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Home My WebLink AboutTR-7344AJill 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.: 7344A Date of Receipt of Application: June 7, 2010 Applicant: Hugh Switzer SCTM#: 67-3-2 Project Location: 2700 Mill Road, Peconic Date of Resolution/Issuance: July 21, 2010 Date of Expiration: July 21, 2012 Reviewed by: Trustee Dave Bergen Project Description: To replace two (2) existing cesspools off the rear of the existing dwelling with new cesspools (in-place) and fully abandon two (2) cesspools off the rear of the existing garage. 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 site plan prepared by Suffolk Environmental Consulting, Inc., last dated June 2, 2010, and stamped approved on July 21,2010. Special Conditions: None. Inspections: Final inspection. 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 ~/I. Doherty, Presid~/nt Board of Trustees ' JMD:eac Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Brederneyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (63 I) 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 __ Ist day of construction ½ constructed I~Project complete, compliance inspection. MILL ROAD 2700 Mff. I. fi'0,&0 LLC P/'O L07 15 & LOT' MAP OF PROPERTY OF I~LANCHE T, DtC,KERSON 51TLL~TE PECONtC, TOWN OF SOUTHOLD SUFFOLK COUNTY, SURVEYED FOR: 2700 MiLL ROAD LLO gOARD OF TRL,I$-,L~L TOWN OF $OUTHOLD DATE. 7~,//0 REVISED/ADAPTED: June 2 2010 ($uflolk Envzronmental Consulting /nc) SU,C,'vEYKD: 24 L~YOi:I'LN' 20GO S~.E ]"- 0.~92 5TANLE"Y' d. 'SAf,,'SFDL dP P O, BOX 294 NEW SUFFOLK. N'.y'. I ~956 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 TO: Please be advised that your application dated ,.~cxne__ ~, ~;;~O/O has been reviewed by this Board at the regular meeting of --.,~-c~ ~l, ,,,~c)IC) and yOur application has been approved pending the completio6 of the fo lowing items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00 __ Ist Day of Construction ($50.00) ½ Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southotd Town Code. The following fee must be Paid within 90 days or re-application fees wilt 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 Jill M Dohelly. President James F King. Vice-President Dave Bergen Bob Ghosio. Johll 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 Date/Time: HUGH SWITZER requests an Administrative Permit to replace two (2) existing cesspools of the rear of the existing dwelling with new cesspools (in-place) and fully abandon two (2) cesspools off the rear of the existing garage. Located: 2700 Mill Rd., Peconic. SCTM#67-5-2 Type of area to be impacted: /%,_Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: __J.King __J.Doherty __J. Bredemeyer __ B.Ghosio, __ D. Dzenkowski other Form filled~ju~ in_th~e,,field by Mailed/Faxed to: Date: D. Bergen/~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Permit No.: 5987A Date of Receipt of Application: August 30, 2004 Applicant: Hugh Switzer SCTM#: 67-5-2 Project Location: 2700 Mill Rd., Peconic Date of Resolution/issuance: September 22, 2004 Date of Expiration: September 22, 2006 Reviewed by: Trustee Peggy Dickerson Project Description: To replace in-kind a failed septic system. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code. The issuance of the Administrative Permit allows for the operations as indicated on the attached survey prepared by Stanley J. Isaksen, Jr. last dated August 9, 2004.. Special Conditions: None If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Albert J. Krupski, Jr., President Board of Trustees ZONE X MILL ROAD 5WAT[R JN MIX[D SAND AND k(~i --12 Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehamptom New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President July 30, 2010 Ms. Jill Doherty, President Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re.' Situate: SCTM #: SWITZER Application 2700 Mill Road, Peconic; Town of Southold, NY 1000 - 067 - 03 - 002 Dear Mr. Doherty, As you know this Firm represents the owner of the property referenced above, per your correspondence [attached for easy reference] enclosed please find a check made payable to your order in the amount of $50.00, to cover final inspection fee. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time. Thank you in advance for your cooperation. Sincerely, Diane K. Wassick enc. cc: H. Switzer 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 Date: July 19, 2010 Re: Proposed Wetland Permit for HUGH SWITZER SCTM#67-3-2 Suffolk Environmental Consulting, Inc. on behalf of HUGH SWITZER requests an Administrative Permit to replace two (2) existing cesspools of the rear of the existing dwelling with new cesspools (in-place) and fully abandon two (2) cesspools off the rear of the existing garage. Located: 2700 Mill Rd., Peconic. SCTM#67-3-2 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 from LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Office Use Only Coastal Erosion Permit Application Wetland Permit Application ./'-Administrative Permit AmendmenffTrans fer/Extension Received Applicatiorv.~5~ ~ompleted Application 4r, lficomplete ~ I~k __SEQRA Classification: Type 1 Type II Unlisted __Coordination:(date sent) _C~C Referral Sent: ---,~ate of Inspection: ~ __Receipt of CAC Report: Lead Agency Determination:__ Technical Review: --,..4~ublic Hearing Held: ri __Resolution: Name of Applicant Mr. Hugh Switzer Address 4350 Sentinel View Road, Atlanta, GA 30327 404.365.9374 Phone Number: Suffolk County Tax Map Number: 1000 - 067-0~-002 Property Location: 2700 Mill Road, Peconic; Town of Southold, NY (provide LILCO Pole #, distance to cross streets, and location) AGENT: SuffolR Environmental Consulting, inc. (If applicable) P.O. Box 2003; Bridgehampton, NY 11932 Address: Phone: 631.537.5160 ~oard of Trustees Applica~ Land Area (in square feet): Area Zoning:. 17,090.14 GENERAL DATA Previous use of property: Residential property Residential property Intended use of property:. Prior permits/approvals for site improvements: Agency Date Southold Town Trustees September 22, 2004 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or susoended by a eovernmental agency? If yes, provide explanation: Project Description (use attachments if necessary): Replace two (2) existing cesspools offthe rear of the existing dwelling with new cesspools ("in-place"), and fully abandon two (2) cesspools off the rear of the existing garage. of Trustees Applica~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Replace two (2) existing cesspools off the rear of the existing dwelling with new cesspools ("in-place"), and fully abandon two (2) cesspools off the rear of the existing garage. 562.5 Area of wetlands on lot: square feet Percent coverage of lot: 3.2 % Closest distance between nearest existing structure and upland edge of wetlands: 68 (residence) feet Closest distance between nearest I)roposed structure and upland edge of wetlands: 48 (prop. CP) feet Does the project involve excavation or filling? Yes If yes, how much material will be excavated? How much material will be filled? 5 +/- 15 +/- cubic yards cubic yards Depth of which material will be removed or deposited: 10 feet Proposed slope throughout the area of operations: level Manner in which material will be removed or deposited: _ Typical Back-Hoe and by hand. 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): Temporary impacts associated with barn soil, sedimentation, erosion and runoff. OBoard of Trustees Applica~n COASTAL EROSION APPLICATION DATA Purposes of proposed activity:. Replace 2 cesspools off the rear of the dwelling with new cesspools; abandon 2 cesspools off the rear of the garage. Are wetlands present within 100 feet of the proposed activity? Yes. Does the project involve excavation or filling? Yes If Yes, how much material will be excavated? 15 +/- How much material will be filled? 5 +/- Manner in which material will be removed or deposited: Typical Back-Hoe and by hand. (cubic yards) .(cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) Temporary impacts associated with bare soil, sedimentation, erosion and runoff. Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM F~OPIRTY LOC~T~O~ $.C.?,.. H THE FOLLO'd~NG ACTION5 MAY REQUI~ ~ ~BM~ION OF A ]~ -- 0~7 -- 03 -- 002 STO~-WA~, ~lN~ DMKE ~D ER~ION ~L Dis~ ~m BNck" ~r C~FIED BY A ~Sl~ P~S~ IN THE STA~ OF N~ ~R~ SCOPEOFWO~ - PRO~S~ CON'~i'KUCTION ~'l'~ / WO~S~S~ ] Yes No (l~ T~ Area ~ aB Pa~ls Io~ wi~in 0.4 ac~ ~n~ted by a Two (2~ I~h ~i~] on S~e? · e S~e olW~ ~r Pmp~ C~on) b, W~t ~s ~ To~I Ama ~ L~ C~ring {s.F / ~) ~s Item ~111~lude all ru~ c~ by ~ de~i~ anWor ~nslru~ acl~es as ~] as all ~d/~ Ground ~s~ance for the pmp~ 5~ S.~. · Site ~p~m~ts a~ ~e p~a~ ~tl~ ~ Impious su~a~,} ~ PRO~E ~ ~O~ D~ON (~de~l,~.asNe,~ Dmlna~m~r~lndicat]ng~ze& L~n?T~ Itam shall in~e a~ Pro~ ~de ~n~s and App,c=t propos~ to replace ~o (2)~s,ng SIo.sC.ImIII~ ~*c. Wa.r Row.~' cess~O~ Off ~e te~ of ~e ~i~ dwel~E 3 Do~ ~e S~ Pbn ancot Su~y ~ ~ a~o~ ~o (~ CeSSD~]S O~ ~e ~e~ o~ ~e It~ m~ ~ mMn~in~ ~ou~out ~ E~m - ~s~ion ~d. ~i~ing Grade Inv~vlng m~ ~ 200 Cubic Ya~s~ En~i~ an Area In ~ess of F~ (5,~0 S,F.) Square Feet ofG~ ~? ~ ~ ~ere a ~ml Wa~r ~ Rumi~ ~ugh the 9~ Is ~E ~ ~n the Tmsie~ Jur~s~ m ~-~: OEC ~PP ~m~: ~ within One Hu~red (I00') ~ ~ a Welled or -- i~d~g ~nM~c~n ~ imo~ soil ~b~s ~ I~s/h~ one (1 } acm ~em One HU~ (100') Of Hor~o~l D]s~n~? 2. ~ ~P ~ ~ 1he e~ ~d s~M e~ p~es a~ ~ere 9 ~]1 ~b Pr~ R~uire ~ Plaint ~ Ma~al, M El'ATE OF NEW YOlk, CO~ OF ......... E.,.....~'Y,L~ .................... Brace A. ~denon ]hat I, ................................................................................ be~ du~ s~mm, depots mid says ~at heflhe is file ~pplic~ for ~d ~ he/she is ~e Agent O~er ~or ~p~sen~ve of ~ ~er or O~, ~d is d~y au~o~d Io peffo~ or ~ ~ff~ed ~e sgd ~rk ~c ~d ~ ~s ~pli~on; ~ ~ s~mc.b couP)ed ~ ~ apportion ~ ~e m ~c best of ~s ~ ~d ~; · ~ ~e wo~ ~ ~ ~ffo~ed in ~e m~ncr set f~ in ~c apportion ~ed h~ FORM - 06/10 Commission Expires Januar~"~ Suffolk Environmental Consulting, Inc. (631) 537-5160 Bruce Anderson, M.S., President Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 Fax: (631) 537-5291 Hand Delivered June 14, 2010 Mrs. Lauren Standish Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 JUN 15 2010 Southhold Town 8oard of Trustees Re; Situate: SCTM #: SW1TZER Application 2700 Mill Road, Peconic; Town of Southold, NY 1000 - 067 - 03 - 002 Dear Mrs. Standish, As per our telephone conversation this morning regarding the above referenced application, please find enclosed: (1) Town of Southold Erosion, Sedimentation & Storm-Water Run-Off Assessment Form. Kindly review and retain within your files. By way of this correspondence, kindly issue the administrative wetlands approval at your earliest opportunity. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time. Thank you in advance for your cooperation. Sincerely, Matt D. Ivans enc. cc: H. Switzer 14-164 (9/95)-Text 12 I PROJECTI.D. NUMBER 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEQR PART 1 - PROJECT INFORMATION (To be completed by J I. APPLICANT/SPONSOR Suffolk Environmental Consulting, Inc. ,pplicant or Project sponsor) 2. PROJECT NAME SWITZER Property 3. PROJECT LOCATION: Municipality Town of Southold County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc. or provide map) 2?00 Mill Road; Peconic; Town of Southold, New York (SCTM #: ] 000 - 067 - 05 - 002) 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: 7. Replace two (2) existing cesspools off the rear of the existing dwelling with new cesspools ('In-place"), and fully abandon two (2) cesspools off lhe rear of the existing garage. 7. AMOUNT OF LAND EFFECTED: Initially <0.1 acres Ultimately <0.1 acres WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? []Residential []Industrial r-]commercial g]Agricultum [] Park/Forest/Open space []Other Describe: Private single family residences with related appurtenances, including sanitary systems. 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENT AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes []No If yes, list agency(s) and permit/approvals I]. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If yes, list agency(s) and pem~itJapprovals 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes [] No I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Matt D. lyans - Suffolk Environmental Consulting, Inc. Date: Signature: -----... June 2, 2010 If the action ia in the Coastal Area, and you are a state ager~y, complete the Coastal Assessment Fom~ before proceeding with this assessment OVER PART II- ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 use the FULL EAF. [] Yes [] No If yes, coordinate the review process and B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be subemeded by another invoNed agency. [] Yes [] No COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or floeding problems? Explain brle6y: C2. Aesthetic, agdcuitural, amheolngical, historical or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitat, or threatened or endangered species? Explain bdefly: C4. A community's existing plans or goals as officially adopted, or change ia use or intensity of use of land or natural resources? Explain briefly: C5. Growth, subsequent development, or releted activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short team, cumulative, ar other effects not identified in C1~;57 Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? []Yes []No ]3. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If yes, explain bdefly PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important, or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (bi probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (fi magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes, the determination and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide ee attachments as necessary, the reasons supporting this determination: Name of Lead Agency Pdnt or Type Name of Responsible Officer Signature of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Preparer (if different From responsible officer) 2 PART II - IMPACT ASSESSMENT (To be completed by Lead Agency). A. DOES ACTION EXCEED N~f* TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, ooo~dlnste the review ixo(~ess and use the FULL EAF. B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNUSTED ACTIONS IN 6 NYCRR, PART 617.67 ff No, a negative deularstirm may be supmseded by aonthor Invo4~ed ageflcy. I-I~" [Z]No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLO~MNG: (Answers may be hondwdffe~, If legible) C3. Vegetation or faurm, fish, sbetillah or wildlife species, significant habltets, or Ihmatoned or endongored sbeck~? Explain briefly:. C4. A communEy'e existing Place or I~cu $ as ofl'~clally adopted, o¢ a change In use or Inte~sJ~ of use o~ land or nthor cainrol rescuree$? Expla~ briery: C5. Geewth, sul~sequent devetepment, or related ac~ffies likely to be induced by Ihe proposed ac~on? Exptetn bdefly: C6. ~ term, short term, cumulative, or olhor effects not identified in Cl-C57 E=qflain briefly: C7. Other Impac~lincludir~l char~es In use ofeifher quanti~ or t~pe nt onerl~ Ex.la bde~. O. WILL THE PROJECT HAVE AN iMPACT ON ~-IE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (ff yes, explaln bdetiy: E. IS THERE, OR IS THERE UKELY TO BEt CONTROVERSY RELATED TO'pOTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If */es e~lain: PART III - DETERMiNAtION OF SIGNIFICANCE (To be completed by Agency) iNSTRUCTIONS: Foreachadversee~ectidenti~edab~ve~determ~newbetheritissubstantts~arge~imp~rtant-~n~ Each effect should be assessed in connection wilh its (a) setting (i.e. Urban or mhd); (b) probability of occurring; (c) duretion; (d) irmvemlbllity; (e) geographic scope; and (f) magn[tede. If necessary, add attachments or reference supporting materials. Ensure Ihat e,~planations co~tsin Suffictsnt detail to show that all relevant adveme impacts have been kJenlified and adequstely addressed. If questicn d of part Ii was checked yes, the,determlnstlon of significance must evaluate the potential impact of the proposed action on the envlrmlmentsl chamctedstlce of the CEA. Check lhla box If you have determined, based on the Infommtion and analysis above and ~y =..ppo,'~o doc.monteuon, e,~ ~ proposed WILL NOT result in any significant adverse erwlronmontel Impa(~s ANO provide, on attachments as ~___'_-ary, the masons suppo~ng tld Board of Trustees Name of Lead Agency Jill M. Doherty v~Pdnt or Type Naroe of Responsible Officer in Lead Agency Slgnatur~-~T Re~'~on~ti~le Officer in Lead Agency Date President Title of Responsible Officer Signature of Preparer (If different from responsible officer) Board of Trustees A~plica~ AUTHORIZATION (where the applicant is not the owner) Hugh Switzer (print owner of property) residing at 4350 Sentinel View Road; (mailing address) Atlanta, GA, 30327 Consulting, Inc. Suffolk Environmental do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. t(Swnq%'~ignatur_e~) (3 OBoard of Trustees Applica~ County of Suffolk State of New York Diane K. Wassick BE1NG DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE 1S THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HERE1N ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH 1N 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 CLA1MS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS //ut) DAY OF .......~.d~ ,20/o M~tthew D. frans Notary Public of New York No 01tv6053859 O mlified in Suflolk County Commission Exp res January 22, 20J I Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions, lfan action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. B. DESCRIPTION OF SITE AND PROPOSED ACTION A copy of the LWRP is available in the following places: onlin6 at the Town of SouthO!d~s Website (southoldtown.northfork.net) the Board of Trustees Office, ,the planning Department, all local; libraries and the Town Clerk's office. SCTM# 067 03 002 The Application has been submitted to (check appropriate response): TownBoard [] Planning Dept. [] Building Dept. [] Board of Trustees [] 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) [] (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Abandon two existing cesspools and replace in place and in kind an existing, failing sanitary system. Location of action: Site acreage: Present land use: 2700 Mill Road, Peconic~ Town of Southold, NY 0.3923 acres {17,090 s.f.) Single family dwelling. Present zoning classification: R-40 If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Mr. Hugh Switzer (b) Mailing address: 4350 Sentinel View Road~ Atlanta, GA~ 30327 (c) Telephone number: Area Code ( 404 ) 365-9374 (d) Application number, if any: N/A Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No [] If yes, which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section m - Policies; Page 2 for evaluation criteria. [] Yes [] No [] Not Applicable The abandonment of two existin.q cesspools and in kind reoJacement of an existina failincl septic system is not covered by this policy. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section Ili - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No [] Not Applicable Policy 2 is not aoolioable in that subiect lot and the surroundina neiahborhood cannot be deemed a substantial historic and Jar archaeoloaical resources. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 5 through 7 for evaluation criteria [] Yes [] No [] Not Applicable The abandonment of lwo existincl cesspools and in kind replacement of an existina failina septic system is not covered by this policy. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria [] Yes [] No [] Not Applicable The abandonment of two exisfin.q cesspools and in kind replacement of an exisfin.q failingl septic system is not covered by this policy. Atlach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [] Yes [] No [] Not Applicable This policy is not applicable to the le.qalizafion of the proposed structures. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria [] Yes [] No [] Not Applicable The abandonment of two existingl cesspools and in kind replacement of an existinq failinq septic system will held protect and perhaps restore the qualify and function of the Town of Soufholds ecosystems. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria [] Yes [] No [] Not Applicable Subiect proposal is not applicable in that the structures do not result in any form of adverse effects to air quality. Atlach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the prooosal does not involve disoosal and/or transoodation of solid waste, hazardous waste, toxic pollutants, petroleum products. Attach additional sheets if necessary PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section HI - Policies; Pages 38 through 46 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the proposal is not situated within a property containina, or havina the potential to contain, public access to coastal waters, public lands andJor public resources within the Town of Southold. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependenec uses in suitable locations. See LWRP Section HI - Policies; Pages 47 through 56 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the proposal does not involve a water-dependent use (i.e. marina, aquaculture, etc...). Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town Waters. Sec LWRP Section HI - Policies; Pages 57 through 62 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the proposal does not involve any form of marine resource manaaement li.e. commercial fisheries, recreational fisheries, aauaculture, etc.. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section I11 - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the proposal does not involve aadcultural lands ILo. the conversion of farmland, the establishment and Jar maintenance of new coastal aadcultural production, etc...) Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [] No [] Not Applicable Subject proposal is not applicable in that the proposal does not involve the conservation of enerav resources on a commercial level and Jar the promotion of alternative enerav sources, Draper maintenance of fuel storaqe facilities and Jar the extraction of mineral extraction Attach additional sheets if necessary Prepared by Shawn Barron, Suffolk Environmental Consulting, Inc, 4/22/10. Suffolk Environmental Consu ng, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President June 2, 2010 Mrs. Jill Doherty, President Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Situate: SCTM #: SWITZER Property 2700 Mill Road, Peconic; Town of Southold, NY 1000 - 067 - 03 - 002 Dear Mrs. Doherty, This Firm represents Mr. Hugh Switzer, owner of the above referenced property, who wishes to replace the existing sanitary system thereon "in-place/in-kind'. In that the property is burdened by wetlands, approval from your Board is required. Please find attached: (i) (2) (3) (4) (5) Town of Southampton Board of Trustees Wetlands Permit Application (original and two [2] copies); Short Environmental Assessment Form (original and two [2] copies); Local Waterfront Revitalization Program Application (original and two [2] copies); Site Plan of subject property, as prepared by Stardey.L. Isaksen, fr., last dated October 24, 2000, and annotated by this office on June 2, 2010 (three [3] prints); Copy of the original Town of Southold Board of Trustees Wetlands Permit (No. 5987A), dated September 22, 2004; and (6) Check made payable to the Town of Southold to cover the requisite application fee. 2 By way of this correspondence, and on behalf of Mr. Switzer, I request that you commence review of this application and schedule before the next available Trustees Board meeting for subsequent permit issuance. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time. Thank you in advance for your cooperation. Sincerely, eric. cc: H. Switzer