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Home My WebLink AboutTR-7728A James F.King,President 'OF SUUrTown Hall Annex l Bob Ghosio,Jr.,Vice-President �� O0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q • �O Telephone(631)765-1892 Michael J.Domino OIyC�UNTy Fax(631) 765-6641 BOARD OF TOWN TRUSTEES e� TOWN OF SOUTHOLD (f P Permit No.: 7728A Date of Receipt of Application: January 19, 2012 eP.s J� Applicant: James & Janet D Addario ��fM SCTM#: 126-4-17.2 Project Location: 8905 Peconic Bay Blvd., Laurel Date of Resolution/Issuance: February 22, 2012 Date of Expiration: February 22, 2014 Reviewed by: Board of Trustees Project Description: To construct a one-story addition to the existing dwelling; existing septic system to be removed and filled with clean sand; new septic system to be relocated further from water at a higher elevation; and install drywells around dwelling to control water run-off. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations indicated on the survey prepared by John T. Metzger last dated March 17, 2011 and project plan prepared by Mark K. Schwartz, AIA dated April 5, 2011 and stamped approved on March 2, 2012. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Jam F. King,Cid t Board of Trustees James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7728A Date of Receipt of Application: January 19, 2012 Applicant: James & Janet D'Addario SCTM#: 126-4-17.2 Project Location: 8905 Peconic Bay Blvd,, Laurel Date of Resolution/Issuance: February 22, 2012 Date of Expiration: February 22, 2014 Reviewed by: Board of Trustees Project Description: To construct a one-story addition to the existing dwelling; existing septic system to be removed and filled with clean sand; new septic system to be relocated further from water at a higher elevation; and install drywells around dwelling to control water run-off. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations indicated on the survey prepared by John T. Metzger last dated March 17, 2011 and project plan prepared by Mark K. Schwartz, AIA dated April 5, 2011 and stamped approved on March 2, 2012. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the SoUthold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Jam F~. King, Presid~ Board of Trustees James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD 'OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated I II ~ 113) has been reviewed by this Board at the regular mee!ing of ,,3_1 ,A?I I~ and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ Ist Day of Construction ($50.00) __ ½ Constructed ($50.00) ~/' Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: BY: James F. King, President Board of Trustees James F King, President Bob Ghosio, Jr, Vice-President Dave Bergen John Bredemeyer Michael J. Domino P.O. Box II79 Southold, NY 11971 Telephone(631 765-1892 Fax (631)765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Mark Schwartz, Architect on behalf of JAMES & JANET D'ADDARIO requests an Administrative Permit to construct a one-story addition to the existing dwelling; existing septic system to be removed and filled with clean sand; new septic system to be relocated further from water at a higher elevation; and install drywells around dwelling to control water run-off. Located: 8905 Peconic Bay Blvd., Laurel. SCTM#126-4-17.2 Type of area to be impacted: __Saltwater Wetland __Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 __Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion ~Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: J. King B. Ghosio __ D. Bergen, , J. Bredemeyer__ Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: February 22, 2012 Re: Proposed Wetland Permit for JAMES & JANET D'ADDARIO SCTM#1000-126-4-17.2 Mark Schwartz, Architect on behalf of JAMES & JANET D'ADDARIO requests an Administrative Permit to construct a one-story addition to the existing dwelling; existing septic system to be removed and filled with clean sand; new septic system to be relocated further from water at a higher elevation; and install drywells around dwelling to control water run-off. Located: 8905 Peconic Bay Blvd., Laurel. SCTM#126-4-17.2 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. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Office Use Only Coastal Erosion Permit Application Wetland Permit Application x]( Administrative Permit Amendment/Transfer/~Extension ]q Received Application: Ill ~-Received Fee:$.~)°~-~ ~..l-Cr~.~' ~'Completed Application 1!!5!1 __Incomplete __SEQRA Classification: Type I Type 11 Unlisted Coordination:(date sent)_ WRP Consistency Assessment Form ~CAC Referral Sent: ~[e. ,- ate of nspection: ~Receipt of CAC Report: __Lead Agency Determination: ~F. echnical Review: · / Public Hearing Held: ~-~,.~-~ I Resolution: din Name of Applicant James and Janet D'Addario Address 45 Clock Tower Lane, Old Westbury, NY 11568 Phone Number:( ) (516) 455-2786 Suffolk County Tax Map Number: 1000 - 126-4.17.2 Property Location: 8905 Peconic Bay Boulavard, Laurel, NY 1056 feet east of Bray ave. (provide LILCO Pole #, distance to cross streets, and location) AGENT: Mark K. Schwartz, Amhitecl (If applicable) Address: P.O. Box 933, Cutchogue, NY 11935 Phone: (631) 734-4185 ~rd of Trustees Applicati~ GENERAL DATA Land Area (in square feet):.49,637 sq. It. Area Zoning:.R40 Previous use of property :_residential Intended use of property: residential 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 decision. Prior permits/approvals for site improvements: Agency Date ] Yes No ~ No prior permits/approvals for site improvements. Has any permitJapproval ever been revoked or sus~e~ted bYla-~vemmental agency? ~ No~l_ Yes If yes, provide explanation: Project Description (use attachments if necessary): Propos6~l 1 story addition to expand living space. Existing septic system to be removed and filled with clean sand. New septic system to be relocated further from water at a higher elevation. Drywells also to be installed around cottage to control water runoff from the building. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Proposed 1 story addition to expand living space. Existing septic system to be removed and filled with clean sand. New septic system to be relocated fuCaher from water at a higher elevation Area of wetlands on lot: 0 _square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? ~ No [~ Yes If yes, how much material will be excavated? 55 cubic yards How much material will be filled? ~o cubic yards Depth of which material will be removed or deposited: 4 feet Proposed slope throughout the area of operations: +/- 5% Manner in which material will be removed or deposited: Excavated shall be used for final grade, new fill for septic 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~ County of Suffolk State of New York /~,~ ~ ./tTLg~,~-~ )r---~._ BEING DULY SWORN DEISOSES[AlkID 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. SWORN TO BEFORE ME THIS 00'~'' DAY OF'._40,3 ,-- ,20/0- II~ot~try Public James and Janet D'Addario 45 Clock Tower Lmm Old Wesfl)Uly, New York 11568 516-626-9150 March 01,2011 To Whom It May Conceru: We, James and Janet D'Addario, authorize Mark Schwartz, AIA - Architect, to act as agent tbr permit applications to the Southold Town Zoning board of Appeals, Southold Town Board of Trustees, New York State Department of Environmental Conservation, Suffolk County Department of Health and the Southold Building Department. The proI)osed residential consnmcfion project is located at 8905 Peconic Bay Boulevard, Iaurel, New York (SCI'M// 1000-126-04-17.2). 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 thc town of posslble conflicts of interest and allow it to take whatever action is necessary to avoid same. ~.~ OURN^ME: C 4w4/e rz (t.ast name. iirst name, middle iht'iai, 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 'Frustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"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 thc town officer or employee owns more than 5% of the shares. YES NO ~ If you answered "YES". complete the balance of this tbrm and date and sign ~here indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicantJagentireprosentative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. ]'he town 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 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 appIicant is not a corporation); __.C) an officer, director, partner, or employee of the applicant; or __ D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted this ~7~_day of ~,_.~.ff~t't~ 200 ~ Signature ~ ~ ~[ ~ PrintName~l~ ~C~ / ~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the oart of town officers and emrflovees. The numose of this form is to nrovide information which can alert the town of nossible conflicts of interest and allow it to take whatever action is necassary t° ay°id same' t st le~lm ( a e, st ame, ' d 'rial, 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 NO V If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) 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): ___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 Form TS 1 Submitted this ]"~day~ ~ 200 Signature .~! .~?[. Print Name~/~ ~.~ ~ .~ PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT I SPONSOR ames and Janet D'Addario 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be cornpieted by Applicant or Project Sponsor) 12, ROJECT NAME D Addario Property County Suffolk SEQR 3.PROJECT LOCATION: Municipality Laurel 4. PRECISE LOCATION: Street Addess and Rc~d Intersections. Prominent landmarks eL -or provide mad 8905 Peconic Bay Boulavard, Laurel, NY 5iS PROPOSED ACTION: [] New ~"~Expansiee [-"]Modifica~/alteration $. DESCRIBE PROJECT BRIEFLY: I Proposed 1 story addition to expand living space. Existing septic system to be removed and filled with clean sand. New septic system to be relocated further from water at a higher elevation. Drywells also to be installed around cottage to control water runoff from the building. 7. AMOUNT OF LAND AFFECTED: InlUally acres UIUmateiy acres 8. V~LL PROPOSED ACTION COMPLY V~ITH EXISTING ZONING OR OTHER RESTRICTIONS? V~ aYee [] No If no, desc~be briefly: re unable to obtain the required set back from wet lands due to the existing site conditions. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) I'~"lReelden.a, I"'],n~ustrfaI I~lC(ymmercial DAgriculture F'-]Park/Forest/OpanSpace ~"-] Other (deSc~be) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, AGENCY (Federal, Slate or LOCal) I'~---"lYes DNo If yes, list agency name a~d permit / approval: Health Department, D.E.C., Building Department NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? I'~-]Yes r~lNo If yes, list agency name and permit / al~proval: DEC, Health i1 . AS A ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE ~NFORMATI~ PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Sl~lnature Date; f (-./ the action Is a Costal Area and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT ITo be completed by Lead Agency) A_ OO~S ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coosdinate the review process and use the FULL EAF. []Yes r~JNo W1LL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNUSTED ACTIONS IN 6 NYORR, PART 617.67 If No, a negative declaration may be superseded by enolher involved agency. J-]Yes I~lNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, sudace or groundwater quality or quantity, noise levets, existing traffic pattern, solid waste peoduc~en er disposal, potential ~or erosion, drainage or Ileoding problems? Explale bdefly: I C2. Aesthete, agricultural, archaeologlce(, historic, or other natural or cultural mssorces; or cemmunity or nelghbe~hsod charabter? Explain briefly: C3. Vegetation or fauna, fish, shst[flsh or wlidiife species, significant habitats, or flxestenad er endangered species? Explain bdefly: I ,. I C4. A ~,,,,,,nfly s e~asting plans or goals as ot~lally adopted, or a change in use er intensity of use of land er oiher natural resources? Explain briefly C5. Growth, subsequent developmenL or relaled activi es like y 1o be induced by Ihe proposad action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in CI-C57 Explain briefly: ! C7. Olher impam lim;luding cflenges in uso of either quentif./or type of eneer~'? F-.x~lain D. VVILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA ICEA)? I IS THERE, OR IS THERE UKELY TO BEt CON'I~OVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ~es explain: PART III - Dt= i ~=RMINATION OF SIGNIFICANCE (To be completed by Agency) . IN$11~UC'I1ONS: For eaoh adverse effe~ identified above, determine whether it is substantial, large, Imperrant or othe~se significant. Each effec( should be assessed in connection with its Ia) ~ (i.e. urban or rural); (b) prabeb~ ot'occu~; (c) duration; Id) in'evem~l/ty; (e) geographk~ scape; and If) magnitude. If necessa~, add attachments or reference suppo~ng materials. Ensure that mqflanaitone crm~n sufl~ent detail to show that all ralevan! adveme impacts have been idenlified ~ ~y ~. If queslion d of pm1 ii was checkad yes, the determination of slgnlrmance must evaluate the poten~alimpa~ of the proposed a(~ion on the e~m~ ~ra~ ~the ~ WILL NOT result in any slgni~cant adverse environmental Impacts AND prodde, on a~ashments as ~ce~ap/, the masons suppo~ ~= detorminaflco. Board of Trustees Name of Lead Agency Date President Print or Type Name of Respo~lble Officer in Lead Agency Tifle of Responsible Officer Signa(um of Responsible officer in Lead Agency Signaluee of Preparer (If different ~om respons/ble officer) Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM P~oP~lY LOCA~O.: &C.T~L~ THE FOLLOWING ACTION~ MAy REQUIRE THE SUBMI881ON OF A 1000 126 4 17.2 A~(,~i-WATEI~ GRADING~ DRAINAGE AND IERO~ION CONi'ROL PLAN D~m~t S.~O. me~ L~ ~*~k, Irl=u BY A DESIGN PROFE~81ONAL IN THE ~rATE OF NEW YORK. · ~ ~ ~w~k~ P~~o.) 49,637 Ge~ by a ~ (23 In~ ~, m S~? b. What ~ ~e To~l ~ ~ L~ C~ (s.~, / ~) ~ ~ Mil ~e all N~ff c~ ancot Ground D~n~ ~ ~ ~ ~ an~ ~n~ion ~u~on ~ 3000 +/- S~ Impm~men~ ~d ~e pe~anent ~ of ~s ~,) PRO~E B~ ~O~ D~I]ON ~P~.~ ~i~e S~ In~ Proposed 1 sto~ addition to expand living space. Slop~ ~mng ~ Wa~r F~, Existin~ septic system to be removed and filled 3 ~and~lm~ ~S~e~on~n~lRan an~OrandPm~s~Su~y with clean sand. New septic system to be relo~ted ~m m~ be ~in~ned ~hout~ ~her from water at a higher elevation. D~ells 4~1 ~is Pm~ ~uim any ~nd also to be installed around cottage to control E~ve~on~m ~em ~a~a~ E~g G~e Inv~ng ~m ~ Me,Hal ~in any ~? water runoff from the building. 5 ~1 ~is ~pll~on ~ulm ~nd Dl~g (5.~ S,F.) Square F~I of ~ Su~? 6 Is ~ a ~ml Wa~er ~ Run,rig ~gh ~e? Is ~is ~ ~ ~ T~ juH~ ~eml ~ 8~ ~lm~: or ~n ~ ~d~ (I~') ~t am ~a ~r ~ ~n ~ ~ ~ ~ ~ ~a~ ~; ~i~ E~ Finn (15) ~ ~ V~ ~ ~ ~ ~C h~ d~n~ ~ a S~ ~ ~ ~ ~ ~ ~ ~. O~ Hundred (1 Off) ~ ~on~l D~? CO~ OF ........................................... ~I, ~ ~~ r~ bein dO ~md ~d~ ~h ' ................................................................ g Y , ~ ~ ~sne ~ me ~p~t tot P~ ....... ~7~'~~'~7~j ............................................................... 0~ ~or repres~fi~ of ~e ~r or ~s, ~ld ~s d~ ~flxo~d to ~ffo~ or 11~¢ ~$~d wo~ ~d to m~e ~d file ~s applicon; ~at ~l a~,~ c~,~ in ~s a~on ~ ~e ~ fl,e~~~; ~d Sworn to bef~ mc ~; Qualified ............................................... day o[.~..~.~..:_1 ................. 7' · ................................................. ............................. FORM - 06/10 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. 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# 126 .4 .17.2 The Application has been submitted to (check appropriate response): TownBoard F~ Planning Dept. [--] Building Dept. [~ BoardofTrustees ~-~ 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: Proposed 1 story addition to expand living space. Existing septic system to be removed and filled with clean sand. New septic system to be relocated further from water at a higher elevation. Drywells also to be installed around cottage to control water runoff from the building. Location of action: near current location, but further from bodies of water Site acreage: 49,637 sq. ft. (1.14 acres) Present land use: residential use Present zoning classification: R40 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: James and Janet D'Addafio (b) Mailing address: 45 Clock Tower Lane, Old Westbury, NY 11568 (c) Telephone number: Area Code ( ) (516) 455-2786 (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, Building, 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 addition of existing residential dwelling on a previously developed site in a heavily developed community. Policy 1 is not applicable to the project. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southoid. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ~ Yes [~] No ~-] (Not Applicable - please explain) The sub]ect propoerty does not contain nor does the project affect historic or archaeological resources; nor is the project located in a historic madtime area. Policy 2 is not applicable to the project. At~ach 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 - 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 buffedng the developed portion of the site from the tidal waters of Norton 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 - 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 ~-~ Yes ~-~ No ~] (Not Applicable - please explain) The proposed project is consistant with policy 5 via (2) major project components: 1 - upgrade and relocation of the existing sanitary system more 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. 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 - 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 NYS DEC will be complied with. Attach additional sheets if necessaw Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - 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. 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 - 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. ~ Ye.~ 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 water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~--]Yes ~ No ~ (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 IIl- Policies; Pages 57 through 62 for evaluation criteria. ~Yes ~ No ~ Not Applicable - please explain The project neither proposes nor affects commercial or recreational fisheries 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 Southoid. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~Yes r'-] Nor~] Not Applicable - please explain The project site is neither situated on nor adjacent lands. Policy 12 is not applicable to the project. 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 r-~ 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. .734.4 January 4, 2012 Southold Town Board of Trustees 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Re: D'Addario Property 8905 Peconic Bay Boulevard Laurel, New York SCTM# 1000-126-04-17.2 Dear Trustees: James D'Addario, Owner, would like to obtain permits for the work described in the attached Site Plan. The Southold Building Department has stated that they do not require a permit from your office, however, I would like to obtain a letter of non-jurisdiction for this project. We are proposing to construct additions to the existing house as shown on the survey. The proposed construction is more than 110 feet from the landwards limits of wetlands line. Please review the attached survey and call this office if you have questions or need any additional information. Thank you! Since ly, James and Jm~ct I)'Addario 45 Clock Tower Lanc Old Wcstbury, Ncw York 11:568 516-62(3-91,50 March 01,2011 To Whom It May Concern: VVe, James and.Jm~et D'Add~trio. authorize Mm'k Schwartz, AIA - Architect. to act as agent [br pem~it applications to the Soufliold To~m Zxming board of Al)peals, Southold Town Boanl of Trustees, New York State Depmxment of EnxSronmcnml Conse~xation, Suttblk County Depamnent of Healfl~ and the Sou~old Building Depamnent. 'lqm 1)reposed residential consu'ut~ion project is located at 8905 Peconic Bay Boulevard, Iauret. New York (SCTMO 1000-126-04-17.2). EXISTING FRONT ELEVATION EXISTING LEFT ELEVATION EXISTING REAR ELEVATION FRONT ELEVATTON SCALE: 1/8" = 1' dAN 1 9 2012 LEFT ELEVATION SCALE: 1/8" = 1' REAR ELEVATION SCALE: 1/8" = I' REVISIONS: FLOOR PLAN SCALE: 1/8" = 1' I I EXISTING BATH NO. 2 ,EXISTING FLOOR PLAN SCALE: 1/8" = 1' REVISIONS: I DRAW~: MH/MS SCALE: bS"=l'-0" JOB #: SHEET NUMBER: A-2 N LOT COVERAGE EXISTING - $ COTTAGES, HOUSE & SHED 3994 sq, fi. 3994/'19637 = 8~ WITH PROP. ADDITION - 4984 sq, ft 42G4/49837 = 8.8% FLOOD ZONE FROM FIRM MAP NUMBER ~610~C0481H SEPTEMBER 25, 2009 ELEVATIONS REFERENCED TO N.A.~D, LOT NUMBERS REFER TO "MAP OF A.L. DOWNS" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON AUGUST 14, 1929 AS MAP NUMBER 21. I om fomilior with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein ~nd on the permit to construct. The focotion of public woter shown hereon ore from field observotions ond or from d~to obteined from others. F/~TLANDS SURVEY OF PROPERTY A T. LA UREL TO~N OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-126-04-17.2 ' SCALE: 1'=30' DECEMBER 14, 2010 Mar. I ?, 2011 I prop. ~ddltlon I V v ZONE ,~E OF ~IA Y PlO LO~' 10 (~1 ~) S87'04'10"E~c~147.96' TEST HOLE DA TA McDONALD GEOSCIENCE AREA=49,637 SO. FT. ANY ALTERAITON OR ADDI770N TO 77tls SURVEY IS A ~OLA710N OF SECITON 72090F THE NEW YORK STATE EDUCA~70N LA~g EXCEPT AS PER SECSDN 7209-SUB[~It4SION 2. ALL CERT1PtCA?7ONS HEREON ARE VA£1D FOR THIS MAP AND COPIES THEREOF ONLY IF re=MONUMENT SAID MAP OR COPIES SEAR THE IMPRESSED SEAL OF THE SURVEYOR =WETLAND FLAG ~tOSE SIGNATURE APPEARS HEREON. L/C, NO. 4961 P,C. 765-5020 FAX (651) 765-1797 ~. BOX 909 r 12J0 TRAVELER STREET ~ souTHoLo, N.~. 1197t 110-235