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HomeMy WebLinkAboutTR-7581 �f SU(/r Town Hall Annex John M. Bredemeyer III,President �� y0 l0 ,`O Michael J.Domino,Vice-President 54375 Main RoadP.O.Box 1179 James F.King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee G Q Telephone(631) 765-1892 Charles J. Sanders,Trustee COUNTY Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0996C Date: June 18, 2014 THIS CERTIFIES that the removal of noxious vegetation between 50' and 100' from top of bluff; and construction of a single-family dwelling with detached garage, sanitary system; well; driveway; drainage; landscaping; patios and hot tub beyond 100' from top of bluff At 6213 Oregon Road, Cutchogue,New York Suffolk County Tax Map## 82-2-3.1 Conforms to the application for a Trustees Permit heretofore.filed in this office Dated May 27, 2011 pursuant to which Trustees Wetland Permit#7581 Dated June 22, 2011,was issued and conforms to all of.the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal of noxious vegetation between 50' and 100' from top of bluff, and construction of a single-family dwelling with detached garage; sanitary system; well, driveway, drainage; landscaping, patios and hot tub beyond 100' from top of bluff. The certificate is issued to CUTCHOGUE 6213, LLC owner of the aforesaid property. Authorized Signature 0 John M. Bredemeyer 111,President O�OgUFfO(�`O Town Hall,53095 Main Rd. Michael J. Domino,Vice-President P.O.Box 1179 James F.King y z Southold,NY 11971 Dave Bergen Telephone(631)765-1892 Charles J.Sanders l � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Co 16 ZIf 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: /J COMMENTS: / CERTIFICATE OF COMPLIANCE: /� Illlillllillill Il IIIII IIIII!Ilii Illi!IIIII IIIII IIII IIII i IIII!fill IIIII Ilii IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION/DOP Recorded: 06/13/2005 Number of Pages: 7 At: 03 :36:51 PM Receipt Number : 05-0062824 LIBER: D00012392 PAGE: 124 District: Section: Block: Lot: 1000 083 .00 02 .00 009 .001 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $21. 00 NO Handling $5.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0 .00 NO Cert.Copies $17 . 50 NO RPT $30.00 NO SCTM $0.00 NO Fees Paid $93 .50 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Edward P.Romaine County Clerk, Suffolk County s i Adb E Number of pages RECCIRPIPTj r, 1 7 F!:7,: 05 TORRENS Serial # Certificate# Prior Ctf. # Deed / Mortgage Instrument Deed Mortgage Tax Stamp Recording Filing Stamps 3 FEES Page/ Filing Fee Mortgage Amt. 1. Basic Tax Handling 5. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17 (County)_ Sub Total Spec. /Add. EA-5217 (State) TOT. MTG.TAX R.P.T.S.A. Dual Town Dual County Held for Appointment -Comm. of Ed. 5. 00 Transfer Tax Affidavitk�SND Mansion Tax The property covered by this mortgage is Certif�iedopy r2 ------------ or will be improved by a one or two family dwelling only. Reg- Copy Sub Total 67P YES or NO Other t Grand Total If NO, see appropriate tax clause on page# of this instrument. 100 083.00 02.00 00Z 1 * 4 1 District Section Block I Lot' 5 lCommunity Preservation Fund Real l000 08300 0200 009001 Consideration Amount $ Property Tax Service P T S CPF Tax Due $ Agency R D�� A Verification L13-J�N%-05,) Improved Vacant Land 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: TD Steven E. Losquadro, P.C. TD 701D Route 25A Rocky Point, NY 11778 TD 7 Title Company Information Co. Name THIS DECLARATION made by Richard Manzi as Trustee of the Joseph G. Manzi,Jr., Irrevocable Trust, dated February 28, 2000, this day ofJr , 2005, residing at 5 Shelly Lane, Mount Sinai, New York 11766, as to a 75%undivided interest, and Villa Amorosa, LLC, with offices located at 31 Stoneleigh Road, Scarsdale, New York 10583, as to a undivided 25%interest,herein after referred to as DECLARANTS, as owners of premises described in Schedule"A" annexed hereto (hereinafter referred to as PREMISES) desire to restrict the use and enjoyment of said Premises and has for such purpose determined to impose on said PREMISES covenants and restrictions and does hereby declare that said PREMISES shall be held and shall be conveyed subject to the following covenants and restrictions: I. DECLARANTS have made application to the Town of Southold (herein after referred to as TOWN) for a permit to construct, approval of plans or approval of a Major Cluster Subdivision or development on the PREMISES. 2. As a condition of approval by the TOWN of the subdivision or development application,the DECLARANTS covenant as follows: a. that there shall be 50' buffer"set back from the top of Bluff"said buffer to be undisturbed with the expectation of the removal of dead or noxious vegetation, and within the 50' buffer dead trees and cherry trees smaller than 5" can be removed by hand, re-vegetate understory with low bush blueberry, ink berry and bayberry. Existing trees may be manually pruned and trimmed as necessary. Grading within 50' buffer is prohibited; and b. that no clearing of said 50' buffer, with the expectation of the removal of dead or noxious vegetation, shall take place without the approval of the TOWN Planning Board; and C. that their successors and/or assigns,must submit an erosion control and re- vegetation plan to the TOWN Planning Department when seeking the aforementioned approval; and d. that newly planted areas as noted on the plat shall survive for a period of two (2)years following the release of bond; and e. that no stoma water resulting from the development and improvement of the subdivision or any of its lots shall be discharged down the face of the bluff in any manner; and f. that no new residential structure or sanitary facility shall be constructed or otherwise located within 100 ft. landward of the top of bluff, and g. that the future subdivision of parcel 5 is prohibited following the sale of development rights; and h. that on areas of the bluff that have exposed soil, beach grass(Ammophilia Breviligulata) shall be planted prior to the release of the performance guarantee and that said beach grass shall survive for a period of five(5)years; and L that prior to the final approval of this major cluster subdivision DECLARANTS shall provide a signed written statement addressed to the Planning Board that states"the creation of this subdivision in no way commits either the Town of Southold or the County of Suffolk to any program to protect this property from bluff and shoreline erosion through the construction of engineering or other works; and ,j. that prior to any construction activity, DECLARANTS shall secure a General Permit for Storm-water Runoff from Construction Activity(GP-02-0I) administered by the New York State Department of Environmental Protection (DEC) under the Phase Il State Pollutant Discharge Elimination System(SPDES)Program; and k. no stairways, stairs or other structures shall be installed which allow access to the beach from parcels 2, 3 &4; and 1. no structures shall be proposed or permitted within 100 feet from the top of the bluff line without a grading plan approved by the Office of the Town Engineer and the Planning Board and all appropriate permits; and This subdivision is subject to the Article XXII, Farmland Bill of Rights(Added 5- 27-1997 by L.L. No. 11-1997) Section 100-220. Right to Farm of the Town of Southold Town Code. 3. The DECLARANTS their successors and/or assigns shall set forth these covenants, agreements and declarations in any and all leases to occupants, tenants and/or lessees of the above-described property and shall,by their terms, subject same to the covenants and restrictions contained herein. Failure of the DECLARANTS,their successors and/or assigns to so condition the leases shall not invalidate their automatic subjugation to the covenants and restrictions. 4. All of the covenants and restrictions contained herein shall be in addition to and not in derogation of limitation upon any provisions of local, state, and federal laws, ordinances, and/or regulations in effect at the time of execution of this agreement, or at the time such laws, ordinances, and/or regulations may thereafter be revised, amended, or promulgated. 5. This document is made subject to the provisions of all laws required or by their provisions to be incorporated herein and they are deemed to be incorporated herein and made a part hereof, as though fully set forth. 6. The aforementioned restrictive covenants shall be enforceable by the Town of Southold, State of New York,by injunctive relief or by any other remedy in equity or at law. The failure of said agencies of the Town of Southold to enforce the same shall not be deemed to affect the validity of this covenant nor to impose any liability whatsoever upon the County of Suffolk or any officer or employee thereof. 7. These covenants and restrictions shall run with the land and shall be binding on the DECLARANTS, their successors and assigns, and upon all persons or entities claiming under them. 8. If any section, subsection, paragraph, clause,phrase or provision of these covenants and restrictions shall, by a Court of competent jurisdiction, be adjudged illegal, unlawful, invalid, or held to be unconstitutional, the same shall not effect the validity of the covenants as a whole, or any part or provision hereof other than that part so adjudged to be illegal, unlawful, invalid, or unconstitutional. 4-,f Y WO nee ichard Manzi, as Trustee Vil orosa, LLC By: Kevin B. Faga SCHEDULE A Metes and Bounds Description Of the Major Cluster Subdivision Map of Oregon Landing Situate in the 'T'own of Southold, County Of Suffolk, New York Suffolk County tax map W 1000-83-2- 9.1 Beginning at a point on the Northwesterly side of Oregon Road at the Southeasterly corner of the land division Map of Oregon Landing; running thence Southwesterly from said point of beginning along the Northwesterly side of Oregon Road S 61° 26'00" W 466.30'to Land now or formerly of Swiatocha; running thence Northwesterly and Southwesterly along said land now or formerly of Swiatocha N 48° 53' 00"W 484.00'and S 610 26'00"W 180.00'to laud now or formerly of fine County of Suffolk and Steele; running thence Northwesterly along said land of Swiatocha and Steele as well as along lands now or formerly of Solinger N 48° 53'00" W 1,516.00'to the Long Island Sound; running thence Easterly along the Tong'Island Sound N 71' 264211 E 742' to land now or formerly of Blados and Shalvey; running thence Southeasterly along said land of Blados and Shalvey S 470 49'00" E 1,850.00,to the Northwesterly side of Oregon Road and the point or Place of beginning, containing within said bounds 25.79 acres. ACKNOWLEDGMENT State of New York ) ):ss.: County of Suffolk ) On the 13 day of June in the year 2005, before me, the undersigned, personally appeared Richard Manzi, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s) or the person on behalf of which the individual(s) acted, executed the instrument. FREDEMCK J.NWPCUT/ 1!) Notay Public,Stare of New York No.01 NA6089519 Qu led in Suffolk County ,U0 Commission Expires March 24, � Notary Public ACKNOWLEDGMENT State of New York ) ):ss.: County of Suffolk ) On the 13 day of June in the year 2005, before me, the undersigned, personally appeared Kevin Faga, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by STA E OF NEW YORK SS: CO NTY OF SUFFOLK 1 EDWARD P. ROMAINE, CLERK OF THE COUNTY OF SUFFOLK AND CLERK OF THE SUPREME COURT OF THE STATE OF NEW YORK IN AND FOR SAID COUNTY (SAID COURT BEING A COURT OF RECORD) DO HEREBY CERT Tp!� I HAVE COMPAF% THE ANNEXED COPY O DEED LIBER / AT PAGE - -oCRECORDED "t 3 " 0 AND THAT IT IS A JUST AND TRUE COPY OF SUCH ORIGINAL DECLARATION AND OF THE WHOLE THERF. IN TE TIMONY WHEREOF, I HAVE HEREUNTO SE MY HAND D AFFIXED THE SEAL OF SAID COUN AND COURT THIS 3 DAY OF 05 1.6 CLERK 12-0189.12A7cp 11111111 IIII Illlf IIIII 11111 IIIII IIIII VIII Iffff IIII III I 1111111 IIIII IIIII 11111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION/DOP Recorded: 08/31/2006 Number of Pages: 6 At: 01:11:07 PM Receipt Number : 06-0085297 LIBER: D00012467 PAGE: 210 District: Sections Block: Lot: 1000 095.00 01.00 005-000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $18.00 NO Handling $5.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $5.00 NO RPT $30.00 NO SCTM $0.00 NO Fees Paid $78.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County THIS DECLARATION made by Luigi Badenchini, General Partner of the Badenchini Family Limited Partnership located at 37 Countisbury Avenue, North valley Stream,New York 11580, hereinafter referred to as DECLARANT,as owner of premises described in Schedule"A"annexed hereto(hereinafter referred to as PREMISES)desire to restrict the use and enjoyment of said Premises and has for such purpose determined to impose on said PREMISES covenants and restrictions and does hereby declare that said PREMISES shall be held and shall be conveyed subject to the following covenants and restrictions: 1. DECLARANTS have made application to the Town of Southold(herein after referred to as TOWN) for a permit to construct, approval of plans or approval of a Major Cluster Subdivision or development on the PREMISES. 2. As a condition of approval by the TOWN of the subdivision or development application,the DECLARANTS covenant as follows: a. that there shall be 50' buffer"set back from the top of Bluff'said buffer to be undisturbed with the expectation of the removal of dead or noxious vegetation,and within the 50' buffer dead trees and cherry trees smaller than 5"can be removed by hand, re-vegetate understory with low bush blueberry,ink berry and bayberry. Existing trees may be manually pruned and trimmed as necessary. Grading within the 50' buffer is prohibited; and b. that no clearing of said 50' buffer, with the expectation of the removal of dead or noxious vegetation, shall take place without the approval of the TOWN Planning Board; and C. that their successors and/or assigns,must submit an erosion control and re- vegetation plan to the TOWN Planning Department when seeking the aforementioned approval; and d. that newly planted areas as noted on the plat shall survive for a period of two (2)years following the release of bond;and e. that no storm water resulting from the development and improvement of the subdivision or any of its lots shall be discharged down the face of the bluff in any manner;and f that no new residential structure or sanitary facility shall be constructed or otherwise located within 100 ft. landward from the top of bluff,and g. that on areas of the bluff that have exposed soil, beach grass (Ammophilia Breviligulata) shall be planted prior to the release of the performance guarantee and that said beach grass shall survive for a period of five(5)years; and h. that prior to the final approval of this major cluster subdivision DECLARANTS shall provide a signed written statement addressed to the Planning Board that states"the creation of this subdivision in no way commits either the Town of Southold or the County of Suffolk to any program to protect this property from bluff and shoreline erosion through the construction of engineering or other works; and i. that prior to any construction activity, DECLARANTS shall secure a General Permit for Storm Water Runoff from Construction Activity(GP-02-01) administered by the New York State Department of Environmental Protection(DEC) under the Phase II State Pollutant Discharge Elimination System(SPDES)Program; and j. that no stairways, stairs or other structures shall be installed which allow access to the beach from parcel 1; and L that no structures shall be proposed or permitted within 100 feet from the top of the bluff line without a grading plan approved by the Office of the Town Engineer and the Planning Board and all appropriate permits; and 1. that the clearing of existing woods/vegetation in the northern area of parcel 5 is prohibited; and M. that the final map shall be rendered null and void and the approval of the subdivision invalid in the event that the closing of the development rights sale is not complete and proof of such closing is not submitted to the Town of Southold Planning Department, and n. that all structures use gutters, leaders and subsurface drywells to retain surface runoff, and o. that DECLARANT,their heirs, successors and assigns use native plants and attempt to use disease-resistant and drought-tolerant plants in the landscaping of the subject subdivision, and P. that DECLARANT,their heirs, successors and assigns refrain from the residential application and use of synthetic pesticides and fertilizers capable of entering the potable water supply, and q. that DECLARANT,their heirs, successors and assigns use only low flow faucets and toilets as per Suffolk County water Authority, and r. that DECLARANT,their heirs, successors and assigns use only pervious driveways to serve each lot, and S. that the Town of Southold Building Department shall not issue building permits for any lot depicted on the final map until the closing of the development rights sale completed in accordance with the approved map and proof of such closing is submitted to the Town of Southold Planning department,and t. that the subdivision open space is equal to 87,439 square feet or 2.02 acres and is included in and part of parcel 5, and U. this subdivision is subject to the Article=1, Farmland Bill of Rights (.Added 5-27-1997 by L.L. No. 11-1997) Section 100-220. Right to Farm of the Town of Southold Town Code. 3. The DECLARANTS their successors and/or assigns shall set forth these covenants,agreements and declarations in any and all leases to occupants,tenants and/or lessees of the above-described property and shall,by their terms, subject same to the covenants and restrictions contained herein. Failure of the DECLARANTS,their successors and/or assigns to so condition the leases shall not invalidate their automatic subjugation to the covenants and restrictions. 4. All of the covenants and restrictions contained herein shall be in addition to and not in derogation of limitation upon any provisions of local, state, and federal laws, ordinances, and/or regulations in effect at the time of execution of this agreement, or at the time such laws, ordinances, and/or regulations may thereafter be revised, amended, or promulgated. 5. This document is made subject to the provisions of all laws required or by their provisions to be incorporated herein and they are deemed to be incorporated herein and made a part hereof, as though fully set forth. 6. The aforementioned restrictive covenants shall be enforceable by the Town of Southold, State of New York,by injunctive relief or by any other remedy in equity or at law. The failure of said agencies of the Town of Southold to enforce the same shall not be deemed to affect the validity of this covenant nor to impose any liability whatsoever upon the County of Suffolk or any officer or employee thereof. 7. These covenants and restrictions shall run with the land and shall be binding on the DECLARANTS, their successors and assigns, and upon all persons or entities claiming under them. S. If any section, subsection,paragraph,clause,phrase or provision of these covenants and restrictions shall, by a Court of competent jurisdiction,be adjudged illegal, unlawful, invalid,or held to be unconstitutional,the same shall not effect the validity of the covenants as a whole, or any part or provision hereof other than that part so adjudged to be illegal, unlawful,invalid, or unconstitutional. 9. These covenants and restrictions cannot be revised,modified or otherwise amended without a majority plus one of the Planning Board, subject to a public hearing. 10. The within Declaration is made subject to the provisions of all laws required by law or by their provisions to be incorporated herein and made a part hereof, as though fully set forth. That the within declaration shall run with the land and shall be binding upon the DECLARANT and its successors and assigns,and upon all persons or entities claiming under them,and may not be annulled,waived,changed, modified, terminated, revoked or amended by subsequent owners of the property unless and until approved by a majority plus one vote of the Planning Board of the Town of Southold or its successors, after a public hearing. BAD ' MILY LIMITED PARTNERSHIP • B nchini, General Partner ACKNOWLEDGMENT State of New York } ):ss.: County of EU 4c/K_ ) On the o?9%day of in the year 2006, before me, the undersigned, personally app aced, Luigi Badenchini, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s) or the person on behalf of which the individual(s) acted, executed the instrument. hPlic PAULA OWNINA NOWY .OState Of Now York Qualified In Suffolk CaneYstaeion En*ea Oct.Sig gow COUNTY CLERK'S OFFICE STATE OF NEW YORK SS.: COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Recor thereof, do her certify that I have compared the annexrd w th the original : ] r ?. ..........RECORDED in the office on under LIBER PAGE ..s O...and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, v , reunto sey hand and affixed the seal of said County and Court on this . ....day of.: . "°.9t..•..•, 200( cLER.Q.,�&L. a i� SCHEDULE A ALL that certain plot, piece or parcel of land lying situate and being in the Town of Southold, County of Suffolk, State of New York, more particularly bounded and described as follows: BEGINNING at a point on the northwesterly side of Oregon Road distant 2667 more or less southwesterly as measured along the northwesterly side of Oregon Road from the comer formed by the intersection of the northwesterly side of Oregon Road with the southwesterly side of Duck Pond Road; RUNNING THENCE from said point of beginning along the northwesterly side of Oregon Road South 59 degrees 13 minutes 00 seconds West 244.65 feet; RUNNING THENCE North 33 degrees 58 degrees 30 minutes west 4150 feet to the mean high water line of Long island Sound; RUNNING THENCE along the mean high water line of Long Island Sound on a tie line North 58 degrees 03 minutes 35 seconds East 324.01 feet; RUNNING THENCE South 34 degrees 44 minutes 10 seconds East 3910 feet; RUNNING THENCE South 59 degrees 13 minutes 00 seconds West 135 feet; RUNNING THENCE South 34 degrees 44 minutes 10 seconds East 250 feet to the point or place of BEGINNING. Dist. 1000 Section 095.00 Block 01.00 Lot 005:000 Jill M.Doherty,President ��OF SOUTy� Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road l [ P.O.Box 1179 James F. King Southold,New York 11971-0959 Dave Bergen G Q John Bredemeyeri� Telephone(631) 765-1892 l.- U01 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 % constructed / Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 7581 DATE: JUNE 22. 2011 ISSUED TO: CUTCHOGUE 6213, LLC PROPERTY ADDRESS: 6213 OREGON RD., CUTCHOGUE SCTM#82-2-3.1 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 June 22,2011 in consideration of application fee in the sum of$250.00 paid by Cutchogue 6213.LLC and subjed to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove selective vegetation between 50' and 100' from the top bluff and construct a single-family dwelling with detached garage,sanitary system,well, driveway, drainage, landscaping, patios and hot tub beyond 100' from the top of bluff with the Condition that only noxious vegetation is removed, and as depicted on the site plan prepared by Jeffrey T. Butler P.E., P.C. dated May 27, 2011. 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. b�S POCK SAC e rK!xl ee- TERMS AND CONDITIONS The Permittee, Cutchogue 6213,LLC, 331 West 84`"St.,#4,NY,NY, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. 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 attd deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. 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. 0 0 Jill M. Doherty, President ��Of SOojyo Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road # # P.O.Box 1179 James F. King Southold,New York 11971-0959 Dave Bergen G Or John Bredemeyer �� Telephone(631) 765-1892 �yCOUNi'1,�`� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 22, 2011 Jeffrey T. Butler, P.E., P.C. 206 Lincoln St. Riverhead, NY 11901 RE: CUTCHOGUE 6213, LLC 6213 OREGON RD., CUTCHOGUE SCTM#82-2-3.1 Dear Mr. Butler: The Board of Town Trustees took the following action during its regular meeting held on Wed., June 22, 2011 regarding the above matter: WHEREAS, Costello Marine Contracting Corp. on behalf of CUTCHOGUE 6213, LLC 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 May 27, 2011, 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 recommended that the proposed applications be found Inconsistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the Board of Trustees has furthered Policy 4 of the Local Waterfront Revitalization Program to the greatest extent practical through the imposition of the following Best Management Practice requirement: the removal of only noxious vegetation from the area between 50' and 100' from the top of the bluff, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 22, 2011, at which time all interested persons were given an opportunity to be heard, and, Z • 2 0 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, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirements imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approves the application of CUTCHOGUE 6213, LLC to remove selective vegetation between 50' and 100' from the top of bluff and construct a single-family dwelling with detached garage, sanitary system, well, driveway, drainage, landscaping, patios and hot tub beyond 100' from the top of bluff with the Condition that only noxious vegetation is removed, and as depicted on the site plan prepared by Jeffrey T. Butler P.E., P.C. dated May 27, 2011. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Jill Doherty, Presid t Boa d of Trustees JMD:Ims Jill M.Doherty,President ��of souryo Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road P.O. Box 1179 James F. King Southold, New York 11971-0959 Dave Bergen John Bredemeyer @ Telephone(631)765-1892 ���ouHtr, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ( i f o p[uei Please be advised that your application dated 57o f)111 has been reviewed by this Board at the regular meeting of 40 /1 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 sl Day of Construction ($50.00) '/2 Constructed ($50.00) _y/ 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: $ "So, OL BY: Jill M. Doherty, President Board of Trustees • ��gOFFOf4. Peter Young,Chairman - Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O. Box 1179 Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., June 15, 2011, the following recommendation was made: Moved by Jack McGreevy, seconded by Meaghan Burke, it was RESOLVED to SUPPORT the Wetland Permit application of CUTCHOGUE 6213, LLC to remove selective vegetation between 50' and 100' from the top of the bluff and construct a single-family dwelling with detached garage, sanitary system, well, driveway, drainage, landscaping, patios and hot tub beyond 100' from the top of bluff. Located: 6213 Oregon Rd., Cutchogue. SCTM#82-2-3.1 Inspected by: Jack McGreevy The CAC Supports the application, however, recommends the trees with an 8" dbh are not removed. Vote of Council: Ayes: All Motion Carried ogUFF01� Jill M.Doherty,President CO P.O.Box 1179 Bob Ghosio,Jr.,Vice-President 7 Southold,NY 11971 James F.King w Telephone(631 765-1892 Dave Bergen ,y Fax(631)765-6641 John Bredemeyer Southold Town Board of Trustees Field InspectionMorksession Report Date/Time: 6' 4 �- (/ CUTCHOGUE 6213, LLC requests a Wetland Permit to remove selective vegetation between 50' and 100' from the top of the bluff and construct a single-family dwelling with detached garage, sanitary system, well, driveway, drainage, landscaping, patios and hot tub beyond 100' from the top of bluff. Located: 6213 Oregon Rd., Cutchogue. SCTM#82-2-3.1 Type of area to be impacted: 43'alt Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Paf Town Code posed work falls under: _Chapt.275 _Chapt. 111 _other Type of Application:L--Wetla nd LGol-s—ta­1 Erosion _Amendment _Administrative_Emergency _Pre-Submission Violation Info needed: �l J�tla-S�vC� Cit � r OV a C..Q f i c Modifications: Conditions: Present ere: _J. Doherty B. Ghosio _"J. King D. Bergen, redemeyer D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: r r AV �."' � ,, ,,,,.; . .cwt f.�.. •N 1 �, � ;. � �,,\.y , ,. 1 1 rc I Board f h southholMAY Board of Trustees \ 1 _ �, • � '��'� � 1 .ice r ` �, I l'+y,�, �� �• � _ �, kms. � �.� � � .� ? ih • K, a w �«.�� �� ^� 'r Lb a'•t� sem•_ ,. �� �' • .<y y n w . —N— s a�oz9 �0 p9 epee M `O P QO�' .i • O IIS � 3 SOUTHOLO sccrnx m i ."." izv � � —_•— —. —_ •' Fed Ff0perlY iax Service AgcncY ° X82 x '"� "" __.— ....,.—..— ..e_ ..,+.•.__ > 1000 vvov[xr,uev OFFICE LOCATION: �QF SO!/jMAILING ADDRESS: Town Hall Annex h0� Ol0P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 rn ac Telephone: 631765-1938 �O Fax: 631765-3136 o�ycourm a�, 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: June 21, 2011 =-=--- Re: Proposed Wetland Permit for CUTCHOGUE 6213, LLC SCTM# 1000-82-2-3.1 Jeffrey T. Butler, P.E., P.C. on behalf of CUTCHOGUE 6213, LLC requests a Wetland Permit to remove selective vegetation between 50' and 100' from the top of the bluff and construct a single-family dwelling with detached garage, sanitary system, well, driveway, drainage, landscaping, patios and hot tub beyond 1 00' from the top of bluff. Located: 6213 Oregon Rd., Cutchogue. SCTM#82-2-3.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the below listed policies: Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. During the subdivision a covenants and restrictions were required by the Planning Board that limited the clearing of vegetation within the 50' buffer from the top of bluff to: 1. The removal of dead and/or noxious vegetation. 2. Removal of dead trees and cherry trees smaller than 5" (1 believe this applies to DBH) by hand. 3. Re-vegetated cleared understory with low bush blueberry, ink berry and bayberry The applicant has not provided a clearing plan and/or a re-vegetation plan. Please have the applicant submit a clearing/ re-vegetation plan to the Board. Note that the bluff area is subject to severe erosion which has resulted in structure loss removal and/or relocation in the area. In the event that the action is approved: to further Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion, it is r � • recommended that the Board consider enlarging the undisturbed buffer to 75' in width and establish detailed maintenance activities within the buffer. This increase would further preserve existing vegetation. 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 ell 40T / ��oS�yFFOI,� Jill M. Doherty,President W Town Hall,53095 Main Rd. James F. King,Vice-President �. P.O. Box 1179 Dave Bergen ®� ,!� Southold,NY 11971 Bob Ghosio,Jr. �0 '�� Telephone(631)765-1892 John Bredemeyer Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application P LS lel t5 U LS Wetland Permit Application _Administrative Permit r D Amendment/Trans r/E gsion Received Application: . '7711 L' MAY 2 7 2011 Received Fee:$ " ✓l4ompleted Application I Southhold Town _Incomplete Board of Trustees Type Classification: Type I_Type IIUnlisted _Coordination:(date sent)L � WRP Consistency Assessment Form I/ =CAC Referral SentT vn: /DateofInspectio _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: __� lic Hearing Held: 1 Resolution: //77 Name of Applicant el722owal uz- az I s I Address 331 W6sr �Ay 10001 Phone Number:014 S 00 — (SOZ Suffolk County Tax Map Number: 1000 - Property Location: 6213 CrZE6CAJ Zwto Arc,,c AN 1l9.25 (provide LILCO Pole#, distance to Cro//sss streets, anlocation) AGENT: (If applicable) / / Address: 2&?6 �/e✓�LN ��tlr� ,�/I X11/�f() Nth Ap� Phone: (Y.7-310 209 ] d of Trustees Applicatioi GENERAL DATA Land Area (in square feet): 69,9 72 61. Ar - Q nS3 Area Zoning:_ R bo Previous use of property: V_/} ";!N 1.&11�1 Intended use of property: ���jt7F.JTJ/�L Covenants and Restrictions:_X—Yes No If"Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes __2(_No If"Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency Date A)C-- 5wi, isc L�ws — 15Arf d,61au aw IT (s)O —OS-- DUD 1 SGD)+s-- J41r fw47—kL _n - ooW No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? _No Yes If yes, provide explanation: Project Description (use attachments ifnecessary):: 9�,,� �' I 6D Vof Trustees Applicatio>e WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: c�/icelQ�jL Area of wetlands on lot: ® square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: A- feet Closest distance between nearest proposed structure and upland edge of wetlands: / I q, IQ feet Does the project involve excavation or filling? No_X _Yes If yes, how much material will be excavated? (0oo cubic yards How much material will be filled?__cubic yards Depth of which material will be removed or deposited: _ feet Proposed slope throughout the area of operations: 5�p W Manner in which material will be removed or deposited:_1919721eyw dwLG ,64 S7ye'4 n A&—6&a; 6W Sin 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): �}LL IWA) 15 eR! -2 '6, T� 6Wdn ✓ lPID' / Ino o,� Tho o� f�Ly�G \ 71 Bgd of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity:�F a6'V-J0 Are wetlands present within 100 feet of the proposed activity? _-X� No Yes Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? © (cubic yards) Manner in which material will be removed or deposited:4�a 18� 57?7�/'1c t'iL/r2�14" Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) - 4D-*� ' • • (213 f r"j j 2Vt3fl PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Postal CERTIFIED MAIL... RECEIPT Address: (Domestic maii only;No insurance Coverage Provided) M Ff r M co 7Feea ge $ F(' eeFU � tma0 Returnee Here O (Endorsemeetl) ��� rRestrictedee 1 •J 2 o1lO (Endorsemetl)nC3 Total poses $ \,�5120tt / M / r FseWTo / iO �/st a +4 AN /00Z �6&rzaz residingat�E( �Gy�' tgi(j- 7[-6 1141CV1AJ ,"4&h44,0being duly sworn, d oses ansays that on the ��_day of —Ti.UIiLF 20JL, 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 s� � 4N that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn tQQ before me this ' V0 Day 20�L jN ublicWER Nulr➢pNk,S�13 f Now York DON 4 i(o , /a i U.S. Postal Service,: CERTIFIED MAIL,. RECEIPT (Domestic Mail Only;No insurance Coverage Provided) m m -0 Postage $ 0706x: Certtlied Fee N ,-01•'-� Postmark N Return Receipt Fee !^ Here O (Endorsement Required) Restricted Delivery Fee ••stal Service,, O (Endorsement Requiretl) t , , IL N a CERTIFIE ,,. RECEIPT O /Total Postage 8 Fees $ c 06/15/2011 m (Domestic , No Coverage Provided) M m I`- Sen1To/, g ,J g cLrQCJF C3 Sbeet,A - ' M1 or PO.B �/ --...... m {'l� ��'�`>rrT Postage $ o7ee N Certified Fee `O"� PS Form 3800.August 2006 See Reverse for InstructionsO1 O Return Receipt Fee P Heostrr ark M e (Endorsement Required) M Restricted Delivery Fee PostalO (Endorsement Required) 00-00 rU CERTIFIED III RECEIPT C3 S m Total Postage&Fees 1 99 06/15/2011 . ..meslic Mail Only;No Insurance Coverage Provided) Al 1559 3 M1 Sant ToCID C3 I - L Q S E r- or PO Boxt No,"--- m cm:scar --------•---- m Postage $ s Certified Fee PS Form 3800, mu r 06 See R.vs,sc for Instructions_ C3 $2 85 0 Return Receipt Fee r' 01 Postmark O (Endorsement Required) !i .,. Hera Restricted Delivery Fee i 3 - O (Endorsement Required) _A Total Postage 8 Fees $ ,a $9.99 06/15/2011 ant To ir 7. 1./1.0.. ..... .!../.__/.r.{rW............... 0 Sheet Pt.Nb.; .T._ C- (.�, or PO Box No -- - Y-e-M .l....gCl�_�1. Z.i.[-•-Y.._..... Crry.Sta a , O AA © U PS Form rr Augt 1 2006 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: nAPA06VC 6213 LLC SCTM# 311 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: " f2llf a'fJ G�in.3c�, Sfjv'r 5y�r�i'J� �cc Qrzi✓�rvi4vJ, �?ilUv'�GI<� 01 loo 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 0, 2113 0�L6nJ R,01�0 Ctsr�rr�t Aq 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on:c DATE: l�AX Z 2, z011 CO L� 1)C) JO M You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: � TGNOI�F �i�l MAILING ADDRESS: ,33/ !_ r 5i"L3tt/a it PHONE #: ' AGENT: 4SS4,u6dr!� MAILING AUUKtbS: 70& A& //yPJ PHONE #:_6163L) Z06 --8F3Sv Enc: Copy of sketch or plan showing proposal for your convenience. h�O��ggFFO(,�coG Jill M. Doherty, President ti Town Hall,53095 Main Rd. Bob Ghosio,Jr. ,Vice-President �, ,� P.O. Box 1179 James F. King Southold,NY 11971 Dave Bergen �Q ��� Telephone(631)765-1892 John Bredemeyei '� # Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of CUTCHOGUE 6213 LLC COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING �Gff4� -, residing at /dba--6,4�Xq A 26 z tA1,-�owl srn ez 4i / 9p/ being duly sworn, depose and say: That on theA/7&y of ft/VL- 1 201 , I personally posted the property known as 62-1,5 t.6G-0^1 120,tQ 6w"7,2-9061 AQ //93S by placing the Board of Trustees official poster where it Zan easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed,June 22, 2011 on or about 6:00 PM. Dated: l S/I I (C) W/x— I signature) Sworn to before me this day oflw0 ANotail y Public th�Y pS1A0> plum' No ,A •01No �e45 UudI ftA A �c msS Ward of Trustees Applicat• County of Suffei eW �.Il_ State of New York S'IEPH W 1 G u l LP l ISI BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S)OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS r 1` DAY OF t f t ` 20 Z1-MEADOWS Notary Public,State of New York Qualified in NewYork Coun No.01MSOL5158s n My Commlwlon Expires ' I (i`T Oard of Trustees Applicat AUTHORIZATION (where the applicant is not the owner) - I, _{� property) residing at 33) ��� 87711 pra/t owner of pr erty) (mailing address) /VuJ1/ 11U2q do hereby authorize (Agent) .f>�659 to apply for permit(s) from the South/)old Board of Town Trustees on my behalf. Un (Own is signa e) 8 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME 6,213ICC X213 ®AG7a )Ifb 3. PROJECT LOCATION: Municipality ZaVAI County 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) &2/3 Ca26,i!!�OA/ AW.. Cv)n4al'� by 5. PROPO D ACTION IS: 12KNew ❑ Expansion F-1 Modification/alteration 6. DE CRIBE PROJECT �� S✓� ek- /rte , �7751 M0641 � lztf/AalW �p 7. AMOUNT OF D AFFECTED: Initially acres Ultimately acres S. WILL OPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? }P�d Yes n No H No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential El Industrial F]Commercial E]Agriculture [-] Park/Forest/Open Space [_ Other De 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,STATE OR LOCAL)? XYes No If Yes,list agency(s)name and permlUapprovels: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? es No If Yes,list agency(s)name and permit/approvals: 04 z�l 2- 40<'9Aj17 12. ASA RESULT OF PROI>OSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes No I CERTIFY THAT THE INFORMATION PROVIDED A VEr TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor'na :/ — � Date: Signature: i If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER Reset', i • PART II - IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. Yes 0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes ❑� No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Longterm,short tens,cumulative,or other effects not identified in C1-05? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)7 If yes,explain briefly: E] Yes 0✓ No [7g�� ,OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es a lain: ❑✓ No PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e. urban or rural);(b)probability of occurring;(c)duration; (d)irreversibility;(e) geographic scope;and(f)magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part it was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CFA. Check this box if you have Identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL EAF and/or prepare a positive declaration. Chad(this box B you have determined,based on the Information and analysis above and any supporting documentation,that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Board of Trustees Name of Lead Agency Dale Jill M. Doherty President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature o Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Tree Town of uthold's Code of Ethics omhibits conflicts of interest on the Hart of town bflBrbrs and emolnveea.The mhmse of this form is to movide inform 'o. wych coo alert the tow-r of possibh:co.^flids of int A and allow it to tale whatever actio[is necessary to avoid same./�,+ YOURNAME: L/��L�/Ott lJ/�Y /✓/� (Last name,that name iddle initial,unless you aro applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat orofficial map Planing Other (if"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationorip.with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Titicor position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)wWor describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater then 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,paMei,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted tih' {� y of Signature Print Name Form TS 1 � kTown of Southold Eroslon, Sedimentation S Storm-Water Run-off ASSESSMENT FORM $ PROPERTY LOCATION: &C.TA.g: THE FOLLOMVINO ACTIONS MAY REOUntE THE SUMi1SSION OF A Z STORM-WATER,GMWM/i,DRAINAGE AND EROSION CONTROL PLAN CRRTII�O YO A OF SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? /qq •y S WIII this Project Retain AN Storm-Water Run-Off (Include Total Area of all Parcels located within Generated by a Two(2'Inch Rainfall on Site? the Scope of Work for Proposed Conshlction) Zj� (S.F./Axes) (This Item wMJnclude all run-off by site Is. What is the Total Area of Land Clearhg clearing andfor construction activities as well as all andlor Ground Disturbance for the Proposed • Sita Improvements and the permenerttaeailon of construction activity? impervious surfaces.) PROVIDE BRIEF PROJECT DESCRIPTION (PmrMe Ae�wmt n•pm rexaeseq 2 Does the Site Plan Indic tingSurSi Show Ad Proposed Drainage Structures Irtdloetirg Size&Location?This Item shall include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or survey describe the erosion and sediment control practices that will be used to control she erosion and storm water discharges. This item must be maintained throughout the Entire Construction Period. 4n&5 tri— e4 Will this Project Require any Land Filling,Grading or 2G ❑ Excavation where there Is a change to the Natural/�1GY/n G3G // �'l�YlTlnw/ Existing Grade Involving more than 200 Cubic YardsX. �/ .50 hg n�. ��/� of Material within any aParcell [�'� 5 Will this Application Require Land Disturbing Activities� ❑ X— (5,000 Encompassing an Area in Excess of Five Thousand S.F.)Square Feet of Ground Surface? 6 Is there a Natural Wader Course Running through rite ElShe? Is this Project within the Trustees jurisdiction General DEC Sem WPPP Requirements: or within One Hundred(100')feet of Weiland or Submission of a SINPPP Is required for all Construction adlvites hvdving soli Beach? dist 'b M xe(1)emxe axes; kdudlg dbWrbmM of ass then aro see that are part of a lager oom ns n plan that will ultimately one re or m om acres of land: 7 Will there be Site Preparation on Existing Grade Sklpea ❑ x indudmg ComaWdbn sgMtbs Involving soil dbturbemmces of las than we(1)axis where which Exceed Fifteen(16)feet of Vertical Rise to the DEC has determined that a SPDF.S Permit Is required for sbxmwaterdischarges. One Hundred(100')of Horizontal Distance? (SWPPP's Shall meat the Mlydmen Requirement*of the SPOES Sacral Permit 8 Will Driveways,Parking Areas or other Impervious ❑ /J�� / for Storm Weer Discharges from Construction xevky-Permit No.eP-0-14x01.) Surfaces be Sloped to Direct Stam-Water Ran-Off 1,The SWPPP shah be Prepared prior le the submaal of tie Nol.The N01 shah be Into and/or'in the direction of a Town right-of-way? submitted to tie Department prix to Use mmmemement of commudbn ac9ft 2.The SWPPP shell describe the erosion and sadkreM cwmrpl praotices and whoa 9 WIN Oft Project Require the Placement M Material, required,poaFcommraixm storm water management processes am wS be used"or Removal of Vegetation and/or se Construction of any ❑ constructed mduce the Pollutants In atom water disrgan and to asaae Item Within the Town Right-of-Way,or Road Shoulder conphenos with he torte Not cordWbra of this promIL in addition,the SWPPP shah Area?(twN iter wa xgTMutetfw lmbrWwa/prhwwryAprom,) Muddy Potential re ur ms of Pollution which may reasonably be expected to affect the quality of seem waterdisdrmtros. NOTE: IfAny Answer to obsessions Oft through Nice Is Answered with a Cheek Mark 9.All SWPPPs sat require time poebeonsbudbn storm watermanagement practice In a Sox and the construction she dlshabana Is between 0,000 S.F.S 1 Asn in eta, component shed be promm l by a quehAed Design Rofessional Licensed In Now York a Stxm•Webr,Grading,Drainage a Erosion Coalrol PM In Required by the Town of that Is knowledgeable in the prin soles and Pro ICm ofStorm Water Management Southold real Must be automated for Review Prior to lauaoe of Any Building Permit. (NOTE: AChe&Mart(4)wdfor Anerefre 0.0mbRewwedrreaMnwW ApWdsn) STATE OF NEW YORK, pr � / 1 COUNTY OF........ ... `j .......... ss L . ) ;.,h�A.�,.... ln,.U,yl,p,l{,,,,,,being drily swum,deposes and says that he/she is the applicant for Permit, 1�tat I............. (Name f tidjridusi dpnm9 And that he4he is the w.n (Owner,t?onpaobr,Aged,Copamee Olhou,ele.) ....................•••••••••• Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Swom to bef/o�re me this; _'A... . L.I.d Ly of(F.q.../..,. .(t .......................20.14 Notary Public: .......... .((t..lA(.....!(/{. {L ..........C:HEiXLMENOOWS .......... ..F. .... "lam IJotary Public,State of New York FORM - 06/10 No.OIME6225566 My Commission Expires v Town of Southold • • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its sigmfrcant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or `no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detaillisting both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold 's website (southoidtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#&UD - & 2 - ;Z /_�- 3 , PROJECT NAME 6 2/ 3 0,4eJ Al The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ 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: �Q( Nature and extent of action: J� Location of action: ro• o4e6-ox) ,EwD , LI at6ye Site acreage: 22-VO-7 _1kJZ6 Present land use: Llwwr Present zoning classification: .1260 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provide/ %Z�/7d:: (a) Name of applicant: L-�/ yl. Lz'—'a (b) Mailing address: /IkAJ 1/ NV /ovzy (c) Telephone number: Area Code(ZI 2— _ S 6SQZ (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No YJ If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria 1:1Yes ❑ No.N Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III —Policies Pages 6 through 7 for evaluation criteria NX J�NYes ❑ No ❑ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria XYes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes ❑ No [:]Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III —Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not Apple 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 N Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ElYes ❑ No IfJ� Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YesE No�<Not Applicable Attach additional sheets if necessary WORKING COAST POLICIE* 40 Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No KNot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. [:] Yes 1:1No XNot Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. [:] Yes ❑ Nox Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No lOf Not Applicable PREPARED 13 CF% /T TITLE DATE cS / SITE PLAN BASED ON PREVIOUS SGDHS REP" NO. 510-05-0001 ORIGINAL SURVEY BY. COVENANTS AND RESTRICTIONS A. THAT THERE SHALL BE 50' BUFFER "SET BALK FROM THE TOP OF BLUFF" NYDEG PERMIT NO. 1-4-06-03536/00001 ANTHONY ABRUZZO R.L.S. SAID BUFFER TO BE UND15TWMD WITH THE EXPECTATION OF THE REMOVAL OF M, 1500 HORTON5 LANE DEAD OR NOXIOU5 VE6ETATIONI AND WITHIN THE 50' BUFFER DEAD TREES AND N v I55UMs 6/2/2006 SOUTHOLD, NY 11971 CHERRY TREES SMALLER THAN 5" CAN BE REMOVED BY HAND, RE-VEGETATE / co 0 y. ro DATED. 10!30/05 UNDERSTORY WITH LOW BUSH BLUEBERRY, INK BERRY AND BAYBERRY. EXISTING TREES MAY BE MANUALLY PRUNED AND TRIMMED AS NECESSARY. 6RADIN6 o u WITHIN THE 50' BUFFER 15 PROHIBITED. N U I a B. THAT NO CLEARING OF SAID 50' BUFFER, WITH THE EXPECTATION OF THE 1 j6 �M REMOVAL OF DEAD OR NOXIOUS VEGETATION, SHALL TAKE PLACE WITHOUT THE i I 38 APPROVAL OF THE TOWN PLANNING BOARD;AND I II 42 _--__— e' G. THAT THEIR SUCCESSORS AND/OR A5516N5, MUST SUBMIT AN EROSION 44 _ 46 CONTROL AND RE-VEGETATION PLAN TO THE TOWN PLANNING DEPARTMENT I ------ 50 WHEN 'EEKING THE AFOREMENTIONED APPROVAL;AND I 1 52 54 "y p D. THAT NEWLY PLANTED AREAS AS NOTED ON THE PLAT SHALL SURVIVE FOR MAS A PERIOD OF TWO (2) YEARS FOLLOWING THE RELEASE OF BOND, AND 58 j I 1 I 5 E. THAT NO STORM WATER RESULTING FROM THE DEVELOPMENT AND I I 1 40 IMPROVEMENT OF THE SUBDIVISION OR ANY OF ITS LOTS SHALL BE I I ]I' D15GHAR&ED DOWN THE FACE OF THE BLUFF IN ANY MANNER;AND NOWPHS °N1� F. THAT R NEW STRUCTURE HI SANITARY FACILITY SHALL BE CONSTRUCTEDFBLU wnceeeo BY scare OR OTHERWISE LOCATED WITHIN 100 FEET LANDWARD FROM THE TOP OF BLUFF, s8 o AND `O `O 251 HOLE N0.2 G. THAT ON AREAS OF THE BLUFF THAT HAVE EXP05ED SOIL, BEACH 6RAS5 III 1 4 1 (AMMOPHILIA BREVILI6ULATA) SHALL BE PLANTED PRIOR TO THE RELEASE OF I 1 I NOT TO $GALE THE PERFORMANCE GUARANTEE AND THAT SAID BEACH GRASS SHALL SURVIVE I I l II \ \ \ FOR A PERIOD OF FIVE (5) YEARS; AND i' V 1 \ \ 0 H. THAT PRIOR TO THE FINAL APPROVAL OF THIS MAJOR CLUSTER 5UEVIV15ION DEGLARANT5 SHALL PROVIDE A 516NED WRITTEN STATEMENT APPRE55EP TO THE PLANNING BOARD THAT STATES "THE CREATION OF THIS SUBDIVISION IN NO WAY COMMITS EITHER THE TOWN OF SOUTHOLD OR THE COUNTY OF SUFFOLK TO ANY PROGRAM TO PROTECT TH15 PROPERTY FROM BLUFF AND SHORELINE EROSION THROWN THE CONSTRUCTION OF ENGINEERING OR OTHER WORKS; AND 1. THAT PRIOR TO ANY GON5TRUGTION ACTIVITY, DECLARANT$ SHALL 5E11URE A GENERAL PERMIT FOR STORM WATER RUNOFF FROM CONSTRUCTION ACTIVITY (G P-02-01) ADMINISTERED BY THE NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL PROTECTION (DEC) UNDER THE PHASE II STATE POLLUTANT DISCHARGE ELIMINATION SYSTEM (SPOES) PROGRAM,AND l I 1 1 I I I I l I I I / \ J. THAT NO STAIRWAYS,STAIRS OR OTHER STRUCTURES SHALL BE INSTALLED / I I i j I I 1 j l I / \ WHICH ALLOW ACCESS TO THE BEACH FROM PARCEL I;AND l I j11 1111 // ;1111111 r I I / / \ / K. THAT E STRUCTURES SHALL 1T PROPOSED A 6RD OR PERMITTED WITHIN 13Y FEET TEST I FROM THE TOP OF BLUFF LINE WITHOUT E GRADING PLAN DAPPROVEDALL BY THE / \ OFFICE OF THE TOWN ENGINEER AND THE PLANNING BOARD AND ALL 1 I / HOLE 7/ 1 APPROPRIATE PERMITS;AND i2 T 1 ifh L. THAT THE CLEARING OF EXISTING WOOD5/VE6ETATI0N IN THE NORTHERN (V1 \ AREA OF PARCEL U 3 5 IS PROHIBITED,AND 914 • O $ I I I h•.••I 3 •2/ 2 E 1 I I O l i I M. THAT THE FINAL MAP SHALL BE RENDERED NULL AND VOID AND THE Q APPROVAL OF THE SUBDIVISION INVALID IN THE EVENT THAT THE CLOSING OF I— •<J THE DEVELOPMENT RI6HT5 SALE 15 NOT COMPLETED AND PROOF OF SUCH W CLOSING 15 NOT SUBMITTED TO THE TOWN OF SOUTHOLD PLANNING a DEPARTMENT;AND F•�h hl PROPOSED�' Ipp, RADIUS FROM I i1 BUILDING PERMITN. THAT THE S OF ANY OT DEPICTED ,PDI DDEPARTMENT ON THE FINALSHALL NOT ISSUE MAP UNTIL THE O / / \ \ PROPOSED ROPOSED 5'(PXIO' DEEP \ WELL I GL051N6 OF THE DEVELOPMENT RIGHTS SALE IS COMPLETED IN ACCORDANCE L.P. FOR ROOF \ HELL OWNKITH TOF SOUTHOLDHE DPLANNINGMAP DDEPROOF R ARTMENT;AND OF SUCH LOSING IS SUBMITTED TO THE W 4 RUNOFF \ LOT >s2 x Z PROPOSED / i O. THAT THE AND INCL OPEN SPADE IS EQUAL TO CEL 5; SQUARE FEET OR 2.02 ACRES AND 15 INCLUDED IN AND PART OF PARCEL 51 AND 8'tPXIO' DEE/ I h+-1 2 d) p pLE — L.P. FOR ROOF / P. THAT THIS SUBDIVISION IS SUBJECT TO THE ARTICLE XXII, FARMLAND BILL OF LL 1)' R/ Lj \ RUNOFF / / / OF TH i [ADDED 5SOUTH97 BY LL. NO.I 1-1997] SECTION 100-220. RIGHT TO FARM, OF THE TOWN OF SOUTHOLD TOWN CODE. 12 'Wo „HOHD CEDAR / �'_ 5 l9 CANT) LLS) / z5p'-7' qq,_ ' li ; II4" HDND // _ _ / 'N OF SOUTHOLfU 1 GVv d I � 11 n PROPOSE I / ot NF /RESIDENG ' DAT (Q aall( l P��Fp,EY7.gG�`O GIRA � N f / N ,g• // PROPOSED , /14"° / / WELL LINE OF SILT 1I/ r / A 023493 ���2 l l i i i •'", " ` %`. I 1 FENCE AND HAYBALE $T --�_ / JEFFREY T. 6UTLER, P.E. EP / HDWo ��•�ILP Z ` 1 O ..t1 1 1n LOT #4 PROP05ED IV Hvrro H v �,u„ Nv / PR0705 �' 0 VACANT) / / LOT H5 / 8'cPXIO' DEEP 3.� -------- l EDi6R,ve i' WELLS) / (VACANT) N U L.P. FOR _ 1 i O / / (NO WELL5) ROOF RUNOFF za - - _ I / / [��-]] 04 � # TRE55 TO BE REMOVEDF�V-]-II L3 IS ~ Y C NOTE. THERE ARE NO WELLS WITHIN 150 FEET OF PROPERTY PROPOS D 5-6 BEDROOM SEPTIC, 5Y51' 1-1500 GAL. SEPTIC, TANK W/ I-8' DIA.xIb' DEEP / V L.P. (PROVIDE 50% EXPANSION) I _ d (�z m < (DOMESTIC WATER, IRRIGATION AND FIRE PROTECTION) / Q PARCEL NOT TO SCALE / Ou PACE: SITE PLAN TOTAL AREA = 8Q998.41 5Q.FT. MAY 2 7 2011 = 2.07 ACRE$ 1 7�1BUILDABLE LAND = b5,202.03 SQ.FT. 1 30 15 0 3o bo ao 120 150 40% CLEARED OF TOTAL AREA son@ham Tawn LOT COVERAGE = 5922 50 FT. / 65,202.05 SOFT. = .091 = 9.1% / Board of Uustees GRAPHIG 5GALE I" = 30`0" THE5E DRAWINGS AND AGCOMPANYING SPE WIGATION5,A5 INSTRUMENTS OF 5ERVIGE,ARE THE EXCLUSIVE PROPERTY OF THE ARGHITEGT AND THEIR U5E AND PUBLICATION SHALL BE RE5TRIGTED TO THE ORIGINAL 511E FOR WHICH THEY WERE PREPARED.REUSE,REPRODUCTION OR HUBLIGATION BY ANY METHOD, IH WHOLE OR IMPART, 15 PROHIBITED EXLEPT eY WRITTEN PERM15510N FROM THE ARCHITECT.TITLE TO THESE PLANS SHALL REMAIN WITH THE ARGHITECT. VIWAL C.ONTAGT WITH THEM SHALL GON5TITUTE PRIMA FACIE EVIDENCE OF ALGEPTANGE OF THESE RE5TRICTION5.