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Home My WebLink AboutTR-7771 Michael J.Domino, President OF S0I/ry® Town Hall Annex John M.Bredemeyer III,Vice-President h0 l® 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 COO Glenn Goldsmith ® Telephone(631) 765-1892 A. Nicholas KrupskiO Fax(631) 765-6641 �y�OUfVN,�c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #0971C-Amended Date:November 6,2017 THIS CERTIFIES that the demolition and removal of the existing one-story dwelling 1,020sq.ft.and appurtenances 230sq ft and construct new two-story dwelling 1 050sq ft front porch 70sq ft. rear deck 130sq.ft.; for the as-built first and second floor covered porches(each+/-140sq ft)• and to construct a set of 4'x3'stgps leading to a 4'x4' landing to 4'x7' steps from first story porch to ground-, for the approximate 11'x11' existing deck with associated 4'wide set of stairs down embankment;and to construct a 6'wide by 13'4"long,deck extension onto existing first story deck located on seaward side of dwelling; abandon use of existing cesspools and install a new sanitary system; install two(2)daRells•and for the existing flagpole;with the conditions of the installation and maintenance of a 10' wide non-turf buffer along the landward edge of the top of the embankment;the installation of a line of staked hay bales with silt fencing prior to construction; At 1100 Ruch Lane, Southold Suffolk County Tax Map#1000-52-2-34 Conforms to the application for a Trustees Permit heretofore filed in this office Dated March 27,2012,pursuant to which Trustees Wetland Permit 0771 Dated April 18,2012,was issued and Amended on September 17,2014, and Amended again on October 22,2014 and Amended again on July 19,2017,and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the demolition and removal of the existing one-story dwelling 1 020sg ft and appurtenances 230sq ft and construct new two-story dwelling 1 050sq ft front porch 70sq ft rear deck 130sg ft• for the as-built first and second floor covered porches(each+/-140sq ft)• and to construct a set of 4'x3'steps leading to a 4'x4' landing to 4'x7' steps from first story porch to ground; for the approximate 11'x11' existing deck with associated 4'wide set of stairs down embankment;and to construct a 6'wide by 13'4" long deck extension onto existing first story deck located on seaward side of dwelling;abandon use of existing cesspools and install a new sanitary system;install two(2) dnmells• and for the existing flagpole,•with the conditions of the installation and maintenance of a 10' wide non-turf buffer along the landward edge of the top of the embankment;the installation of a line of staked hay bales with silt fencing prior to construction. The certificate is issued to JOHN PITMAN owner of the aforesaid property. Authorized Signature erg SO&& Michael J.Domino,President �� l0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders G Southold,New York 11971 Glenn Goldsmith ® �0 Telephone(631) 765-1892 A. Nicholas Krupski yCOUNFax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 01D V 11 V Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed _LZProject complete, compliance inspection. INSPECTED BY: CIA gdQj c.) - S'' �,.L V COMMENTS: y� CERTIFICATE OF COMPLIANCE: Michael J.Domino,President ®� y�lO^ Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders cn � Southold,New York 11971 Glenn Goldsmith ® �Q Telephone(631) 765-1892 A. Nicholas Krupski ©f/f'COWN Fax(631) 765-6641 BOARD OF TOWN TRUSTEES July 19, 2017 TOWN OF SOUTHOLD John Pitman 1100 Ruch Lane Southold, NY 11971 RE: 1100 RUCH LANE, SOUTHOLD SCTM# 1000-52-2-34 Dear Mr. Pitman: The following action was taken at the Southold Town Board of Trustees reg ula'r`iiieeting held on Wednesday, July 19, 2017: RESOLVED that the Southold Town Board of Trustees APPROVE the AdministratiYe Amendment to Wetland Permit#7771 to construct a 6' wide by 13'4" long deck extension onto existing first story deck located on seaward side of dwelling; and as depicted on the project plan prepared by John G. Pitman, received on June 7, 2017, and stamped approved on July 19, 2017. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino, President Board of Trustees MJ D/dd �0 1 ..L 4 oar John M.Bredemeyer III,President �� f soTown Hall Annex �plo Michael J.Domino,Vice-President 54375 Route 25 Glenn Goldsmith1 P.O.Box 1179 G Southold,New York 11971 A.Nicholas Krupski @� Telephone(631) 765-1892 -Charles J.Sanders ® Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT DATE OWNER jo�\n CY Pr ar-) PHONE (p�j - �5"� " �� t0 MAILING ADDRESS it 00 R uck) (,.cad12_ S�c� 1��' Kq-1 j AGENT PHONE ADDRESS PROPERTY LOCATION TAX MAP NO. UWe 'abhln 1 l- "_request an Amendment to Permit# '7771 to KTev 4 etic-istlnc Aedc vat- to 4e ewe✓ wCt-f\ ST&trcese ld' Signed By: { JUN - 7 2017 t p :t�uthoid TNW, 1 loard of Trustees Applicat, a AFFIDAVIT 60% 4nlkeiA SC-0 da(A S.R'b1•.at, 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 BOARD OF 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, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. nk P.,4,-&, 4.,-, JkA_'� Siviature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS _`� DAY OF 120 17 P44V AYV— Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. O1 D1475593 Qualified In Suffolk County My Commission Expires April 30, 205 _ 1 f 13 Mr.John G.Pitman 1100 Ruch Ln. Southold,NY 11971-1390 X LI P0.55 c w k�) 41 p k ctoubIe- JUN 7 2017 j `APP-ROVED PIf `BOARD OF 1 RUS" . - Soulioic ioeci _._._ _ Tt�W41":OF $OU ' 1 ' i'• � �DL�r !Q� (.{/l� ��y.-��,...+`y"'.�""'�< tee. r.. �... .... s- r .I vo'r,e :l sr" - - •r - - _ - Mr.John G.Pitman ` 1100 Ruch Ln. Southold,NY 11971-1390 f 3 r' k15Tr r��G- v 2c N N' fP f I 1 C av to Lu Y � . l — Mr.John G.Pitman 1100 Ruch Ln. f ! Southold,NY 11971-1390 rw I O Uel Tp _ —_ - —----- --------—_— _ _:��- � �� ---•��-- I f e��o �-�rev r"t,r`';c_l U CW'F"I 16 PVC Venee-r t ; • IL Michael J. Domino, Presid a j¢®O uFF�t�0 Town Hall Annex John M. Bredemeyer III,Vice-Pre-4dent 54375 Route 25 Charles J. Sandersa P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski p� Telephone(631)765-1892 til �a Fax(631)765-6641 �zarsa%-c"" BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: VAI"I" Completed infield by: JC„ qj_1,ef JOHN PITMAN requests an Administrative Amendment to Wetland Permit#7771 to construct a 6' wide by 13'4" long deck extension onto existing first story deck located on seaward side of dwelling. Located: 1100 Ruch Lane, Southold. SCTM# 1000-52-2-34 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275__�ZCh. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: lea @ ea 6mfael Present were: uJ. B edemeyer Domino Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino, Presid, ,• o�QgU�Ff�j�COG w Town Hall Annex John M. Bredemeyer III,Vice-Presiaent 54375 Route 25 Charles J. Sanders C13P.O.Box 1179 ZM Glenn Goldsmith 0 Southold,NY 11971 A.Nicholas Krupski 'l' p! y� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: JOHN PITMAN requests an Administrative Amendment to Wetland Permit#7771 to construct a 6' wide by 134" long deck extension onto existing first story deck located on seaward side of dwelling. Located: 1100 Ruch Lane, Southold. SCTM# 1000-52-2-34 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and, general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 SCDHS Ref.# RIO-12-0018 U TEST BORING 0 by McDonald Geosclence 0. EL 16.5 *,kc `pro , q 0, The locations of wells and •cesspools s� 6- Loam OL shown hereon are from field observations .�\ 6- � 0.5' and or from data obtained from others. \�� S Brown Silt ML Therefore their locations and or existence `SSe sG�FS 3• is not guaranteed. _Q T C3 pts Brown Silty Sand a� �� 'Op�O4 CIO with 10% Graver �syA� O 4. Brown fine to Coarse Sand SW \ �' 15.8 EL �.7' �°•water�IFXneN,,ra C 17, . - ) ,�• ,� �� off' � R,-1 "48 w D \ , 0 tK qj IV PROPOSED SEPTIC SYSTEM �'�o �iC o �.�°� \00�Q``V �O • 4v (4'BEDROOMSI 1 - 1000 GAL. PRECAST SEPTIC TANK I- LEACHING POOL 8'0 x 12' DEEP WITH vy� isoOpo \o v y�P 3' SAND COLLAR (SWI BOTTOM TO BE `'k" q S CD' 3' ABOVE GROUND WATER cF'1' �Q�'% �`s 4; PROPOSED DWELLING TO DISCONNECTo `C� @�. p�/j� •Op ,c .y Q FROM EXISTING SEPr7C SYSTEM S r 0C& p�OD•J Mr.John G.Pitman EXISTING H01)SE NOT SHOWN HEREON Q , l1100 Ruch Ln 0o TO BE REMOVED �`� �. ��,a�� © �' <,� Fo,� Southold,IVY 11971-1390 RAIN RUNOFF CONTAINMENT HOUSE 1145 s .ft. 0. 1 11,45.X 1 M 0.17 = 195 cult. �h' P_90—VIDE 2 DWs'6'4 x_5' dedp ,`\ o; �N (� HOUSE — — — - v 0.�'�' y \/��• F/n. Fir. at 18.5 ti / EL 17.9 Ftn. Grade EL 17.4 / _ OOP®��' - •�� f �� 1K� - G'°�/ •��'�� f�� O� �`� IE 16.3 1E ST 0.5' Jam•QO D V— ' i \ (�� 16.0 1E IE 15.4 LP 8' p Q EL 3.P��, _ 3'MIN. ,A �• �,�W�� GROUND WATER EL 0.7(119harl Eapaalad) Q ' ay �l�� SEPTIC SYSTEM CROSSE'CTION PNe r 0 m ��, �• v Q �, NO SCALE t c\ \0 : P ° .o° 0 SUR VE'Y OF PROPERTIES `�5 0 ARSHAMOMOQUE , �l � �\ TO WN OF SOOT HOLD -,° SUFFOLK COUNTYN. Y 15EPT1C SYSTEM' 'B , 1000 — 52 — 02 —MEASUREMENTS 34 ST 27' I7 1000 - 52 -03 - 11 t' 1 Scale: 1"- 30' Aug.' 1&2010 oa ?� ,/,gyp Aug. 31,•2O1 b (cesspools) '4/QS -- �' Sept. 14, 20,11(P.ROP HOUSE) - °` /y co s ® Feb.15, 2012 (revisions) NL r 0 ; • m Cn Alarch 13, 201? (revisions) a z -n April 2�,2012(re isions) L.� S m o D r0 Addy 15, 2012 (revlslons) F = ATH /J z o y �, X June 21, 2012 (addition) �/Vo ® C � -,- Q Oct. •7, 2013 (lound0ion) ", 00 MATY 23, 2014 (final) V = WETLANDS FLAG a. -x [- 1 i 0 ct. 23 2014 (re visions y- LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED BY ?> = ry , SUFFOLK ENVIRONMENTAL CONSULTING, INC AUGUST 8, 2OF 01j .� = E{ I am 'familiar with the STANDARDS FOR APPRO L;, ? o ,. `® - 'p- �� JUN - 7 AND CONSTRUCTION OF SUBSURFACE SEWAGE •-- � � ;, ?•; - ' :v `=' ..:�`t'•�''�=.t�• r 2017 • DISPOSAL SYSTEMS FOR SINGLE FAMILY RESID and will abide by Itie conditions set forth therein ana o permit to construct. .a FLOOD ZONES FROM FIRM n x ,4 36103C0/5�H k l; _' s O t- ��:� ' .,r /�I; ANY ALTERATION OR ADDITION TO THIS SURVEY 1S A VIOLATION t r. —� / ,� ,, r Y.S. LIC. MO.49618 OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. oa �_ r,� _ ,- EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CEATIFICATIONS �� i PEC IVI S1RVE� ORS; P.C. HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY , IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE ao '� < (631) 765-5020 FAX 765-1797 SURVEYOR WHOSE SIGNATURE APPEARS HEREON. _, P.O. BOX 909 j' M 1230 TRAVELER STREET If 0-186 ELEVATIONS ARE REFERENCED TO N,4 VD 88 ® SOUTHOLD, N.Y. 1197/ 10-187 w J R �'�♦•♦i♦�♦�♦$♦ ` s IL yr C .., ;�1► ,` ,i .,, , se Jr,t `r t M s ; ^ ►, y --__ 1 . 1 � ' w �J£ e � w 1lass _ Ie t 1 ' „ - A 10 a John M. Bredemeyer III, President �� y�lO Town Hall Annex Michael J. Domino,Vice-President 54375 Main Road P.O. Box 1179 James F. King, Trustee y Southold, New York 11971-0959 Dave Bergen,Trustee • COQ OILY ,tea Telephone(631) 765-1892 Charles J. Sanders, Trustee "'OU �j Fax(631) 765-6641 BOARD OF TOWN TRUSTEES October 22, 2014 TOWN OF SOUTHOLD Mr. John Pitman 2 Coppel Drive Tenafly, NJ 07670 RE: JOHN PITMAN 1100 RUCH LANE, SOUTHOLD SCTM# 52-2-34 Dear Mr. Pitman: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 22, 2014: RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#7771 for the approximately 11'x11' existing deck with associated 4' wide set of stairs down embankment; and as depicted on the survey prepared by John T. Metzger, Land Surveyor, last dated May 23, 2014 and stamped approved on October 22, 2014. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, ?_ 'r.% John M. Bredemeyer III President, Board of Trustees JMB:amn • 0 John Bredemeyer, President t,� o�01FFo �o Town Hall Annex Michael J. Domino, Vice-President �� ay 54375 Route 25 James F. King P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen �i ,� �a°~ Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: 10_1� 14 JOHN PITMAN requests an Administrative Amendment to Wetland Permit#7771 for the approximately 11'x11' existing deck with associated 4' wide set of stairs down embankment. Located: 1100 Ruch Lane, Southold. SCTM# 52-2-34 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 Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: Present Were: J. Bredemeyer M. Domino J. King /C. Sanders D. Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: r i �� F S�Ur Town Hall Annex John M.Bredemeyer III, President /y� . ,`4 l0 Michael J. Domino,Vice-President 54375 Main Road P.O.Box 1179 James F. King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q Telephone(631) 765-1892 Charles J.Sanders,Trustee Ol�• U( N� i Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 17, 2014 Mr. John Pitman 2 Coppell Drive Tenafly, NJ 07670 RE: JOHN PITMAN 1100 RUCH LANE, SOUTHOLD SCTM# 52-2-34 Dear Mr. Pitman: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, September 17, 2014: RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#7771 for the as-built first and second floor covered porches (each +/-140sq.ft.); and to construct a set of 4'x3' steps leading to a 4'x4' landing to 4'x7' steps from first story porch to ground; and as depicted on the revised project plan prepared by John Pitman, received on August 18, 2014 and stamped approved on September 17, 2014. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, dpt- J�- John M. Bredemeyer III President, Board of Trustees JMB:amn John M. Bredemeyer 111, President4�©$��fp��,CO Town Hall Annex Michael J. Domino,Vice-President ,,�� GS 54375 Route 25,P.O. Box 1179 James F. King = Southold,NY 11971 Charles J. Sanders ` y Telephone(631)765-1892 Dave Bergen l �� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: John Pitman Please be advised that your application dated 8/18/14 has been reviewed by this Board at the regular meeting of 9/17/14 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) 1St Day of Construction ($50.00) '/2 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: TOTAL FEES DUE: $ 50.00 BY: John M. Bredemeyer III, President Board of Trustees ,or a; Aw 1r �•., ��- iii 4 fit t' r !�s A Ilk KIN Now AL 4 y I l f.t• � ,� tr. � Y t' r r r A d , lima f, • k t � - 93'', mw i 141 re Az • r � ` �„� •1i � � mss...-- —- � , a r. S` ir John Pitman --�_ 1100 Ruch Lane, Southoldft=S CTM#52-2-34 9/10/14 Y.• ..r �, ,rte 4'r_ 0 0 John Bredemeyer, President �OgufF04 Town Hall Annex Michael J. Domino, Vice-President °° °°s 54375 Route 25 James F. King P.O. Box 1179 Charles J. Sanders • . Southold, NY 11971 Dave Bergen y�Or ,�, ya°! Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: JOHN PITMAN requests an Administrative Amendment to Wetland Permit#7771 for the as-built first and second floor covered porches (each +/-140sq.ft.); and to construct a set of 4'x3' steps leading to a 4'x4' landing to 4'x7' steps from first story porch to ground. Located: 1100 Ruch Lane, Southold. SCTM# 52-2-34 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 Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: � 17 fModifications: v Conditions: Present Were: Bredemeyer A. Domino fJ. King_j,,:�C. Sanders Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: • F , 50 AUG 1 • � 4 � z � tee:, .;;,�:h:'• s'; Ki7t i1. 1 1'._ •� r-l��ir :.i ,M ♦ ',yam" d .1. ' 1, .. `I ff, ,....... IIIII � ,-II,IIII �I�..� � �• � ./ i i R .K i .. 4, I „ _ �•-_- � *'mac a7--- ''ik .: �l,,: ✓ .. L :l 1. t MY AW Rol[Its Y E, � s 17 SwF, /�Xd�`'r.� ,X.ys'��+ - - , -_. it •,� � •,�• Ya Ic r l� • e ;3� �.. r , BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO.7771 DATE: APRIL 18,2012 ISSUED TO: J HN PI AN PROPERTY ADDRESS: 1100 RUCH LANE,SOUTHOLD SVTM#52-2-34 AUTHO91ZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in s accofdWo with the Resolution of the Board of Trustees adopte.4 at the meeting held on April 18,2012,and in cop$}d,pration of application fee in:he sum of$2 0.00 paid by Pitman and subject to the Terms and it Condi&ons as stated in the Resolution,the Southold Town Hoard of Trustees authorizes and'permits the following: Wetland Permit to demolish and remove the existing one-story dwelling ' 1,020s ft. and appurtenances ppurtenances 230sq.ft and construct new two-story dwelling 1,050sq.ft.,front porch 70sq.ft..,rear deck I30sq.ft.; abandon use of existing cesspools and install a new sanitary system; install two(4).drywells; and for the e14WM lagpole; with the conditions of the installation and maintenance of a 10' wide non-turf buffer alen@4he landward edge of the top f.the.entbankment; the instaliation of whine of All stake bay bales with silt feneing.prtar toconstruction; and.as depicted om,the survey e p'rti#t`dd by P+econic gurveyot-6 P.C.,last dated April 12,2012 and dtamped approved ,r r on April 18, 2012. 1' the said Board of Trustees hereby causes its Corporate Seal to be affixed, tM and the presents t6 be sulsscribed iiy a"i4ra jfmty of the ssiitI Biiarti as of this�tlatt. %OFFOf,� yy j , TWG bbBOR e7/21gMc0arold Geowdence .�� D 0. _.. EL 16.5 ,s[rf, 7_ ,P5,Dark Oro" The locations of wells and cesspools �� '9� Loom OL shown hereon are from field obserralions 0.5and or from data obtained from others. Brown Sm ML Therefore /heir locations and or existence SSS �AkFS) 3' is not guaranteed. Q p S• Brom SIIfy Sand a3 'to 00,00. co NM 10%Wowl B, oo �5 4t? sone SW to coon. 15.8 EL 0.7' Wow N Brown FM fo Coarse Sand SW \� 17' o� \ D (C R 4g) all « ,Q� � re0 0" PROPOSED SEPTIC SYSTEM 14 BEDROO 'zor �CiC,y oO POFr QO y 0' i-1000 GAL.PRECAST SEPTIC TANK 1A i- i-LEACHING POOL 8'e r 12'DEEP WITH 3'SAND COLLAR ISWI BOTTOM TO BE �� S SN� Op•� [� \� 3'ABOVE GROUND WATER Io s� PROPOSED DWELLING 70 DISCONNECT ° ,7 @i �S��i� Sip aw aq,. FROM EXISTING SEPTIC SYSTEM R. O. 4 O• "Te 41, S p 1 � E 70 BXISTE REMOVEDWG HOUSE NO i l7 SHOWN I�F.ON r' mf InM ,,b �• OOO,aJ RAW MUNOFF:ONTAWMENT 11H 45-1•0.17 193 195/Et.3 9 W. 5 •I rRoyoE r DWs Be•3 w.,o�� ''�.�;' APPr) D BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE o�F v o0 oti CO rib P? SURVEY OF PROPERTIES . K AT ARSHAMOMOQUE TOWN OF SOUTHOLD SUFFOLK COUNTY,NT23YY, N.Y. 1000-52-03- 11 Scale:1"=30' 142010 4R >71 0• Aup.Aug..'3�1,, 2 O (Cesspools) so a �$',�• R' Fais4YdtI IPS SMOMMash/4 tall avrWone) e-LOTH ,o B IX E �q OF TQAi. METLANDS AS DECi1iEATfDBYSGFFOLK OAMENTAI. CONSUL TNG,M AU t, B,failI am familiar with the STANDARDS FOR APPROVAL APR $ 2011 AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to conslrucf. \ G'/ FL OOD ZONES FROM FIRM Y i 36103CO15eH - ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION ry't' 4' N,Y.S. LIC. 1Y0.496/8 OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION ALL CEAPFICATIONS PECON/C SURVEYORS, P.C. IF SAS MAP OR COPIES BEAR TME A/PR ND �SF�SSEAALL OOFFTHELY (631) 765-5020 FAX 765-1797 SURVEYOR WHOSE SIGNATURE APPEARS HEREON. P.O. BOX 909 1230 TRAVELER STREET OC' ' ELEVATIONS AHE REFERENCED TO NAVD 68 SOUTHOLD, N.Y. 11971 /0_/87 ---- --z------ „XE tee\ M p BEE SEC XO / S,ON.x c1 N +`` BA` p •` oe-c °`'o - R, •°r"Ba,.^. 3 . is„` ''rn �. O�Nc� \\ �a roXGct No. %E SEC '� PRa • _ e q .t+ i A' wiuEa�v"Nuvcno�umi �sN�� xrN \ P�a •4X '�'xZy AM1 ,j x EMcI U a \\ �E N\ ,.iNcl �ueE iSaN s^ 501 I �sF,lc, dl- ,oNci lu 4 t t x ! ,BTmo `. a l0 30°Ncl r SOOT— 3 5 �e o I N EECON C I'D—S- Ni S- �, h 6 s.SNq �. 93\•\ `N O\ v to ll \ C f S R it g� 'a a, SEC NL L.NO. ESGE-0N SEESE p, SEE SEL.NO. 2, eeE YCw �'B oNO.m„5 0580,-0,1.,� --- ----_---- --------------- --_---_YZ.-----LINE MniCn-------t— SEE—NO 058 SEE SEC NO 056 r, _..,.. ... - ^-- �-•- - - a - NOTICE COUNTY OF SUFFOLK O Somnoco SECTION.0 _Z- Real Property Tax Service Agency r n E of^"' u., :,N...,. - --- --°-- w..,,.--..'-- •... ,. ' 3 c..ao c.�B.,X.„,....N.,,w' M ,.,,�. ,eco 52 I>_ ----- -- -- A John M.Bredemeyer III,President �F soyo Town Hall Annex Michael J.Domino,Vice-President �� l¢ 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q Telephone(631)766-1892 Charles J.Sanders,Trustee � { Fax(631)765-6641 rzz-rrz:zrR?� �_. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD OCT ` 6 ?i114 J i APPLICATION FOR AN AMENDMENT TO A WETLANDLIPE 'r� �z 'Y DATE. ...... ..................�.... . ._.... ...._.... _ OWNER JO�A1 "1c"`__.__..........__ PHONE MAILING ADDRESS 1_ r e!�c..�`i`J Jy 7G7U AGENT PHONE PROPERTY LOCATION TAX MAP NO._...___..._ /Ov—O -5.�...".._n_-Z......--3 .._.._....._.._......._..._.__.........__.........._.__._..._____.__._....._.. I/WeP_J._��"_'`._` ...._____._.._...........request an Amendment to Permit to 0-6(of r CL dcck 30 ewUs C� On Inc VP of 0"'t ��k ^wctcjr �CoAr, �lMevl�,l�vlS -Ufe G �ul`(.Mc�e�l` tt�k kip I rvJQI ivl.........__�-.__N�r wicl�— Sr``irc ��i n AdWtA -N-.e 44ilt-, . ...__..._......__ .._.._....._...._g —_... ...... _....__._ SAN &AL.lu(eJ tori Of SUFL/eY Signed By. 0 OFFICE LOCATION: �*OF SOUTy� MAILING ADDRESS: Town Hall Annex ,`O l0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 G Telephone: 631765-1938 Fax: 631765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM SEP 1 5 2014 To: John Bredemeyer, President Town of Southold Board of Trustees I From: Mark Terry, Principal Planner LWRP Coordinator Date: September 10, 2014 Re: Proposed Administrative Amendment to Wetland Permit#7771 JOHN PITMAN SCTM# 1000-52-2-34 JOHN PITMAN requests an Administrative Amendment to Wetland Permit#7771 for the as-built first and second floor covered porches (each +/-140sq.ft.); and to construct a set of 4'x3' steps leading to a 4'x4' landing to 4'x7' steps from first story porch to ground. Located: 1100 Ruch Lane, Southold. SCTM# 52-2-34 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 actions are INCONSISTENT with the Policy Standards (Policy 6.3) and therefore are INCONSISTENT with LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The structures were constructed without a Wetland Permit and the benefit of Board of Trustees review. 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 John M. Bredemeyer III, President O�*�F S�UTyO Town Hall Annex Michael J. Domino,Vice-President h lQ 54375 Main Road James F.King,Trustee P.O. Box 1179 N Dave Bergen,Trustee Southold,New York 11971-0959 Q Charles J.Sanders,Trustee 'O� • �� Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES J TOWN OF SOUTHOLD 9 APPLICATION FOR AN AMENDMENT TO A WE ND PERMIT DATE_ -I k- I►.� OWNER J61(1 Ck 41-T)o,n PHONEL;�O0- tsbc1- �,ASS MAILING ADDRESS AGENT PHONE ADDRESS PROPERTY LOCATION r J TAX MAP NO. I/We A; Maf-'\ request an Amendment to Permit#�� w. 140 5% { to h G r1G )e Q c c 40 C m r c e 1 Signed By: BA of Trustees Application County of Suffolk State of New York d V�✓c (� �[,i( 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 DONEIN 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. n4& G� S ature of Property Owner SWORN TO BEFORE ME THIS /84 DAY OF 20_ Notary Public CONNIE D. BUNCH Notary Public,State of Now York No.01 BU6185050 Oua6fied in Suffolk County Commission Expires April 14,2 APPLICANT/AGENT/REPRESENTATM TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purposd 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. 1 L YOUR NAME: (Last name,first name,iiiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate,thb.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 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 proJided. 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,partnei or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this d y f L"-V 20 Signature Print Name C- Form TS 1 Town of Southold • • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form.should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town. 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both sumorting and non- snpuortinst facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#_ _- PROJECT NAME I> --Ruejk P, 4ma-o The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: A me l s�►�c� p��n� �- 4��cn own C�ct -�U- G5 nc w bui �} ccaJe-rC3 0- CON, -R( I\r 0©r CLn d ►tom d L de Q,- 5 111-k1 r J Location of action: t l Ux� !Rupc-� Lgn e — 5i c Site acreage: Present land use: re 5 i J 420AV 6 Present zoning classification: R �� 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: (b) Mailing address: A 3�--' t-) (c) Telephone number: Area Code S(,c1— (d) Application number,if any: Ta :n J- .i+ 1 D I I Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No tZ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria ElYes 1:1 No � Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No 0 Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes ❑ No �NotApplicable 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. ❑ ❑ K Yes No Not ApAble Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No" Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes 1:1 No W Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III-Policies; Pages 38 through 46 for evaluation criteria. F] Yes[] No�Not Applicable Attach additional sheets if necessary WORKING COAST POLICIA 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 0 Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters.See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No �4 Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. 11 Yes F] No� Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable i i i I PREPARED BY hr �� }vin , TITLE DATE SCDHS Ref.# RIO-12-0018 TEST BORING '1124' y/McDonald Geosclence 0• 7 EL,16.5 s F� 0A, Dark Brown The locations of wells and cesspools qo�k y0 Loam OL shown hereon are from field observations .Q 0.5' and or from data obtained from others. Brown Slit ML Therefore their locations and or existence `SS. `rte FS g• is not guaranteed. •��,� SOoSO '� T Brown Silty Sand p�1 4� �0. 0• Q with 10% GravelSm O E2 n fine to Coarse , � hQoas _ Sw n. EL. .7' �o•• "' In.Brown Fine z •'"` oras Sand SW i 17' 0 o �,X14ft L� ORTH PROPOSED SEPTIC SYSTEM ��o , �C •44 ,/00 Q� '©° •. v r4 BEDROOMS) y„��CQ �C• `SS \ a� , 1 - 1000 GAL. PRECAST SEPTIC TANK �/ Q %.• ��` ��' ,<<v� I- LEACHING POOL 8'0 x 12 DEEP WITH �,pli00� �O �P 3 SAND COLLAR 1SWJ BOTTOM-TO BE ` 44� S s�i�C\ _ Q �• �J 3' ABOVE GROUND WATER PROPOSED DWELLING TODISCONNECT ° �t FROM EXISTING SEP= SYSTEM . �, .. 0"EXIS TING Qf TO BE REMOVED E O NO T SHWN.HEREON C ia . RAIN RUNOFF CO NTAWMENTq HOUSE • `'�1145 sq.li \ty a` ..1 � � Ge, 5;` .o 1J "1 x 017 = 195 /St3 2P ;9 1� C7• - *4 I!RO.V/DE 9� -DW : !,� o a HO fkE r 1 .• ,p� 0 . •• . W 18.5 ' 14�3 `T l!'LV � 1 cL rt �(/_p'� ti A, \�. EL.17.9 Fin. &rod+ EL 17.4 ,' �,, 4\,L� � v'i ,(, i �Q`� 16 0 ST 1 , IE 15.4 LID .� d P. 4 EL s. its GROUND WATER EL 0.7 HOW Expected) 3• • �`�' ,r' � �� SEPTIC SYSTEM 'CROSSECTION v ��v NO SCALE f hoop 0� � 0 - • ` ,?` f ` ��4 " ' .o° �• �QO� SURVEY OF PPOPER TIES AT , ' ARSHAMOMOOUE `� .�e�� 'F �;o•� `' TOWN OF SOUTHOLD w� �T SUFFOLK COUNTY, N. Y SEPTIC'SYSTEM,MEASUREMENTS 1000 _ 52 - 02 _ 34 I� �P 27' I'' 1000 - 52 -03 - 11 r ' Scale: 1"- 30' c!1 O j s 0� �— AP .9. . 0 0 _ 3 4,QSy APPROVED BY Au spools)S 11,3# 201 HOVWV , -4 BOARD-OF RUSTEES. Mo h 13, 201 rrevislon:) Al Apr 2 20 2 �" ivslonsf - pF ' C WN OF SOUTHOLD LATH M y 5f rr:�i��J"�"' •= 21, 2012 (addition) DATE TT Oat. 7, 2013 (foundation) v r WETCA/YD6 FLAG ID 2 MA 23, 2014 (llnal) LANDWARD EDGE OF TIDAL WETLANDS'AS DELINEA TED 1Y SUFFOLK ENVIRONMENTAL CONSUL TING, IN1« AUGUST 8 20/1 I am 'familiar with the STANDARDS FOR.APP 0 A RodNE 'j AND CONSTRUCTION OF SUBSURFACE SEW ' C, "o. roti-> DISPOSAL SYSTEMS FOR g1NGLE FAMILY RESIDENCES - `x and will abide by Itie conditions set forth lherelp and on the permit to construct. ALT 1 t FLOOD ZONES FROM FIRM • � � �. 36103CO158H ' ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLATION - lC. ld0.496/B OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. ° , EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CI:ATIFICATIONS - HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY PECON/C S , P.C. 1F SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE !6311 765-5020 FAX 765-1797 SURVEYOR WHOSE SIGNATURE APPEARS HEREON. P.O. BOX'909 09 1,230 TRA VEL ER STREET 0-186 a ELEVATIONS ARE REFERENCED TO NA VD 88 SOUTHOLD, N.Y. 11971 0-/8 7 SCDHS Rei.# RIO-12-0018 TEST BORING ,gA byMcDonald Geosclence O Q 7/tl EL 16.5 f' �,9 , The locations of wells and cesspools Lork�BroOLLn shown hereon are from field observations .� g 0,,p 0.5' and or from data obtained from others. Brown Sill MLThere/ore their locations and or existence `SSB s' FS • is nol . uaranteed �,; `s0 /s• '� T 3 Brwn Silty Sand 9 �'O 71t;IN OY Gravel "� 0 O �y Air"n &@ to Coarse ! \4�Ooa3 \ SW EL 7' n .0. r JBrown Fine - Coarse Sand SW V. I o 17, 48) o� R T H ROA �� .00 hQ, "Tap mss• A� ' 0c, PRO OS ou EPTIC SYSTEM ��20 ��C , r, �QQ` ` (' '�• Sse ' 'a ' 1 - 1000 GAL. PRECAST SEPTIC TANK rr i /�., hj 'ca"IQ I- LEACHING POOL B'0 x 12' DEEP W/TH 3' SAND COLLAR ISW1 BOTTOM-TO BE " '`q y4q S��/ O C31' Al 3' ABOVE GROUND WATER PROPOSED DWELLING TO DISCONNECT ° `Rfge spm r�L •00, ,may Q FROM EXISTING SEPTIC SYSTEM !• Of0 Q +A'V SO 100 \ y fie/ 00�OJ EXISTING HOOSE NOT SHOWN.HEREON / e TO SE REMOVED RAIN RUNOFF CONTAINMENT HOUSE '1-1145 s � �` ��. �/C , 91,1&*7 x 0,17 . 195 c j . k- PROVIDE P OWi'6'i x 3'deep Q� d �^� HOUSE f 11 1 . Fh Fa. w AS 'r1.1� `lir l�tYl Ott �(/•'`�� • EL.17.9 Fie, cede EL 17.4 4c+•{ l �v•.� ,-°� ~'a '•'aw'-�- . `' p� ` � __ _ � QA.. IE 16.3 !E ST T\L 1 •�1.�L�iYS "t�3 `f �`V i&0 13.31E IS.9 Lp 12' EL 3, (0, •y b �' ,P, '�, GROW WATER EL 0.7 ar9M,1 Exp.w.a J' 41N• �,•�0 SEPTIC SYSTEM CROSSECTION- i '�� NO SCALE f • tea 0?°, �� °� ,o° ��` ��' SURVEY OF PROPERTIES h o� A T � 0 ��`'�Q ' /" AR. SHAMOMOOUE ` C1' TOWN OF SOU THOLD SUFFOLK COUNTY, N. Y SEPTIC SYSTEM'a MEASUREMENTS 1000 - 52 - 02 - 34 ST' 27' 17' 1000 - 52 -03 -.11 LP Scale: 1"- 30' N zsg ug.` 2010 Sa, S�3r OAPPROVED Au . 3t, zoti/(cesspools) • Ssp /4, 2 /IPeOP HOUSEI 3 ' �y Fs 5, 20V�lrsv/s/onsl � BOARD OF i'RUSTEES. Ma h 13, 201f Irevislons; Apr 2 2rPrev slaps o TOWN OF SOtJTHOLD s¢Qaa �' •= LATH 110.O DATE 21, 2012, (addition) Oct. 7, 2013 (foundation) MA' 23 2014 (final) v = WET�A FLAG ' LAn�A EDGE OF TVAL WETLANDS AS DELINEA TED ly -� SUFFOLK ENVIRONMENTAL CONSULTING, INI« AUGUST 8 -Poll _. I am 'familiar with the STANDARDS FOR APP 0 A AND CONSTRUCTION OF SUBSURFACE SEWDISPOSAL SYSTEMS FOR /NGLE FAMILY RESIDENCES O and will abide by the conditions set forth therein and on the - r permit to construct. .? " FLOOD ZONES FROM FIRM y _ 36103CO158H ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION .r„� ,IC. 1d0.496/8 OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS PECON/C S , P.C. HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY !6311 765-5020 FAX 765-1797 IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE . SURVEYOR WHOSE SIGNATURE APPEARS HEREON. P.O. BOX 909 10-186 O-I V p6 1230 TRAVELER STREET V a ELEVATIONS ARE REFERENCED TO NA VD 88 SOUTHOLD, N.Y. 11971 10-187 48'-0" z OD a rn r 44'-0" 4'-0" . 1 0 L 5'-0" S2��x6 FS 26'-4 5/8" 33'-8 7/8"PLUMB PLUMB 0 8'-0" 19'-10" 2" PVC CHASE{y° 5 (2)-2x6 FS HDR: 3-2x6 5 TO 2ND FLR. 4-2x6 FS �AUG 1 2O SPF¢2 SPF #2 O 2" PVC CHASE SPF#2 z I TO 2ND FLR. # N = J o o ^ _ J b ® w Uj LL o cC1 a A • • d SHEA I p m vi r otlt .I 25'-8 1/4" 6-4 1/2" SHEATHw I m o a u N z 19'-6 1/4" m Z �- f r� o 0 30 I II I oo I w�� W � � zN I \ ih I LANDING LL-- WJ L°--J 1 W It � a 8 can c� CL" _ - 1 MUSTEE 10 5 o = N Z $P Room Sq Ft: 317.9 N F_1" UTILITY SINK-----_----, \ SPF 2 i z o a Z O 00 30-3704 20 SUN R 00 M Light Req: 24.95 LIVING ROOM co m ;n I(DOUBLE TOP PLATES) I 1 _�� o�¢a - W z r r Q� 00 g N N L____________J C I CC¢ N^ af -1 6 Light Provided: 52.94 X x O ¢ J N m Vent Req: 12.48 5-2 3/4" LAUNDRY ^ o 00 T cn w o W Vent Provided: 34.93 2856 I =DO ti :z_z r` �- = v, z - Combined light & vent for Sun Room & Living Room w (5)-2x6 I Uj ¢o N V)i w j d = b 3'-�" 3'-O" _ PFS " SPF12 _ U cn¢ ~0 no w o m U B (V rn 51-0. 3'-2 1/4" a I 1 `D o CLO LABEL -3 1 2" p I o o �w m W w o N zU I I a 4'-101/4" a I �� w r z � HD 3-2x6 Q¢ O SHIPLOOSE�' I m w c~-n 'm o Of SID T- -10 1/4" QK K SHEATHINGS _j= g c_-od w I FOYER V 9'-6 1/4" &w N L r:o *TE PERED 5 to 13'-2 1/16" - 0 (5)-2x6 I ¢ o I—�'o 0 7 2x6 FS (3)-2x4 FS =I— ti> ~J 2856 - J I ( )- ( )- \ I N SPF12 I �o vaC� Q }_ z' 2'-6" I I SPF 12 sPfI2 N OMI1 FOYER m _ 1 � o LL L�o Q W a CL �28 < �-- ------------------ 3'-6" 3'-0" -I T-) IV 15-1 3/16" n 1 0 o a o o a? O J N 1 I '-10 1 I I `377D'' M I 1-- 21 w d co N --- I 1: d� (n Nom I OMIT 3'-11" SECT N x on 7� CLG & WALL GYP �` --- � ❑D 2x6 N O N I— 5'-0" 3'-0" �\ BLDR. REQ. (4)-2x6 FS woo z ,� 13' 1 �--3'_p" _ = 10-11 1 2 SPF112 LLI O N =a " " •- Z I Z (2)-2x6 0189624 N 5 N EE EE (D J o s n " O i OOSE J SPF/2 - ------------- - (4)BTK78 ' -3 1 �l (2)-SPF2x6 FSIn SHEAT141 G I-- POR H \ *TEMPERE * 45" HIGH WALL F_1" "i BATH #1 i� fn >- (� W/bRYWALL FINISH �� i w i 2" PVC CHASE 36'-O" e \ W lz $P W/12" BARTOP 2" PVC CHASE-4— I TO 2ND FLR. - o � O 1 ZZ o 2456 0 46 1/2" A.F.F." pI I N g o a I TO 2ND FLR. III I m r-------------1 iI (l� DOUBLE TOP PLATES) i I-Q V) Q TEMPERED m KITCHEN `i C3 U-1ILL - J N " DR & ra LJ CL CID to a cn D_ � DINING ROOM N 2-3/4"SUPP. I 10 0 W 0 SN-13278 N � FROM 2nd STORY 00 d U) Q CL w= SP Room Sq Ft: 123.46 i V o i BEDROOM #1 OS o0 �- o I ~ a DH 11056 'n L' t R 9.88 COUNTERTOP ON-SITE BY OTHERS m d z I- I � � BK243015 2'-6" m 2856-2 (\J ®m n-0 0= Light Provided: 53.23 - \_ __l Room Sq Ft: 129.17 I 1 J Q_m CD Vent Req: 4.94 2" FUTURE VENT III\ ; RE5 36S Light Provided: 10.33 N 23 Vent Provided: 13.81 TOE KICK I I i I °m I vent P o Provided: 11.6 (5) 26 Fs z T2 w FW-- C, 3" RADON VENT II 3 I 4' 1" z 0]� i� z OMIT '\� �l --J • 6 " �F/2 Iii a a ¢ ¢ zo j = Z *TEMPERE * OMIT SINK &FAUCET "' �, 4'-11" \ rcli te- w 0f ¢o E L L) o � 0 2" DRAIN ( m v _ LLI= o $P FROM 2nd STORY 13'-0" m �;, Q w n. z o: o 000 i 2456 o WALK-IN `�" � ' ``a `�' waOf a o o �a I = Of O J in T KICK IF( ^'UiU a WCA12 MGMI Y9 t2 o BD21-4D DWS 1 ( 11 B24 0� ,V CLOSET a SHIP[ .E o 0 0 X m i I Syr�6 I i �pry1h FRODRAIN M 2 d STORY 10'-11 1/2" SHEATHI G } 0 0 Z 8-11 3/4" W3642 (- 1_I J W21 (4)-2x6 FS m = LL_ U_ V) • SPF12 z vi2tnmo_ v' ¢ ¢ STRUCTURAL POST: TYP. 16'-2" z 0 a z O DATA PLATE, STATE LABEL ® o Z U 2'-6" 2856 AND PFS LABEL LOCATION 90-C23-15 22'_11 SIDING OMIT S.Q. HDR: 3-2x6 SHIPLUOSE SHINGL ES 16 1/3 S.Q. a SPF #2 HDR: 3-2x6 PLUMB HIP & RIDGE 2 PKS. � a N 8'-0" SPF #2 40'-0" TRUSS B- o _ 6 � " 0 V M r M o n A S BY PBS- NooNN � i N � 48'-0" RIDGE VENT-6 0 °M 1 V)vni,t NATHANA 9/26/2013 7: 31: 43 AM � N N P m ca NOTES: 1.*-DENOTES ADDITIONAL COLUMN IN BASEMENT 5. STAIRS TO BE 81/4"RISERS AND 9"TREADS. 2. 2X6 EXTERIOR WALLS 16"O.C. 6.CLG GIRDER ABOVE DIN RM/LIV RM TO BE:(4)1 VT X 91/4"KL CODES: THIS PRINT HAS BEEN EXTRACTED FROM A a 2010 RESIDENTIAL CODE OF NEW YORK STATE SET OF A PREVIOUSLY APPROVED SYSTEM OR I;; 3. 2X4 MARRIAGE WALLS 16"O.C. 7.HEAT LOSS WAS CALCULATED W/R-19 INSULATION OR HEATED BSMT A MODEL APPROVAL AND IS ON FILE %ATH STATE C, 4. 9'-0-CLG (1ST FLR.ONLY) 8.BUIIAER IS RESPONSIBLE FOR PROVIDING A PROPERLY 2008 NATIONAL ELECTRICAL CODE AND IS OK TO 8E BUILT aC. SIZED HEATING SYSTEM TO COVER A BTU LOSS OF 61600 ENERGY CONSERVATION CONSTRUCTION CODE OF NYS - 2010 EDITION x rt V a&— John M.Bredemeyer III,President OF S0(/ryO Town Hall Annex Michael J.Domino,Vice-President '`� l0 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q Telephone(631) 765-1892 Charles J.Sanders,TrusteeOl'•CDU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0971C Date: April 25, 2014 THIS CERTIFIES that the demolition and removal of existing one-story dwelling and gppurtenances• construction of a new two-story dwelling 1,050 sq. ft., front porch 70 sq. ft., rear deck 130 sg ft • abandon use of existing cesspools and installation of a new sanitary system; installation of two doyells• the existing flagpole,• 10' wide non-turf buffer along landward edge of top of embankment At 1100 Ruch Lane, Southold,New York Suffolk County Tax Map# 52-2-34 Conforms to the application for a Trustees Permit heretofore filed in this office Dated March 27, 2012 pursuant to which Trustees Wetland Permit#7771 Dated April 18, 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 demolition and removal of existing one-story dwelling and appurtenances; construction of a new two-story dwelling 1,050 sq ft front porch 70 sq ft rear deck 130 sq. ft.-, abandon use of existing cesspools and installation of a new sanitarsystem, installation of two drywells; the existing flagpole,• 10' wide non-turf buffer along landward edge of top of embankment. The certificate is issued to JOHN PITMAN owner of the aforesaid property. Authorized Signature John M. Bredemeyer 111,President Town Hall,53095 Main Rd. Michael J.Domino,Vice-President a��O c�G� P.O. Box 1179 James F. King Southold,NY 11971 Dave Bergen 0 Telephone(631)765-1892 Charles J.Sanders �Ol � �a0 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE F INSPECTION: Cl y r� .20 / Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/ constructed Project complete, compliance inspection. INSPECTED BY: ._9 COMMENTS: CERTIFICATE OF COMPLIANCE: CC# : C14-17123 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 04/22/2014 under Liber D00012771 and Page 476 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 04/22/2014 SUFFOLK COUNTY CLERK APR 2 3 2014 - JUDITH A.PASCALE SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 04/22/2014 Number of Pages: 4 At: 03:32 :25 PM Receipt Number : 14-0051869 LIBER: D00012771 PAGE : 476 District: Section: Block: Lot: 1000 052 .00 02 .00 034 .000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20 .00 NO Handling $20.00 NO COE $5 .00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0 .00 NO Cert.Copies $5.00 NO RPT $60 .00 NO Fees Paid $125.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County MM V Number of pages t Zz -P-1D11-!i! fQ. PA"-S'041LE CILE'.F.".K OF This document will be public S- FO I-K CONAFTY record. Please remove all 1 0 —.1 . Social Security Numbers ib prior to recording. Deed/Mortgage Instrument Deed Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17 (County) Sub Total Spec. /Add. EA-5217 (State) TOT. MTG.TAX R.P.T.S.A. Dual Town Dual County Heldfor Appointment Comm. of Ed. 5. 00 m Transfer Tax Affidavit 4 Mansion Tax -Certified Copy The property covered by this mortgage is or will be improved by a one or two z,.," NYS Surcharge 15. 00family dwelling only. Other Sub Total YES or NO Grand Total If NO,see appropriate tax clause on page#—of this instrument. - 4 T Di,-' 5 Community Preservation Fund' Real Pr( 2714908 1000 05200 0200 034000 Consideration Amount $ Tax r R Ager. I RMOAIIIIIIIIIIIII�IIICPF Tax Due $ Verific; �22-APRA Improved (-6' Satistactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land -Tc TD TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co Name www.suffolkcountyny.gov/clerk Title# Suffolk Count--- Recording & Endorsement Page This page forms part of the attached made by: (SPECIFY TYPE OF INSTRUMENT) TO k? 0 The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104..10/08kk (over) IMPORTANT NOTICE If the document you've just recorded is your SATISFACTION OF MORTGAGE, please be aware of the following: If a portion of your monthly mortgage payment included your property taxes, *you will now need to contact your local Town Tax Receiver so that you may be billed directly for all future property tax statements. Local property taxes are payable twice a year: on or before January 101 and on or before May 31st Failure to make payments in a timely fashion could result in a penalty. Please contact your local Town Tax Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxes Riverhead Town Receiver of Taxes 200 East Sunrise Highway 200 Howell Avenue North Lindenhurst, N.Y. 11757 Riverhead, N.Y. 11901 (631) 957-3004 (631) 727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes One Independence Hill Shelter Island Town Hall Farmingville, N.Y. 11738 Shelter Island, N.Y. 11964 (631) 451-9009 (631) 749-3338 East Hampton Town Receiver of Taxes Smithtown Town Receiver of Taxes 300 Pantigo Place 99 West Main Street East Hampton, N.Y. 11937 Smithtown, N.Y. 11787 (631) 324-2770 (631) 360-7610 Huntington Town Receiver of Taxes Southampton Town Receiver of Taxes 100 Main Street 116 Hampton Road Huntington, N.Y. 11743 Southampton, N.Y. 11968 (631) 351-3217 (631) 283-6514 Islip Town Receiver of Taxes Southold Town Receiver of Taxes 40 Nassau Avenue 53095 Main Street Islip, N.Y. 11751 Southold, N.Y. 11971 (631) 224-5580 (631) 765-1803 Sincerely, Judith A. Pascale Suffolk County Clerk DECLARATION OF COVENANTS THIS DECLARATION made this day of )+t, 20 by John Pitman residing at 2 Coppell Dr. , Tenafly, NJ 07670 hereinafter referred to as "DECLARANT (S) " : W I T N E S S E T H WHEREAS, DECLARANT (S) is/are the owner (s) of certain real property located on 1100 Ruch Lane Southold Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 52 , Block 02 , Lot 34 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT (S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 10 foot wide N'non-turf buffer" adjacent to and landward of top of bank; NOW, THEREFORE, the DECLARANT (S) do/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained a 10 foot wide buffer at the top of the bank as a "non-turf buffer" as defined by Chapter 275 of the Town Code; and as depicted on the survey stamped on May 15, 2012 and 2) These covenants shall run with the land and shall be binding on the DECLARANT (S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner (s) has/have duly executed this instrument this day of OU Alert 1 20 . OWNER'S SIGNATURE OWNER'S SIGNATURE STATE OF ss: r COUNTY OF . On the day of in the year 20J before me the undersi ne a Notary Pub is in and for said State, pers pally appeared l'�01CW personally known to me or proved to me on the basis of atisfactory evidence to be the individual (s) whose name (s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their si nature (s) on the instrument, the individual or the persons on behalf of which n 'vidual (s) acted, executed the instrument. tary Public STACY MARIE SUNDERMAN Notary Public,State of New Yon, No.04SU6287725 Qualified in Suffolk County Commission Expires Aug. 19,201 F 2 TNew certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, being in the Town of Southold, County of Suffolk and State of rk, bounded and 69scribed as follows: _ FIRST TRACT: BEGINNIP�r at ra, point five feet Easterly from a point marked by a locust post, which point Is dis- tant South 550 15 ' East rOUP hundroO. (1100) feet from the North corner of a tract of 1-and conveyed by the parties Of the first part to Lowls W. Brown, said north 8orner of said Lewis W. Brown ' s lot being distant South 35 38 ' East seven hundred and twenty-one and nine tenths (721..9) feet from a granite road monument set at it point in the south erly . sid.e of the North Road or K:Lntr, ' Ifighwray, distant therein ten hundred and ninety-two and three tenths (1092 .3) (( feet westerly from the point where the said southerly side ? of the North Road is intersected by the Easterly boundary line of lands conveyed to the party of the first part by Mary L. Raseh by deed dated August 27, 1919, recorded August 28, 1919 in the Suffolk County Clerk ' s Office in Liber 982 of Deeds, page 169, said Easterly line of lands of Valentin Ruch (ps.rty of the first part) being also the Westerly line 3 . of lands now or formerly or one Ryder, :said point of inter- section being; marked by a granite merestone; and from said point of beginning ru6ninp, South 570 15 ' East fifty -(50) feet; thence South 311 115 ' West one hu idred and. ninety (1.90) feet more or less to th t,i�;hw,�,t;er Marr. of Arshamomoque Bay). thence Northwesterly Ftl.onr► sra,:i.d h.if;hwater mark the several courses thereof fifty (,O) roet more or less to a point where said h.ighwa.ter mark of Arshamomoque Bay is inter- sected by a line drawn para.l].e;l to the second course here- inabove described and di.sta,nt fif't y (50) feet Northwest- erly therefrom;, thence North 3110 45 ' En.st along said line drawn parallel to the second course hereinabove described one hundred ninety-six (196) feet, more or less to the point or place of beginning. TOGETHER with an equal. right with the parties of the .First part in and .to the lands under the watersof Arshamom - que Bay lying Southwesterly of the lands hereinabove described. q,OFFO(�- James F.King,President ��p� Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President . P.O.Box 1179 Dave Bergen s Southold,NY 11971 John Bredemeyer �� • Telephone(631)765-1892 Michael J.Domino �Oj .F`sa 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 951 day of construction % constructed Project complete, compliance inspection TEST BORING byMcDonald .onald Geosclence � " /0 0. 71 2 - EL 16.5 Sj-• X04 bs'y0 The locations of wells and cesspools LoomDark OLshown hereon are from field observations .p 0.5' and or from data obtained from others. Brown SM ML Therefore their locations and or existence 3' is not guaranteed. tt Brown Silly Sand C? /q� �0000, Co with 10% Gravel F` �qq SM lb Brown fine to Coarse ��• �f �r Sand SW \ o' 15.8 EL 0.7' !o• Water In Brown Fine 17' to Coarse Sand SW O� (c. ROAD �� NORTH PROPOSED SEPTIC SYSTEMCpa (4 BEDROOMS) 1 - )000 GAL. PRECAST SEPTIC TANK / S/ CK I- LEACHING POOL 8'0 = l2' DEEP WITH 3' SAND COLLAR ISW) BOTTOM TO BE `B;�r�4, 3' ABOVE GROUND WATER /•�' S `SS.� S ,q� PROPOSED DWELLING TO DISCONNECT o �J Q/qe m/j`O X00 FROM EXISTING SEPTIC SYSTEM j s , O O EXISTINGHOUSE NOT SHOWN HEREON '• mm �`� , TO BEER 00, REMOVED RAIN RUNOFF CONTAINMENT 0� b t•+' • r HOUSE = 1145 sq./. 1145 • I • 0.17 = 195 cu.1L 0h *,4 193/22.3 = 9 VF ;-- --- \ PRDvoE 2 Dwe 60 • 3' d*vo� o xr�=. 10 APPRD BY d e \a 1'1b I BOARD OF TRUSTEES �.P\ � "! TOWN OF SOUTHOLD foo ,,��Q�• , o� / o�QO�\ DATE y— 1 l � ,yarn.- �9 h� 01,0 �,. °' �• 4P�' SURVEY OF PROPERTIES AT r4 �' Baa o`` ��`� ARSHAMOMOOUE TOWN OF SOUTHOLD °'`�T° SUFFOLK COUNTY, N. Y. 1000 - 52 - 02 - 34 1000 - 52 -03 - 11 Scale: 1"= 30' s �F Aug.` 14 2010 �Tj ,�30, Aug. 31, 2010 (cesspools) 46? "4iQsy 1Y Ssp7. 14, 20JI(PROP HOUSE) SPM5, 2012 (nvklbnsl March /3, 201? (rerls/om) o� OMq Aprl 2¢'2012 Icer Q Pp •= L,1 TH 'pO v = WETLANDS FLAG NO LANDWARD EDGE OF TpAL WETLANDS AS DELINEATED BY SUFFOLK ENVIRONMENTAL CONSULTING, AVC. AUGUST 8, 20il I am familiar with the STANDARDS FOR APPROVAL I' AND CONSTRUCTION OF SUBSURFACE SEWAGE APO 18 2012 DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. C, f FL OOD ZONES FROM FIRM y 361O3CO158H ANY ALTERATION OR ADDITION TO THIS SURVEY 1S A VIOLATION , N.Y.S. LIC. 1dO.496/8 OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS PECON/C SURVEYORS, P.C. HEREON SMAP OR COPIES BEAR THIS THE IMPRESSED SEAL OF THEEREOF (631) 765-5020 FAX 765-1797 SURVEYOR WHOSE SIGNATURE APPEARS HEREON. P.O. BOX 909 / Q_/Or�� 1230 TRAVELER STREET ELEVATICNS ARE REFERENCED TO NAVD 68 SOUTHOLD, N.Y. 11971 BOARD OF SOUTHOLD TOWN TRUSTEES SOUITIIOLD, NEW YORK PERMIT NO. 7771 DATE:APRIL 18, 2012 ISSUED TO: JOHN PITMAN PROPERTY ADDRESS: 1100 RUCH LANE, SOUTHOLD SiCTM#52-2-34 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordp4re with the Resolution of the Board of Trustees adopted at the meeting held on April 18,2012,and in copsderation of application fee in the sum of$250.00 paid by John Pitman and subject to the Terms and Condi iiions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to demolish and remove the existing one-story dwelling 1,020sq.ft. and appurtenances 230sq.ft. and construct new two-story dwelling 1,050sq.ft., front porch 70sq.ft., rear deck 130sq.ft.; abandon use of existing cesspools and install a new sanitary system; install two 9)drywells; and for the existigg„flagpole; with the conditions of the installation and maintenance of a 10' wide non-turf buffer along4he landward edge of the top,®f the;embankment; the,installation of aAline of staked,bay bales with slit fencing prior.to construction;and as depicted on the survey pt$0if'ttd by PeconIc 9tiMyer9; P.C., last doted April 12, 2012;and stamped approved on April 18; 2012. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and tlfe§e presents to'be subscribed by h'iSiajority of the said Board as of thisidate: 3 TERMS AND CONIW-=i4ONs The Permittee John Pitman,residing at 1109 Ruch Lane. Southold,Nei Yg;Jc as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or Her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the'Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 1. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorizad;.or if,in the opinion of the Board of Trust!",,, the work shall cause unreasonable obstruq on to free tiavigation,�thesaid Permittee,wiil be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant 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. 9. That the said Board will be notified by the Permittee of the compl _ ' ofIIIIV work authorized. 10. That the Permitt6e vKill obtain all other permits and consents that why bi&lmred supplemental to this permit,which may be subject to revoke upon failure to obtain same. James F. King,President ��0f S0 A Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road P.O. Box 1179 Dave Bergen # Southold,New York 11971-0959 John Bredemeyer en Michael J.Domino 0 �O Telephone(631) 765-1892 �y00UMV Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 18, 2012 Matt D. Ivans Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932 RE: JOHN PITMAN 1100 RUCH LANE, SOUTHOLD SCTM# 52-2-34 Dear Mr. [vans: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 18, 2012 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of JOHN PITMAN 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 March 27, 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 April 18, 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 JOHN PITMAN to demolish and remove the existing one-story dwelling 1,020sq.ft. and appurtenances 230sq.ft. and construct new two-story dwelling 1,050sq.ft., front porch 70sq.ft., rear deck 130sq.ft.; abandon use of existing cesspools and install a new sanitary system; install two (2) drywells; and for the existing flagpole; with the conditions of the installation and maintenance of a 10' wide non-turf buffer along the landward edge of the top of the embankment; the installation of a line of staked hay bales with silt fencing prior to construction; and as depicted on the survey prepared by Peconic Surveyors, P.C. last dated April 12, 2012, and stamped approved on April 18, 2012. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $100.00 Very truly yours, CZ"�5r ames F. King President, Board of Trustees JFK/eac 0 0 James F. King,President o�gUFF91.to Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Route 25,P.O.Box 1179 Dave Bergen Southold,NY 11971 s John Bredemeyer py �� Telephone(631)765-1892 Michael J.Domino X01 } �� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JOHN PITMAN Please be advised that your application dated March 27. 2012 has been reviewed by this Board at the regular meeting of April 18. 2012 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project XX Pre-Construction Hay Bale Line Inspection Fee ($50.00) 15t Day of Construction ($50.00) '/2 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 Inspection Fee = $50.00 yJ-poy TOTAL FEES DUE: $ BY: James F. King, President Board of Trustees 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 April 12, 2012 APR 13 2012 Jim King, President Board of Trustees Town Hall P.O. Box 1179 Southold, NY, 11971 Re: PL7MANProperty Situate: 1100 Ruch Lane;Arshamomoque;Town of Southold, NY SL'I'M#: 1000 - 052 - 02 - 034 Dear Mr. King, Regarding the matter referenced above, please find enclosed the Letter of No Jurisdiction - 77da/ Wetlands Act from the New York State Department of Environmental Conservation. Please retain this letter liar your records. Sincerely, )� ]sones F. Iaird ¢'d uv ¢ tea n State Depaf m of Env\ t'e?""-nerit-il l onserv*i Division of Environmental Pe,r, c .. Region i S'.'MY ,-a� Stany Brook 50 Circle Road, Stony Brook, N'y 11790-34x9 Phone: (631)444-0365 • Fax: (631) 4114-03M Website: www.dec.state.nv.us Joe Martens Commissioner LETTER OF NO JURISDICTION TIDAL WETLANDS ACT John Pitman April 16, 2012 2 Coppell Drive APR 13 2012 Tenafly, NJ 07670 Re: Application #1-4738-04103/00001 Pitman Property, 1100 Ruch Lane, Southold, NY SCTM # 1000-52-3-34 Dear Applicant: Based on the information you have submitted the Department of Environmental Conservation (DEC) has determined that the proposed project consisting of the removal of the existing and construction of a new single family dwelling (SFD), accessory structures and roof runoff drywell structures is located landward of the topographic crest of the bluff in excess of 10 feet in elevation, shown as "Top of Bank" on the survey prepared by John T. Metzger L.S. last revised 2/15/2012, is beyond Tidal Wetlands Act (Article 25) jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required for this particular projc.ct. Be advised, no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Article 25 jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sin rely, us an V. Ackerman Deputy Permit Administrator GRZ cc: BOH-TW, Suffolk Environmental Consulting, file o�g'uFFO(,r Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary T P.O.Box 1179 Southold,NY 11971 TelFax hone765- bgis-1892 J* Fax Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., April 11, 2012 the following recommendation was made: Moved by John Stein, seconded by William McDermott, it was RESOLVED to SUPPORT the Wetland Permit application of JOHN PITMAN to demolish and remove the existing one-story dwelling 1,020 sf. and appurtenances 230 sf., and construct a new two-story dwelling 1,050 sf., front porch 70 sf., rear deck 130 sf., abandon use of existing cesspools and install a new sanitary system and install two (2) drywells. Located: 1100 Ruch Lane, Southold. SCTM#52-2-34 Inspected by: Peter Young, John Stein The CAC Supports the application with the Condition of a 15' non-turf buffer landward of the embankment and the PVC pipes coming out of the bank are removed. Vote of Council: Ayes: All Motion Carried • 0 16 • �%Uf F(k f James F.King,President QV CD P.O. Box 1179 Bob Ghosio,Jr.,Vice-President Southold,NY 11971 Dave Bergen ti Telephone(631 765-1892 John Biedemeyer WT Fax(631)765-6641 Michael J. Domino y !'r` Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: 4poo . )/ i 1-c , Z JOHN PITMAN requests a Wetland Permit to demolish and remove the existing one-story dwelling 1,020 sf. and appurtenances 230 sf., and construct a new two-story dwelling 1,050 sf., front porch 70 sf., rear deck 130 sf., abandon use of existing cesspools and install a new sanitary system and install two (2) drywells. Located: 1100 Ruch Lane, Southold. SCTM#52-2-34 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: ,o y I... ...1(' ' r �. ` r 41 � I r � rtµ` t •. ' ry T t Rr +3? s . `• ) \�f a`�1 ` i T �E � � 111',� � 1. John Pitman 11DO Ruch Lane,Southold SCTM#52-2-34 14 ti � •1• f T 1� � N L• $ ' I� a ��;• ' ' ice 1 .� . ►. F Y �y'� a L -.ilii d.. .. +�M` •'� . •.moi. 777�John Pitman 1100 Ruch Lane,Southold SCTM#52-2-34 /11/2012 8 1 � lie k r. "R; Ilk PITMANProperty Situate: 1100 Ruch Lane; Arshamomoque; Town of Southold, New York SCTM #: 1000—052 —02 —084 & 1000—052 —OS —011 $ITE a Lmg Islanp 4 p xs — + � Island �r Meyhls ,n £ PROPOSED CONSTRUCTION e ACCESS ROUTE �r av4 Puw�e / x / Estates ([ / rWOIX 4 P�tl(n SI'Z'E ' - aaly'. bw4ee PITMANProperty Situate: 1100 Ruch Lane; Arshamomoque; Town of Southold, New York SCTM #: 1000—058 —02 —084 & 1000—052—03 —o i l (Photo taken on March 9, 2012) Photograph indicating the existing dwelling to be removed and a new dwelling reconstructed in place. Photograph taken from Ruch Lane, facing southwest towards Arshamomaque Pond. PITMAN Property Situate: 1100 Ruch Lane; Arshamomoque; Town of Southold, New York SCTM #: 1000—052 —02 —084 & 1000—052 —OS —Ol l (Photo taken on March 9, 2012) _ gas •r Photograph indicating the existing dwelling to be removed and a new dwelling reconstructed in place. Photograph taken from the shoreline of Arshamomoque Pond, facing northeast towards Ruch Lane. PITMANProperty Situate: 1100 Ruch Lane; Arshamomoque; Town of Southold, New York SCTM #: 1000 —052 —02 —034 & 1000—054 —03 —011 (Photo taken on March 9, 2012) Photograph indicating the existing dwelling to be removed and the staked out southwestern corner of the proposed dwelling (arrow). Photograph taken from the central section of the property, facing northeast towards Ruch Lane. PITMANProperty Situate: 1100 Ruch Lane; Arshamomoque; Town of Southold, New York SCTM #: 1000—054—02—034 & 1000—052 —03 —011 (Photo taken on March 9, 2012) d 1. } {r ACS Photograph indicating the existing dwelling to be removed and the staked out southeastern corner of the proposed deck (arrow). Photograph taken from the central section of the property, facing southwest towards Arshamomoque Pond. PITMANProperty Situate: ]loo Ruch Lane; Arshamomoque; Town of Southold, New York SCTM #: 1000—052 —02 —034 & 1000—052 —OS —011 (Photo taken on March 9, 2012 1 sem'. y _ Photograph indicating the flagged pin locating the proposed cesspool. Photograph taken from the northerly section of the property, facing southwest towards the existing dwelling. PITMANProperty Situate: 1100 Ruch Lane; Arshamomoque; Town of Southold, New York SCTM #: 1000—052 —02 —034 & 1000—052—08 —011 (Photo taken on March 9, 2oq) - AE .K Photograph indicating the stake locating the proposed septic tank. Photograph taken from the northerly section of the property, facing south towards the existing dwelling within the westerly adjacent parcel. PITMANProperty Situate: 1100 Ruch Lane; Arshamomoque; Town of Southold, New York SCTM #: 1000—052 —OR —034 & 1000—052 —03 —Oil (Photo taken on March 9, 2012 -• f.. JbS O � A I Photograph indicating the staked out location of the tidal wetlands boundary along the shoreline of subject property. Photograph taken from the shoreline of the property, facing southeast, along Arshamomoque Pond. PITMANProperty Situate: i i oo Ruch Lane; Arshamomoque; Town of Southold, New York SCTM #: 1000—058 —02 —084 & 1000—052—os —011 (Photo taken on March 9, 2012) `t AP a pp S „r Photograph indicating the staked out location of the tidal wetlands boundary along the shoreline of subject property. Photograph taken from the shoreline of the property, facing norhtwest, along Arshamomoque Pond. v • -- r� _ 5 -- set d'n`" � � `�� w �Me"'� 3��A�R•w � a a ac xo� A N � 9a ��mnvimroi �a,Ne J awa , Q � ' T3 O iJ a a � idNvl T \♦ l '�2\ "^ van ". �� \� \ J B a[Cucuxo TnuST �\ U v / i 1 ,r S w \ 12 .w panERENO \ gE Zc M � u•cn raaa,. �' _ ___ _. __ ___3z ___...uxe -�unaui - gym'[ / - am COUNTY OF SUFFOLK © ^ mrE: xo Real�mPehY Ta62�5em2A9enWlY $j .�� _�— ..�� un �� O ��._ iS➢i n� Rim r OFFICE LOCATION: OF sn�jyo MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 i Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) '! Southold, NY 11971 G Q Telephone: 631 765-1938 Fax: 631765-3136 COUNTi, LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President APR 1 7 2012 Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: April 17, 2012 Re: Proposed Wetland Permit for JOHN PITMAN SCTM#1000-52.-2-34 Suffolk Environmental Consulting, Inc. on behalf of JOHN PITMAN requests a Wetland Permit to demolish and remove the existing one-story dwelling 1,020 sf. and appurtenances 230 sf., and construct a new two-story dwelling 1,050 sf., front porch 70 sf., rear deck 130 sf., abandon use of existing cesspools and install a new sanitary system and install two (2) drywells. Located: 1100 Ruch Lane, Southold. SCTM#52-2-34 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 subject to the following: 1. It is recommended that the Board establish a minimum 20' landscape buffer from the seawall landward. An example definition follows. LANDSCAPED BUFFER -- A land area of a certain length and width which is planted with indigenous, drought-tolerant vegetation similar to that found within the immediate proximity of the parcel. Vegetation shall be installed in sufficient densities to achieve 95% ground cover within two years of installation. Survival of planted vegetation shall be 90% for a period of three years. Maintenance activities within the buffer are limited to removing vegetation which is hazardous to life and property, trimming tree limbs up to a height of 15 feet to maintain viewsheds, replanting of vegetation and establishing a four-foot-wide access path constructed of pervious material for access to the water body. [Added 12-15-2009 by L.L. No. 15-2009] Pursuant to Chapter 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 WAR 27 2012 Office Use Only Coastal Erosion Permit Application X Wetland Permit Application Administrative Permit Amendment/Tra sfer/E tension Received Application: Received Fee:$QS'D Completed Application: Incomplete: SEQRA Classification: Type I Type II Unlisted_ Coordination(date sent) ✓ LWRP Consistency As essment Form: i)� ✓CAC Referral Sent: 31I� ✓ Date of Inspection: 1 .l Receipt of CAC Report: Lead Agency Determination Technical Review: /Public Hearing Held: Resolution: Name of Applicant JOHN PITMAN Address 2 Coppell Drive; Tenafly, N] 07670 Phone Number: (201) 569 - 1328 Suffolk County Tax Map Number: 1000-052-02-034 Property Location: 1100 Ruch Lane; Arshamomoque; Town of Southold, NY (provide LILCO Pole #, distance to cross streets, and location) AGENT: MATT D. IVANS l) Suffolk Environmental Consulting, Inc. (If applicable) Address: P.O. Box 2003; Bridgehampton, NY 11932 Phone: (631) 537—5160 0 0 Board of Trustees Application GENERAL DATA Land Area (in square feet): 9, 078 square feet + Area Zoning: R - 40 Previous use of property: Residential Intended use of property: Residential Covenants and Restrictions: Yes X 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: N/A Agency Date 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 demolish & remove the existing One-Story Dwelling (1 020 N. ft +) and appurtenances ( 230 sq ft +) and construct a new Two-Story Dwelling (1, 050 sq ft ± j000riuf'), Front Porch (7o sq. ft. t) Rear Deck (130 sq ft +) abandon use of existing cesspools, install a new Sanitary ystem and install two (2)Drywells Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed activity: Applicant proposes to demolish & remove the existing One-Story Dwelling (1, 020 sq. ft. ±) and appurtenances ( 290 sq. ft. ±), and construct a new Two-Story Dwellingf 1 o50 sq. ft. ± 'footPrin('),Front Porch (70 sq. ft. ±), Rear Deck (190 sq. ft. ±), abandon use of existing cesspools, install a new, Sanitary System and install two (2) Drywells. Area of wetlands on lot: 550 square feet Percent coverage of lot: 6.01 + % Closest distance between nearest existing structures and upland edge of wetlands: 0.0 feet (existing dock) Closest distance between nearest proposed structures and upland edge of wetlands: 89.0' + feet (pmpased Deck) Does the project involve excavation or filling? X No Yes If Yes, how much material will be excavated? N/A (cubic yards) How much material will be filled? N/A (cubic yards) Manner in which material will be removed or deposited: N/A 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 for the reconstruction of an existing dwelling that has existed harmoniously within this parcel for over fifty years Additionally, the property will increase the environmental conditions of the property in that the applicant has proposed to upgrade the existing Sanitary System and relocate further landward from the tidal wetlands boundary, and install leaders gutters and drvwells to contain any and all roof runoff. Board of Trustees Application N/A 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? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) 0 0 14-16-4(9/95)-Text 12 617.20 SEQR PROJECT I.D. NUMBER Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1- PROJECT INFORMATION To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Suffolk Environmental Consulting,Inc. PITMAN Property 1. PROJECT LOCATION: Municipality Town of Southold County Suffolk 4. PRECISE LOCATION (Street address and road intersections,prominent landmarks,etc.or provide map) 1 100 Ruch Lane; Arshamomoque; Town of Southold, New York(SCTM#: 1000-052-02-034 & 1000-052-03-011) 5. IS PROPOSED ACTION: E New ❑ Expansion ❑ Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to improve upon the existing property in a residential fashion. Please refer to the attached survey for all specifications. 7. AMOUNT OF LAND EFFECTED: Initially 0.2 acres Ultimately 0.2 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? E Yes ❑ No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? EResidential ❑Industrial ❑Commercial ❑Agriculture ❑Park/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)? E Yes ❑No If yes,list agency(s)and permit/approvals Suffolk County Department of Health Services approval;New York State Department of Environmental Conservation. ll. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes E No If yes,list agency(s)and permitlapprovals 12. ASA RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes E No I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Matt D. s—Suffolk Environmental Consultiny, Inc. Date: February 17 2012 Signature: 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 1 PART II-ENVIRONMENTAL ASSESSMENT To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN E NYCRR,PART 617.12? If yes,coordinate the review process and use the FULL EAF. ❑ Yes ❑ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.69 If No,a negative declaration may be superseded by another involved agency. ❑ Yes ❑ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality,surface or groundwater quality,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 resources? Explain briefly: C5. Growth,subsequent development,or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term,short terra,cumulative,or other effects not identified in C1-059 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 O/ Il ENTAIL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? ❑Yes ❑No D. IS THERE,OR IS THERE LIKE f7-,'CONTROVERSY RELATED T L ADVERSE ENVIRONMENTAL IMPACTS? E] Yes [I No xplain 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 sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes,the determination 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 significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determiner,based on the information and analysis above and any supporting documentation,that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary,the reasons supporting this determination. Name of Lead Agency Print or Type Name of Responsible Officer Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different From responsible officer) Date 2 PART II- IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAE. aYes 0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR PART 617.67 If No,a negative declaration mat be superseded by ander Involved agency. 0 Yes Di No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) Cl. E;dsMv air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,histoAc,or other natural or cclbxal resources:or community or neighborhood characte(1 Explain bristly: C3. Vegetation or fauna,fish,sheafish a wikaae species,sig cant haMlats,ortitreatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change In use or Intensity of use of land or other natuwl resources?Explain bdeAy: 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 C7-057 Explain briefly: C7. Other impacts(including changes in use of either quantity or type of en Explain briefly: D_ WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTALAREA C 7 f s,a laln briefly: - Yes �No E IS THERE,OR IS LIKELY TO BE,WNTROVERSY RELATED TO POTENTIAL.ADVERSE ENVIRONMENTAL ENTAL IMPACTS? If lain: Q Yes ❑✓ No PART M-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) . MISTRUCTIONS: ForeachadvetaeeRadkentiaedabove.datennMewtlealerkissubstantiaklarge.knpertardorothelwiseeigraficant. Each effect should be assessed in ognneti ion with Its(a)setting(i.e.urban or nrat);(b)plobadlilkyof oxg tib,(c)durakon;(d)Meverslb ft,(a) f)eagr 111INC acope;and(0 megnkude. If neoustary,add attachments or faference auppOft maoedahL Bmm that 0011111181110118 contain SuMdelndetdtoshow that akrelevant adverseknpadshave been idanfiRedandade"MilytMdresselfNqueationddpartYwasdtedaad yes atedatemtinatorlofai0nificarhoemuatevaluatealepoter"knpactafNieproposedaafionantheenvirownentilldleredark"ofereCEk Ow*dAebozkyouhaveWMOWaneormorepalKh *Iaryeor$tmU madveraeMpaatswiMdlMAYaodc Thentxgaeddkeckytothe EAF ardfor prepare a positive dedarello t, 11a"tris box k you have dmsmlined,based on the 1111i](111111111011 and amlyds above and any auppor"daarmeMefiK that the proposed a deter. NOT result NI any aigrdficad adverse envkorxnenlal Bnpacls.ANDdetermination. protide,on aftch nerds as necessary, the reasons supporting tid Board of Trustees Name of Lead Agency ., Date President Print or Type Name of Responsible Offi er in Lead Agency Me of Responsible Officer Srgnawre on r<esponsuole Officer la lebad Agency Signature of—Fd—(If different hom responsible officer) 0 0 100F14 Town of Southold N Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM lb PROPEtm LOC/t7M a.c.TAt.r. THE FOLLOWINO ACTIONS MAY OWARHE THE SIIEMISSION OF A 1000- 052 - 02 - 034 STOWA-WArM AM 111111001111M CONT&OL PLAN '11611 1amr -mix- _C1T_ SCOPE OF WORK - PROPOSED CONSTRUCTION rITM N / WORK ASSESSMENT Yes No a. What is the Total Area of the PmJact Parcels? I WE (Inch, a Total Area of a0 Parcels bested within 0.21 acres± Ge lir Project Retain )I Sbmt-Wall n Site?I the Scope of Work for Proposed Construction) Generated by a Two(This Rom will Include all Inch Rainfsed by all e on Slee ❑ b. Whet is the Total Area of lard Clewing F r Aaet deew*V oondrucYbn activities as well as an Coiter Ground Disturbance for the proposed <0.2 acres Site Improvements and the pernartent Creation of construction actvky! WPWA tw ataNM.) (s.F I Ave) 2 Does the Site Plan andfOr PROVME BRIEF PROJECT' DETCREMON 1Nu.hr MmwerFprrhr.rrrr Survey Sin 10hv All Proposed �/ ❑ Oreihage slnncdwes Indicating size a Location?This /� Item andl Inchde d Proposed Grade Charges and — Applicant proposes to demolish & rernoye the existing Slop"Controlling Sutfsce Water Flow One-Story Dwelling (1, 010 sq. ft. ±) and $ Does the Site Plan anNor Survey describe the erosion ❑ and sediment Control practices that will be used to X appurtenances (230 sq. ft. ±), and construct a new a„(ny am erosion a rd elan water discharges This Two-Story Dwelling 1. 050 sq. ft. ± 'foot4rzaC'), tem toast be maintained t rougitout the Enka Front Porch (70 sq. ft. ±), Rear Deck (130 sq. ft. ±), CahatnnWon Period. o ❑ abandon use of existing cesspools, instal] a new 4 WE this Project Require any Land I".Grading ySExcavation where Owe is change to the Natural X Sanitary and install two (2) Drywells. Edstkg Grade Involving more then 200 Cubic Yards of Material within any Parcel? 5 WE tris Application Require land Disturbing Advises �/ Enoompasskg an Area in Excess a Five Thousand X (5,000 S.F.)Square Feet of Ground Surface? 6 Is Owe a Natural Water Course Running trough the Site? Is this Project within the Trustees Jurisdiction a Orursl DEC $WPPP ReayIroments: or within One Hundred(I W)teat of a Weiland a and Subnanah of a SWPPP to required for at cmnhualah ad~k rdviV sot Beach? dWrMnoss of one(t)a mon aeras: krCluahp dMurbane a of hews than one acre that 7 WIN there be Site preparation on Existing Grade Slopes an pad of a Pryer common plan that will hrkrwty dakab ane or more sone of Wal; which Exceed lelfleen(15)feet of Vertical Rhe to El X khdudrp Construction-arise Involving ser dhhaeenne d les tun one(1)sae,Acro One Hundred(1W)of HorimMai Distance? the DEC he dshu L d eul s WM pend)Y uphwsd for atom weard w hsrye. (SWPPPY slue met ON MWknaa Requkanuaa Of 00$Pose"v rd Pemw 6 Will Driveways,PaftV Areas or other inpervioAs for awn waw W"hrges ear eohubo:nen ft"-Pernw No.Op-0.10- w.) Sufaces be Sloped to Died Slam-Water Run-tM X 1.The SWPPP Mut be PrepnW Prbf a ftU Mout of the ADI.The Not ales be Into and/or M the direction a a Town right-away? subn~to the Deparnnent POW b tlr anwpnoenud amutuabn activity. 2.The SWPPP shall describe du aralm and eedi We oonbd Practice and%hre 9 WE this Project Require tion Placen tea of Mawtel, hapiaQ poesooru►haaon.norm waw rwhspsrrwt praise tut won be used anew Removal of V X caheterMd b reduce tlu Pollutants h sbrm water dicturge and b assure tem Within the and/or Wa ,or ort of any arr44rhas hMh that and arh- a this Pat rrYL b sddtim tlu SWPPP hhhat RIQht�-Way,or or c S1hoWOef — — warts, f d wr sahaces a poatbn whklh may reaerubN a expected b ansa to Atea7 hitt law nr teT tabor M Yhrsraauan r ona...y aarw.) quryammWow Aedtargaa NOiE: aAny ncithe One aIAmin n.t a.M BWPPPe Chat nthae ew posloauNrdbrh abrrrt aeon rrwspanmt Prerace M•sox end tlu sshetneeorh elle dpwaWna u beta.en Oat at.a/Ase M are, ccrrworm shoe be pnpred by s ghWtsd DMgn Proft*s1W I.Icrtued b New York a emae.ww,Oradhak Dralow a erosion Control Pun u Reghtnd by the Town of nut IS 10004 dgeabn in M windplas and practice of Stam Wow Mrugrrunt, SohAUN and Mhut be SubMMW for Renton Mor m tehrnc.a a kw a+wrry Prntt. 007E: AChock Mak(#)rilly Arw ow"chotmoomethaewhM Oman - A{ebrn) STATE OF NEW YORK, SUFFOLK COUNTY OF...........................................SS BRUCE A.ANDERSON @ SUFFOLK That l .ENVIRONMENTAL CONSULTING, being duly sworn,deposes and says that he/she is the applicant for Permit, .E .....CONSULTING, INC.I C........ (tum.a hnadahr ehpwp DocharhwN) And that he/she is the AGENT ........................................................... ........................................................................................................ (own..COM'atlor,AqM,Coraonte 011ber,stet Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be pc rformed in the manner.. ordh in the application filed herewi Stum/m-gyp before me this; /) Matthew D.Ivan Notary Public: ....... .. . ............................... . .PL7ifiE of New Y•rk........ ............. 154hwe a AppaGre) FORM - 0610 Qualified in Suffolk County :Ommission Fvnir- r,_..__.__ __../ • ,(4%1SF F04 4.ek • lames F. Kine, Presidem ti Town Hall,53095 Main Rd. Bob Ghosio,1r. , Vice-President y. P.O. Box 1179 Dave Bergen Southold,NY 11971 John Brede icyci 7J0 �0! Telephone(63 1)765-1892 Michael J. Domino 1 # �' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JOHN PITMAN COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 1, f OCL ��l'�Sbtil , residing at /dba /i FfJ/x j5y4 d t4 (ij), �4-7x/, /NC being duly sworn, depose and say: That on the 7' Hay of 9 �t 201 I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed, April 18, 2012. Dated: — (signature) Sworn to before me this �0A day of"r,20 Y No r ublic Mathew D Ivins No' , York P: c CocMY Comm,ss�,, Lxpi e j6Hoary 22, 20 11 Suffoll Environmental Consulting, Inc. Newman Village,Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 1 1932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President April 5, 2012 i,r r Ms. Lauren Standish Board of Trustees Town Hall P.O. Box 1 179 Southold, NY 11971 Re: Pitman Property Situate: 1100 Ruch Lane; Arshamomogue Town of Southold,NY SCTM#: 1000—052-2-34 Dear Ms. Standish, As you know this Firm represents the owner of the property 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 April 4, 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. Pitman PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address : 1000-52-2-35 1000-52-3-12 Richard Vanderbeek 664 Spring Valley Road,Doylestown,PA 18901 Bernice Vanderbeek 1000-52-3-10 1000-52-2-33.1 Kapelonis Tenetomas 13-61 145 Place,Whitestone,NY 11357 STATE OF NEW YORK COUNTY OF NEW YORK Diane R. Wassick c/o Suffolk Environmental Consulting, Inc. , residing at 2322 Main St. ; Newman Village Suite E; P.O. Box 2003; Bridgehampton, NY 11932 being duly sworn deposes and says that on the day of , 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 Town of Southold; that said Notices were mailed at the United States Post Office at Bridgehampton , that said Notices were mailed to each of said persons by (certified) (registered) mail . X Sworn to before me this day of 2012 No/arly Public �Diy • .. u-I m •• , M ru M m 11$1ES19iE ►M 113$7 „r r T01k! PA 1501 CEI m $0.45 V" 'x 0' Ir Postage $ $0.45 V— $2 '�JG�f932 «-,•. r 95 02 Postage $ Q .D _n Ceralied Fee Postmark q $2.95 i f' Hera ,{it p O �•� ; Certified Fee 02 Postmark Return R,pg.1imd .'�.t Hera (Entlr (E®dorsement Req ) ; Return Receipt Fee 4 ��(� 3ndo5ement Regwred) M Rem p Restricted De Required) a) $0.00 Endo (Endorsement Req - `'_� 9estme Delivery Fea ¢`. p p Indorsement twery F e ~ C` Total Postage&Fees Q $5,75 OWWW- S Tota �- _ Total postage&Fees $ p C3 _- Sent Sent To � - / .- r-9 r-9 "- " 1,APL No.: t an or � N�.r { C:2 PO t p or PO Sox No. tteet. / � � ��_.✓ L1 -Mme'----- 4- � rPO Bax No. � City - SL . . _. , / ,Siete,ZIP+ Postal CERTIFIED MAIL,, RECEIPT a (Domestic ru r. 7Fl111 M FE WIgTES'hX W 11357 Er r� Postage $ $0.45 IV - Certified Fee $2.95 02 M Postmark r O Return Receipt Fea He.(Endorsement Required) $2.35 C3 Restricted Delivery Fee p (Endorsement Required) $0.00 � sar;Total Postage&Fees $ $5.75 041Q{}(�0�2; E3 cS - L1 -TD s -- -------- - --- - p pt _Q .Ida; ZAf l,, J�� l �] f`- -- 1 PO Box No. . 3___._Lr11._- .------- ity, CStale,ZIP+4� ' I L :rr rr. Board of Trustees Application County of Suffolk State of New York JOHN PITMAN 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(S0, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. itt, �' 011m"Icw— Signature SWORN TO BEFORE ME THIS / DAY OF a 20/2-- Notary 0/iNotary Public Domen'—p ancesw Notary Public,New Jeriv 14 My Commission Exp Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, JOHN PITMAN residing at z Copoell Drive: (print owner of property) (mailing address) Tenafly, New ,Jersey do hereby authorize Suffolk Environmental (Agent) Consulting, Inc. to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ( ner's signature) 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: JOHN PITMAN (Last name,first name, middle initial.unless you are applying in the name of someone else or other entity,such as a company. If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X 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 X 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 applicanL/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 Submitted this /I da 1- 4=I 201 Z, — Signature �y,(ti— l� _ Print Name JOHN PITMAN Form TS I �0 Notary Public,N�jerqey My Commission Frp,o• n�q.a Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", 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# 052 02 034 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: 1100 Ruch Lane: Arshamomoaue: Town of Southold. New York Site acreage: 0.21 acre t Present land use: 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: JOHN PITMAN (b) Mailing address: 2 Coppell Drive; Tenafly,NJ 07670 (c) Telephone number: Area Code (201 )569- 1328 (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 p_roiect is a proposal to reconstruct an existing single-family dwelling within fully developed neighborhood of pre-existing/non-conforming parcels. The proposal, as designed, will not result in any adverse effects to the surrounding environment in that the project will maintain the character of the community (i.e., 1 and 2 story single-family dwellings) and utilize the majority of the existing footprint of the original dwelling. Accordingly, we believe that this project is consistent with this policy. Attach additional shuns 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 archaeological 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 Subject proposal will not adversely impact the visual guality of the surrounding area in that the subject parcel is already improved with an existing single-family dwelling which has not impeded visual quality or the value of local scenic resources This policy could not preclude both the legal creation of this property as a building lot the legal construction of the existing dwelling thereon or the proposed improvements to the existing dwelling thereon Therefore, we feel that the instant proposal fully complies with this Policy. 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 This proposal is for the reconstruction of the existing dwelling within subject property which has existed thereon for many years without loss of life structures and natural resources from flooding and erosion Additionally, the majority of the property is located within an X Zone 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 the reconstruction of the existing dwelling within subject property, which has existed thereon for over 50 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 surrounding 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 the reconstruction of the existing dwelling within subject property, which has existed thereon for many years and which has in itself, not resulted in any form of adverse impact to the surrounding ecosystems Additionally, the existing 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 the reconstruction of the existing single family dwelling 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 Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Policy 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 11 is not applicable in that the proposal does not involve any form of marine resource management (i.e. commercial fisheries, recreational fisheries, aquaculture etc...1. 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 agricultural production etc ) Attach additional shuts 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 storage 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 March 26, 2012 MAR 2 7 �012 Jim King, President Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: PITMAN Property Situate: 1100 Ruch Lane; Arshamomoque; Town of Southold, NY SCTM#: 1000-052-02 -034 Dear Mr. King, This Firm represents Mr. John Pitman, owner of the above referenced parcel, who I seeking to reconstruct the existing single-family dwelling thereon. In that the property is burdened by wetlands along the southern shoreline, approval from your Board is required. Please find enclosed herewith for your review: (1) Town of Southold Trustees Wetlands Permit Application (original and two [2] copies); (2) Short Environmental Assessment Form (original and two [2] copies); (3) Local Waterfront Revitalization Program application (original and two [2] copies); (4) Erosion, Sedimentation & Storm-Water Run-Off Assessment Form (original and two [2] copies); (5) Location Map for reference (three [3] copies); ((3) Photographs of subject property (three [3] sets); (7) Survey of subject property, prepared by PECONIC SURTTrORS, P.C., last dated March 13, 2012, indicating the existing and proposed conditions thereon (three [3] prints); and Hammarth/ 0 2 (S) Check made payable to the Town of Southold concerning the requisite application fee. By way of this correspondence, and on behalf of Mr. Pitman, I request that you commence review of this application and schedule before the next available Trustees Board meeting for 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 for your cooperation. Sincerely, "I"A*7 - --- Matt D. Ivans enc. CC: J. Pitman