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HomeMy WebLinkAboutTR-7616 & BOARD OF SOUTHOLD,TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 7616 DATE: AUGUST 24, 2011 ISSUED TO: ,DAVID SCHULTZ PROPERTY ADDRESS: 2745 WICKHAM AVE., MATTITUCK Z SCTM#139-2-3 AUTHORIZATION Pursuant to the provisions of Chapter 275 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 August 24,2011 in consideration of application fee in the sum of$250.00 paid by David Schultz and subject to the Terms and Conditioiis'as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits ihe following Wetland Permit to construct-9 second-story addition onto an existing one-story, one-family dwelling; construct a two-story addition in place of existing attached deck an „(� remove remainder of existing dcik"congtkic`t' A 6'X 101 attached porch in place of existin I1. landing/steps to be removed; remove existing nonconforming sanitary system located les,4 2 than 10,Q' from wetlands; install drainage system of leaders, gutters and drywells; relqcal existing public water service; and establish 10',wide approx. 450 sf, non turf buffer to be 51 planted with native vegetation in place of existing lawn adjacent to tidal wetlands boundary;-and to remove the tree,located alongf the northwest corner of the dwelling, anc' as depicted on the'sur-'vey prepared by Nathan Taft Corwin III last dated April 12,2011 and,ktamped-approved on August 24,2011. 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. 01 C2 Q Q James F.King,PresidentOr3F SQUrjyOl Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375Main Road P.O..Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q Michael J.Domino YO Telephone(631) 765-1892 Fax(631) 765-6641 �y�OUNT'1, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 22, 2012 Mr. Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: DAVID SCHULTZ 2745 WICKHAM AVE., MATTITUCK SCTM# 139-2-3 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 22, 2012: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit#7616 to raise the existing dwelling 16" to comply with FEMA required base flood elevation; and as depicted on the revised survey prepared by Nathan Taft Corwin 111, Land Surveyor, last dated May 10, 2012 and stamped approved on August 22, 2012. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, Jam s F. King President, Board of Trustees JFK:amn ����gpFFOt,fco • Peter Young,Chairman Town Hall, 53095 Main Rd. Lauren Standish,Secretary T P.O.Box 1179 Southold,NY 11971 '�Q abs 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., August 15, 2012 the following recommendation was made: Moved by Doug Hardy, seconded by John Stein, it was RESOLVED to SUPPORT the application of DAVID SCHULTZ to Amend Wetland Permit #7616 to raise the dwelling 16" to comply with FEMA required base flood elevation. Located: 2745 Wickham Ave., Mattituck. SCTM#139-2-3 Inspected by: Doug Hardy, Audrey Horton Vote of Council: Ayes: All Motion Carried osvaFotK James E King,President P.O.Box 1179 Bob Ghosio,A..,Vice-President GF Southold,NY 11971 Dave Bergen y ? Telephone(63 1 765-1892 John Bredemeyer T Fax(631)065-6641 Michael J. Domino Southold Town Board of Trustees Field Inspection/Worksession Report i Date/Time: Au ° 20 t L DAVID SHULTZ requests an Amendment to Wetland Permit#7616 to raise the existing dwelling 16" to comply with FEMA required base flood elevation. Located: 2745 Wickham Ave., Mattituck. SCTM#139-2-3 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland,10�x "-,3 r Pa of Town Code proposed work falls under: -of Chapt. 111 _other Type of Application: Wetland _Coastal Erosion —Amendment —Administrative—Emergency Pre-Submission Violation Info needed: �lJe r�C Modifications: Conditions: Present Were: (/J. King _B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by lei t- Mailed/Faxed to: Date: Jill M.Doherty,President Town Hall, 53095 Main Rd. James F.King,Vice-President P.O. Box 1179 Dave Bergen • Southold,NY 11971 Bob Ghosio,Jr. �Ol �d� Telephone(631) 765-1892 John Brederneyer # Fax(63 1) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT i1; 2u"i2 DATE July 18,2012 OWNER David Schultz PHONE 631-298-9340 ADDRESS P.O.Box 624,Mattituck,NY 11952 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road, Southampton,NY 11968 PROPERTY LOCATION 2745 Wickham Avenue,Mattituck TAX MAP NO. 1000-139-2-3 I/We En-Consultantsrequest an Amendment to Permit# 7616 to raise the existing dwelling 16 inches to comply with FEMA required base flood elevation,as depicted on the site plan prepared by Nathan Taft Corwin,III, Land Surveyor, last dated May 10,2012. Signed By: q\a"l`` ROBERT E.HERRMANN,COASTAL MGMT. SPECIALIST Boa• of Trustees Application • County of Suffolk State of New York' 11ll,l 7�2 / ' z— 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. �i�Je?'vva/i Signature SWORN TO BEFORE ME THIS DAY OF A-f v S T .20Vq Notary Public DAWICL C.ROSS Notary Puulic,State of Now York No.4--17175 Qualified in Suffolk ms County. �j Comsslnn Fapiros&rjo,31, WD0 l 0 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Seuthold's Code of Ethics orohibits conflicts of interest on the part of town officers and employees The purpose of this form is to ros ide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. }/�J YOUR NAME: _ i 1 ��Ai1 Z z4 V/� ' (Last name,first name,middle initial,unless,you are 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 or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of 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 V/ NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Tory of Southold Title or position of that person L ,OWA/ 4041 _T�,74", / 9fa 7 /�eIGP Describe the relationship between yourself(the applicant agent representative)and the town officer or employee. Either check the appropriate line .A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): AI the owner of greater than 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,partner.or employee of the applicant;or __D)the actual applicant. DESCRIPTION OF RELATIONSHIP/ Submitted this 39dday of 200 Signature s Print Name4144.1 Form TS 1 • �gpFFO(�- • James F. King,President CD Mown Hall,53095 Main Rd. Bob Ghosio,Jr. ,Vice-President ,,. P.O. Box 1 179 Dave Bergen Southold, NY 11971 John Bredemeyer '�/Q ��� Telephone(631)765-1892 Michael J. Domino 1 # �` Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of DAVID SCHULTZ COUNTY OF SUFFOLK) STATE OF NEW YORK) - AFFIDAVIT OF POSTING 1,Robert: E. Herrmann residing at/dba En-Consultants 1319 N6rth Sea Road, Southampton being duly sworn, depose and say: That on the 15-day of August 2012, I personally posted the property known as 2745 Wickham Avenue, Mattituck; SLIM #1000-139-2-3 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed., August 22, 2012. Dated: (signature Sworn to before me this day of 1Zr 20/y a 'Public IN N . STEPNENS NOTARY PUBLIC STATE OF NEW YORK COMMISSION NO . 5015931 QUALIFIED IN SUFFOLK COUNTY EXPIRES Al.!6UST 2 . 20-_ , NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant :David Schultz SCTM#1000- 139-2-3 YOU ARE HEREBY GIVEN NOTICE : 1 . That it is the intention of the undersigned to request a Permit from the Board of Trustees to : Amend Permit#7616 to raise the existing dwelling 16 inches to comply with FEMA required base flood elevation,as depicted on the site plan prepared by Nathan Taft Corwin,III,Land Surveyor,last dated May 10,2012. 2 . That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows : 2745 Wickham Avenue,Mattituck 3. That the project which is subject to Environmental Review under Chapters 32 , 37 , or 97 0£ the Town Code is open to public comment on:August 22nd,2012@6:00p.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 _ OWNERS NAME: David Schultz MAILING ADDRESS: P.0.$ox624 Matttituck,NY 11952 PHONE # : 631-298-9340 Enc . : Copy of sketch or plan showing proposal for your convenience . 5 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address : Town of Southold P.O.Box 1179 Southold,NY 11971 Matt A Mar,Inc. P.O.Box 450 Mattituck,NY 11952 Ali Agarabi Revocable Trust P.O.Box 450 Mattituck,NY 11952 STATE OF NEW YORK COUNTY OF SUFFOLK Robert E.Herrmann doing business a t En-Consultants 1319 North Sea Road Southampton,NY 11968 being duly sworn, deposes and says that on the 10th day of AuguSt ,20 12 , 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 addressesset 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 Southampton that said Notices were mailed to each of said persons by (certified) 7 ;C__7�C3C3C7{YJC�CdA) mail . Sworn to before me this 15th day of August 20 12 Notarvrtblic NIM H . S T E P H E N S NOTARY PUBLIC STATE IF NE , YORK COMMIiI109 N0 . 5015931 QUALIFIED 1 'I SUFF9LK COUNTY EXPIRES AUGUST 20[3 i i Postal Postal CERTIFIED 1RECEIPT (Domestic Only; 1 IL. RECEIPT 0 (Domestic Mail Only;No Insurance Coverage Provided) ..n II OFFICIAL a .n ra Postage $ rR r-1 Pomige $ '3 CeNiletl Fee C3 � CedHled Fee O Rotum Receipt Fee9117 O G '� 2 O (Endorsement R ul Here O AU pull, eq retl) Ree Receipt Fee Here C3 Restricted Delivery Fee (EMoreement Required) M1 (Endorsement Required) O Residcted Delivery Fee M1 (Endorsement Requiretl) O Total Postage f M _ Total Poetegr asenrro a Town of Southold Ali Agarabi Revocable Trust Sent To Srreei,Api-No:;' P.O. Box 450 0 f` P.O. Box 1179 or PO "O Mattituck, NY 11952 �tPOBOt". ciy ziroe O1 POtate, IP Southold, NY 11971 City,SYefe,ZIP Postal CERTIFIED MAIL,, RECEIPT (Domestic Mail Only;No insurance Coverage Provided) .n CD ..D L USE ra Postage $ Qceff d Fee 0 Retum Receipt Fee ``V Postmark O (Endorsement Required) Here ReeMoled Delivery Fee M17� (Ergoree D Required) S O Total Postag- � �" Matt A Mar, Inc. M1 9freef,AWF?QZ P.O. Box 450 o POBO,No. Mattituck NY 11952 --------- cm;stare,z�f • 1319 North Sea Road Southampton, New York 11968 A� EWCONSULTANTS 631-283-6360 enconsult nts.co6 www.enconsultants.com ENVIRONMENTAL CONSULTING July 18,2012 �iiU- Pei Jivh RFO TF CT FOR ANA AMFNDMF.NT Town of Southold Board of Trustees — _ Post Office Box 1179 i �6 (l� �� Southold,New York 11971 r _ j• j t Attn.: Lauren Standish JUL 2 3 2Q12 Re: David Schultz 2745 Wickham Avenue,Mattituck SCTM#1000-139-2-3 Dear Ms. Standish: -` In regard to the above referenced property,enclosed are the following for the Board of Trustees review: 1. Three(3)Wetland Permit Applications including a) authorization&disclosure forms, b) surveys. 2. Copy of Permit No.7616. 3. Application fee of$50.00. 1 trust this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sin er y, tephens / Enc. Jill M. Doherty, President ��a Sol,l' Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road y P.O. Box 1179 James F. King T Southold, New York 11971-0959 Dave Bergen John Bredemeyer '� �� Telephone(631) 765-1892 I�COU 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. 7616 DATE: AUGUST 24,2011 ISSUED TO: DAVID SCHULTZ PROPERTY ADDRESS: 2745 WICKHAM AVE., MATTITUCK SCTM#139-2-3 AUTHORIZATION Pursuant to the provisions of Chapter 275 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 August 24.2011 in consideration of application fee in the sum of$250.00 paid by David Schultz and subject to the Terns and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the followin Wetland Permit to construct a second-story addition onto an existing one-story, one-family dwelling; construct a two-story addition in place of existing attached deck an remove remainder of existing deck; construct a 6'X 10' attached porch in place of existi landingtsteps to be removed; remove existing nonconforming sanitary system located les than 100' from wetlands; install drainage system of leaders, gutters and drywells; reloca existing public water service; and establish 10' wide approx.450 sl: non turf buffer to be planted with native vegetation in place of existing lawn adjacent to tidal wetlands boundary,and to remove the tree located along-the northwest corner of the dwelling, an as depicted on the survey prepared by Nathan Taft Corwin III last dated April 12, 2011 and stamped approved on August 24,2011. 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. �gyfFQ(,�-c w �A'Ypl # 0 a13 e r "c. TERMS AND CONDITIONS The Permittee,David Schultz,residing at 2745 Wickham Ave Mattitucic 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. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. Jill M. Doherty, President OF soyo Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road James E King * * P.O.Box 1179 Southold, New York 11971-0959 Dave Bergen H John Bredemeyer � Telephone(631) 765-1892 3 COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 24, 2011 En-Consultants 1319 North Sea Rd. Southampton, NY 11968 RE: DAVID SCHULTZ 2745 WICKHAM AVE., MATTITUCK SCTM#139-2-3 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wed., August 24, 2011 regarding the above matter: WHEREAS, En-Consultants on behalf of DAVID SCHULTZ 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 August 2, 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 24, 2011, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 • . WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, and, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees has found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVES the application of DAVID SCHULTZ to construct a second-story addition onto an existing one-story, one-family dwelling; construct a two-story addition in place of existing attached deck and remove remainder of existing deck; construct a 6'X 10' attached porch in place of existing landing/steps to be removed; remove existing nonconforming sanitary system located less than 100' from wetlands; install drainage system of leaders, gutters and drywells; relocate existing public water service; and establish 10' wide approx. 450 sf. non-turf buffer to be planted with native vegetation in place of existing lawn adjacent to tidal wetlands boundary, and to remove the tree located along the northwest comer of the dwelling, and as depicted on the survey prepared by Nathan Taft Corwin III last dated April 12, 2011 and stamped approved on August 24, 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, l/ Jill M. Doherty, Preside Boa of Trustees JMD/Ims M �o�gpFFO(,fc d Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary T 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., August 17, 2011, the following recommendation was made: Moved by Doug Hardy, seconded by Audrey Horton, it was RESOLVED to SUPPORT the Wetland Permit application of DAVID SCHULTZ to construct a second-story addition onto an existing one-story, one-family dwelling; construct a two-story addition in place of existing attached deck and remove remainder of existing deck; construct a 6'X 10' attached porch in place of existing landing/steps to be removed; remove existing nonconforming sanitary system located less than 100' from wetlands; install drainage system of leaders, gutters and drywells; relocate existing public water service; and establish 10' wide approx. 450 sf. non-turf buffer to be planted with native vegetation in place of existing lawn adjacent to tidal wetlands boundary. Located: 2745 Wickham Ave., Mattituck. SCTM#139-2-3 Inspected by: Audrey Horton, Jack McGreevy, Doug Hardy Vote of Council: Ayes: All Motion Carried C P.G.Box 1179 Jill M. Doherty,President QV O Bob Ghosio,Jr.,Vice-President �� Oy Southold,NY 11971 James F. King ti ? Telephone(631 765-1892 Dave Bergen �� 1w Fax(631)765-6641 John Bredemeyer Southold Town Board of Trustees Field InspectionlWorksession Report Date/Time: 41(— 20 Zoo 1-1 � DAVID SCHULTZ requests a Wetland Permit to construct a second-story addition onto an existing one-story, one-family dwelling; construct a two-story addition in place of existing attached deck and remove remainder of existing deck; construct a 6'X 10' attached porch in place of existing landing/steps to be removed; remove existing nonconforming sanitary system located less than 100' from wetlands; install drainage system of leaders, gutters and drywells; relocate existing public water service; and establish 10'wide approx.450 sf. non-turf buffer to be planted with native vegetation in place of existing lawn adjacent to tidal wetlands boundary. Located: 2745 Wickham Ave., Mattituck. SCTM#139-2-3 Type of area to be impacted: GtIr71, C2�Fc/� saltwater Wetland _Freshwater Wetland _Sound _Bay i Distance of proposed work to edge of wetland 3 S Part of Town Code proposed work falls under: ZChapt.275 _Chapt. 111 _other Type of Application: Wetland _Coastal Erosion _Amendment —Administrative—Emergency _Pre-Submission Violation Info needed: Modifications: .ZNC L.V DIF IZA!E U40 U f/ L o f ",e,l-lr 77G/S.4j- o ✓ N Gf (2o/e✓r= 2 e) 1.1-1-01f Conditions: Present Were: —J. Doherty B. Ghosio J. King _ D. Bergen, J. Bredemeyer D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: DAVID SCWTZ,2745 WICKHAM AVENUE,M*ITUCK A L , at' Figure 1. Looking north west from road side of property over location of proposed sanitary system to south/west side of existing garage. w i"- Figure 2. Looking northeast at south/west side of existing dwelling and locations of proposed second-story Addition;two-story addition in place of existing deck;and porch in place of existing stoop and steps. "• i J. •M i �f I� I - t i 8 -1 AIL TI�ILIh+� Y l Y I t f r T •k. RM; IA' Pa Ta[Seni¢ApaM,y _••••••• .rrm� r s Vin �� d>m N Af _ „ . N / • t a ranca COUNT OF SUFFOLK/© \ onxwu NealPlepeny Tama Sem mem r ,V 139 OFFICE LOCATION: aQF SO(/r� MAILING ADDRESS: Town Hall Annex �0� Ol0 P.O. Box 1179 54375 State Route 25 yy Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) T Southold, NY 11971 CA Telephone: 631 765-1938 �O Fax: 631765-3136 Cow, LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jill Doherty, President AUG 1 9 2011 Town of Southold Board of Trustees From: Mark Terry, Principal Planner Southhoid Town LWRP Coordinator Board of Trustees Date: August 19, 2011 Re: Proposed Wetland Permit for DAVID SCHULTZ SCTM# 1000-139-2-3 En-Consultants on behalf of DAVID SCHULTZ requests a Wetland Permit to construct a second-story addition onto an existing one-story, one-family dwelling; construct a two-story addition in place of existing attached deck and remove remainder of existing deck; construct a 6'X 10' attached porch in place of existing landing/steps to be removed; remove existing nonconforming sanitary system located less than 100' from wetlands; install drainage system of leaders, gutters and drywells; relocate existing public water service; and establish 10' wide approx. 450 sf. non-turf buffer to be planted with native vegetation in place of existing lawn adjacent to tidal wetlands boundary. Located: 2745 Wickham Ave., Mattituck. SCTM#139-2-3 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the 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 �gUFFikf • Jill M.Doherty, President Town Hall, 53095 Main Rd. James F.King,Vice-President y. P.O. Box 1179 Dave Bergen Southold,NY 11971 Bob Ghosio,Jr. A Telephone(631) 765-1892 John Brederneyer Oj # Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Cyastal Erosion Permit Application _✓Wetland Permit Application _Administrative Permit Am endmenUFransfer/Exten si on ..-geceived Applica ion: I -leceived Feel lv- Jarfmpleted Application Incomplete _ ,� SEQRA Classification: I�L� AUG 2011 .� Type ( Type 11 Unlisted Coordination: (date sent) �/ cr,:?nc!d Tec:n i R.WRP Consistency Assess ent Form / pcc„-�, of lrusteFs �AC Referral Sent �� _ -----------'— ,Hate of Inspection: / _Receipt of CAC Report: _Lead Agency Determination: Tpchnical Review: tfiublic Hearing Held: Resolution: Name of Applicant DAVID SCHULTZ Address P.O. BOX 624, MATTITUCK,NY 11952 Phone Number: 631 298-9340 Suffolk County Tax Map Number: 1000 - 139-2-3 Property Location: 2745 WICKHAM AVENUE,MATTITUCK (provide LILCO Pole #, distance to cross streets, and location) AGENT:EN-CONSULTANTS, INC. (If applicable) to Address: 1319 NORTH SEA ROAD, SOUTHAMPTON,NY 11968 Phone:631-283-6360 �oard of Trustees Applicarr GENERAL DATA Land Area (in square feet): 7,280 s.f. Area Zoning: R-40 Previous use of property: ONE-STORY,ONE-FAMILY DWELLING WITH DECK Intended use of property:TWO-STORY, ONE-FAMILY DWELLING WITH PORCH Covenants and Restrictions: Yes X No If"Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes X No If"Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency Date SOUTHOLD WETLANDS#5744 NYS DEC,#1-4738-03288 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Construct a second-story addition onto existing one-story,one-family dwelling;construct a two-story addition in place of existing attached deck and remove remainder of existing deck; construct a 6'x 10'attached porch in place of existing landing/steps to be removed;remove existing nonconforming sanitary system located less than 100'from wetlands; install drainage system of leaders,gutters,and drywells;relocate existing public water service;and establish 10'wide approximately 450 s.f non-turf buffer to be planted with native vegetation in place of existing lawn adjacent to tidal wetlands boundary, all as depicted on the site plan prepared by Nathan Taft Corwin, III,Land Surveyor, last dated April 12,2011. �ard of Trustees Applicat WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Expansion and renovation of existing one-family dwelling. Area of wetlands on lot: +/-139 square feet Percent coverage of lot: +/ 1.9 1 Closest distance between nearest existing structure and upland edge of wetlands: 34.5 feet Closest distance between nearest proposed structure and upland edge of wetlands: 34.5 feet Does the project involve excavation or filling? No X Yes As needed for porch addition, sanitary system, If yes, how much material will be excavated?TBD cubic yards and drainage system How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: Standard construction practices. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The proposed dwelling expansion will occur entirely within the footprint of existing structural areas,thus neither increasing lot coverage nor decreasing wetlands setbacks. Therefore the proposed structure footprint will have no additional potential impacts on the adjacent tidal wetlands or waters of the Town as compared to the existing. The project will,however, improve both groundwater and surface water quality as a result of the increased separation distance between the sanitary system and Long Creek and the improved treatment of on-site septic as a result of the sanitary system relocation and upgrade,respectively. The volume of roof runoff will be decreased as a result of the installation of the drainage system of leaders,gutters, and drywells; and the establishment of a naturally planted 10'wide 450 s.f. nonturf buffer adjacent to the tidal wetlands boundary will both decrease the potential volume of surface water runoff entering Long Creek and improve the quality of that runoff by replacing potential fertilizer dependent lawn areas with native vegetation. The environmental impact of the project will therefore be a net improvement of the site conditions with respect to the protection and enhancement of the adjacent tidal wetlands. • 617.20 SEQR PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY IEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1-PROJECT INFORMATION (To be completed by A plicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME DAVID SCHULTZ BY EN-CONSULTANTS 3.PROJECT LOCATION: MunicipalityMATTITUCK County SUFFOLK 4.PRECISE LOCATION:Street Address and Road Intersections.Prominent landmarks etc-or provide map 2745 WICKHAM AVENUE,MATTITUCK, TOWN OF SOUTHOLD, SCTM#1000-139-2-3 5.IS PROPOSED ACTION: ® New F Expansion ❑M>mf cation/alteratim 6. DESCRIBE PROJECT BRIEFLY: Construct a second-story addition onto existing one-story,one-family dwelling;construct a two-story addition in place of existing attached deck and remove remainder of existing deck;construct a 6'x 10'attached porch in place of existing landing/steps to be removed;remove existing nonconforming sanitary system located less than 100'from wetlands; install drainage system of leaders,gutters,and drywells;relocate existing public water service;and establish 10'wide approximately 450 s.f.non-turf buffer to be planted with native vegetation in place of existing lawn adjacent to tidal wetlands boundary,all as depicted on the site plan prepared by Nathan Taft Corwin,111, Land Surveyor, last dated April 12,2011. 7.AMOUNT OF LAND AFFECTED: Initially 0.167 acres Ultimately 0.167 acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ®Yes ElNo If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?(Choose as many as apply.) ®Residential ElIndustrial 1:1 Commercial Agriculture E]Park/Forest/Open Space Other(describe) 10.DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(Federal,State or Local) ®Yes ❑No If yes,list agency name and permit/ approval: DEC, SCDH 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ®No If yes,list agency name and permit/ approval: 1tjS ALoT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? Yes N I CERTIFY T AT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/ Sponsor Nam ROBERT E. HERRMANN,COASTAL MANAGEMENT SPECIALIST Date:JULY 27,2011 Signature If the action is a Coastal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment 0 0 PART 11 - IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. ❑ Yes ❑� No R 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 0✓ 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 term,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)? If es,ex Iain briefly: ❑ Yes ❑✓ No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es explain: Yes ❑✓ No F- I- 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 ii was checked yes,the determination of significance mustevaluate 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 hnpads which MAY occur.Then proceed directly to the FUL EAF and/or prepare a positive declaration. Check this box if you have determined,based on the Information and analysis above and any supporting documentation,that the proposed alio 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 Date Jill M. Doherty President rint or Type Name of Responsible Officer in Lead Agency Tide of Responsible Officer A1. 1 - rSignature o po j risiWOffioar in Lead Agency Signature of Preparer(if different frorn responsible officer o � Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.MA THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 1000 139 2 3 STORM-WATER,GRADING,DRAINAGE AMP EROSION CONTROL PLAN 171—isfir-rcT Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK- PROPOSED CONSTRUCTION ITEM#/WORK ASSESSMENT Yes 0 a.What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (include Total Area of all Parcels located within 7 280 s.f Generated by a Two(2")Inch Rainfall on Site? / El Scope of work for Proposed Construction) (S.F./Arree)) (This item will include all run-off created by site b,What is the Total Area of Land Clearing clearing and/or construction activities as well as all LXX and/or Ground Disturbance for the proposed +/-4,000 s.f. Site improvements and the permanent creation of construction activity? (ST./Arras) impervious surfaces.) 2 Does the Site Plan and/or Surg Show All Proposed Si ❑ PROVIDE BRIEF PROJECT DESCRIPTION(Provide Additional Pages as Needed)) Drainage structures Indicating Size&Location?This item shall include all proposed Grade Changes and Construct a second-story addition onto existing one-story, Slopes Controlling Surface Water Flow, one-family dwelling;construct a two-story addition In p ace OT 3 Does the Site Plan and/or Survey describe the erosion \ i ❑ existing attached deck and remove remainder of existing deck; and sediment control practices that will be used to !X� construct a 6'x 10'attached porch in place of existing control site erosion and storm water discharger.This landing/steps to be removed;remove existing nonconforming Item must be maintained throughout the Entire sanitary system located lesst an 100' niConstruction Period.from wetlands;s; sta 1 drainage system of leaders,gutters,and drywells;relocate 4 Will this Project Require any Land Filling,Gradin or ❑ X Excavation where ere is a change to tFre Natural existing public water service;and establish 10'wide Existing Grade involving more than 200 Cubic Yards approximately 450 s. .non-turf buffer to be planted with native of Material within any Parcel? vegetation n inr place existing lawn adjacent to tidal wetlands 5 Will this Application Require Land Disturbing Activities ❑ boundary,all as depictedon the site plan prepare y Nat hon Encompassing an Area in Excess of Five Thousand Taft Corwin,111,Land Surveyor,last dated April 12,2011. (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site?Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbarrces of one(1)or more acres:including disturbances of less than one acre that 7 will there be Site preparation on Existing Grade Slopes ❑ are part of a larger common plan that will ultimately disturb one or more acres of lards; which Exceed Fifteen(15)feet of Vertical Rise to hruduVCnNnictliarachitia nrdviTsod cisurtacccof leu thanore(1)acre where One Hundred(100')of Horizontal Distance? the DEC las determined that a SPDES permit is required for storm water discharges, p ISWPPP's Shall meet the Minimum Requirements of the SPDES General Permit O Will Driveways,Parking Areas or other impervious for Storm Water Discharges from Construction activity-Permit No.GP.0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off ❑ 1.The SW PPP shall be prepared prior to the submittal of the NOT. The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. (� 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ❑ required,post-construction storm water management practices thatwill be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit. In addition,the SWPPP shall Area?(Thi.itemwlll NOT imlvduhe inarallatian o(Ddveway Apmm.) identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE:If Any Answer to Questions One through Nine is Answered with a Check Mark 3.All SW PPPs that require the post-construction storm water management practice in a Box and the construction site disturbance is between 5,000 S.F.k 1 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drains e k Erosion Control Plan is Required by the Town of that is knowledgeable in theprinciples and ractices of Storm Water Management. Southold and Must be Submittedgfor Review Prior to Issuance of Any Building Permit. ge P g NJM AChwkNiuk and/m Ar forewhQ tmis fora STATE OF NEW YORK, SUFFOLK SS COUNTY OF - That 1, ROBERTE. HERRMANN being duty sworn deposes and says that he/she fs the,applicant for Permit, - (li§mcficL[adctElsi@aKliunert) And that he/she is the AGENT FOR OWNER - - (C1vs,Catrami agit QahzrdbeClfiar etc 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 manners set forth in the application filed herewith. Sworn to before a this; >� day of, JULY 12011 Nolary Pub -- _ _-- .-- -- TEPHE-N-S P U B L I C signature o(ApplicanQ FORM - 06/10 STATE OF NEW YD COMMISSION N0 . 5015931 QUALIFIED IN SUFFOLK CIINTY EXPIRES AU6US1 2 , 20 • Jill M. Doherty,President Town Hall, 53095 Main Rd. .lames F. King,Vice-President T P.O. Box 1179 Dave Bergen Southold,NY 11971 Bob Ghosio, Jr. 7/ Telephone(631) 765-1892 John Brederneyer * Fax (631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------- -- - - -- In the Matter of the Application of DAVID SCHULTZ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I ROBERT E.HERRMANN fesidinght /dba EN-CONSULTANTS 1319 NORTH SEA ROAD, SOUTHAMPTON,NY 11968 being duly sworn, depose and say: That on thel6'`day of AUGUST 2011 , I personally posted the property known as 2745 WICKHAM AVENUE,MATTITUCK,TOWN OF SOUTHOLD, SCTM#1000-139-2-3 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed August 24 011 on or about 6:00 PM. Dated: (signatur Sworn to before me this 24TH day of AUG. 2011 Notary Public KIM H . STEPHENS NOTARY PUBLIC STATE OF NEW YORK C0MM15SION N0 . 5015931 QUALIFIED IN SUFFOLK COUNTY EXPIRES Al' GUST 1 . 70j3 NOTICE TO ADJACENT PROPERTY OWNER r BOARD OF TRUSTEES, TOWN OF SOUTHOLD j�( In the matter of applicant: DAVID SCHULTZ SCTM#1000-139-2- erd ros eea YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Construct a second-story addition onto existing one-story, one-family dwelling;construct a two-story addition in place of existing attached deck and remove remainder of existing deck;construct a 6'x 10' attached porch in place of existing landing/steps to be removed;remove existing nonconforming sanitary system located less than 100' from wetlands; install drainage system of leaders,gutters,and drywells; relocate existing public water service; and establish 10'wide approximately 450 s.f.non-turf buffer to be planted with native vegetation in place of existing lawn adjacent to tidal wetlands boundary, all as depicted on the site plan prepared by Nathan Taft Corwin,III,Land Surveyor,last dated April 12,2011. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 2745 WICKHAM AVENUE,MATTITUCK 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: DATE: AUGUST 24TH,2011 @ 6:00 P.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. DAVID SCHULTZ PROPERTY OWNERS NAME: P.O.BOX 624 MAILING ADDRESS: MATTITUCK,NY 11952 PHONE#: 631-298-9340 AGENT: EN-CONSULTANTS MAILING ADDRESS: 1319 NORTH SEA ROAD, SOUTHAMPTON,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. OF OF MAILING OF NOTICE ACH CERTIFIED MAIL RECEI Name : Address : TOWN OF SOUTHOLD P.O. BOX 1179 SOUTHOLD,NY 11971 MATT A MAR, INC. P.O. BOX 450 MATTITUCK,NY 11952 ALI AGARABI REVOCABLE TRUST P.O. BOX 450 MATTITUCK,NY 11952 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT E. HERRMANN doing business at EN-CONSULTANTS, INC. 1319 NORTH SEA ROAD SOUTHAMPTON,NY 11968 being duly sworn, deposes and says that on the 8th d a y of August 20 11 , 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 their 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 SOUTHAMPTON that said Notices were Mailed to each of said persons by (certified) ) mail. ROBERT E. HERRMANN COASTAL MANAGEMENT SPECIALIST Sworn to before me this 8th KIM H . STEPHENS day of August 2011 I011)1.' PNBLIC STAT oF ,14(vv YORK li COMMI ;;jIJN NO . 5015931 Z� � l QUALIFIED IN SUFFOLK COUNTY C Notary P ic EXPIRES AUGUST 1 . 20a t `9 m P• I a O" r^v1-21 (Domestic Mail Only; Provided) .. C3 p P. .,i 4 4 M ht,�• `#gym M t a::: x.m C7 Postage $ O Cedified Fee Return Receipt Fee Postmark (Endorsement Required) Here Restricted Delivery Fee -' O (Endorsement Required) Er Om Total Poi° �'— �: C3 Bent To Town of Southold OC3 P.O. Box 1179 S%reef,Apt.Ni -- t` or PO Box No Southold,NY 11971 C%N.Siaie,Z%t Postal -- CERTIFIED MAIL,. RECEIPT pVru (Domestic M 0 0 C3 Postage $ oU 0 Certified Fee C3 r" Postmark O Return Receipt Fee ^Baia;. C7 (Endorsement Required) Restricted Delivery Fee O (Endorsement Required) Er M m Total Postagr - C3 Sent To Matt A Mar, Inc. raP.O. Box 450 O Sti,Apt.No r or PO Box No. Mattituck,NY 11952 Cly.Siete,ZIP :rr Postal CERTIFIED MAIL,�, RECEIPT IM (Domestic M TIT IrTi v 0 r-3 Postage $ O Candied Fee 0Postmark Return Receipt Fee Here O C3 (Entlorsement Required) j RestrictedDelivery Fee (EndorsementC3 Required) Ir C3 Total Past[ IM o Sent To Ali Agarabi Revocable Trust o sireetA6i i P•O. Box 450 r` or FOBox A Mattituck, NY 11952 cM;sr•n.: P" NA and of Trustees Application• County of Suffolk State of New York 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), 1F 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 OFTHISAPPLICATION. Signature SWORN TO BEFORE ME THIS DAY OF ,Y T ,20 �9 Notary Public DANK-L C.ROSS NotaryPutlic,State of New York No.4;:)7175 Qualified in Suffolk Coun Commission 7.4pires Aao.311,VD APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (f'� iri��Z �GfV/� (Last name,first name,middle initial,unless you are 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 or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of 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 V/ NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the To of Southold \J/Y,I/l ZA///{�S k �/� Title or position of that person (�,DI^� %I/AN ,fna-lln �iii./ Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his m her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 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,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thisday of �i 200 Signature 79 Print Name Form TS I Town of Southold • • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I . All applicants for permits' including Town of Southold agencies, shall complete this CCA F for proposed actions that are subject to the Town of Southold W ocrfront Consistency Review Law . This assessor ent is intended to supplem cut other inform alion used by a Town of Southold agency in an a k in g a d e t e r m in a t i o n o f c o n s i s t e n c y. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 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 detail, listine both supportine and non- supportine 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 (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 139 - 2 - 3 PROJECT NAME DAVID SCHULTZ The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ❑ construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) ❑ (c) Permit, approval, license, certification: Nature and extent of action: Construct a second-story addition onto existing one-story,one-family dwelling;construct a two-story addition in place of existing attached deck and remove remainder of existing deck;construct a 6'x 10'attached porch in place of existing landing/steps to be removed;remove existing nonconforming sanitary system located less than 100'from wetlands; install drainage system of leaders, gutters,and drywells;relocate existing public water service;and establish 10'wide approximately 450 s.f non-turf buffer to be planted with native vegetation in place of existing lawn adjacent to tidal wetlands boundary,all as depicted on the site plan prepared by Nathan Taft Corwin,III,Land Surveyor,last dated April 12,2011. Location of action: 2745 WICKHAM AVENUE,MATTITUCK Site acreage: 7,280 S.F. Present land use: RESIDENTIAL, SINGLE-FAMILY DWELLING Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant:DAVID SCHULTZ (b) Mailing address: P.O. BOX 624 MATTITUCK,NY 11952 (c) Telephone number: Area Code 631-298-9340 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No ® If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes ❑ No ® 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 0 Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ® Yes ❑ No ❑ Not Applicable The expansion of natural vegetation adjacent to the tidal wetlands associated with Long Creek will enhance the natural appearance of the transition area between the developed portion of the property and Long Creek. 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 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 The proposed relocation and upgrade of the on-site sanitary system from a single cesspool located less than 100'from wetlands to a SCDHS-approved sanitary system consisting of a septic tank and cesspools located more than 100 feet from wetlands will result in an improvement of groundwater and thus ultimately surface water quality of Long Creek. The addition of a drainage system of leaders, gutters, and drywells will reduce the volume of roof runoff;and the establishment of a 10'wide,+/-450 s.f nonturf buffer in place of existing lawn area adjacent to the tidal wetlands will both decrease the potential volume of surface water runoff entering Long Creek and improve the quality of that runoff both directly through the elimination of potentially chemically dependent lawn areas and indirectly as a result of the buffer's ability to act as a sink for capture of fertilizers and other chemicals before they enter the Creek. 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 Although the project cannot meet the requeetlands setbacks due to the preexisting locatl*f the existing house,the proposed project has been designed to minimize new disturbance and structural areas on the property by limiting the proposed expansion to additions over or in place of existing structures. Specifically, as a result of the proposed additions,there will be an increase of only 20 square feet of"lot coverage"as defined by Town Code;and the net increase in"ground area coverage"by the finished dwelling and attached structures will be only 3 square feet. Given that this negligible change in structural areas nearly qualifies the project to be exempt from Waterfront Consistency Review and the positive impacts of the mitigation measures outlined in relation to Policy 5 above, the project is consistent with Policy 6. 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 Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable 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. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's wadependent uses and promote sitin new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 5 for evaluation criteria. F-1Yes El No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY TITLE COASTAL MCMT SPECIALIST DATE JULY 27,2011_ ROBERILK. HERRMANN Amended on 811105 i • • 1319 North Sea Road A,4 Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 N- ONSULTANTS, INC. www.enconsultants.com ENVIRONMENTAL CONSULTING August 1 , 2011 Town of Southold i^� ............. L Board of Trustees 54375 Main Road — 2 2011 Post Office Box 1179 �L', AUG Southold,New York 11971 Attn.: Lauren Standish Southold Town Re: David Schultz L Boartl et Trustees 2745 Wickham Avenue,Mattituck SCTM#1000-139-2-3 Dear Ms. Standish: In regard to the above referenced property,enclosed are the following for the Board of Trustees review: 1. Three(3)Wetland Permit Applications including: a) Short Environmental Assessment Form; b) Authorization&Disclosure Forms; c) project plans; and d) survey. 2. One(1)set of site photographs. 3. Application fee of$250.00 wetlands. 4. Three(3)LWRP Consistency Assessment Forms including: a) project plan. I trust this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sine rely, Robert E. Herrmann Coastal Management Specialist /khs Enc. m=� SURVEY OF PROPERTY SITUATE 4 Mit, Oy 2MATTITUCK o= �� TOWN OF SOUTHOLD ` SUFFOLK COUNTY, NEW YORK WSW s S.C. TAX No. 1000- 139 -02-03 SCALE 1 "= 10' MAY 16, 2007 JANUARY 20, 2010 UPDATE SURVEY Cry / / MARCH 9, 2011 ADDED PROPOSED ADDITIONS APRIL 12, 2011 REVISED MAP SSS ), Pr�� TOTAL AREA = 7,280 sq. ft. F \ AO TDO4,� ° (ro TIE 0.167 ac. A- ' ` Ce° UPLAND AREA EA = 7,141 sq. ft.ey FWETLANDS AREA — 139 rs ft. (�JI °N,e\ �Q MpNO P AUG - 2 2011 OSCn W." rO eRF AP's / A SollBald Town Board Of Tr11510Es r`Yy63 A/ EXISTING LOT COVERAGE OVER = $3°T Uv rs eN I a z UPLAND AREA (7, 141 sq. ft.) 32 DESCRIPTION AREA % LOT COVERAGE Q 0� \rtO hr I srA� ro, II a o EXIST. HOUSE 1 ,079 sq, ft. 15.1 / q s E` Vi°s\ VA EXIST. WOOD DECK 228 sq. ft. 3.2% ; EXIST. GARAGE 373 sq. ft. 5.2% cr' se Fo TOTAL EXIST. 1 ,680 sq. ft. 23.5% °/ �� `S2= ��q A, srG��gsr ' \ '\ PROPOSED LOT COVERAGE OVER 1001 �Rc A 'psis agARo \\ UPLAND AREA (7, 141 sq ft.) s 0�' rsrN �9oo moo, r6p� N DESCRIPTION AREA r: LOT COVERAGE to. ' 'Srir�oik, FRN hF 5` '�,\ 1\ T'N PROP. HOUSE 1 ,267 sq. ft. 17,8% Air G PROP. PORCH 60 sq. ft. 0.8% of } \ EXIST. GARAGE 373 sq. ff. 5.2% TOTAL PROPOSED 1 ,700 s ft. 23.8% "' q NOTES. yx l \Bs- \1! Rf "iTil 0 Y / 6P!e �\ 2 s DIN 1 TEST'HT]LE rFkst 1 . ELEVATIONS ARE REFERENCED TO 1988 N.A.V.D. DATUM s //� 's;, / 8 / °6p'vo EXISTING ELEVATIONS ARE SHOWN THUS: too \ ` \ 4 / N\ 0 Dz aFA°G/rose c �`�, s'Pc 1ac °R"'Fir ^ �• o° 2. FLOOD ZONE INFORMATION TAKEN FROM: / / w %l..-. °'in rt°.p�r T s eWi _ Qy m EXISTING LOT COVERAGE OVER FLOOD INSURANCE RATE MAP No. 36103CO481H r ze O s ,pS� ,� 6 I `I 3 a ADJACENT AREA ZONE AE. BASE FLOOD ELEVATIONS DETERMINED / j � - / eNr<� \ r" ' xv 5.� I jJ p ° (AREA BETWEEN LANDWARD WETLANDS LANE ZONE X' AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FL ODPLAIN P"% to 6" \ CQ x -o AND 10' CONTOUR LINE — 5, 115 sq ft ) 3. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND I \ � � I rFRos� �' GO DESCRIPTION AREA X LOT covERACE REMOVED IN ACCORDANCE WITH S.C.D.H.S. STANDARDS. I ,fy .,o " %� \ 1 10 di ?, � N e a , EXIST. HOUSE 1 ,079 sq. ft. 21 .1% 4. MINIMUM SEPTIC TANK CAPACITIES FOR A 4 BEDROOM HOUSE IS 1 ,200 GALLONS. 'y9r, �'" ro+m� /r i. 108 STU °" % '�-'' 1 TANK; 8' DIA. 4' LIQUID DEPTH r`�o _ rear°L 'Q c ° °° �� EXIST. WOOD DECK 228 s ft. 4.5% / '' Y M N q. 5. MINIMUM LEACHING SYSTEM FOR A 4 BEDROOM HOUSE IS 300 sq ft S DEWALL AREA. oy, 9��ry'' _ �O�s O�eo'Ty !' ' / 1 'OP °� W ° ��Gi 6 POOLS; 2' DEEP, 8' BIG. ry / >< h a yc TOTAL EXIST. 7 ,307 sq. ft. 25.6% ? 7y q ST '3 e� i J '�.,. Cq? /9w ° ° P PROPOSED LOT COVERAGE OVER FT PROPOSED EXPANSION POOL FR O . h , , ' / a� qCF / ° , v I A� ADJACENT AREA ` �, Rqy ass / / /7*� /, , (AREA BETWEEN LANDWARD WETLANDS LANE NN a° / \ a L AND 10' CONTOUR LINE — 5, 115 sq, ft.) BX, y v / °, I eO4'° zr / p A 4- ° v DESCRIPTION AREA i LOT COVERAGE PROPOSED LEACHING POOL / E V'°M; /s �+ 1 r`° / a ° e '`vr° /Y ° ^7 0 \� ° r" " 4y R y PROP. HOUSE 1 ,267 sq. ft. 24.8% 0 m PROP. PORCH 60 sq. ft. 1 .2% / / °r�o ❑�❑ ❑ l ° "- / .;r/,/ ° ��s TOTAL PROPOSED 1 ,327 sq. ft. 26.0% O PROPOSED SEPTIC TANK o o TEST HOLE DATA / / lBE 6. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM IELD / Rocx LD ^ ° ° OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. (TEST HOLE DUG er L 5,9' LD cEOscIENCE ON APRIL 3D, 2oD7) / / I POINTER O / / ° B" ,n EL 5.9' 0. / / 1� I O a a °`ep=b / N / / ° o n"fs APPROVED BY a / % N / / \ BOARD OF TRUSTEES ° MIXED FINES, LOAM AND SAND � ' F / C0 1 �O I pp°No l %� /l ° / TONIN OF SOUTHOLD 4' h // / e a a� DATE T—,2q— L PALE BROWN FINE SAND SP / a EL. LT 43' / OL CF % GI� N81 UNAu11HORrz ED ALTERATION OR ADDITION 1 I It. EL TO THIS SURVEY Is A VIOLATION OF a NGIt. E SECTION 7209 OF THE NEW YORK STATE P1't kG mucnnON LAW PROPOSED SEPTIC SYSTEM DETAIL WATER I PALE BROWN FINE SAND SP s PV THE Es OF THIS SURVEY MAP NOT BEARING OR HOUSE (NOT TO SCALE) ^ CZE 0 THE SSELANSURVEYOR'S SHALL INKED SEAL SI EMeoss[D SEAL SHALL NOT BE CONSIDERED VC1 TO BE A VALID TRUE COPT ELITE 9.T FINISH GRADE a E FINISHED GRADE ELEV, BO' - 13.0' P\P CERTIFICATIONS INDICATED HEREON SHALL RUN ELEV, 100' ONLY TO THE PERSON FOR WHOM THE 5URVEY IS PREPARED, AND ON HIS BEHALF TO THE TOP EL 83' 1' MIN TOP EL 7A' -1' MIN 11 TITLE TLEC PINY,TION GOVERNMENTAL HEREON, AND MIN 4" DIA r6" i0 THE ASSIGNEES OF THE LENDING INSTI- SEPTIC LEACHING aSAND CLEAN iUTION CERTIFICATIONS ARE NOT TRANSFERABLE INR EL APPROVED PIPE TANK APPROVED PIPE POOL LEACHING ]e' in PITCH 1/4•/1' In PITCH I/B"/1' INV EL 52 j• Pool I DOLLAR INV EL 7 5' INV EL �E 1 ORD, IF B—'" 70 P IS °B 't �L' D'� JAI D ANY, NOTTHE STENCE OF RIGHT OF WAYS HOWNSSH WN TARE FNOTCGUARANTEED. L JETION Pool of BOT EL a GROUND WATER DRAINAGE SYSTEM CALCULATIONS.' &'141y,plA�ep1J DOT EL 3]' 6 POOL SYSTEM [LEV. 1 2 SEPTIC TANK (1) ROOF AREA: 1 ,327 sq. ft. / / p1Jli EtL1T4 PREPARED m ACCORDANCE WITH THE MINIMUM SH STANDARDS FOR TITLE 5°R°ET5 A5 ESTI° SHOP Nathan Taft Corwin III LE CHING POOLS 6 1 ,327 sq. ft. X 0.17 = 226 cu. ft. y 9 BY THE LLALS AND APPROVeD OF I 1. MINIMUM SEPTIC TANK CAPACITIES FOR A a BEDROOM HOOSE I5 ICED GALLONS 226 cu. ft. / 42.2 = 6 vertical ff. of 8' dia. leaching pool required FOR SSS uAE N. THE NEIN 1 TANK, e' DIN, 4 LOUTH DEPTH 1 MINIMUM LEVEING SYSTEM FOR A 4 BEDROOM HOUSE I BUD sq r1 51DEWALL AREA. / TITLE ASSOCIATION. �'( On 2 CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3.DOO psi AT 23 DAYS, 6 PDOLs; 2 DEEP, W mn PROVIDE (3) 8' dia. X 2' high STORM DRAIN POOLS / / 9PJt Cp� "/� Land Surveyor 3 WALL THICKNESS SHALL BE A MINIMUM OF 3". A TOP THICKNESS OF 6" AND A B070M THICKNESS OF 4" 2, LEACHING POOLS AS TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) `( `�Cpl� ALL WALLS, B070M AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 psf LEACHING STRDCTU HES, SOLID DOMES PND/OR SLABS / 4 ALL JONES SHALL BE SEALED SO THAT THE TANK 15 WATERTIGHT 3, ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). s, THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX TOLERANCE OF EI/4") 4. A 10' mn. DISTAN E BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MAINTAINED. PROPOSED 8' DIA. X 2' DEEP DRYWELLS FOR ROOF RUN—OFF ARE SHOWN THUS: * e Z ON A MINIMUM 3" THICK BED OF COMPACTED SAND OR PEA GRAVEL 5 AN 0' min. DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED 1 / Josephh gn 1 Z * SUCLeB50r T°. Stanley J. Is°kseq Jr. LS 1 ; A Ingea L.S. s. A 1o' min, DISTANCE BETw[EN SEPTIC TANK AND HOUSE SHALL BE MAINTAMED \ �( r` zJ Title Surveys — Subdivisions — Site PI°ns — Construction L°y°ut c� 5•0.4_67 PHONE (631)727-2090 Fax (631)727-1727 , \`U� OFFICES LOCATED AT MAILING ADDRESS N Y.S FLA. N° 50467 1586 Main Road P 0 Box 16 Jomespart, New York 11947 Jomesport, New York 11947 2C No mmp� SURVEY OF PROPERTY Al" SITUATE SITUATE 0 MATTITUC]K o= �� TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 139 -02-03 SCALE 1 "= 10' iz� / ��% MAY 2007 JANUARY 20, 2010010 UPDATE SURVEY 'p MARCH 9, 2011 ADDED PROPOSED ADDITIONS (0. as Y APRIL 12, 2011 REVISED MAP APPROVED BY s�° �� OCTOBER 24, 2011 ADDED DISTANCE TO PROPER TO THE SOUTH `s�� �fp� DECEMBER 6, 2011 REVISE PROPOSED SEPTIC SYSTEM BOARD OF TRUSTEES APRIL 30, 2012 ADD NOTE FOR HOUSE TO BE RAISED 16" TOWN OF SOUTHOLD K a `� �k \ A- O p�41� FMAY 10, 2012 REVISE NOTES °p�y� TOTAL AREA = 7,280 sq, ff. (TO TIE LINE) 0.167 ac. ,7 d' UPLAND AREA = 7,141 sq. ft. cq WETLANDS AREA = 139 sq. ft. CU P¢� oro BRr nP� FN'S �S o h 4.P / '\/ fOf 4}of �A�� / � / yN 6�.•/�G `�\ °� �� / AJu / ✓1 �2U� / / r ��OR�A� ��j�v Q1�_trA� EXISTING LOT COVERAGE OVER / °o 9s /� �,'O�V'!' UPLAND AREA (7, 141 sq. ft.) O U �n°wf I ,,rte ry° o A ., "� i N �'F�'Ic�),, 07 UO DESCRIPTION AREA r. LOT COVERAGE \°s/\ y. ,5 rR,poA, I o /fir O��`\qd' �o EXIST. HOUSE 1 ,079 sq. ft. 15.1% 9y 'e P os P mP=� �Z^ EXIST. WOOD DECK 228 sq. ff. 3.2% o 2UIL sL QQ' fi a+t FI, G Rsr h'v I m /.`=O� yN� EXIST. GARAGE 373 s ff. 5.2% L J U 1. 3 - „s°/ / s.e �r�/ssroR� ! o A�� �� �� r� q o�'Sro sroRl9-Dos 91 �Uv yw" TOTAL EXIST. 1,680 sq. ff. 23.5% �/ PROPOSED LOT COVERAGE OVER y 2S 5 osso , ^soI 04, O /oSRsR1 N. 4"I \ \K-u'- �' UPLAND AREA (7, 141 sq. ft.) AJ h /srti F0000 DESCRIPTION AREA X LOT COVERAGE GO,tiFa y� 'win\ PROP. HOUSE 1 ,267 sq. ft. 17.8% \ \ G�,I,A?S c+y PROP. PORCH 60 sq. ft. 0.8% p P s NOTES: EXIST. GARAGE 373 sq. ft. 5.2% c 5 1 . ELEVATIONS ARE REFERENCED TO 1988 N.A.V.D. DATUM �Vh m'4a'yO � ` ro'sr re, ° ooyo N' c' f sEPo u✓`RC TOTAL PROPOSED 1 ,700 sq. ff. 23.8% $ m oG EXISTING ELEVATIONS ARE SHOWN THUS: 100 ONS' � ,sfRe o°sF Myty°O � �y �A�y �qt! � 2rFq m� 2. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 36103CO481H Ssx E TEST'({aLE ZONE AE BASE FLOOD ELEVATIONS DETERMINED ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. \ r ae, qrR `9i2irF 4• ° 3. EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND l �l ' '"' �W '/4' 'i°'a °e ry srFps T `sy Mc" Q° m EXISTING LOT COVERAGE OVER REMOVED IN ACCORDANCE WITH S.C.D.H.S. STANDARDS. 4+ -� 6`ro� ADJACENT AREA 4. MINIMUM SEPTIC TANK CAPACITIES FOR 3 BEDROOM HOUSE IS 1 ,000 GALLONS. / ,<.2 ss� �~� T v ° (AREA BETWEEN LANDWARD WETLANDS LANE �"' I / k°;"L' / `�`°' �\ (Q x ^O -o AND 10' CONTOUR LINE - 5, 115 sq. ft ) 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP / eo, 'S o.\ �\ v�g I / ; x e 15.91 I o %� � YL 5. MINIMUM LEACHING SYSTEM FOR 3 BEDROOM HOUSE IS 250 sq ft SIDEWALL AREA. / I y X ^L�, I� v A� �m , DESCRIPTION AREA X LOT COVERAGE 5 POOLS; 2' DEEP, 8' dia. ,y y I �.�,�` e �a \ �� 7 .y N `�, EXIST. HOUSE 1 ,079 sq. ft. 21 .1% �Y C� F o N ?qe0"R"�F� 1 Q'Py I NO ,�°arya °' �/� m� EXIST. WOOD DECK 228 sq. ft. 4.5% PROPOSED FUTURE 50% EXPANSION POOL �'sts a� •9� °A a`�°"ro M" % 1 b2 �PN,y ° st fi. '�' F ks YY y TOTAL EXIST. 1 ,307 sq. ft. 25.6% y p 7 r10 a o2. e �Y ° . C9Rq 2� W ° ° P PROPOSED LOT COVERAGE OVER Pte,, � t- a ADJACENT AREA (AREA BETWEEN LANDWARD WETLANDS LANE PROPOSED 8' DIA. X 4' DEEP LEACHING POOLG / / 9, °<. /�p �� HQ / \ Y AND >0' CONTOUR LINE - 5, 115 sq. ft ) � p e, DESCRIPTION AREA x LOT COVERAGE I rav� o \'ae � PROP. HOUSE 1 ,267 sq. ft. 24.8% PROPOSED 1 ,000 GALLON SEPTIC TANK .�/` �r/1 ° 'se h2 PROP. PORCH 60 sq. ft. 1 .2% 6. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD 2 / �/ / 21 0� 3 l P L> v 0 / ° \ -` TOTAL PROPOSED 1 ,327 sq. ft. 26.0% OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 0`,v �Q o I "ON ILL o� k PATIO IN olRr DRAINAGE SYSTEM CALCULATIONS. Roan / PUNTEq Q e, �o HOUSE ROOF AREA: 1 ,327 sq. ff. nl s ^ / / 1 ,327 sq. ft. X 0.17 = 226 cu. ft. // I MN 226 cu. ft. / 42.2 = 6 vertical ft. of 8' dia, leaching pool required I I Nx / nPfs PROVIDE (3) 8' dia. X 2' high STORM DRAIN POOLS �/ I N GARAGE ROOF AREA: 373 s ft. / ,�i3 373 sq. ft. X 0.17 = 64 cu. ft. / I •OQ, I A°tio Ixlsa / a / 64 cu. ft. / 42.2 = 2 vertical ft. of 8' dia. leaching pool required /iOE I PROVIDE (1 ) B' dia. X 2' high STORM DRAIN POOL PROPOSED 8' DIA. X 2' DEEP DRYWELLS FOR ROOF RUN-OFF ARE SHOWN THUS: TEST HOLE DATA (TEST HOLE DUG BY McDONALD GEOSCIENCE ON APRIL 30, 2007) EL 5.9' O. gyp' PROPOSED SEPTIC SYSTEM DETAIL RCe FW9y °/" �'1oIPRa R p F Bt { 4 iV 1 �' uNgUTHcli ALTERATION OR ADDITION .TO THIS ELEOUSEE 5 (NOT TO SCALE) FINISH GRADE ° ° MIXED FWEs, LOAM AND SAND ° PLS o��e`�c J1Pt� :}r y�.kl T .'- DUCATIONu uwv Is n vl°uTIDN of SECTION 7209 OF THE NEW YORK STATE p COPIES OF THIS SURVEY MAP NOT REARING FINISHED GRADEELEv ro o' ELEV. 10 D' - 14.0' ' ° O`'F"S THE LANG SURVEYORS INKED sent OR N EMBOSSED a aE SA°VALD TRUELCOPYT BE CONSIDERED 0 °ii PpE CERTIFICATIONS INDICATED HEREON SHALL RUN TOP EL B 3' 1' MIN. TOP EL 6.T -1' MIN. 4 ONLY TO THE PERSON FOR WHOM THE SURVEY MIN 4' DIA, ..6 PALE BROWN FINE SAND SP SEPTIC UH I,P' I 5 PREPARED, PND ON HIS BEHALF TO THE APPROVED PIPE LEACHING LEACHING T 3 CLEAN 47' TITLE COMPANY, GOVERNMENTAL AGENCY AND INV EL. APPROVED PIPE TANK POOL m N f SAND min PITCH 1/4"/7' min. PITCH 1/B"/1' POOL COLLAR �' LENDING SSICNEES LISTED HEREON, AND 7 8' INV. EL 6.9' o TO THE ASSIGNEES OF THE LENDING INsrI- INV EL 7 3' TDTION CERTIFICATIONS ARE NOT TRANSFERABLE NV. FIT _ 7.1 e B•��° AB'-�-�� iw THE EXISTENCE OF RIGHT OF WAYS ANDttSED ANY/OR EASEMENTS NOTSHOWN ARE FRECORD, NOT GUARANTEED oiE�P1 �4 DISTRIBUTION PDLL EM BOT EL. 5.2' GROUND WATER WATCR IN PALE BROWN FINE SAND SP ICA &i Y GD1 A PREPARED IN ACCORDANCE WITH THE MINIMUM Nathan Taft Corwin iii BOT. EL 3.T 5 POOL SYSTEM ELEV 2 2' SEPTIC TANK (1 ) td0 LIP8lL BY THERDSAFLS AND SURVEYS AS ADOPTED° FOR SUCH USE BY THE NEW YORK STATE LAND LEACHING POOLS (5) TITLE ASSOIA I MINIMUM SEPTIC TANK CAPACITIES FORA 1 TO 3 BEDROOM HOUSE IS 1,000 GALLONS, o pF NEW} Land Surveyor 1 TANK: 6' LONG, 4'-3" WIDE, 6'-7" DEEP 1. MINIMUM LEACHING SYSTEM FOR A 1 TO 3 BEDROOM HOUSE IS 250 sq ft SIDEWALL AREA, 1rS� T0 2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi AT 28 DAYS, 5 Pi 2' DEEP, 8' dm. Gj TOO 'r 3. WALL THICKNESS SHALL BE A MINIMUM OF 3", A TOP THICKNESS OF 6" AND A BOTTOM THICKNESS OF 4". 2 LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) R� ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 Pef. LEACHING STRUCTURES, SOLID DOMES AND/OR SLABS N Successor To. Jose y J Ingagre, JS LS 4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT 3 ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL) �, * e JoseStonph A Ingegno ITS 5. THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX TOLERANCE OF t1/4") 4 A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MAINTAINED. _ JL• - Title Surveys - Subdmisrons - Site Plans - Construction Layout ON A MINIMUM 3" THICK BED OF COMPACTED SAND OR PEA GRAVEL. 5. AN S' min DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED. --- 6. A 10' min DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED PHONE (631)727-2090 Fox (631)727-1727 56461 OFFICES LOCATED AT MAILING ADDRESS 1566 Moin Road P 0. Box 16 Q 5V N.Y.S. Lic. No. 50467 Jomesport, New York 11947 Jamesporp New York 11947 27-1