMENTAL AREA [CEA} ? (If).esl explain briefly: I E. IS THERE, OR IS THERE LIKELY TO 8E~ CONTROVERSY RELATED TOPOTENT1AL ADVERSE ENVIRONMENTAL IMPACTS? If ~s ex~lain: PART III - Dr:; =RMINATIGN OF SIGNIFICANCE (To be completad by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~detarm~newhather~t~subetantiat~arge~imbertant-~r~thenvtsesigni~canL Each effect should be assessed in connec~on with its (a) seffing (i.e. Urban or mini); (b) probability of ecsurflng; (c) duration; (d) Irmversibiliiy; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations c~ttain sufficient detail to sh ow that all relevant adverse impacts have been Idefllifted and adequately addressed. If queation d of part ii was checked yes, the,determination of signiiica nce must evaluate the potential impact of the p~ a~on on the environmental characteristics of the CEA. Ched,; thte bex If you have Identliied ona or rnore potenEally large or dgnlltcant sdven~e impacts whk:h if. Ay occur. 'l~en proceed dlmctiy to Ihe FUU FAF and/or prepare a positive dedaral~n. ~ this box ff you have detemlined, based orl the infomlatiorl and amdys[s above arid any supporii~g doOJIlleflts0ofl, f~at the proposed ~ WILl. NOT result in any sign[flcent adverse env;ronmentsl Impacts AND provide, on ~shmente ss necessary, the masons suPPOrting th~ determination. Board of Trustees Name of Lead Agency Date Jill M. Doherty President Pdnt or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different fi.om responsible officer) Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 1000 64 1 29 STORM-WATER, GRADING, DRAINAGE AMP EROSION CONTROL PLAN District Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEWYORK. ' SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESS~ ] Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain AIl Storm-Water Run-Off (include Total Area of all Parcels located within X the Scope of work for Proposed Construction) 5.3234 acres Generated by a Two (2") Inch Rainfall on Site? b, What is the Total Area of Land Clearing (s&/Ac,es)) (This item will include all ~un-off created by site cleating and/or construction activities as well as all and/or Ground Disturbance for the proposed +/-2400 S.F. Site improvements and the permanent creation of construction acEvity? (S.F. / ^ores) impervious surfaces.) 2Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Needed)) Drainage structures Indicating Size & Location? This item shall include all proposed Grade Changes and -- Remove existing sanitary system located less than 100' Slopes Controlling Surface Water Flow, 3 Does the Site Plan and/or Survey describe the erosion from tidal wetlands boundary, as depicted on the site plan and sediment control practices that will be used to ~/~ I 1 control site erosion and storm water discharger. This prepared by Saskas Surveying Company, last dated June Item must be maintained throughout the Entire Construction Period. 14, 2010. 4 Will this Project Require any Land Filling, Grading or Excavation wherethere is a change to tee Natural Existing Grade involving more than 200 Cubic Yards I I of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities N? Encompassing an Area in Excess of Five Tllousand I I (5,000 S.F.) Square Feet of Ground Surface? 6is there a Natural Water Course Running through the Site? ls this Project within the Trustees jurisdiction General DEC SW~PP Reouirernents: or within One Hundred (100') feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soft Beach? dlsturbar~es cfi one (1) or raxe acr~ including distarbonces of less than ~ne ocxe that 7 Will there be Site preparation on Existing Grade Slopes are lxar t of a larger c°mram plan ff~at will vltimately distx~b c~e °r re°re acres of lands; which Exceed Fifteen (15) feet of Vertical Rise to ~ X lnduding Consmz'fion activaies involving soil d~stufl:za~es of le~ than one (1) acre where One Hundred (100') of Horizontal Distance? tot Storm Water Discharges frora Construction activity - Permit No. GP-0-10-001.) Surfaces be Sloped to Direct Storm_Water Run.Off []X Removal of VegetaUon and/or the ConstrucBon of any that is knowledgeable in the principles and practices of Storm Water ManagemenL I i~OY~ ACh~k M~rk ~X) and/or Answex for each Questic~ is I~equired for a C~leled COUNTY OF SUFFOLK That I, ROBERT E. HERRM.~ ............... Toeing duty sm deposes and says that he/she is the applicant for Permit, AGENT FOR OWNER I 4TH /l/ day r~f, JU~E ,20.!~.. ,~ ~ Notary Publ'~...~. ~~ .................. FORM- 06/10 /" "-. Boar~ ot Trustees Appl_~ca~on AUTHORIZATION where the applicant is not the owner) (print owner of property) (mailing address) I ' do hereby authorize (Agent) to apply for permit(s from the $outhold Board of Town Trustees on my behalf. ~Owner' s signature B Board of Trustees kppl ~tion County of Suffolk State of New York ~r l t_ t ~ ~"T~TO/x/ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR Tt-IE ABOVE DESCRLBED PEtLMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAI2MS ARISING UNT)ER OR BY VIRTUE OF SAtI) PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS 2_~ ~v, DAY OF ~"~-$"~ ~,~.2 'ff ,20 ¢ '~ Notary Public THOMAS E. KOZAK Notary Public-State of New York No. 02KO6'151038 Qualified in Kings County My Commission Expires, Aug 7, 20'10 A~PPLICANT/A GENT/REPtLE S ENTATIVE TRANSACTIONAL DISCLOSURE FORM T~¢ To'~tl 9f SouthoId's Code ofEtMcs orohibits conflicts of interest on the o~ of~o~ o~oe~ ~d employees. ~e 9umoss of ~hJ~ fo~ ~s ~o orovid¢ info~ation which c~ alc~ thc to~ ofuossJb]~ conflicts of interest ~d allow it to t~k¢ whatever action ~ someone el~e or o~ enti~, ~uch ~ a company. If so, ihdicate the oth~ person's or comp~y's n~) NAME OF APPLICATION: (Check all that apply.) Variance Change of Zone Approval of plat Exemption from plat or official map Other (lf"O~her", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of $outhold? "Relationship" includes by blood, m'~nage, or business interest. "Business interest" means a including a partnership, in which the town officer or employee h~ even a partial ownership of(or employment by) a corporation m which the town officer or employee owns more than 5% of the shares. YES NO If you answered "YE", complete the balance oft. his form and date and sign where indicated. Name of person empIoyed by the Town of $outh~ld Title or position of that person Describe the relationship between yourself (the appllcant/agent/reprasentative) and the town o~cer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that appIy): A) the owner of ~'e~ter than $% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any intere;t in a non-corporate entity (when the applicant is not a corporation); C) ~ officer, director, parmer, or employee of the ai~plicant; or D) the actual applieam. DESCRIPTION OF RELATIONSHIP EN-CONSULTANTS, INC. ENVIRONMENTAL CONSULTING 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www.enconsultants.com June 14, 2010 REOUEST FOR AN ADMINISTRATIVE WETI,ANDS PERMIT Town of Southold Board of Trustees 54375 Main Road Post Office Box 1179 Southold, New York 11971 Atm.: Lanren Standish Re: Philip Stanton 845 Maple Lane, Southold SCTM # 1000-64-1-29 JUN ] 4 2010 $~uth~ld Board o! Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Three (3) Wetland Permit Applications including a) Short Environmental Assessment Form; b) Authorization & Disclosure Forms; e) Survey. 2. One (1) set of site photographs. 3. Application fee of $50.00 wetlands. 1 trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Sincerely, Robert E. Herrmann Coastal Management Specialist /khs Enc. Jennl£er Stanton Philip Stanton CROSS SECTION OF SANITARY SYSTEM NTS $CTM No 1000-064-i-2g gOIp34A $CDHS Ref No, RIO-10-O030 SURVEY OF PROPERTY Situate To~n OF Southold Suffolk Ne~ York SCALE. I' - 50 h¢ 06w (OVERALL TO TIE LINE) 231886 or 5 3234 acres 57~ $ B~ii~4847 W 224 ~0' m or TEST HOLE March 12 2009 SP