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Home My WebLink AboutTR-7623 i James F. King, President QF St7(/rTown Hall Annex Bob Ghosio,Jr.,Vice-President ,�0� �� 54375 Main Road P.O. Box 1179 Dave Bergen #( Southold, New York 11971-0959 John Bredemeyer Michael J. Domino .2 �� Telephone(631) 765-1892 23 COU rm,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #0859C Date: May 30, 2013 THIS CERTIFIES that the demolition of the one-story dwelling and deck; construction of new two-story dwelling with deck; removal/replacement of septic system-, installation of drywells; installation of 10' wide non-turf buffer landward of sea wall At 2205 Bayview Avenue, Southold,New York Suffolk County Tax Map # 52-5-2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 1, 2011 pursuant to which Trustees Wetland Permit#7623 Dated August 24, 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 demolition of the one-story dwelling and deck; construction of new two-story dwelling with deck; removal/replacement of septic system,• installation of drywells• installation of 10' wide non-turf buffer landward of sea wall. The certificate is issued to RAYMOND STRONG owner of the aforesaid property. 0 L4. 0 4 Authorized Sign re James F. King,President Town Hall,53095 Main Rd. pip Bob Ghosio,Jr.,Vice-President �� ed� P.O. Box 1179 Dave Bergen Go Southold,NY 11971 John Bredemeyer Telephone(631)765-1892 Michael J. Domino y'y�jp! Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE O INSPECTION: 7 3� ) 7'Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 15' day of construction '/z constructed Project complete, compliance inspection. INSPECTED BY: CO ME TS: CERTIFICATE OF COMPLIANCE: Jill M. Doherty, President a0F S0 Town Hall Annex James F.King,Vice-President ,`O� 54 Main Road 5P.4375 O. Box 117979 Dave Bergen Southold,New York 11971-0959 Bob Ghosio,Jr. co John Bredemeyer �O Telephone(631) 765-1892 � �OUKI'1, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATEOF INSPECTION: ✓/ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 15` day of construction % constructed ]// Project complete, compliance inspection. INSPECTED BY: �� L`r -� y) �y�v✓: COMMENTS: / CERTIFICATE OF COMPLIANCE: CC#: C13-22504 t. COUNTY CLERK'S OFFICE STATE OF NEW YORK COIN"IN OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 05/24/2013 under Liber D00012730 and Page 892 and, that the same is a true copy thereof, and of the whole of such original, In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 05/24/2013 SUFFOLK COUNTY CLERK (2. f�ctc.«t�ie JUDITH A.PASCALE SEAL I I�'IIII ILII VIII( III I�III(III (IIII II��I VIII��II III IIIIiI VIII VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 05/24/2013 Number of Pages : 4 At: 01:11 :48 PM Receipt Number : 13-0062730 LIBER: D00012730 PAGE: 892 District: Section: Block: Lot: 1000 052 .00 05 .00 002 .000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20 .00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0 .00 NO Notation $0.00 NO Cert.Copies $0.00 NO RPT $60.00 NO Fees Paid $120.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County i DECLARATION OF COVENANTS THIS ++DECLARATION made this '14y/ day of tom•«✓ , 20_L�_, by cty " nd 5 v. g residing at d)C. lzl,xvle . 4 S , 2JJ hereinafter referred to as "DECLARANT (S) ": W I T N E S S E T H WHEREAS, DECLARANT(S) is/are the owner (s) of certain real property located on Iy�;w ��o -----' ------- 5,,, ._�L,�� _, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 6 ,). Block Lot which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT (S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a /0 / G✓,JL "non-turf buffer" adjacent to and landward of NOW, THEREFORE, the DECLARANT (S) do/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained ) t , n �y _"non-turf buffer" as defined by Chapter 275 of the /Town 1yCode; Land +as d) 11 depJic/teld on the 1 /Q wt l J� 1G.6p ------ _ S& —•j zti 1„t vn and 5z1,k.,wr a6, ),0) 2) These covenants shall run with the land and shall be binding on the DECLARANT (S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner (s) has/have duly executed this instrument this day of ) 2�.y u� LirL 20 1 OWN 1R S TURE�-�7 OWNER'S SIGNA LIRE STATE OF 3s: COUNTY OF S(Afrok On the day of QA� in the year 20 13 , before me the undersigned, a Notary Public in and for said State, personally appeared [y�Q monQ SfYc'nU personally known to me or proved to me on the basis of sa isfacidence to be the individual (s) 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, and that by his/her/their signature (s) on the instrument, the individual or the persons on behalf of which the individual (s) acted, executed the instrument. Notary Public — OIRISIp1E 1O5T61 2 tjotar7 RN(.suftafaw Vwk N0.OIFOS177911 QUMNW in Sall*0"tv Cn M-o-n En*u WMT*W Schedule A Tae Number SH221831 pop 1 UndemdW t4e49e7 ALL that certain plot,piece or parcel of land,aittalte, iyin0 and bang at Arshamomoque, in the Town of Southold, County of Suiloik and Stats of New York, bounded and described ae follows: BEGINNING at a momanermt ad in the southweatedy line of Bayview Avenue at the divisofm line between the premises herein described and lafW now or formerly of Liebein, being the southeasterly comer of the premises herein described,said point.being also 426.82 feet moo wvesterty from the extension westerly of the_ . northerly line of Colony Road, measured along a course of North 46 degrees 41 minutes 30 seconds west RUNNING'THENCE South 54 degrees 47 minute 00 second:west,along said land now or formerly of b aiblein and through a morwmerd,206.15 feet to the ordinary high water mark of Arshamomoque Pard (NO Creek); THENCE along said ordinary high water mark of Arshamomoque Pond to a point therein having a tie line on a course North 43 degrees 58 minutes 40 seconds west, 169.90 feet to land now or formarty of Spezio; THENCE North 57 degraes.58 minute 30 seconds East, along said land now or formerly of Spezlo and through an Iron pipe to an iron pipe on the southwesterly Me of Bayview Avenue, a distance of 198.50 feet; THENCE South 46 degrees 41 minutes 30 seconds East,Wong said southwesterly an of Bayview Avenue, a distance of 160 het to th rrronument at the point or place of BEGINNING. Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD 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. 7623 DATE: AUGUST 24~ 2011 ISSUED TO: RAYMOND STRONG PROPERTY ADDRESS: 2205 BAYVIEW AVENUE~ SOUTHOLD SCTM# 52-5-2 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 Trnstees adopted at the meeting held on August 24, 2011, and in consideration of application fee in the sum of $250.00 paid by Raymond Strong and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trastees authorizes and permits the following: Wetland Permit to demolish the existing one story dwelling and deck; construct new two-story dwelling with deck; remove/replace existing septic system; and install drywelis to contain roof run-off; with the condition of the installation of a 10' wide non- turf buffer along the landward side of the sea wall which is to be maintained; and as depicted on the site plan prepared by Mark Schwartz & Associates, last dated September 22, 2011, and stamped approved on September 26, 2011. 1N WITNESS WHEREOF, the said Board of Tt~ustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee Raymond Strong, residing at 2205 Bayview Avenue, Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of snits 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. 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. That this Permit should be retained indefinitely, or as long as the said Perrnittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-enmplianee with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free 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. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided withili ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completion of the work authorized. 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 Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 August24,2011 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Mr. Mark K. Schwartz, Architect P.O. Box 933 Cutchogue, NY 11935 RE: RAYMOND STRONG 2205 BAYVlEW AVENUE, SOUTHOLD SCTM# 52-5-2 Dear Mr. Schwartz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 24, 2011 regarding the above matter: WHEREAS, Mark K. Schwartz, Architect on behalf of RAYMOND STRONG applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated August 1,2011, 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, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, 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 the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of RAYMOND STRONG to demolish the existing one story dwelling and deck; construct new two-story dwelling with deck; remove/replace existing septic system; and install drywells to contain roof run-off; with the condition of the installation of a 10' wide non-turf buffer along the landward side of the sea wall which is to be maintained; and as depicted on the site plan prepared by Mark Schwartz & Associates, last dated September 22, 2011, and stamped approved on September 26, 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: $100.00 Very truly yours, President, Board of Trustees JMD/eac .~ill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeycr Town Hall Annex 54375 Route 25, P.O. Box I 179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: RAYMOND STRONG Please be advised that your application dated August 1,2011 has been reviewed by this Board at the regular meeting of August 24, 2011 and your application has been approved pending the completion of the following items checked off below. XX Revised Plans for proposed project XX Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ~ Constructed ($50.00) XX Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) XX The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 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: Final Inspection Fee - $50.00 Pre-Construction Hay Bale Line Inspectior~,l~ee - $50.00 TOTAL FEES DUE: $ iO0.O0 BY: Jill M. Doherty, President Board of Trustees Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box I 179 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 Derek Bossen, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of RAYMOND STRONG to demolish the existing one story dwelling and deck; construct new two-story dWelling with deck; remove/replace existing septic system; and install drywells to contain roof run-off. Located: 2205 Bayview Ave., Southold. SCTM#52-5-2 Inspected by: Derek Bossen, Peter Young The CAC Supports the application with the Condition of a non-turf buffer landward of the concrete seawall up the slope to the top of slope to the flood zone line, as depicted on the site plan prepared by Mark K. Schwartz AIA last dated June 17, 2011. Vote of Council: Ayes: All Motion Carded Jill M. Dohe~ly, President Bob Ghosio, Jr., Vice-President James F, King Dave Belgen John Bredemeyer PO. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax ( 6311 765 -6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: RAYMOND STRONG requests a Wetland Permit to demolish the existing one story dwelling and deck; construct new two-story dwelling with deck; remove/replace existing septic system; and install drywells to contain roof run-off. Located: 2205 Bayview Ave., Southold. SCTM#52-5-2 T~saOf area to be impacted: Itwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland P~a~cOf Town Code proposed work falls under: hapt.275 Chapt. 111 other Type of Application: /Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Present Were: Doherty B. Ghosio JJ. King__ v"J. Bredemeyer__ D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: D. Bergen, N OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM mo~ Jill Doherty, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator S0uthh0[~/ Date: August 17, 2011 Re: Proposed Wetland Permit for RAYMOND STRONG SCTM#1000-52-5-2 Mark K. Schwartz, Architect on behalf of RAYMOND STRONG requests a Wetland Permit to demolish the existing one story dwelling and deck; construct new two-story dwelling with deck; remove/replace existing septic system; and install drywells to contain roof run-off. Located: 2205 Bayview Ave., Southold. SCTM#52-5-2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the denoted following Policy Standards and therefore is CONSISTENT with the LWRP provided the following: If the action is approved to further Policy 5: Protect and Improve Water Quality in the Town of Southold and Policy 6; Protect and Restore the Quality and Function of the Town of Southold Ecosystem it is recommended that a landscaped buffer be required landward of the concrete sea wall. LANDSCAPED BUFFER -- A land area of a certain length and width which is planted with indigenous, drought-tolerant vegetation similar to that found within the immediate proximity of the pamel. Vegetation shall be installed in sufficient densities to achieve 95% ground cover within two years of installation. Survival of planted vegetation shall be 90% for a period of three years. Maintenance activities within the buffer are limited to removing vegetation which is hazardous to life and property, trimming tree limbs up to a height of 15 feet to maintain viewsheds, replanting of vegetation and establishing a four-foot-wide access path constructed of pervious material for access to the water body. [Added 12-15-2009 by L.L. No. 15-2009] Pursuant to Chapter 266, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Office Use Only t~vo~.tal Erosion Permit Application land Permit Application Administrative Permit Amendmenl/Trans fer/Extension · -'~ed Application: (~l/JI[ ~eived Fee: _$~t'~"D ' ~ ' ~oompleted Application ~ ] ] ] l! Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent). Con,is, y As. FormIt --CAC Ref~-a~ S~t: <2 I~Jtt --l'~eoflnspoction: ~__] 131 I/ __Receipt of CAC Report: ___Lead Agency Determination: .... Technical Review: ~'Public Hearing He~ Resolution: Name of Applicant Raymond Strong Address 2205 Bayview Avenue Phone Number:(r,31 ) 765-1015 Suffolk County Tax Map Number: 1000 - 52-5-2 Property Location: 22o5 Bayview Avenue, Southold, NY 425.82' east of Colony Road (provide LILCO Pole #, distance to cross streets, and location) AGENT: Mark K. Schwartz, Architect (If applicable) Address: P.O. ~ox 933. Cutchogue, NY 11935 Phone: (631) 734-4185 of Trustees Applicati~ GENERAL DATA Land Area (in square feet): 30,775.4 sq. fi. to sea wall (33,260.5 total) Area Zoning: R40 Previous use of property: single family residence Intended use of property: single family residence Covenants and Restrictions: [] Yes [7] No If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals If"Yes", please provide copy of decis~!on. Prior permits/approvals for site improvements: Agency Date Yes [~ No 7] No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or sus~ted byla-~vernmental ~ No_L__[ Yes If yes, provide explanation: agency? Project Description (use attachments if necessary): Existing 1 story house and deck to be demolished. New 2 story house with deck to be built and relocated further away from property line to east to pe compliant with town setbacks. Existing Septic system to be removed and new one installed further from the water. Dr/wells to be installed to control water runoff from the house to r~cluce erosion. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Relocate existing house and addition, add pool + hot tub, relocate existing shed, relocate septic system and drywetls. Area of wetlands on lot: 2482.1 square feet Percent coverage of lot: 10.2 % Closest distance between nearest existing structure and upland edge of wetlands: 86.0' (deck) feet Closest distance between nearest propiised structure and upland edge of wetlands: 86.0' (deck) feet Does the project involve excavation or filling? [~] No [7~ Yes If yes, how much material will be excavated? 324 cubic yards How much material will be filled? 214 cubic yards Depth of which material will be removed or deposited: 8 feet Proposed slope throughout thc area of operations: +/- 5% Manner in which material will be removed or deposited: Excavated shall be used for final grade, new fill shall be contained on property. 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 work shall have a positive impact on the wetlands and tidal water through the installation of drywells to control water runoff, a pervious driveway for natural drainage and relocated septic system, further from the water, of Trustees Applicati¢ COASTAL EROSION APPLICATION DATA Demolish existing house and deck, rebuild new 2 story Purposes of proposed activity:. house further from eastern property line, remove / replace existing septic system and drywells. Are wetlands present within 100 feet of the proposed activity? [~ No [7] Yes Does the project involve excavation or filling? [--] No [7] Yes If Yes, how much material will be excavated? 324 (cubic yards) 214 How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Existing soil, excavated, shall be used for finished grade to level to ground within a 5% slope around house. New clean fill shall be used for the septic system. 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) There are no impacts on the environment resulting from implementation of this project since the project shall be controlled with installing (and maintaining) hay bales with silt screen fencing to control erosion and debds around project work area, The project site will also maintain daily cleanup to control debd escaping the work site so as to not impact the wetlands, water and surrounding neighbors, PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR Raymond Strong 3,PROJECT LOCATION: Municipality Southold 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME Strong Property County Suffo k 4. PRECISE LOCATION: Sb~mt Addnas and Ro~l Intersections. Prominent landmarks etc -or provide mad 2205 Bayview Avenue, Southold, NY 5. IS PROPOSED ACTION: [] New r~Expanaloa [---]Modification/alteration SEQR 6, DESCRIBE PROJECT BRIEFLY: Existing I story house with deck to be demolished. New 2 story house with deck to be built and relocated further away from the from property line to east to be compliant with town setbacks. Existing septic system to be removed and a new one to be installed further from the water. Drywells to be installed to control water runoff from the house to reduce erosion. 7. AMOUNT OF LAND AFFECTED: Initially acres UIUmately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? eaYeS [] No If no, describe re unable to obtain the required set back from wet lands due to the existing site conditions. 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Chonae as me~y as apply,) [~_.]Resldential ~llndustrlal [~Comme~ta~ OAgriculture DPark/FomstlOpenSpace E~Other (desc.fibe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ~-lYes r~No ff yes. list agency name and Peril / approval: Health Department, D.E.C., Building Department 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~Yes r~No It yes. list agency name and permit / approval: i;~,So$A ~..~UN~LT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: Signature If the action la a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. I~l Yes r~-i No B. V~qLL 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. I--lYes r~lNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED W1TH THE FOLLOWING: (Atlswers may be handw~ttan, if legible) C1. Existing air quality, surfaco or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: I C2. Aesthetic, agricultural, archaeological, historic, o~ other natural or cultural resources; or community or neighberhond character? Explain briefly: I C3. Vegetation or fauna, tish, 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 o~ other natural resources? Explain briefly: i I C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain bdetiy: I , I C6. Long term, shod term, cumulative, or other effects not identified in Cl ~:57 Explain briefly: C7. Other impacts Iincludin~l chan~es in use of either clueotit¥ or Fl/pa of enerr, il~'? ExpIsin briefly': D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA)? /If yes, explain briefly: [~Yes r~No ' E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If)'es explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidentifiedab~ve~determinewhetheritissubstsntia~~~arge~imp~rtant~r~thenvisesignificant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occuning; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference suppo~ng 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 must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you ha ve identified ore or more botentially la rge or significant adverse Impacts which MAY occur. Then proceed directly lo the FULI EAF and/or prepare a positive dedaratlen. Check this box if you have determined, based on the infommtiou and analysis above and any supporting documentation, that the proposed actio~ WILL NOT rosuti in any significant adverse environmental impacts AND provide, on attachments as neoessepj, the masons supporting thi: determination. Board of Trustees '~- I / - / I Name of Lead Agency Date Jill M. Doherty jPrint or Type Name of Responsible Officer in Lead Agency President Title of Responsible Officer Signature of Preparer (If different from responsible officer} * Town of Southol- --- Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPFJ~P( LOCATION: S C.T.M.~: THE FOLI,,OWI~ ACTIONS MAY REQUIRE THE SUBM~,~ON OF A 1000 52 5 2 ~"I'ORM-WATB~ ~RADINGf DRAINAGE AND EROSION COI~[ROL PLAN ~mct .nc.on moos L~X CERTIFIED BY A DESIGN PROFE8810NAL IN ~ 8?ATE OF NEW YORK. SCOPF. OFWORK - PROPOSED CONSTRUCTION ITEM'# / WORKASSF_~SMF_.,NT Yes No a. What is th~ Tole{ Area of the Prelect Parcels? (Include Total Area of nil Pam~s kx:ai~d within 1 Will this Pro]eot Retain Al{ Stogn-Water Run-Off the Suopa of Work ~ot P,upa~d Consma:~on) 33,260.5/0.76 Oenerated by a Two (2") Inch Rainfall on Sbe? [7[ r'~ b. What is h~,a Tolal Ama of Land Clceflng (S.F. / ~,~) (This bern will Include all ren-off cmat~d by sbe cleating andYor ceaslmffdon activi§es as w~l{ as antl/~' 0toted Disturbance Iof th~ pmpcead 4500 sf +/- Si~ {mprov~cenls and ~ pa~nanant creat{o~ of coo~,m~on a~vity? impan,tous sugaces.) Cs.P. !~,**) 2 ODes the $it~ Plan andlor Surly Show All Propas~d limn sh~ll include all Pmpes~d Grads Changes and Demolish existin!{ 1 story house with deck and $~opas ~ng $ufface Water Fk~w. 3 D°es the Sbe F~an and/°r Suryey d--be li~e emsl°n rebuild new 2 stor~ house with deck at compliant and sedimeat conlml prec~cas that will be used to control site erosion and storm water discharges. This finished floor hei!lht elevation. Wood frame item must be maintained throughout lite Entire construction with a masonry crawl space foundation. 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natund Existin,q septic system to be removed and filled with Existing Grade Involving more than 200 CublcYards of Material within any Pamel? clean sand. New septic system to be relocated 5 Will this Applcagon Require Land Disturbing further from water. New grade to be clean fill / sand. Encompassing an Area In Excess of Rve Thousand (5,000 S.F.) Square Feet of Ground Surface? Drywells to be installed to control water runoff. 6 Is them a Natural Water Course Running through the Site? Is this Project ~ the Tmsteas jurisdlclion esneral DEC SWPPP Rsqulrmneats: or within One Hundred (100') feet of a Wetland or link,ding Con~t mm'io~ acilHties ~lving s~ ~sturi~m~es of less tha~ one (1) a~m where One Hundred (100') of Horizontal Distance? SWPPlPsShMlnl~dlJteMIrdlaumRequl~melgsoftbeSPD~SGenmalPemllt 8 Wi, Driveways, PaddngAmasorother~mpaMous D I'~ rm:lulrmi, post-cons~u~ slmm wat~' ma~agem~lt prm~ms mai ~1 b~ used ang~or Removal of Vegatation and/or the Co~,.sl~uctlon of any D ]'~ STATE OF NEW YORK, C,~ ~F ~ co , V ......... ss .4__._.--- .................................. : ........... .......................................................................... Owner and/or representative of the Owner or Owners, a~d is dub/authorized to !~rform or have performed thc said work and make and filc th~ application; that all statcmcnt~ contained in this application ani ~-~.~[R~is know]edge and be]ici; and that the w~rk will bc l~zformcd in the rnamtcr ~t forth in the applicaiion fil~,"~t~ of New Y0r~ Sworn to befor~ me this; _ ..N.9. P .1SI6.~0,~ .... ............................................. ........................ FORM - 06110 Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765 - 1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of RAYMOND STRONG COUNTY OF SUFFOLK) STATE OF NEW YORK) being duly sworn, depose and say: AFFIDAVIT OF POSTING That on the day of ,201, I personally posted the property known as by placing the Board of-Tr~'tees bfficial 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~ 2011 on or about 6:00 PM. Dated: S~om to before me this c~[/ day of OJ2~, 2lYf (s(gnatu'~) --~ Ndlaf~ Public LAUREN M. ~rANDISH Notsry ~btlc, State of New YoA I10, 01ST6164008 ~l~fled in Suffolk Counh, .~ $2.B5 $2.30 It ed Name) C. Date of Deflve~y [] Agent [~/~dressee dlfferent from item 17 OYes sry address below: [] No ~ ~ ~ ~ ~ , ~i~ duly sworn, de~s ~d ~ys ~at on ~e ~ ~y of ~G · ,20.lI , d~onent mailed a ~e copy of the Notice ~ fo~ ~ ~e B~ ofT~ Apph~o~ di~ ~ ~h of~e ~ve n~ed ~ns at ~e ~ ~ op~si~ ~ ms~five n~es; ~m ~e addresses set op~site ~e ~es of~d ~ ~ ~e ~ or.id ~r~ns ~ sho~ on the cu~ent ~sessmmt mil of~e To~ of ~old; ~t ~d Nofi~s were mail~ at ~e United S~tes Post Sworn to ~fom me ~is ~ ~ ~ ~ Day of ~t~O~ ,20 I I Notary Public Ray Strong 2205 Bayview Avenue Southold, New York 11971 631-765-1015 .June 13, 2011 To VVhom It May Concern: I, Ray Strong, authorize Mark Schwartz., AIA - Architect, to act as agent for permit applications to the Sou(hold Town Board of Trustees, New York State Department of Environ~nental Conservation, Suffolk County Department of Health and the Southokt 1½uikting Department. I also consent to inspection of this property hy the atbremenfioned authorities. The.proposed residential construction project is located at 2205 Bayview Avenue, South(fid, New York (SCI'M0 1000-52-05-02). Ray Strong (late: of Trustees Application County State of New York DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALI. 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 1N CONJUNCTION WITH ~ OF THIS APPLICATION. SWORN TO BEFORE ME THIS d..q DAY OF ~'~-a..c.. ,20 /! DONNA M. LEONG Notary Public, Stale ol New¥OIk No. 01LE6130493 Qualified in New York Co~rtty Commission Expires July 18,~.o/.~ of Trustees Application County of Suffolk State of New York ~/~{'~ ,- ~/~Zt'~'"~-' 7~'-L- 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 RF-VI~PPLICATION. SWORN TO BEFORE ME THIS f~C DAY OF ~]U~ ,20 [ [ r'~tlA ~.q "'YD, "~o~tary Public LAUREN M. STANDISH Notaw Public, State of New York No. 01ST6164008 Qualified in Suffolk Count~ Commission Expires Apdl 9, APPLICANT 5ACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) 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. YOURNAME: (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 or company name.) Tax Grievance Variance Special Exception If"Other", name the activity: NATURE OF APPLICATION: (Check all that apply.) Change of Zone [ J Approval of Plat I~ Exemption from Plat or Official Map L Other l_ I 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 I I NO Complete the balance of this form and date a~{d sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): L [ 1 ] 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 this ~day of .~ j Spirign;~ra~le: '13t/~,----------~_.......' ~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Sonthold's Code of E~hics orohibits conflicts of interest on the oart of town officors and emolovces. The vuroose of this form is to vmvide information which can alert the town of ~o~iblc conflicts of interest and allow it to take whatever action is necessary to avoid same. ~'N d/~ (Last name, fiv~t name, middle initial, un[e~s you arc applying in the name of someone else or other entity~ such as a company. If so, indicate thc 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 thc 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, maniage, 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 mom than 5% of thc shares. YES NO ~ If you answered "YES", complete thc balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative) and the town officer or employee. Eilher check the appropriate line A) through D) and/or describe in the space provided. The Wwn officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shaves of thc corporate stock of th~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 conporation); __C) an officer, director, partner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this /-('~ay of_ t~,~z 200 /_1 Signature ~ K. ~ Print Name /Z-f_ .~tt~ F,L- -f'C ~fff4.~,T~'_ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplemem other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other rninisterial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. 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# 1000 _52 _5-2 The Application has been submitted to (check appropriate response): Town Board [~ Planning Dept. ~-] 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 [---1 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: Demolish existing 2 story house with deck and rebuild new 2 story house with deck at compliant finished floor height elevation. Wood frame construction with a masonry foundation. Existing septic system to be removed and filled with clean sand. New Drywells to be installed. Location of action: near current location, but further existing side yard. Site acreage: gross = 0.76 acres, up to seawall = 0.71 acres Present land use: single family residential use Present zoning classification: R40 If an application for thc proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name ofapplicam: Raymond Strong (b) Mailing address: 2205 Bayview Avenue, Southold, NY 11971 (c) Telephone number: Area Code (),(631) 765-1015 (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? DEC, Health, Bluilding, Town 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. ~Ves ~ No ~] (Not Applicable- please explain) The project entails the reconstruction of a single-family dwelling on a previously developed site in a heavily developed community. Policy 1 is not applicable to the proiect. Attach additional sheeLs if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ~'~ Yes ~ No ~ (Not Applicable - please explain) The subject propoerty does not contain nor does the project affect historic or archaeological resources; nor is the project located in a historic maritime area. Policy 2 is not applicable to the project. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section II! - Policies Pages 6 through 7 for evaluation criteria ~ Yes F-~ No ~ (Not Applicable- please explain) To the extent that this policy is applicable to the proposed project, visual quality and scenic resources will be protected at the site through the protection and maintainance of the well-vegetated embankment buffering the developed portion of the site from the tidal waters of Ashamoque Pond. Attach additional sheets if necessa~ NATURAL COAST POLICIES Policy 4. MinimiT~ loss of life, structures°, and natural resources from flooding and erosion. See LWRP Section Ill - Policies Pages 8 through 16 for evaluation criteria F~ Yes F'~ No F~ (Not Applicable - please explain) The project does not address nor affect erosion control structures or other erosion/flooding initiatives. Policy 4 is not applicable to the project. 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 F~ Yes ~ No ~ (Not Applicable - please explain) The proposed project is consistant with policy 5 via (3) major project components: 1 - upgrade and relocation of the existing sanitary system mom than 100 feet from the wet lands to ensure effective treatment of the sanitary waste; 2 - installation of a drainage system of drywells to control, manage, and recharge stormwater runoff; and 3 - retention of the existing vegetation on the site buffedng the developed portion of the site from tidal wetlands, which is to be preserved permanently but also protected from site disturbance dudng construction by a project-limiting fence and stacked haybales. Attach additional sheets if necessary Policy 6. Protect and restore the q!m!ity 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. F~ Yes ~ No ~-] (Not Applicable - please explain) Project will be consistant with Policy 6 for the same reasons described for Policy 5; because there will be no net loss of wetlands; and because the statutory and regulation requirements of both the Town Trustees and NY$ DEC will be complied with. Attach additional sheets i f necessary Policy 7. Protect and improve air q.allty in the Town of Southold. See LWRP Section Ill - Policies Pages 32 through 34 for evaluation criteria. See Section III - Policies Pages; 34 through 38 for evaluation criteria. ~-~ Yes ~ No ~] (Not Applicable - please explain) The project will neither affect nor have an impact on air quality in the Town of Southold. Policy 7 is not applicable to the project. Attach additional sheets if necessary Policy 8. Minlmi~e environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. Sec LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ~] Yes ~] No ~ (Not Applicable - please explain) The project will neither create nor require the handling of solid waste or hazardous substances. Policy 8 is not applicable to the project. 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. ~] Yef--] No ~ (Not Applicable - please explain) As the project area is limited to the upland portion of the property landward of the top of an embankment, public access and recreational use of the adjacent coastal waters and public lands and resources will not be affected by the project. Policy 9 is not applicable to the project. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's w~r-dependent uses and promote sitin~of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~-~Yes ~ No ~'~ (Not Applicable - please explain) The project neither proposes nor affects water-dependent uses. Policy 10 is not applicable to this project. 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- please explain The project neither proposes nor affects commercial or recreational fishedes or other uses associated with the living madne resources of Long Island Sound. Policy 11 is not applicable to this project, Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section 111 - Policies; Pages 62 through 65 for evaluation criteria. ~Yes ~-~ No~ Not Applicable-please explain The project site is neither situated on nor adjacent lands. Policy 12 is not applicable to the project. Atlach 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 - please explain The project affects neither the use nor development of energy and mineral resources. Policy 13 is not applicable to the project. PROJECT SITE )ATA: DESCRIPTION: AREA: LOT COVERAGE: EXCAVATE: FILL: REMARKS: >ROPERTY: 33,260.5; SQ. FT 0.76 ACRES >ROPERTY TO SEA WALL: 30,775.4 SQ. FT 0.71 ACRES fXI$7'IN6 HOUSE: 1.717 $0. F~. 0.8~ 50 CU. YD~.. 101 CU. YDS, TO R£ R£MOVED fXb'~IN6 DE¢I~/.CT'OOP$: 475 $0. I~. 1.5°~ $ CU. YD£ $ CU. YD£ TO BE REMOVED :'XISTING GARAGE: 537 SQ. FT. 1.8% ~ROPOSED HOUSE: 1,880 SQ. PT. 6.1% 200 CU. YDS 40 CU. YDS. >ROPOSED DECK/PORCH: 695 SQ. FT. 2.3% 3 CU. YDS. 4 CU. YDS. EXISTING SEPTIC SYSTEM: 32 CU. YDS. 32 CU. YDS. ~ROPOSED SEPTIC SYSTEM: 32 CU. YDS. 32 CU. YDS. EXISTING DRIVEI~A E' 245 -fO. ~ O. Be)6 NON PERVIOUS EXCESS FILL TO BE USED TOTALS: 3112 SQ. FT. 10.2% 124 CU. YDS 214 CU. YDS FOR FINAL GRADE EX. HOUSE / DECK PHOTO SHOT ]m 425.82' ASHAMOMOQUE POND sctm# 1000-52-05-02 SURVEY: 05-03-2011 MEETS AND BOUNDS: PECONIC LAND SURVEYORS, JOHN METZGER L[C. 49618 FLOOD ZONE FROM FIRM MAP 36103C0158H ZONE X B AYV I EX,~J AVENUE (VACANT) EXI3TIN G SEPTIC SITE PLAN SCALE: 1" = 40'-0' REVISIONS: j S-1 PHOTO PHOTO -F~ PHOTO PHOTO PHOTO -Gi PHOTO SITE PHOTOS PHOTO PHOTO PHOTO PHOTO -D- PHOTO PHOTO PHOTO -E- PHOTO PHOTO REVISIONS: , ~-.~, REVISIONS: ,, ,, ,, , ,, ,, ,, ~,~,~ ..... , ,~, ,,, ...... ~,, ~~ ': . :~ ,, ,~,,, ,, ,, ~, I I~ ~m,~ ,~,,,,,~ , ...... m.~,~, ,,,, , E~T ELEVA~ON NORTH ELEVA~ON ~: ~"":~' A-1 WEST ELEVATION SCALE: 1/8" -- 1' SOUTH ELEVATION SCALE: 1/8" = 1' REVISIONS: ENTRY )PRO,1ECT NORTH lST. FLOOR PLAN SCALE: 1/8" = 1' REVISIONS: July 12. 2011 SHEET NUMBER: A-3 {~) PROJECT NORTH 2ND. FLOOR PLAN SCALE: 1/8" = 1' REVISIONS: N SURVEY OF PROPERTY AT ARSHAMOMOOUE TOWN O? SOUTHOLD SUFF MAY $, 2011 EDGE OF ?TDAL WETLANDS AT CONCRETE SEAWALL AS DELINEATED SY SEA LEVEL MAPPING ON MAY 2, 2011 FLOOD ZONE FROM ~RM MAP NUMBER 56103C0158H SEPTEMBER 25, 2009. ELEVA~ONS REFERENCED TO N A VD. '88 I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCT/ON OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will Qbide by the conditions set forth therein and on the permit to construct. The location of we/Is and cesspools shown hereon ore from field observations and or from data obtained from others. ANY ALTERA770N OR ADDI770N TO THIS SURVEY IS A t4OLA?70N OF SECFTON 7209 OF THE NEW YORK STATE EDUDA~70N LAW EXCEPT AS PER SECRON ?209-SUODIt~SION 2. ALL CERNFICA?7ONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES SEAR THE IMPRESSED SEAL OF THE SURVEYOR ~HOSE StGNATURE APPEARS HEREON. AREA=88,261 SO. FT. TO TIE LINE HOLE DA TA GEOSCIENCE (631) 765-5020 P.O. BOX 909 1230 TRA VELER STREET SOUTHOLD, N.K 11971 11-137 PROJECT SITE DATA: DESCRIPTION: AREA: LOT COVERAGE: EXCAVATE: FILL: REMARI~: PROPERTY: 33,260.5 SQ. FT. 0.76 ACRES PROPERTY TO SEA WALL: 30,775.4 SQ. FT. 0.71 ACRES EXISTINC, HOU£E: 1.717 ~'Q. FT. 0.8% $0 CU. YDS. I0! CU. YDX.. TO BE'REMOVED EXI£TIN~, DECK£/ XTOOP5: 475 £~. F~. L$% $ Cb', YD£ 5 CU. YDX. TO BE REMOVED EXISTING GARAGE: 537 SQ. FT. 1,8% PROPOSED HOUSE: 1,880 SQ, FT, 6.1% 200 CU~ YDS. 40 CU. YDS. PROPOSED DECK/PORCH: 695 SQ. FT. 2.3% 5 CU. YDS. 4 CU. YDS, EXISTING SEPTIC SYSTEM: 32 CU. YDS. 32 CU. YDS. PROPOSED SEPTIC SYSTEM: 32 CU. YDS. 32 CU. YDS, EXIXTIN~ DRIVE1)P',4 Y: 243 5~2. F~. 0. o°% NON PERVIOb'£ EXCESS FILL TO BE USED TOTALS: 3112 SQ. FT. 10.2% 324 CU. YDS. 214 CU. YDS. FOR FINAL GRADE PROPOSED SEPTIC LOCATION: FROM FROM DIM: DESCRIPTION: LOC A: LOC B · _ PROPOSED ~EPTI¢ SYSTEM DETAIL ASHAMOMOQU POND TI~..~ L I NE NON-TURF BUFFER 150' P~ADIUS FROM SEPTIC LIMITS OF CLEARING 42°53,1,,W EL NON-TURF 150' RADIUS FROM SEPTIC EL. 13.9' EL. 0.8' 0.5' DARK BROWN LOAM OL BROWN SILT ML Y BROWN CLAYEY SAND SC 5' PALE BROWN FINE TO COURSE SAND SW 13.1' WATER IN PALE BROWN FINE TO COURSE SAND SW TEST HOLE DATA McDONALD GEOSCIENCE 04/26/2 011 N / O / F KEVIN M. DWELLING WITH 20' EXISTING lgrY. GARAGE 425.82' UTILI'TY EX. DRIVDX~AY ~ POLE BAYVIEW 2~ STY., FRAMED HOUSE ,..tt~ .... TEST HOLE EL. 13.9' $ 46°41'30'' E 160.00' N / 0 / F JOHN J. HASSE'IT Jr. DWELLING WITH PUBLIC WATER REMOVE AND FILL EXISTING SEPTIC SYSTEM PER SCHDS REQUIREMENTS BUILD UP GRADE PER -AREA OF EXISTING SCHDS REQUIREMENTS SEPTIC SYSTEM [TO ELEVATION 14.0' L FOR SEPTIC SYSTEM MAINTAIN MIN. 20' min. SEPERATION BETWEEN EL ~4' J SEPTIC SYSTEM AND t DRYWELLS PER SCHDS MAINTAIN MIN. 10' min. SEPERATION BETWEEN SEPTIC SYSTEM AND WATER L NE PER SCHD$ EDGEOFPAVEMENT AVENUE 0X~ATER IN STREET) SITE PLAN SCALE: 1" = 20'-0' 150' RADIUS FROM SEPTIC sctm# 1000-52-05-02 SURVEY: 05-03-2011 MEETS AND BOUNDS: PECONIC LAND SURVEYORS, JOHN METZGER LIC. 49618 FLOOD ZONE FROM FIRM MAP 36103C0158H APPROVED BY BOARD OF TRUSTEES TOWN OF $OUTHOLD S-1 STORMWATER MANAGEMENT REQUIREMENTS WHERE APPLICABLE ~"x2'sTA~, STANDARD AND SPECIFICATION FOR STR,a6/~/I]~(I~I;I]IIs~tND SPECIFICATION FOR SILT FENCE 2' IN ~E GROUND W~RE ~E DEFINITION: DEFINITION: A T~MPO~RY BARRIER O~ ~W OR ~lMl~ M~T~RIA~ U~D TO A TEMPO~RY BARRIER OF 6EOTEXTIL~ FABRIC (FILTER CLOTH) SILT FENCE IS PREFERRED, IF SIGNIFICANT G~DE ~TS, ~W BALES NAY BE PU~OSE: PURPOSE: REQUIRED TO BE P~CED ON THE DOWNSTR~M SIDE OF THE SILT ~NCE, ~ TH E PURPOSE OF A BALE DI~ 15 TO REDUCE RUNOBF VELOCI~ AND TH E PURPOSE OF A 5ItT FENCE IS TO REDUCE RUNOFF VELOCITY AN I CONDITIONS WHERE P~CE APPHES: p~moD THE ggT F~NC~ MAY "E THE STRAW BAL~ DiKE IS USED WHERE: CONDITIONS WHERE P~ICE APPLIES: ~ 4), LENGTH OF SLOPE ABOVE THE ~ MALE DOES NOT EXCEED 75 MAX[MUM DRAiNAG~ AREA FOR OVER~ND FLOW TO A SILT FENCE STRA~ BALE AND SILT FENCE 3:~ 33 75 SHALL NOT BXCE~D ~/2 ACR~ P~R 100 FE~ OF FENCE: AND PROPER~ ~PICALHouSE RESIDENTIALFooTPRiNT PROPER~ ~ TO THE ~W BALE DIKE. SPECIFICATIONS UNLESS OTHERWISE APPROVED BY THE -- THE P~lCE ~Y A~O BE USED FOR A 5INGLE FAMILY LOT IF THE AREA IN THIS IN~ANCE ;HALL BE LESS THAN ONE ACRE AND THE ACCEPTANCE, ~ATEWIDE ACCE~ADILI~ SHALL DEPEND ON IN -- ~ ~ ~ L~NGTH OF SLOPE ABOVE TH[ DIKE SHALL BE L~55 THAN 200 FEET FIELD AND/OR LABO~TORY OBSERVATION ~b EVALUATIONS. / MULLEN BU~ 190 ~M D3786 RECOHMENDED 5T~N~H (PSI) ~ PROPER~ LINE ~U~U~E STR~N~H Obs.) ~0 ~tM ~ENLY SPREAD 5T~W TOE-IN FEON APPRO~MATELY SLURRY FLOW ~TE ~~,,°-~ PRE-ASSEHBLED SILT FENCE ~,~,~ o,~ UULT~OL~DIATION ~[T~ STREET~ O~ 3.0 SQUARE INCH~S. STEEL ROST$ WILL BE STANDARD T AND ST W BALE DIKE DETAILS SILT FENCE DETAILS ~ 1. S~ STAKES 2. EX~VATE A 4" X 4" TRENCH UPSCALE ~'~J~ Iff: ~ g~,~AoE A~* ~ MO,ETH*~ V, AC ~m . ' ~ ALONG THE ~NE OF STAKES. pROPERLY INSTALLED STRAW BALE J ~ ~_~// 1. Excavate the Trench 2. P~CE AND STAKE ST~W BALES. 3. ~APLE FILTER MATERIAL TO STAKES 4. BACKFILL AND COMPA~ A~ACHING ~0 SILT FENCES 3, BACKFILL AND COMPA~ THEUSEFULNESS 50 ~ NOT TO BLOCK OR IMPEDE STORM FLOW OR[/ IinDigO THE GROUNDBuRY FLAP POINTS A SHOULD BE HIGHER THAN POINT 8 SlLTMATERIAL REMOUED WHEN "BULGEY'FENCE DEVELOP IN THE OKAINAGE DRAINAGE INhALaTION EXCAVATED SO[L, {FRONT EL~ATJON) S-la