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HomeMy WebLinkAboutTR-7756 John M.Bredemeyer III,President �tJjOf SO(/TjyO Town Hall Annex Michael J. Domino,Vice-President h0 lQ 54375 Main Road P.O. Box 1179 James F. King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q Charles J.Sanders,Trustee '01 • i0 Telephone(631) 765-1892 '* 'rou '� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1053C Date: October 7, 2014 THIS CERTIFIES that the elevation of the existing dwelling; construction of front entry, rear deck, screen porch, addition, stoops (2), deck roof; installation of new sanitary system; clean fill; demolition of garage; 10' wide non-turf buffer around perimeter of property At 765 Beachwood Road, Mattituck,New York Suffolk County Tax Map# 116-4-20.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 28, 2012 pursuant to which Trustees Wetland Permit#7756 Dated March 21, 2012,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 elevation of the existing dwelling; construction of front entry,rear deck, screen porch, addition_, stoops(2), deck roof; installation of new sanitary system; clean fill, demolition of garage, 10' wide non-turf buffer around perimeter of property. The certificate is issued to MURRAY GAYLORD owner of the aforesaid property. Authorized Signature CC# : C14-40759 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY 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 10/06/2014 under Liber D00012791 and Page 270 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 10/06/2014 EC- ' OCT 7 2014 SUFFOLK COUNTY CLERK - Southc foe^rny— JUDITH A.PASCALE ar T.r".�tl... r . ..�. SEAL l II�IIII Illl IIIII II-III IIIII Illll Illll IIIII Illll IIII IIII I IIIII'IIIII(I'll IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 10/06/2014 Number of Pages : 5 At: 04 :08 :22 PM Receipt Number : 14-0132201 LIBER: D00012791 PAGE : 270 District: Section: Block: Lot: 1000 116.00 04 . 00 020 . 001 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25 . 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 $6.25 NO RPT $60 .00 NO Fees Paid $131 .25 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County FlIF21 Number of pages RECORDED '2014 nct 06 04:08-22 PM _UDITH A? PA';CALE CLERK K OF This document will be public SUFFOLK COUNTY record. Please remove all L DO OIL2791 Social Security Numbers P 270 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Assit. Notation or EA-52 17 (County) Sub Total Spec./Add. EA-5217 (State) TOT.MTG.TAX Dual Town Dual County — Held Held for Appointment Comm. of Ed. 5. 00 Transfer Tax Mansion Tax Affid�. ' The property covered by this mortgage is C ified Copy – or will be improved by a one or two k NYS Suxch�rge 15. 00 family dwelling only. Sub Total YES or NO Other f„� Grand Total (/1 If NO,see appropriate tax/clause on r page# of 4 1 2806761 1000 11600 0400 020001 t 5 1 Community Pres"tion Fund Real 1 FTS I IINII I�I III VIII III I11�(�(II) Consideration Amount $ Tax R LPA A i 'I Aj o6-OCT-1 CPF Tax Due $ V '; Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land Sew.wee A. Av-uo oomaw- TD 4ut:fo�.1cu�whw ; � Gort�u�tM/6,.t'N -001F. G Zoo; TD 81LIo&&rMAMA NnA; Ny l jq'3 Z TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Comlpan-y Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# g Suffolk County Recordin & Endorsement Page This page forms part of the attached VCA#4L 1,11'd O< <OV,04ANT4 made by: (SPECIFY TYPE OF INSTRUMENT) � "'1 l�Jrt�{�.OA•�! The premises herein is situated in &AM CO p SUFFOLK COUNTY,NEW YORK. TO In the TOWN of -SO%33"O In the VILLAGE 76WN Dor Soor"o L.a or HAMLET of LUTG K06ro e BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING 12-0104..10108kk (over) r DECLARATION OF COVENANTS THIS DECLARATION made this lO day of20 / r by Murray Gaylord and Maxine Gaylord, residing at 765 Beachwood Road, Cutehogue, NY 1193.5, hereinafter referred to as "DECLARANTS": W I T N E S S E T H WHEREAS, DECLARANTS are the owners of certain real property located on 765 Beachwood Road, Cutchogue, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 7.000, Section 116, Block 4, Lot 20.1 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 DECLARANTS 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 10 foot wide "non-turf buffer" adjacent to and landward of tidal wetlands be established said buffer to be vegetated with beach grass and subsequently maintained; NOW, THEREFORE, the DECLARANTS do hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained 10- foot "non-turf buffer" as defined by Chapter 275 of the Town Code, to be vegetated with beach grass and subsequently maintained; and as depicted on the survey prepared by Peconic Surveyors, PC last dated February 13, 2012 and stamped approved on April 13, 2012 as set forth in Schedule "B" annexed hereto; and 2) These covenants shall run with the land and shall be binding on the DECLARANTS, 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 owners have duly executed this instrument this b Y da of Mu ray Gaylord Maxine Gayl rd STATE OF fw Q ss: COUNTY OF 5J//t'o`K- On the b� day of �Z�t �-- in the year 2011 before me the undersigne a Notary Public in and for said State, personally appeared oc.o , personally known to me or proved to me on the basis of at' fac ory evi.d ce to be the individual (s) whose names) 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 signatures) on the instrument, the individual or the persons on behalf of which th individual (s) acted, executed the instrument. Notary Public Matthew D. (vans Notary Public of New York No, 01116053859 Qualified in Suffolk County �- Commission Expires January 22, 201�) PARCEL II Abl'ENDED 08/29/07 ALL that certain plot,piece or parcel of land, situate, lying and being at Cutchogue in the Town of Southold, County of Suffolk and State of New York being bounded and described as follows: BEGINNING at the northeasterly corner of the premises to be described, said point being southerly and westerly 1555.00 feet as measured along the westerly and southerly side of Beachwood Road on a tie line course from New Suffolk Avenue; RUNNING THENCE from said point of beginning South 11 degrees 25 minutes 00 seconds West, 196.72 feet to the apparent high water mark line of Hall's Creek/Great Peconic Bay; RUNNING THENCE along the apparent high water line of Hall's Creek/Great Peconic Bay the following four (4) tie lien courses and distances: 1. South 81 degrees 47 minutes 16 seconds West, 38.24 feet; 2. North 52 degrees 35 minutes 24 seconds West, 87.20 feet; 3. North 37 degrees 31 minutes 14 seconds East, 15.00 feet; 4. North 39 degrees 42 minutes 40 seconds West, 104,50 feet; RUNNING THENCE North 54 degrees 00 minutes 00 seconds East, 83.81 feet; RUNNING THENCE North 78 degrees 00 minutes 00 seconds East, 65.00 feet; RUNNING THENCE South 81 degrees 56 minutes 40 seconds East, 72.99 feet to the corner at the point or place of BEGINNING. Legal Description NAL5EPTIC SY5TEM DETAIL 1 SURVEY OF PROPERTY S�InerrwlG Ae •�•Ie' . NOT TO SCALE b• „•,,, Q I AT CUTCHOGUE U TOWN OF SOUTHOLD ,Mw1 L4 79 s EL3.4 T—°� SUFFOLK COUNTY, NY 1000-116-04-20.1 SEPTIC TANK (I — SCALE.' 1'=.`30' ,. r"""i�u i�°a4'0 11-bo—M A 3'm"°° "°`°`°INC"° OCTOBER 18, 2011 ,.Aa" -w�;�&PueK bew.,sAiorwn°o,nsaxAr.Om.... ruwmwr „daa,xam0s.arr. .•. NOVEMBER 3, 2011 (LOC. WETLANDS FLAGS) DECEMBER 26, 2011 {_TEST HOLE &SPOT ELEVATIONS) CSM A r TCA u�m.aa aAv °�"'mtnu„c[ar AV,•3 JAN.11, 2012 t NEW SEPTIC SYSTEM) A,o•—eewes){elm,s VW AM IIAE awa K uoxa>m. FEB.12012(REVISIONS) FEB.�, 2012(PROP ADD1T 1E&CHW9 POOLS Tal (7)DPAWSIM S Feb.13,2012(revlslons) 1.uriuiA,�fjMO f,o, F",3 WNW 140,4183D)..n smNt,neA lOOIA 2 000. K >,,.<ove swA ac a,.sysr NU uvs aWi K WMeI,m (V ACANTI q 4 A Ip„k OeTIIIC[ a�r�.0srwee �ii °ta�w�s wo emc v+a ywr.ec rwium ,Y •�•. T� WETLANDS V y •� Y NOTE, y SUBSURFACE SEWAGE DISPOSAL sL ' SYSTEM DESIGN Y Nj6,pp,pp y GU,,' rr GRAVEL CNIYOpD SAD BY, JOSEPH FISCHETTI,P.E. 65,00 PGLE _ 72.99' (PRIVATE ROAD) HOBART ROAD y 2.5 -_ 01"HEAp WIRES SOUTHOLD,N.Y.1197/ Y y DE T�-- -- l6311 765-2954 w SP J1 RAIL P / ELWATER J�Sj7 3T� OO s ` 1 � � M T—o OJ�� NEW —�. 0 ` s , ' _ a SUFFOLK ROAD GAR�.��5 Fj�1 y •••,\\p�, !,IE. REMOVE[) BE M To LP n .V y ZONE AE a LP kP IP ! y Y Y. +4.0' O �,' �EO 'ERS�NF pARY 14.3 PIS* WETLANDS C � c ' iil'Y ' t,.' TOP OF V y� 2 �y 6 EL s.�• TALL ROOF RUNOFF CALC ROOL RUNOFF CALCULATIONS .V /\ Ow os.• / 3 AND DRAINAGE \ 'y O Y. -1.7n 'i ;• Q c) 0- •2- •1 NE STpRY 2600 s 11.9` m 0-433u. .lf. y �� �1E 1{ � > s'0 RWc�283.�sq/1. > \ y TIT 1 /3 gCc�WO 1ST 0, a 433.3128.3•15.3 VF to \ Y y; "��� w P E,r2C'.' �` - USE 16 VF-4 6.0 DWs 4'deep LL Ci6lzv Y 2'$ APPROVED BY ° rL I1T' Z V BOARD OF TRUSTEES ����� � RO01e•Ol� - . 3.5 3 TOWN OF SOUTHOLD pq, aeor c� F<' c�'c DATE %21w 13 z.'iZ •� \ fV �`s•2• �� � �t/�Aces � �r TiF9� 3S. -4, 14.F TEST HOLE DATA M3• McDONALD GEOSCIENCE 12/20/11 19 q(O�C JSO, F9 EL 4.4 EL.7.4'EL 3.8' MIXED SAND AND LOAM _TT BG WATER WATER IN MIXED SAND O A �lyego 581'0 BO'MW --- 4. 36• WATER IN BROWN 8DG PT Y f WATER IN BROWN CLAYEY SAND Sr ��•PROP.ELEVATION OR CONTOUR � � - - e' �,�• WATER M BROWN FINE TO MEDIUM SAND SP ELEVATIONS REFERENCED TO N.A.V.D. FLOOD ZONE FROM FIRM RATE MAP NUMBER 36103CO482H 14' SEPTEMBER 25, 2009 1 am familiar with the STANDARDS FOR APPROVAL AND CONS7RUCT70N OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the `° Q EAa24,797 SO. FT. permit to construct. qaw' Q 11E LANES i 1 9 The location of wells and cesspools shown hereon are - f from field observations and or from data obtained from OEC�021S'M�VEYORS, N.Y.S. LIC. NO. 49518 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA77ON P.C. OF SECTION 72090E THE NEW YORK STATE EDUCATION LAW. ? ?:;j}.? EXCEPT AS PER SECTION 7209-SUBDIVISION 2.-ALL CERTIFICATIONS (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR =WETLAND FLAG 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON ■=MONUMENT SOUTHOLD, N.Y. 11971 11-209 John M. Bredemeyer Ill,President �gt11`FO(,� Town Hall,53095 Main Rd. Michael J.Domino,Vice-President �� C�Gy P.O.Box 1179 James F. King y Southold,NY 11971 Dave Bergen Telephone(631)765-1892 Charles J.Sanders y�Qj �'� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE INSPECTION: ify ��' y Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction '17' constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: U ' �S CERTIFICATE OF COMPLIANCE: v /D L � C Suffolk*Environmental Consulting,Inc. Newman Village, Suite E,2322 Main Street,P.O. Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S.,President HAND DELIVERED April 25, 2014 E C F Q Mr.John Bredemeyer, President 4 Southold Town Trustees [APR 3 0 2014 P. O. Box 117.9Southold, NY 11971 Re: GAYLORD Property Situate: 765 Beachwood Road, Mattituck, NY SCTM#: 1000 - 116 4-20.1 Dear Mr. Bredemeyer, As you know,Wetland Permit 7756 was granted authorizing the construction of a single family dwelling and related residential appurtenances. A condition of the permit included the establishment of a 10-foot buffer to be panted with beach grass. The permit also requires a compliance inspection. Kindly inspect the premises and provide us with a Certificate of Compliance so that we may obtain a Certificate of Occupancy for the dwelling. I attached two copies of the as-built survey prepared by Peconic Surveyors, P. C. dated April 8, 2014 along with two sets of photos which depict the buffer plantings as required by condition of permit issuance. Yours trul , Bruce A. Anderson Cc. M. Gaylord ECS r=. a o� . � w� APR 3 0 2Q14 Property Situate: 765 Bechwood Road ■ Mattituck ■ New York SCTM#: 1000 — 116 -4- 20.1 (photo taken i - 18 - 14) PTRM ' low a- a;` "`a` � rri»it y f � .4fiN�" LA ��Fia3' Mr+.r�J , rr✓'�fms, z�.'2 ,+� �''�{}} a "n �'�a��� ��a�`+y�i �t r.4 g ,a. '� „� '���,.""�'S•�il�`� e .0✓'� �F ,f,. 7���� ''�w 461 �.We Photo depicting the planted buffer along the western portion of the property adjacent to wetlands. Photo shot facing west. Gaylord Property Situate: 765 Bechwood Road ■ Mattituck ■ New York SCTM#: 1000 — 116 -4- 20.1 (Photo taken 4 — � s sib AL— ✓a � r � is�s � visa i 5 % a a �o v f *�" '°s• stir � r o�e � f Photo depicting the planted buffer along the southwestern portion of the property adjacent to wetlands. Photo shot facing west. Gaylord Property Situate: 765 Bechwood Road ■ Mattituck ■ New York SCTM#: 1000 — 116 -4- 20.1 (photo taken i — -is —14) , � , y� r f ^pl, kp« AIN- +r. `°" Ate' =..:r^rM► .. . r . „...; y., ., 11OW uw . Photo depicting the planted buffer along the south portion of the property adjacent to bulkhead. Photo shot facing southeast, 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 ¼ constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7756 DATE: MARCH 21~ 2012 ISSUED TO: MURRAY GAYLORD PROPERTY ADDRESS: 765 BEACHWOOD ROAD~ MATTITUCK SCTM# 116-4-20.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on March 21, 2012, and in consideration of application fee in the sum of $250.0Q paid by Murray Gaylord and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to elevate the existing dwelling; construct a front entry; rear deck; screen porch; addition; stoops (2); deck roof; install new sanitary system; deposit clean fill; demolish the existing garage; and establish and maintain a naturally vegetated 10' wide non-turf buffer around the perimeter of the property; with the condition that the existing structure is not to be demolished and if there is a reason for the structure to have to be demolished, new permits must be applied for prior to demolition and as depicted on the survey prepared by Peconic Surveyors, P.C. last dated February 13, 2012, and stamped approved on April 13, 20,12. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee Murray Gaylord, residing at 765 Beachwood Road, Mattituck, New York as part of the consideration for the issuance of the Permit does tmdemtand 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 suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Pemfittee 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 Pemfit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 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 Pennittee 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 within ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Pennittee of the completion of the work authorized. That the Pennittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon hilure to obtain same. James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 March 21,2012 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Matt D. Ivans Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932 RE: MURRAY GAYLORD 765 BEACHWOOD ROAD, MATTITUCK SCTM# 116-4-20.1 Dear Mr. Ivans: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 21, 2012 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of MURRAY GAYLORD 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 February 28, 2012, 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 March 21,2012, 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, 2 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 MURRAY GAYLORD to elevate the existing dwelling; construct a front entry; rear deck; screen porch; addition; stoops (2); deck roof; install new sanitary system; deposit clean fill; demolish the existing garage; and establish and maintain a naturally vegetated 10' wide non-turf buffer around the perimeter of the property; and as depicted on the survey prepared by Peconic Surveyors, P.C. last dated February 13, 2012, and stamped approved on April 13, 2012, and BE IT FURTHER RESOLVED, that the existing structure is not to be demolished and if there is a reason for the structure to have to be demolished, new permits must be applied for pdor to demolition. 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 ~nspection. (See attached schedule.) Fees:$100.O0 Very truly yours, King President, Board of Trustees JFK/eac James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Rome 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: MURRAY GAYLORD Please be advised that your application dated February 28, 2012 has been reviewed by this Board at the regular meeting of March 21, 2012 and your application has been approved pending the completion of the following items checked off below. XX Planting Plans for proposed project buffer area XX Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ Ist Day of Construction ($50.00) __ ¼ Constructed ($50.00) XX 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: Hay Bale Line Inspection Fee = $50.00 Final 'nspecti°n Fee: $50'00 ~ ~,.)c~ll~\~;~ IOIAL FEES DUE: $100.00 _. BY: James F. King, President Board of Trustees Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-664I Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., March 14, 2012 the following recommendation was made: Moved by Audrey Horton, seconded by Peter Young, it was RESOLVED to SUPPORT the Wetland Permit application of MURRAY GAYLORD to elevate the existing dwelling; construct a front entry; rear deck; screen porch; addition; stoops (2); deck roof; install new sanitary system; deposit clean fill; demolish the existing garage; and establish a natural buffer. Located: 765 Beachwood Rd., Mattituck. SCTM#116-4-20.1 Inspected by: Audrey Horton, Peter Young The CAC Supports the application with the Condition of a 10' non-turf buffer planted with native vegetation and there is to be no further mowing, Vote of Council: Ayes: All Motion Carried PO Box 1179 Southold, NY 11971 Telephone (631 765-t 892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: },//~ ~//'//~---- Suffolk Environmental Consulting, Inc. on behalf of MURRAY GAYLORD requests a Wetland Permit to elevate the existing dwelling; construct a front entry; rear deck; screen porch; addition; stoops (2); deck roof; install new sanitary system; deposit clean fill; demolish the existing garage; and establish a natural buffer. Located: 765 Beachwood Rd., Mattituck. SCTM#116-4-20.1 .~eof area to be impacted: altwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ¢/Chapt.275 .Chap~,.- other Type of Application' ' Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: PreCtWere' // J Kin/~_Y B Ghosio / J. Brede~eyer ' ~/'-M~cha~l Domino __ D. Bergen, D. Dzenkowski Form filled~.t in. the ~?~eld by Mailed/Faxed to: Date: other GA YLORD Property southeastern corner of the proposed rear DECK. Photograph taken from the eastern section of the Situate: ~¢;5 Beach~ood Road; Mattitnck, NY ~ SCTM#: 1~)oo~ l~;~ !~-~0.1 property, facing south, overlooking Hall'sCreek/Great .,/I'1~' / /~. ~,~ l~'~d~'~,~'~, ~.5, -'~;~ ~ --'~ : Peconic Bay. GA YLORD Prop rty ,~o~o~.,~,.~,~.~,.~.~o.~,~,o.~o~ of the existing dwelling. Photograph taken from the southern section of the property, facing north. Situate: 765 Beach~'ood Road; Mattituck, NY ~ SCTM~: I000 - 116 - t - ~0.1 (l~holo la~e~z Ol~ P'et~rtt~t~' 15, 9012) GA YLORD Property Photograph indicatingthe flagged wetlands boundary along the northern section of the property. Photograph taken within the central section of the property, facing Sitt~ate: ?~;5 Beach~od Road; Mattituck, NY - SCTM#: lO00 - l ~ - 4 ,~ ~o.~ north. Photograph indicating the staked out location of the GA YLORDProperty corner of the proposed rear DECK. Photograph taken from the eastern section of the Situate: */65 Beachwood Road; Mattituck, NY ~ SCTM#: 1000 * 1 I~ - 4 - ~20.1 property, facing south, overlooking Hall'sCreek/Great (P/Iolo la/,'t!~ o~1 ]'¥brt~(ll~ I,~, 201 ~) Peconic Bay. GA YLORD Property Situate: 7(;5 Beachwood Road; Mattitnck, NY ,- SCTM#: 1OOO - 116 - ~ - '2o,1 (Photo la/~e~ o~l 1.'ebrt~arv i.5, L)OI 2) Photograph indicating the staked out location of the northwestern corner of the proposed DECK (foreground) and the southwestern corner of the proposed rear DECK. Photograph taken from the central section of the property, facing south, overlooking Hall'sCreek/Great Peconic Bay. GA YLORD Property Situate: 765 Beachwood Road; Mattituck, NY - SCTM~: 1ooo - 116 -~/e - ~o.1 . 1o,-Ol~J (Photo h~ke*z o*~ l,'ebn,~arv .- e 9' Photograph indicating the staked out locations of the proposed SEPTIC TANK, LEACHING POOLS and corners of the proposed front ENTRY. Photograph taken from the southern section of the property, facing northeast, towards Beachwood Road. ~A YLORD Prop rty ~o~o~~~o~,o~,o~o~ e proposed LEACHING POOL (center) and the e~isting garage (to be removed). Photograph taken from the Situate: 7~15 ~eachwood Road; Mattituck, NY ~ SCTM~: ~ooo- ~ ~- ~- ~().~ eastern section of the property, facing northeast, 'l~/,o/o z~*~e~ o,~ Febr~,~,'~, z,:~. ~oz 2) towards Beachwood Road. GA YLORD Property Situate: 76,0 Bcachwood Road Matt~tuck Southold, Nh SCTM#: 1ooo- 116-~-~o.1 PROPOSED CONS'FRUCT1ON ACCESS ROUTE SUBJECT PROPERTY SUBJECT PROPERTY Suffolk Environmental Consulting, Inc. Newman Village. Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton. New York 11932-2003 (631 ) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President HAND DELIVERED March 5, flOl~ Jim King, President Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 AF{ - 5 2012 Re: Situate: SCTM #: GA YLORD Property 765 Beachwood Road; Mattituck, NY 1000- 116--O~- 0~O.1 Dear Mr. King, Attached herewith please find two sets of the proposed floor plans for Murray Gaylord prepared by Joseph Fischetti, P. E. dated January $o, ~o1~ along with a list of particulars prepared in contemplation of the an eventual application to ZBA. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time. Thank you in advance for your cooperation. Sincerely, Bruce A. Anderson attachment Cc. M. Gaylord Gaylord Building Process for ZBA 4. 5. 6. 7. 8. 9. 10. 11. Demolish garage Partially demolish and renovate i story home a. Replace windows with high wind compliant windows b. Relocate interior walls as required c. Install new high efficiency mechanical systems per NY Code d. Add insulation per NY State energy code Relocate entry deck Remove existing decks and build new decks. Relocate existing masonry fireplace. Lift home to comply with FEMA from existing FF of 6.1 to new FF of 10.0' Add height to existing foundations for new FF Add new foundations as required for new renovations Remove existing substandard sanitary system with new Health Department approved system in same location Re-grade around house as required Remove existing overhead utilities and remove pole. Bury all utilities 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: From: Jim King, President Town of Southold Board of Trustees Mark Terry, Principal Planner LWRP Coordinator Date: March 21, 2012 Re: Proposed Wetland Permit for MURRAY GAYLORD SCTM#1000-116-4-20.1 Suffolk Environmental Consulting, Inc. on behalf of MURRAY GAYLORD requests a Wetland Permit to elevate the existing dwelling; construct a front entry; rear deck; screen porch; addition; stoops (2); deck roof; install new sanitary system; deposit clean fill; demolish the existing garage; and establish a natural buffer. Located: 765 Beachwood Rd., Mattituck. SCTM#116-4-20.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the LWRP provided the following is addressed: 1. Depth to groundwater is extremely shallow 2.4'. Please have the applicant Confirm the location of the test well. 2. The 4' contour is proposed "to be removed"? Please verify the intention of the note. 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 X Wetland Permit Application _Amend menffrran~fer/E;~tension ~ ReceivcdApplication:_c?~J,~//a~x ~- Received Fee: $ e-~,'~)~ iTcompleted Application:~ __Incomplete: __SEQRA Classification: Type I _Type Il Unlisted_ __Coordination(date sero) c-"- LWRP Consistency Assessmt3nt Form: 7GAG Referral Sent: 22~[ ...~[ [~, ' ~ Date of Inspection: ~-41x4~ __Receipt of CAC Report: __Lead Agency Determination Technical Review: /'l~ublic Hearing Held: -'%! 1,.~1. ~' Resolution: Adminislralive Permil FEB 2 8 2012 Name of Applicant MURRAY GAYLORD Address Suffolk County Tax Map Number: Property Location: 10 Liberty Street - Apt. 37A; New York, NY 10005 Phone Number: (631) 623 - 5607 I000 - 116 - 04 - 020.1 765 Beachwood Road; Mattimck; Town of Southold, NY (provide LILCO Pole/4, distance to cross streets, and location) AGENT: MATT D. IVANS @ Suffolk Environmental Consulting, Inc. (lf applicable) Address: P.O. Box 2003; Bridgehampton, NY 11932 Phone: (631) 537 - 5160 Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning:. 24, 797 square feet _+ R 40 Previous use of property: Residential Intended use of property: Residential Covenants and Restrictions: Yes × No If "Yes", please provide a copy. Does this project require a variance from the Zoning Board of Appeals X Yes No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept. X Yes No Prior permits/approvals for site improvements: Agency Date Soutl~old Board of Trustees ~Vetlauds No. 6783 · issued Deoember 12, 2007 __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Applicant proposes to elevate the existing dwelling, construct a Front Entry, Rear Deck, Screen Porch, Addition, Stoops ('2), Deck Roof, install new SanitaLv System, deposit Clean Fill, demolish the existing Garage and establish a Natm'al Buffer, all within subject property. Please refer to the attached Project Description tbr all project specifications. REVISED PROJECT DESCRIPTION for the GA YLORD Application Situate: 765 Beachwood Road; Mattituck, NY SCTM#: 1000 - 116 - 4 - ~0.1 Application #: 1-40738-03779/00001 Applicant proposes to improve upon the improved residential property as follows: (~) Elevate the existing FRAME HOUSE by 8.9' + in order to minimize/prevent any flood damage, located a minimum of :38.0' _+ from the landward edge of the wetlands boundary; (~2) Construct a proposed FRONTENTRY(84~.O square feet _++) located a minimum of 6~.0' _+ from the landward edge of the wetlands boundary; (8) Construct a proposed REAR DECK (q80.0 square fbet + overall) located a minimum of 8~2.0' _+ from the landward edge of the wetlands boundary; (~) Convert the western addition into a proposed SCREEN PORCH (1~,5.O square feet +) located a minimum of 87.0' _+ from the landward edge of the wetlands boundary; (s) Construct an ADDITION off the southwestern section of the Frame House, over the existing rear Deck (~215.0 square feet +) located a minimum of M.O' + from the landward edge of the wetlands boundary; (~) Construct two (~2) proposed STOOPS along the eastern side of the Frame House (~20.0 square feet _+ each) located a minimum of 85.0' + from the landward edge of the wetlands boundary; (7) Construct a ROOFover the existing Rear Deck (~260.0 square fbet _+) located a minimum of ~1.0' _+ from the landward edge of the wetlands boundary; (8) Install a proposed UPGRADED SANITARY SYSTEM located a minimum of 67.0' + (SEPTIC TANK) and 3~2.0' + (LEACHING POOLS) from the landward edge of the wetlands boundary; Deposit and Grade CLEAN FILL (4~6o cubic yards _+) within the central and northern section of the property; (~o) Remove the EXISTING GARAGE (590 square feet +) located a minimum of ~26.()' _+ from the landward edge of the wetlands boundary; and (1 1) Establish a NATURAL BUFFER (1o.o' W) along the landward edge of the Wetlands Boundary. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed activity: Applicant proposes to elevate the existing dwelling, construct a Front Entry, Rear Deck, Screen Porch, Addition, Stoops ('2), Deck lRoot} install new Sanitary System, deposit Clean Fill, demolish the existing Garage and establish a Natural Butler, all within subject property. Please ret~r to the attached Project Description tbr all prc[iect specifications. Area of wetlands on lot: 4, 500 + square feet Percent coverage of lot: 17 + Closest distance between nearest existing structures and upland edge of wetlands: 0.0 feet (existing bulkheaa) Closest distance between nearest proposed structures and upland edge of wetlands: 37.0' _+ feet (proposed Screen Porch) Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? 0.0 (cubic yards) How much material will be filled? 450.0 + (cubic yards) Manner in which material will be removed or deposited: Typical Front-End Loader to deposit and rough grading: finishing grading performed primarily by hand. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): No impact to the wetlands are anticipated due to the project being minor improvements to an existing dwelling that has existed harmoniously within this parcel for over forty, years. Additionally, the property, will increase the environmental conditions of the property in that the applicant has proposed to upgrade the ex/sting Sanitary System, install leaders, gutters and drywells, establish a Natural Buffer along the landward side of the tidal wetlands boundary and remove the existing Garage which is situated 26.0' _+ from the landward edge of the wetlands boundary.. Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? How much material will be filled? Manner in which material will be removed or deposited: .(cubic yards) (cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) .lmncs F King, President Bob Ghosio, Jr . Vice-President Dave Bergen John Bredcmcycr Michael J. Domino Town Hall. 53095 Main Rtl P.O Box 1179 Southold. NY 11971 I clephon¢ (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 MURRAY GAYLORD COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING residing at/dba bei~d~ly sworn, depose and sffy: .... t That on the O~day of ~c~ ,20 l&I personally posted the property known as by placing t~e Boa}d of Trustees official poster ~here it ~a~ Jasily be seen, and that I have checked to be sure the poster has remained in place ibr eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed. March 2L 2012. Dated: ~natum~' '~~ Sworn to before me this z,-fl/x"~d a y o~- 20 I,~'~ : Suf k Environmental Consultin g, Inc. Newman Village, Suite E, 2322 Main Strcct, P.O. Box 2003, Bridgchampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President March 13, 2012 Ms. Lauren Standish Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Situate: SCTM #: Gaylord Property 765 Beachwood Road; Mattituck Town of Southold, NY 1000- 116-4-20.1 Dear Ms. Standish, As you know this Firm represents the owner of the propedy referenced above who is seeking to improve thereon. As per the hearing requirements of the Southold Board of Trustees I enclose herewith: Affidavits of Mailing dated March 7, 2012, with certified receipts attached to all abutting property owners. Please be advised that we will forward to you the green receipts cards as we receive them. Should you have any questions concerning this matter, please feel free to contact this office at any time. Thank you in advance for your attention and consideration. Sincerely, Diane K. Wassick enc. cc: Mr. Gaylord Name: 00-116-4-21 Lawrence & Richard Suter 1000-116-6-10.1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: 275CardinaleDrive;Ma~imc~ NY 11952 8900 Great Peconic Bay Bix)d; Laurel, NY 11948 STATE OF NEW YORK COUNTY OF NEW YORK Diane K. Wassick c/o Suffolk Environmental Consulting~ Inc., Town of Southold; that States Post Office at were mailed to each of mail. residing at 2322 Main St.; Newman Village Suite E; P.O. Box 2003; Brid~eham~ton~ NY 11932 ,,being duly sworn deposes and says that on the -)~ day of ~.n£~_~ , 2012, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the said Notices were mailed at the United Brid~eham~ton , that said Notices said persons by (certified) (registered) Sworn to/before me this day of ~/~/~~ , 201~2 Not/r f Public 012 CD ! ! Postage Oedified Fee Return Receipt Fee (Endorsement Required} Res dc ed Delive~ Fee (Endorsement Required Board of Trustees Application County of Suffolk State of New York MURRAY GA YLORD 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 HARMELESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY BIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(SO, TO ENTER ONTO MY PROPERTY TO 1NSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS4~ DAYOF~~ ~20 tary P c ~ ~/ [.Co~mission Expires Jan. Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) M URIL~.Y GAYLORD (print owner of property) New York, NY do hereby authorize Consulting, Inc. Southold Board of Town Trustees on my behalf. residing at lO Liberty Street - Apt. (mailing address) Suffolk Environmental (Agent) to apply for permit(s) from the APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: MURRAY GAYLORD (Last name, first name. middle initial unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.} NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance _ Tmstee Change of Zone Coastal Erosion Approval of plal Mooring Exemplion from plal or official map Planning Other (If "Other". name thc activity.) X 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, man-iage, 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 5ftc of the shares. YES NO X If you answered "YES", complete the balance of this li3rm and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe thc relationship between yourself (the applicanffagent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in thc space provided. The town officer or employee or his or her spouse~ sibling, parenk or child is (check all that apply): A) thc owner of greater than 5% of thc 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 I Submitted this~day of Signature Print Name '' ~IuR~A'~ GAYffORD 14-16-4 (9/95)-Text 12 PROJECTI.D. NUMBER 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEQR PART 1- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) |. APPLICANT/SPONSOR 2. PROJECT NAME Suflblk Environmental Consulting, Inc. GAYLORD Property 3. PROJECT LOCATION: Municipality Town of Southold County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc. or provide map) 765 Beachwood Road; Mattituck: Town of Southold, NY (SCTM #: 1000 - 116 - 04 - 020.1 ) 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Applicant wishes to improve upon the existing single-family dwelling thereon, Please refer to the attached Project Description for specifications~ 7. AMOUNT OF LAND EFFECTED: Initially 0.1 acres Ultimately 0.1 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? []Residential []Industrial []Commercial [--~Agriculture [--1Park/Forest/Open space []Other Describe: Private single family residences with related appurtenances. 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENT AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes [--~No If yes, list agency(s) and permit/approvals Suffolk County Department of Health Services approval; New York State Department of Environmental Conservation. Il. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If yes, list agency(s) and permit/approvals 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes [] No I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Matt D. lyes- SufR)lk Environmental Consulting, Inc. Date: Signature: February 16, 2012 If the action is in the Coastal Area, and you are a state'agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART II- ENVIRONMENTAL ASSESSMENT (To be completed by A[Jency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 If yes, coordinate the review process and use the FULL EAF. [] Yes [] No WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 I1 No, a negative declaration may be superseded by another involved agency. [] Yes [] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surfface or groundwater quality, noise levels, existing traffic patterns, solid waste production or disposal potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archeological, historical or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitat, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or change in use or intensity of use of land or natural resoumes? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in C1-C57 Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? I--lYes []No D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If yes, explain briefly PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important, or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficienl detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes, the determination and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. [] Check this box if you have identified one or more potentially large or significam adverse impacls which MAY occur Then proceed directly to the FULL EAF and/or prepare a positive declaration [] Check this box if >ou have determined, based on the informalion and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmemal impacts AND provide on attachments as necessary, the reasons supporting ~his determination: Name of Lead Agency Print or Type Name of Responsible Officer Signalure of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Preparer (if diffcrem From responsible officer) PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLO IN 6 NYCRR, PART 617.4? If )~s, coen$inate the review process and usa the FULL EAF. ~]Yes r~-lNo B. WILL ACTION RECEI~ COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRFL PART 617.6? If No, a negative dedarati~ may be superseded by enofher Involved agency. C. COL/ID ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Exls~ng air quality, surface or groundwater quality or quanti{y, noise levels, existing traffic patiem, soiid waste Ixaduchen or disposal, potential for erosion, drainage or tiooding prol~ems? Explain tatet{y: I C2. Aesthetic, agdcu#ural, archaeo~glcal, historic, or other natural or cultural resources; or cemmuntty or nelghlx~hood character? Explain briefly: C3. V~a={a[;,~ or fauna, fish, ~hellfish or wlidlife species, signtiicant habitats, or threatenad or endangered species? Explain briefly:. I ............ , ..... , ,,,,, . C7. O~her iiii~,<,~,L~ libduding changes in usa of either quantity or type of e~erg},?. Explain briefly: ~IRyeCsNME{~A~oAR=EA fCEA? {If~es explain bdefl¥ / I IS THERE, OR IS THERE UKELY TO I~Er CONTROVERSY RELA'I~D TO PO~ ADVERSE ENVI RC,%%~,%%'TAL IMPACI'b~ If ~fe$ expla~: PART III - De:l Ir. er,~lNAllON OF SIGNIFICANCE (To be completed by ,a~eno/) . INSTRUCTIONS: For each adverse effect identified above, de~ermi~ whether it is substantial, large, important or othenvise significant. Each effe~ should be assessed in connection with its (a) se~ing (Le. urban or rural); (b) pro. hairy of occunlng; (c) durati~; (d) Irreversibility; (e) geographic scope; and (f) rnag~itude. If ne~essa~T, add attachments or reference suRxxting materials. Ensure that e~tions con~n aufl~fent detail to show that all relevanf~ adveme im~a(y:s hava been identified and ~ ~. If question d of part Il was checked yes, the deton~feation of significance must evaluate the potential impact of the pro~ at,on on the environmontal characteristics o~the CEA. FAF and/or prepare a Ix~tiive declaration. WILL NOT result in any significant adverse emire~mental impacts AND provide, on attachments as necessary, the reasons supporting th{ determination. Board of Trustees Name of Lead Agency Print or ,~ypo Name of Respoesible Officer in Lead Agency sponsible Officer in Lead,A~ency President ~te Title of Responsib{e Officer Skjnature of Preparer (If difforent from responsible officerI Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM P~'O~ERr~r t,OC*'nO~ s.c T.~. ~: THE FOU.OW1NG ACTION~ MAy REQUIRE THE SUBmiSSION OF A WORK - PRO~SED CON~U~ON ~ ~ / WO~S~ ] Y~ No SCOPE OF a. ~1 ~ t~ T~ ~ of ~ P~ Pa~ t ~ ~ Pr~ R~tn ~ ~Wat~ R~ (~e T~I ~a ol ~ Pa~ ~t~ ~ 0.57 acres ~ ~em~ by a T~ (2') I~ ~ ~ S~9 ~s~n ~ imps ~) ts F ~) 2 ~s ~ ~ Plan ancot Su~ S~ NI P~ Applicant proposes to elevate the existin~ dwelling, S~s~i~Su~Water~ construct a Eront Entr~, Rear Deck, Screen 3 D~s ~ Site Plan andl~ S~ ~ ~ ~si~ Porch, Addition, Stoops (~), Deck Roo~ install new ~s~i~t~s~at~l~u~to X Sanitary System, deposit Clean Fill, ~e~s~~ ~s demolish the existing Garage and establish a Natural ~s~ Pe~ Buffer, all within subject property. Please 4 W]I ~M P~ R~Mre ~y k~d Fi,rog, ~d*~ o~ refer to the attached Project Description for ali Ex~va~misa~to~Natuml ~ X project specifications. Ems~ G~e Inv~ ~ ~n 2~ Cu~ Yards (5,~ SF) ~u~e F~t ~ Su~?~ --'- ~.~~~~t~ R~alofV~a~~ofany ~ X ffl'Arl'E OF NEW YORK, SUFFOLK BRUCE A. ANDERSON ~ SUFFOLK ENVRONMENTALCONSULTNG, NC ~ - AGENT ~d that he/she is ~he Owner ~'or repmsema~vc ol thc Ot~a~ci o~ ()~a~en, mid is duty au~o~d to l~flom~ or have ~ffo~mcd the ~id m~e md file flus application; fllat MI statements cou~ned in ~is appli~on ~e ~e to die ~s~ of his knmdedge and N-lief: and that Ibc work ~ll be l~.fl0rmed m 0~e matme~ se~ fi.fi, m die appli~fion filed he~ss{~ 0rk - FORM - 06110 7' 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# 116 04 020.1 The Application has been submitted to (check appropriate response): Town Board [] Planning Dept. [] Building Dept. [] Board of Trustees [] 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Attach additional sheets if necessary Location of action: Site acreage: Presentland use: 765 Beachwood Road; Mattituck; Town of Southold~ New York 0.613 acre -+ Residential Present zoning classification: R - 40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: MURRAY GAYLORD (b) Mailing address: 411 West End Avenue - Apt. 19Bi New York~ NY 10024 (c) Telephone number: Area Code ( 917 ) 623 - 5607 (d) Application number, if any: N/A Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No [] If yes, which state or federal agency?. NYSDEC DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. [] Yes [] No [] Not Applicable As indicated within Policy 1, "Development that does not reinforce the traditional land use pattern of the Town of Southold would result in a loss of the community and landscape character of Southold.", this project is a proposal to imorove upon the existing single-family dwellinq within an almost entirely developed neighborhood. The proposal, as desiqned, will not result in any adverse effects to the surrounding environment in that the project will include imorovements to a dwellinq that has existed harmoniously herein for over forty years without any form of adverse imoact to the surroundino community. Accordingly, we believe that this project is consistent with this policy. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No [] Not Applicable Policy 2 is not applicable in that subject lot and the surrounding neighborhood cannot be deemed a substantial historic and/or archaeoloqical resources. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 5 through 7 for evaluation criteria [] Yes [] No [] Not Applicable Subiect proposal will not adversely impact the visual quality of the surrounding area in that the subject parcel is already improved with an existing sinqle-famiiy dwelling which has not impeded visual quality or the value of local scenic resources. This policy could not preclude both the leqal creation of this property as a buildinq lot, the leqal construction of the existinq dwelling thereon, or the proposed improvements to the existinq dwellinq thereon. Therefore, we feel that the instant proposal fully complies with this Policy. Attach addilional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria [] Yes [] No [] Not Applicable The proposal is for improvements to the existinq dwellinq within subject property, which has existed thereon for many years without loss of life, structures and natural resources from floodinq and erosion. Therefore, we feel that the instant proposal fully complies with this Policy. 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 This proposal is for various improvements to the existinq dwellinq, which has existed on this site for years, and which has in itself, not resulted in any form of adverse impact to water quality and/or supply. Additionally, the existing residential improvements within the surroundinq neighborhood have existed harmoniously within the immediate environment also without adversely impacting the water quality and/or supply within the Town of Southold. Therefore, we feel that the instant proposal fully complies with this Policy. 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 Again, this proposal is for various improvements to the existing dwelling, which has existed on this site for years, and which has in itself, not resulted in any form of adverse impact to the surrounding ecosystems. Additionally, the existinq residential improvements within the surrounding neighborhood have existed harmoniously within the immediate environment also without adversely impacting these ecosystems within the Town of Southold. Therefore, we feel that the instant proposal fully complies with this Policy. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria [] Yes [] No [] Not Applicable Policy 7 is not applicable in that the proposal will be for various residential improvements to the existinq single family dwellinq with related appurtenances thereon which will not result in any form of adverse effects to air quality. 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 Policy 8 is not applicable in that the proposal does not involve disposal and/or transportation of solid waste, hazardous waste, toxic pollutants, and petroleum products. Attach additional sheets if necessary PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southoid. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria [] Yes [] No [] Not Applicable Policy 9 is not applicable in that the proposal will not impede any access to the surface waters in and around subject property and/or become detrimental to the recreational use of the surrounding resources. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria [] Yes [] No [] Not Applicable Policy 10 is not applicable in that the proposal does not involve a water-dependent use (i.e. marina, aquaculture, etc...). Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town Waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria [] Yes [] No [] Not Applicable Policy ].1 is not applicable in that the proposal does not involve any form of marine resource management (i.e. commercial fisheries, recreational fisheries, aquaculture, etc...). Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No [] Not Applicable Policy 12 is not applicable in that the proposal does not involve agricultural lands (i.e. the conversion of farmland, the establishment and/or maintenance of new coastal aqricultural production, etc...} Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes [] No [] Not Applicable Policy 13 is not applicable in that the proposal does not involve the conservation of energy resources on a commercial level and/or the promotion of alternative energy sources, proper maintenance of fuel storaqe facilities and/or the extraction of mineral extraction. Attach additional sheets if necessary Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton. New York 11932-2003 (631) 537 5160 Fax: (631) 537-5291 Bruce Anderson. M.S.. President HAND DELIVERED l;'ebrnary ~28, 201 c2 Jim King, President Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 FEB 2 8 2012 Re: Situate: SCTM #: GA YLOI~D Property 765 Beachwood Road; Mattituck, NY IO00-- 116 -- 04 -- O~O.1 Dear Mr. King, This Firm represents the owner of the property referenced above, who is seeking all required regulatory approval to improve thereon. Please note that this property had benefited from an earlier Town of Southold Board of Trustees Wetlands Per,nit (No. {~78:~), issued December lQ, 2007, authorizing "... to construct a second-story addition to the e. rL~ting sinA~le7family dwelling...". In that this per,nit has fully expired, a new wetlands permit fi'om your Board is required. Please be aware that the project has been substantially down-sized. Please find enclosed herewith for your review: (1) Town of Southold Trustees Wetlands Permit Application (original and two ~2J copies); (2) Short Environmental Assessment Form (original and two ~2J copies); ($) Local Waterfront Revitalization Program application (original and two ~2~ copies); (+) Town of Southold Erosion, Sedimentation & Storm-Water Run-Off Assessment Form (original and two [~2] copies); (,5) Location Map ~br reference (three E$~ copies); (6) Photographs of subject property, indicating the conditions thereon (three sets); Hammartb/ 2 Survey of subject property, prepared by PECONIC SURVETORS, P.C., last dated February 1 $, c201 c2, indicating the existing and proposed conditions thereon (three E~3~ prints); (8) Copy of the original Town of Southold Board of Trustees Permit fbr easy refbrence; and (9) Check made payable to the Town of Southold in the amount of $~250.00 covering the requisite application fee. By way of this correspondence, and on behalf' of' Mr. Gaylord, I request that you com~nence review of this application and schedule befbre the next available Trustees Board meeting fbr discussion and subsequent permit issuance. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time. Thank you in advance fbr your cooperation. Sincerely, Matt D. Ivans attachment cc: M. Gaylord BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6783 DATE: DECEMBER 12~ 2007 ISSUED TO: MURRAY GAYLORD PROPERTY ADDRESS: 765 BEACHWOOD ROAD~ MATTITUCK SCTM# 116-4-20.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 12, 2007, and in consideration of application fee in the sum of $250.00 paid by Murray Ga¥1ord and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board o£Trustees authorizes and permits the following: Wetland Permit to construct a second-story addition to the existing single-family dwelling, containing 2,290 square feet, with the condition of the installation of gutters and drywells to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, a line of staked hay bales to be installed prior to construction, and a 15' non-turf buffer landward of the bulkhead, and as depicted on the survey prepared by Stanley J. Isaksen, Jr., last dated January 4, 2008, and received on February 11, 2008. 1N WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson' Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 December 12, 2007 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Matt Ivans Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932 RE: MURRAY GAYLORD 765 BEACHWOOD ROAD, MATTITUCK SCTM# 116-4-20.1 Dear Mr. Ivans: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 12, 2007 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of MURRAY GAYLORD 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 November 19, 2007, 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 December 12, 2007, 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 MURRAY GAYI. ORD to construct a second-stow addition to the existing single-family dwelling, containing 2,290 square feet, with the condition of the installation of gutters and drywells to contain roof runoff and in accordance with Chapter 236 of the Town Code-Storm Water Runoff, a line of staked hay bales to be installed prior to construction, and a 15' non-turf buffer landward of the bulkhead, and as depicted on the survey prepared by Stanley J. Isaksen, Jr., last dated January 4, 2008, and received on February 11,2008. 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:S100.00 Very truly yours, King President, Board of Trustees JFK/eac SURVEY OF DESCRIBED PROPERTY SITUATE CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: MURRAY GAYLORD TM# SEE INDIVIDUAL PARCELS z TAX MAP NUMBER 1000-116-04-12.1 AREA = 28,108 SF. OR 0645 ACRES GUARANTEED TO: MURRAY GAYLORD N 37'31'14" 15.00' PROPOSED SECOND STORY ADDITION OvER THE: EHT/R£ ['XlSTINO FIRST FLOOR FOOTPRINT, HALL'S CREEK/ GREAT PECONIC BAY SURVEYED: 4 SEPTEMBER 2007 SCALE 1"= 50' AREA = SEE EACH PARCEl SURVEYED BY STANLEY J. ISAKSEN, JR. PO. BOX 294 NEW SUFFOLK'. N.Y 1 1 9~6~z2 /~x~ yS LJcNo~JJrg27J/ 07R16~7 + OCTOBER 18, 2011 NOVEMBER ,.3, 2011 (LOC. WETLANDS' FLAGS:) DECEMBER 26. 2011 (TEST HOLE & SPOT ELEVA~ONS) JAN. II, 2012 ( NEW SEPTIC SYSTEM) FEB. I~ POI~ (REV/S/ONE/ FEB. 6, ~OIg (PROP ADDIT LEACHING pOOLS; (5'~ (2)EXPANSIONFOOLS Feb. 13, ~01~ (revisions) SUBSURFACE SEWAGE DISPO~ ~ ~ . SYSTEM DESIGN ~1' BY,HOBAR TJOSEPH FISCHETTI,RoAD P.E. Z ~ ~?S~G~9"~65.~ ~ m~_72.99,~ _ - ~e~_ _(P~IVA ~ rOAD) SOUTHOLD~ N.Y. 1197t ~ ~ _ .." 155~ ~ ..G" ~ N~W s~oc ~ ~ ~" Z~E ~ ~ : ~ (~ ~) : ~ ~ ROOF RUNOFF CALC  R~ RUNOFF ~LCULATIONS ~ ~ ~.~. AND DRAYAge ~ ~ ~ Q ~.~ ~u. ll.  6'~ RIN~ - ~ iqJI. ~ ~ ' USE 16 VF ' APPROVED / t* ~ BOARD OF TRUSTEES TEST HOLE ~TA McDONALD12/20/1GEOSCIENCE ~/- PflCP, ~LEVA TION OR CO~TOUR ELEVATIONS REFERENCED TO N.A.V.D. FLOOD ZONE FROM FIRM RATE MAP NUMBER 36105C0482H SEPTEMBER 25, 2009 / am ram/flor with the STANDARDS FOR APPNOVAL AND CONS~UC~ON OF EUoSURFACE DISPOSAL S~MS FOR SINGLE FAMILY RESIDENCES / end wi// ob/de by the conditions set forth therein end on ,he permit to construct. {*{ fINES ' ' The /ocotion of wells end cesspools sho.n hereon orb from field obsorvotions ond or from dOto obtoinod from others. . N.~S. LIO NO. 49618~*' ~ ~OD~ ~0~ ~E N~ ~K STA~ ~UOAD~ ~ EXOEPT AS PEP ~ODON 7209-SUBDI~SI~ 2., ALL OERDFIOADONS ~1) 76~-~0P0 FAX (631) 76~-~797 HERE~ ARE VALID F~ ~IS MAP AND O~IES ~EPE~ ~L Y IF P.O. BOX 909 SMD MAP ~ O~IES OEAR ~E IMPRESTO ~AL ~ ~E SUR~Y~ I =~RAND FLAG 1230 ~A ~LER S~EET ~0~ ~cN,~PE ~'6,PS HERE~. .:MONUMENT SOU~OLD. N.K ~1971 11--209 GA YLORDproperty ~ Proposed Buffer Planting Plan Situate: 765 Beachwood Road; Mattituck, NY SCTM #: 10oo-I 16-4)4-o~o.l Scale: 1.0' = ~20.0' ± SURVEY OF DESCRIBED PROPERTY SITUATE CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: MURRAY OAYLORD TAX MAP NUMBER AREA = 28,108 SF. OR 0.645 ACRES TM/;/ SEE INDIVIDUAL PARCELS GUARANTEED TO: MURRAY GAYLORD Z TiE TO AS / N 37'31'I, 15.00' AREA = 26,688 S.F. -- o EL 5.0 OR .cb 0.615 ACRES .c~ [ PROPO$~'D SECOND STORY ADDmON OVER I THE ENT/RE EXISTING FIRST FLOOR FOOTPRINT, S 81' HALL'S CREEK/ GREAT PECONIC BAY '/CA, VN OF SOUTHO g SURVEYED: 4 SEPTEMBER 2007 SCALE 1"= 50' AREA = SEE EACH PARCEL SURVEYED BY STANLEY d. ISAXSEN, dR P.O. BOX 294 NEw suF~oLx. N.Y ~9¢~/ b'f~YS Lic. No.~927J/ 07R~61 7 i Eileen 5antra. Residential Designer 6~1-T54-2794 · Cu~ho~ue, NY Jos~ A~h~l. ~ i I 'i I~LOn If'