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HomeMy WebLinkAboutTR-7805 John M. Bredemeyer III, President �*qf SOTown Hall Annex Michael J.Domino,Vice-President 'lam 01 0 54375 Main Road P.O.Box 1179 James F. King,Trustee Southold,New York 11971-0959 CP Dave Bergen,Trustee Q Telephone(631) 765-1892 Charles J.Sanders,Trustee Oly�,OU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1026C Date: August 11, 2014 THIS CERTIFIES that the construction of a single-family dwelling, terrace, screened porch sanitary system drywells• and tree adjacent to the limits of clearing line remains At Clay Point Road, Fishers Island,New York Suffolk County Tax Map# 7-3-3.21 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 6, 2012 pursuant to which Trustees Wetland Permit#7805 Dated May 16, 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 construction of a single-family dwelling,terrace, screened porch sanitary system drywells; and tree adjacent to the limits of clearing line remains. The certificate is issued to JAMES P. RUTHERFURD owner of the aforesaid property. Authorized Signature John M. Bredemeyer Ill,President �gyff0(,� Town Hall,53095 Main Rd. Off' CO Michael J.Domino,Vice-President �y` ed P.O.Box 1179 James F. King y z Southold,NY 11971 Dave Bergen O ` T� Telephone(631)765-1892 y� Charles J.Sanders 0 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE O INSPECTION: 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: COMMENTS: CERTIFICATE OF COMPLIANCE: :,z �.• . ? � � .:. � �►�` � 'C ��' ftp. _ � �.. rzJ 1, ,L � • - s � � _ r �.• .yam ^+� aur - � ." rt}�~ „� -'-�. _ _ d� •�, dr:,:- �•, �. �,: ,. k i•= w, I ^ h u • 1 t _ i ,1 • 4-- 4 James F. King,President o�gpFfQ(fco Town Hall, 53095 Main Rd. Bob Ghosio,Jr.,Vice-President ti� � P.O. Box 1179 Dave Bergen Southold,NY 11971 John Bredemeyer �A Telephone(631)765-1892 Michael J. Domino * 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 XX Pre-construction, silt fencing line —Via photographs of installed fencing prior to construction beginning 151 day of construction Y2 constructed XX Project complete, compliance inspection i BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7805 DATE: MAY 16,2012 ISSUED TO: JAMES P. RUTHERFURD PROPERTY ADDRESS: CLAY POINT ROAD, FISHERS ISLAND SCTM# 7-3-3.21 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on May 16.2012,and in consideration of application fee in the sum of$250.00 paid by James P. Rutherfurd and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a single-family dwelling, terrace, screened porch, sanitary system and drywells for roof drainage with the condition the tree adjacent to the limits of clearing line is to remain; and as depicted on the site plan prepared by CME Associates Engineering, Land Surveying & Architecture, PLLC, last dated April 4, 2012, and stamped approved on May 16,2012. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. pgUFF9J4, o TERMS AND CONDITIONS The Permittee James P Rutherfurd residing at Clay Point Road Fishers Island New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. wv ames P.Rutherfurd3.21m v * b �3 �� :-. � 'rd r.� s•+a�. s '9 r"'�,7_ �.. '...,x �\J � (.� � ! v��'+ � � �e t 5` _�, bn�`-.' y t 3 e e ;' ✓ Y}� t`.-:. ` al. E''� . Y rr r... .n Y ✓ P' t a'l' I 'a'�`". � t tl t. "! fir A�1 i y, �/ �tr�i r Vy '°S' ! !IR* ,y,,1y�C a.Yi�R..ry• ..�� .-.. ?ykkt• +z. far vye,-..M:� +f F _ E., La' YY fYSP 1' W A ♦ X � k r ?op Al ` ,Sr'_,y a *a,. , t� \,� .d txh 'fie A v`�, <- � ,}.. • a, . � �\ ' _ rsrf .iF � .,�� � « ..r.aaw ,n. r /!' . y:+ ( ^J,1•.: ""i� }r . yy��II,�� "�Pt i•8' ��1a�rj'L 4�a S. R—F rj" �f ��V � ! 'a'8 '•.y. ayj d Ya .a t � • t� 1; 1 I' U f� �„-.�`. y� D � i' a y: S+9ygy_� +tj /���y�,� as, S. r"4��t T'�� �'�! �}• .v A'i \f I� '�.'T �\x` � ,� iyM'<y alt S { r. ;-' ` K � '�1< #'�"< �X� � iv �ia~i•LF,�d``�M�ir?♦ �' .�t �t''}�i� , v�. tri. .:T � �# \. ?.•:. ' «.. c F--LVV1��� �,. ,l # \ � '�` y kx - , c James F.King, President SOF SOUIy Town Hall Annex Bob Ghosio,Jr.,Vice-President ��� Ol0 54375 Main Road P.O. Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G C • �O Telephone(631) 765-1892 Michael J. Domino O�yCOw N Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 16, 2012 Bruce D. Kinlin Kinlin Rutherfurd Architects, PLLC 330 West 38th Street, Suite 1006 New York, NY 10018 RE: JAMES P. RUTHERFURD CLAY POINT ROAD, FISHERS ISLAND SCTM# 7-3-3.21 Dear Mr. Rutherfurd: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 16, 2012 regarding the above matter: WHEREAS, Kinlin Rutherfurd Architects, PLLC on behalf of JAMES P. RUTHERFURD 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 April 6, 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 May 16, 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 JAMES P. RUTHERFURD to construct a single-family dwelling, terrace, screened porch, sanitary system and drywells for roof drainage with the condition the tree adjacent to the limits of clearing line is to remain; and as depicted on the site plan prepared by CME Associates Engineering, Land Surveying & Architecture, PLLC, last dated April 4, 2012, and stamped approved on May 16, 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: $50.00 Very truly yours, v 0� James F. King President, Board of Trustees JFK/eac 0 0 James F. King,President SlIFF411r Town Hall Annex 4� COCA 54375 Route 25,P.O.Box 1179 Bob Ghosio,Jr.,Vice-President Dave Bergen Southold,NY 11971 John Bredemeyer �y Telephone(631)765-1892 Michael J.Domino a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JAMES P. RUTHERFURD Please be advised that your application dated April 6, 2012 has been reviewed by this Board at the regular meeting of May 16, 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 Silt Fencing Line Inspection —Via photographs of installed Fencing prior to construction beginning 1 st Day of Construction ($50.00) '/z 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: Final Inspection Fee = $50.00 TOTAL FEES DUE: !$ 50.00 fa 71�1 -2- BY: James F. King, President r•� Board of Trustees • o�%gpFFDj4- �� Peter Young,Chairman - Town Hall,53095 Main Rd. Lauren Standish,Secretary • P.O. Box 1179 Southold,NY 11971 Telephone(631)765-1892 1 4 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., May 9, 2012 the following recommendation was made: JAMES P. RUTHERFURD to construct a single-family dwelling, terrace, screened porch, sanitary system and drywells for roof drainage. Located: Clay Point Rd., Fishers Island. SCTM#7-3-3.21 The CAC did not make an inspection, therefore no recommendation was made. 0 FF .lames F. King,Presidenl f�6Q�Qs0 a�CO v P.O. Box 1179 Bob Ghosio,Jr.,Vice-Presidenl �� 6y Southold,NY 11971 Dave Bogen ti Telephone(631 765-1892 John Bredemeyer Fax(631)765-6641 Michael J. Domino Southold Town Board of Trustees Field InspectionMorksession Report Date/Time: /lie z° 4 a I Z Kinlin Rutherfurd Architects, PLLC on behalf of JAMES P. RUTHERFURD requests a jurisdictional determination to construct a single-family dwelling, porch and terrace. Located: N/s of Clay Point Rd., Fishers Island. SCTM#7-3-3.21 Type of area to be impacte _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland of Town Code proposed work falls under: of Town _Chapt. 111 _other Type of Application: _Wetland _Coastal Erosion _Amendment —Administrative—Emergency Pre-Submission Violation Info needed: Modifications: Conditions: 5 pl C ?) 0"'14c Present Were: �. King _B. Ghosio D. Bergen, `J. Bredemeyer ✓Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: , b�" AT � �,i��IS 'r A d, f I Y♦ i. p l � yt � � ♦ t 1 "'� � .yam -{• R_y f�,F �...Iy. ` � � i y -i:• ..., fj,Jam. � .yam 4 - isG. ..:.� �S-'.f' ,,.�). 7`i�J�• f .76'^x, - �. �'� yr♦ :Irl �� _ � C_ w Sf0 _ i { �„vfi `��„ � .. y%�`�. ,.r �Zi. tet' � �r•�"ti Y � iPFC i - � `SE'?v`w»t..• 'xr. X.. ��' �._ �"". -mac `4„-fit'yy�i. 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Main Rd. &Youngs Ave.) Southold, NY 11971 G Q Telephone: 631 765-1938 Fax: 631765-3136 o�yComm 0 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM MAY - 9 2012 To: Jim King, President Town of Southold Board of Trustees – - - —--' From: Mark Terry, Principal Planner LWRP Coordinator Date: May 9, 2012 Re: Proposed Wetland Permit for Kinlin Rutherfurd Architects, PLLC SCTM#1000-7-3-3.21 Kinlin Rutherfurd Architects, PLLC on behalf of JAMES P. RUTHERFURD requests a jurisdictional determination to construct a single-family dwelling, porch and terrace. Located: N/s of Clay Point Rd., Fishers Island. SCTM#7-3-3.21 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 Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Office Use Only _Coastal Erosion Permit Application - Wetland Permit Application Administrative Permit Amendment/Transf r/ tension Received Application: Ia APR - 6 2012 EReceived Fee:$ sa ✓Completed Application _Incomplete SEQRA Classification: Type IType IIUnlisted_ Coordination:(date sent) �LWRP Consistency Assessment Form _7ICAC Referral Sent: ,.Rate of Inspection:_ ��- -Receipt of CAC Repc... _Lead Agency Determination: Technical Review: -4'u-blic Hearing Held: Resolution: Name of Applicant �1a 4NI�s P• ItuTi j ec-.r-or—p Address 2Co C4>1r•SE.VteW e_� / I:tL0NkV1t-.E N`( 14D-705 Phone Number:( ) 91-7 -;>2 6 9 41oq- Suffolk County Tax Map Number: 1000 - 'S6C4'lon4 Q0-7 1 @Loc.re 3 LOT 3 .Q21 Property Location: NvK pi SI oe of G,c."-t t'ot t.1 r p_Op.p 500 TT . N,QW-_P.+ of EPrSr mntty gOOA i Fistle+LS 16l04'iA t N1 oo3o0 (provide LILCO Pole #, distance to cross streets, and location) AGENT: 5i2u CE D . 1<11yuN IF 1-INUN VAJTrt TU" PXC_%I}tTSFLTS � PILC • (If applicable) Address: WV-zT 38TH ST • —2$j t-FC \OOc NeW `(<Deie. t�4`1 . 10018 Phone: ( -Z12 co45 Z&3eSB " > d of Trustees Applicatio` GENERAL DATA Land Area(in square feet): 4Z l S 14 :' 5- F. Area Zoning: 12 — 120 Previous use of property: VACANT 1. c Intended use of property: MS%N GLra Fxkt-o%%t_.l V—ESt oe%4cj Covenants and Restrictions: Yes ✓ No If"Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals 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. Yes ✓ No Does the structure (s) on property have a valid Certificate of Occupancy Yes No N 1A Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? Z No Yes If yes,provide explanation: Project Description (use attachments if necessary): LJON STV-AJ C1%C>" pF A NQV.! Si N 61,.E *d of Trustees Applicatiole WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: CF A Nv`y SIN 61.E 'C)-KLO-f . Area of wetlands on lot: C square feet Percent coverage of lot: O % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: 100. 3' feet Does the project involve excavation or filling? No ✓ Yes If yes, how much material will be excavated? �>(00 cubic yards How much material will be filled? 3(00 cubic yards Depth of which material will be removed or deposited: O feet Proposed slope throughout the area of operations: S Manner in which material will be removed or deposited: ►AATQr.k,a.A_ W tic, E*- e),cavv4-e0 moo" La1y0VVA," '>�QE Qf 5tTe AT,.Lo P E - s s�v otv Q¢.o Pee-T`t f�oK- g.e cr . of N Q- . 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): tl&ONL4E . A C-O(%.t_Tt IV o o S "Nth OF St T T4_-N c-e 1 S ib I�Q Pe.p V \ O'C?p FANO �'IA�NTA�N ?HV-.QQ < }o'-)T Coti►SCOz�c�pN . tad of Trustees Applicatio0 COASTAL EROSION APPLICATION DATA t,4/A : s,-T�e aF FO-CRos�--P W OC k. N DT w l"M•t N Co A,5A-P— X51 ON t'tA Z(arL•0 P.��rA 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 to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) 0 b� Ko,w, I @.its I'rt tame � Hilt.?4o1� 41am RJ. Ilei ( h io 3r % Pre:idrnf {�'s to Y i I vy Pssc B , tr `d mholti,'v1 Ii Y,s �''�� luIiphnnc{6t1I 1' I. .. a9? John nrxJ..m tilt-had 1. Uoaiino '� � TF 1 a ttiklj '65 nGli BOARD OF"YOWN TRUSTEES "I'OWN OF SOU'1'1401,I) HOARDOI, IRUSfFFS IOWNOI' SOUI'ITOLD ---------.-._--------------------- ------- ------------------ hl the %,lattcr of the Application of JAMES P. RL' I'HERFURD wl` C( I%N'hY OF SUFFOLK) Sl A I-L OF NFW YORK) AFFIDAX'1'1'O1" POS"PING I. . �S�S`Y'�iZI 1._._L�<`I✓?'�`�reidint at .<lba-__-_ �/FGG ��L �>v �entg duly sWotn, depose and saY: That on the 6 dao of MAI 20lz> I person ll. posted the property known as by placing the Huard of'I't ustees official poster where it can easily be seen, and that I have checked to he sure the poster has remained in place tier eight days prior to the date of the public hearing.. C)aleoflncaring noted thereon to beheld Wed. May Ib. 2012. 17stest i S%emn to before me this d[ty ofMAq 10I� KARLAS.HEATH NOTARY PUBLIC,STATE OF NEW YORK NO.01 HE6222563 y QUALIFIED IN SUFFOLK COUNTY Kotz 'ub lc COMMISSION EXPIRES 05/24/2014 0 0 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: W. Richard Bingham 3098 Pacific Avenue,San Francisco, CA 94115 (7-3-3.15) Hillary Beard 145 East 92nd.Street, New York, NY 10128 (7-3-3.20) John Tomaselli 453 East 14th. Street,Apt. 12C, New York, NY 10109 (7-3-14) Nancy Ellen Parsons 1865 Bay Road, Unit 309,Vero Beach, FL,32963 (7-5-2) Gwendoline Harris P. 0. Box 372 Salisbury, CT 06068 (7-4-9) STATE OF NEW YORK COUNTY OF SUFFOLK $R-VCE D • KEN 1—% N residing at 50 G • 9Cp1"- ST. AFT. 38 101 Z 8 being duly sworn, deposes and says that on the 4 T1+ day of M W 1201-4' 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 there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Z2ZL) Vd•3$1}t ST. NY, , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this /0 Day of 20_42�- Notary Public Athanasios 13arakaris Notary Public,State of New York Qualified in Queens County 1 My Commission Expires y 17,2014 Ord of Trustees Applicatio• County of Suffolk State of New York yx-&1sc D . k—%P'4 t-4 N BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Sign re n SWORN TO BEFORE ME THIS 19 OF 201 Z NoTdryFub c MES P. RUTHERFURD Notary No f02RU476of 8881 w York dy ous"a in Weires June hester 30 20 j Commission Exp ,ad of Trustees Applicatio• AUTHORIZATION (where the applicant is not the owner) 1, _, �atmec �' {�u�kerltlYd residing at 2(DCOUYSe VIf W (print owner of property) (mailing address) 1YDhWijV , NV 10701 do hereby authorizeI3YUCe I� 1�IY1 (Agent) to apply for permit(s) from the Southold Board of Town � s o my behalf. i L ner's signature) % 0 0 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. '/ 1 /' 1 / YOUR NAME: KI V,i v, �lJ[L t /K,1 h N M �t.7�InCl�C✓((� ��� Pl,.LL (Last name,femme,middle initial,triless you are applying in the name of someone else or other entity,such as a company. If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building ✓ Variance Trustee ✓ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this_76t(lday of A, 2017-. Signature ��Q Form TS 1 Print Name d� 4- Town of Southold I Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM 115 PROPERTY LOCATION: S.C.T.M.ht: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A IF.UO 007 3 3.021 sTORM•WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN '6f vc7- ere on -66Tic T7— CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW PORN. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What Is the Total Area of the Project Parcels? Will this Project Retain All Storm-Water Run-Off (inthe ludeScope Total Area of all Parcels located tion) 42 S14 S'F Generated by a Two(2')Inch Rainfall on Site? / the Scope of Work for Proposed Construction) / (This Rem will include all run-off created by site _ ❑ (S.F./Asea) b. What is the Total Area of Land Clearing Bearing and/or construction activities as well as all and/or Ground Disturbance for the proposed .G4 DOO S� Site Improvements and the permanent creation of construction activity? (S.F./Acres) impervious surfaces.) PROVIDE-BRIEF PRO]ECr DFSCRIMON (P,mvleaAtldtlm,d P.amm N,sassh 2 Does the Site Plan and/or Survey Show All Proposed ❑ Drainage Structures Indicating Size It Location?This Item shall Include all Proposed Grade Changes and GONSTf� �c� ole A (�L�l.) Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion S — ❑ t to Col-e �prrrytL` 1 twat el l C and sediment control practices that will be used to ✓ control sheerosion and storm water discharges. This Item must be maintained throughout the Entire Construction Period. Q Will this Project Require any Land Filling,Grading or Excavation where there Is a change to the Natural — Existing Grade Involving more than 2DD Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing AdWitles Encompassing an Area In Excess of Five Thousand / (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction h/ General DEC sWPPP Requirements: or within One Hundred(100')feet of a Weiland or — submission of a SWPPP k required for all Construction activities involving soil Beach4 disturbances of one(1)or more acres; including disturbances of lass man one acre that 7 Will there be Site preparation on Existing Grade Slopes El — am par common a larger coon plan that willuiWrelely mm disturb one or oacres of land; which Exceed Fifteen(15)feet of Vertical Rise to Including Construction sedvites involving soil disturbances of less man one(1)acre%here Me DEC has detomined that a SPDES pannk is required for storm water discharges. One Hundred(100')or Horizonte)Distance? (SWPPP's Shall mast the M elm o,Requirements"a SPOES General Permit 8 Will Driveways,PaMng Areas or other Impervious ❑ / for Storm Water Discharges from Consi uelion activity•Permit Na GP-0.10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off ✓ 1.The SWPPP shall be prepared prior to the subtotal of the NOI.The NO]shell be Into and/or In the direction of a Town fight-ot-way? submitted to the Dwadnrent prior to the coruuwrx:ement of construction actMry. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ❑ — required,post—construction storm rater rturegem ant practices that veil be used andlor Removal of vegetation and/or the Construction of any, convicted m reduce be pollutants In storm water asclurges and to seem Item Within the Town Right-of•Way,or Road Shoulder counpNence with the trema and conditions of this perIL in addition,the SWPPP shat Areal trine,incur whn rrore,d,w.m.awaes,n,so identify potential sources of pollution which may reasonably be expected to~the dvsas Ap,w ) quality of storm water discharges. NOTE: NAny Anewerio Queetlaa Orrotinowl,Nine IsAnsweredwithaCheck Mak 3.Al SWPPPs that require the postconsh ictbn storn ureter rianegarne it practice in a Box and the construction she disturbance M between 5,000 S.F.a 1 Am in arae, component shall be prepared by a qualified Design Professional Licensed In New York a Storm-Werer,Grading,Drainage&Erosion Control Pian Is Required by the Town of that is knovdodgeabb In the pdnoiples and practices of Storm Water Management. Southold and Must be submitted for Review Prior to issuance ofAny Building Permit (NOTE: AChack Ww (,F)sndforkro fweaMOue&bnh Pe kwfere Complete Applk I STATE OF NEW YORK, COUNTY OF.5/..vYT.a`.'IG................'11hat 1, SS tnw C� let iJl,t ........being duly swrcsrn,deposes and says that he/she is the applicant for Permit, - (Name of Individual elgring Oownhent) And that he/she is the P'rgT - (Owner.Contractor,Agent,Corporals Officer.etc) Owner and/or representative of the Owner or Owners,and is duly authorized to perforni or have performed the said work and to make and file Ibis application;that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before•me this; ..........19 � d h4 -J,--)...................20-{.Z Notuy Public(-:....Fy`!. ............................. s 1 ..Lop�m... ... .......... �� (signelureoi 1 FORM - 06/10 Notary Public, State of NOW York No.02RU4768881 Qualified in Westchester County Commission Expires June 30,20 d • PROJECT ID NUMBER 617.20 SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 7 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME 'E_-FITC-E D 1GfN 1.1NpVJ �GPcO �Ic`5l OcbCE 3.PROJECT LOCATION: Municipality 'IOV TlVF40t-0 County r%%-kERW_S ISL,cy.Lp N`1 . O(p�j j 4.PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide MOD N4)V-Tit Y,t 0'E pF C-L, -f :ott,-LT cap Soo FT. NO k Rt QF- G-IkST M4[ h1 Q4RD / `i -iKee_s ( Sl P to o 1 N ( . 5.IS PROPOSED ACTION: New Expansion Modification I alteration 6.DESCRIBE PROJECT BRIEFLY: cote ST'�f'--uC11�pN 8F A IVtvJ �N 61-.E 'Fp,�..�Lt."1 'Rcvl0'�cyC.E 7.AMOUNT OF LAND AFFECTED: Initially . 55 acres Ultimately 55 acres S.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [Ayes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) NResidential D Industrial E]Commercial F]Agriculture ❑Park/Forest/Open Space 00ther (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) Yes F1No If yes, list agency name and permit / approval: . u> c , -JouTt-tot-o alt-DING D PIF. 151'JZ co�pLt`i O t., v 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes Wi, No It yes, list agency name and permit / approval: 1 . ASA nNUULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? es No 1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (� Applicant 7 Sponsor Name r(fLG (J I^111�ti v� Date: 3(u)11z r Si nature 1 If the action is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT o be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617,4? If yes,coordinatethe review process and use the FULL EAF. 0 Yes [:]No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another Involved agency. Yes [:] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface Or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood characte?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as ofikletly adopted,or a change in use or Intensity of use of land or other natural resources?Explain briefly. C5. Growth,subsequent development,or related activities likely to be Induced by the proposed action?Explain briefly: C6. Long tern,short term,cumulative,or other effects rat Identified In C1-05? Explain briefly: C7. Other Impacts(including changes In use of eitherquantity or of energy? Explain bdefl : D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? If yes,explain briefly: Yes [—]No E. IS THERE,OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? M yes ex Iain: Yes 11 No 17— PART 111-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether dissubstantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and(f)magnitude, If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance mustevaluate the potential impactof the proposed action on the environmental characteristics of the CEA. Check this box if you have Identifled 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 determined,based on the Information and analysis above and any supporting documentation,that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Name of Lead Agency Date Print or Type Name of Responsible OffIcern Lead Agency Title of Responsible Officer gnature o esponsi a cern ea gena Signature of Preparer(if differentfrom respons e o 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", 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# ,000 - 00'1 - '3 - 3 •OZt The Application has been submitted to (check appropriate response): Town Board 0 po Planning Dept. 0 Building Dept. L'� Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital El 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: G%GGnl S 1 T1-L)C11 OPD 4;,T- A Me eJ Sl tit r. U-`1 (Z-1-cS l �(�ICJo ! • Location of action: tVOE4�A HOZ pF CL.0-1 �Otty,T 9CA-0 � Soo F-f- NO OA- m4i'k N le-0, 1siS�t� S lsw.n+0 1 N`t . oto390 Site acreage: O .9 1(0 AL9.E5 Present land use: VAcANLT Present zoning classification: – 1 Z o 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: ZA--t e5 P_v itite%,-FU(-0 (b) Mailing address: Z kc c.o t rz-r\1 teW Iz0 r ?tZC*-A%c Jt k,� 10108 (c) Telephone number: Area Code( ) (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No LLy If yes, which state or federal agency? 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 Tr*_ NCwJ s1C�3 Se W Its t-tC— k N K.c�•QlN G W l'Cl-t tl-tE C- GD.C.��� 6-]t" Wtq Pile-eA- . Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III–Policies Pages 3 through 6 for evaluation criteria ❑ Yes 0 No ® Not Applicable Attach additional sheets if necessary • 0 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 5 Yes El No 0 Not Applicable `1Viq- ttiVQSr VV ?V� -S"ULA 51\Co.t-�-t ltv w t 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 E Yes D No N 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 11 Yes El No Not Applicable 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 �R Not Applicable 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 W Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No 14 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. 13Yenn No® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes 0 No 'p Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III —Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No 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 Created on 512510511:20 AM Kinli� April 5, 2012 APR - 6 2012 Board of Town Trustees Town Hall 53095 Route 25 Southold, NY 11971-0959 (631) 765-1892 To Whom It May Concern, Enclosed please find an application to the Board of Town Trustees for the construction of a new single family residence on the North side of Clay Point Road, 500 ft. from the East Main Road, Fishers Island, NY. SUM # 1000-007-3-3.021. We have included the following: 3 copies of the Application Forms 3 copies of Site Plan prepared by CME. 3 copies of architectural dwgs. prepared by KRA. 1 check in the amount of$250. Thank you for your attention to this application. Sincerely, " 4 I� Bruce D. Kinlin, A.I.A. Ili O I 's I III I --- -------- ------------------- �- ❑ ----❑ 24-1 V I O II'-1 1/8 B FTNESS n 1OAOEORM AREA REC n ROOM ^ U n _ - - - - 12'_4 11V 1 BOAMMlP161FFS `Mk 1u S BARLOW POND O �L kL--- ❑ cL cL CL j ]CL 7 1 CL BATH a, 12-41/4* � CL C \ -1 r MECHANICAL BUNK _ ROOM II'-11 1/4' \ APR — 6 2012 KINLIN RUTHERFORD ARCHRECTS,PLUC arwM�m�mu r�u�z�rz A x I I CONSTRUCTION PLAN U t HALF SCALE SMEMENT PLAN A-100 V a PROJECT:sag 0 SHEET: N/A Q IB'-101 C � F _ I '6 D I 0 0 I 17 LlIB'-0" KITCHEN J� N I � clF PtL L LINNG SCREENEDPORCH - - — - - - - r DI„INC— __ - - 1 . _ - -IIF -- - __ — — — - - - - - - V I pi lel I IIIL II II \ / BOARD OilNU5RF5 Oa.03.f3 BARLOW POND P6 OMIIS O sWHavOO R] LIBRARY IAL RY FOYER MDDROOM I\\ HINUN ROTHERNRD ARCHRECTS,PLLC I a..au„Nrw,mu rann,m�rs 1 x l"J I CONSTRUCTION PLAN HALF SCALE 01 FIRST FLOOR PLAN A-101 a o PROTECT:149 SHEET: WA -- Q , it L------ ----- 1 I I BEDROOM 3 MASTER / BEDROOM BEORfJOM 3 CL w-11 1/8 / µ•_z 1/4' 1 15-F I CL 1 __ — / - - -- - -- - - - - - - B TERRACE - CL / EgsY Isar -- 0 ysay yv�,� 1 I_ 1�s! 3 /� BWRO MIRILSTFFS 01.03.]2 BA1M 2� ABATH MASTER CL BATH BARLOW POND I 1 I — CL I, I cL HAIL I DRESSING ROOM/OFFlCE / _ I 1 CL 12-4 3/4' BEDROOM 4 I I I _ 11'-4 1/3' IGNUN RUTHERRIRD ARCHITECTS,PLLC CONSTRUCTION PLAN � I i HALF SCALE 01 SECOND FLOOR PLAN A-102 V a PROJECT:169 0 SHEET: N/A —� I 5 � I b o K fO BWRD OF TRL61FF5 06.03]3 BARLOW POND x.; .. all 1 11 11111 11111111111111 Illilix- NINLIN RUI MRURD ARCHRECTS,PLLC _ _ ,6rwxwr.,aa„uou ru.mm�mar'°�a IT IT CONSTRUCTION PLAN HALF SCALE /� A 0 01 ROOF PLAN /'`_�O� 0 1 ir.,a PROJECT.1,49 SHEET. N/A C I FV 3 Vy 6 I O 0 �I A TO R. -- — soARo oFmisms wm.0 Elav +Io- BARLOW POND ROME zu NINUN RUTHERFORD ARCHRECM PUC a..m rumwyoou �mei�`.rz x EXTERIOR ELEVATIONS z HALF SCALE S 01 SOUTH ELEVATION w-2OA °a H L 1 p PROTECT:149 SHEET: N/A U y yV i C O a t ro RocE n ELEV +26'-0' 0 � 41� ......_._ fioum amusTrrs w.w.ss HHOO 94 BARLOW POND i _------------------------------------- NINLIN ROT MF RO ARCHITECTS,PLLC j --- -_------------------------------------_ a�oaim+m Oxe.mxxnmmwa ruimim�+r EXTERIOR ELEVATIONS HALF SCALE S u 01 EAST ELEVATION A-202 'd PROJECT:149 0 i — j SHEET: N/A s - O 0 i i i i T 0 RIf1f.F � LLLI eonRo orwusrers oama.�z — EL +10— BARLOW POND I _________________________________ — ------------------_________________ NINLIN RUMERFURD ARCNffECfS,PLLC xw.a.�xwmsuou ...mei x*i+s x EXTERIOR ELEVATIONS HALF SCALE b a o1 NORTHA-203 2 PROJECT:149 0 SHEET: N/A i o Q i i JI ELEV +2fi' 0' V, --_... _r .. ..__._ _._............._ -J Y OF RiMB 04.0&]4 1"y ti— _ BARLOW POND _ ELEV +O-O 2fi 1 - ____________________ HINLIN RMERFORO ARCHITECTS,Pl1C h :a�.mw.ttiwnx�mu rx�`oniai��a V x p EXTERIOR ELEVATIONS SHALF SCALE — 0 01 WEST ELEVATION A-204 PROJECT:149 SHEET: N/A � E * my p \ IOCKING GRADE CASTING PROPOSED GRACE / % •� C U v / >~ ENCCAP TYPE ."15 LEVELING DEVICES � � my, Q � �n `•+N a 4r D V4 O -MIN = ,r5 4' / p 2" MIN ABOVE INLET �`� '1° ' Jx-fi t 0 W O m \ s WETLANDS AS FLAGGED BY OUTLET INVERT z' MIN. \ ROY JACOBSON N Y S D E C �I ^� (PIPE O D �� ].-,. U t~j v ez 3 FOUND v-7 1 \ IF INLETEPITCEHD EREDEE05 BARLOW POND U 09 1/2" PER FOOL BLOCK 33 LOT 6 ° "VACANT LAND TYPICAL DISTRIBUTION BOX NOT TO SCALE Y co o" ti FISHERS ISLAND WATER WORKS � ,G° Vl Q4 PRONDE A CONTINUOUS si.$ 34-1:0 V 20 WE OF SILT FENCE 1 TY - 10'-6" Je-s 37.11 NO N JT-37-1230 z J4-1] ESTABLISH AS I� I I KNOCKOUT INLET AND N m AND NG GROUND OUTLET OPENINGS ]'-,O ,T z }° J4 7 M-1 e DISTURBANCE 1 RIBS INSIDE ,4-1 n-J ' AREA TO RENWN ro 37 " z STAKE \ NATURAL h UNDISTURBED ` + + J7 J4 ° l STAKE LOCATION MAP SCALE 1 "=400' AN cnsr Ssr• CONCRETE COVERS k1" PIR IDE S77 TEST NOLE MTA DRY WELL y ^, `fe D1N' PLAN BY R. STROUSE, P.ELS. 08-12-09 r FOR ROOF 0"-10" TOPSOIL)- ) DRAINAGE \\ COVER LOCKING CASTING 10"-32" SANDY SUBSOIL Y \ _ TO GRADE TO GRADE P (SEE DETAIL) \ t o BENCHMARK IF DROP T' MET) SAND- LITTLE OR NO FINES- SP MOIST S IRON PIPE IS USED FINISHED GRADE MOIST SAND AT 13' - WATER ELEV 7+ FOUND - - - qH%M 4E 126/12,6 A. WI E MESH Unified Sods Classification USC System from ASTM D-2487 \ - ELEVATION 24.79 - _ F ) Y I ) v - ko " 6x66/5 G WIR MESH„ Major Division Coarse-Grained Soils, Sand and Sandy Sods,- Clean Sand SP 2 10. m _F6 SIRES, USDA `Soil Classification: Plymouth Loamy sond 0-3. slope STAKE ) ,Oo &35'gD"W 81, !8. / INLET 3" VENT�-J Y VENT- OUTLET / STAKE / A SEPTIC SYSTEM DESIGN FOR 8 BEDROOM RESIDENCE a LIQUID LEVEL on CONTINUOUS HOT I BAIR PROVIDE 1500 GALLON SEPTIC TANK TEST HOLE \ - N °' ASPHALT SEAL REG WE M PROVIDE 1 DISTRIBUTION BOX AREA TO REMAIN - - j "v 4' SCHEDULE Nao _I PROVIDE 3 LEACHING POOLS LLL. 20.2 \ NATURAL & UNDISTURBED INLET BAFFLE , DULECTDR ` z \ \ PROPOSED LIMITS OF - --- - - _ _ / WP REFERENCES F- \ 6 BEDROOM 1 CLEARING. GRADING - - a” �—3" II �3)-LE��G 1 RESIDENCE AND GROUND CROSS SECTION 1 ) PRELIMINARY SITE PLAN PREPARED FOR PATRICIA BEARD, BLOCK 33 LOTS 4 POOLS SEE 1 _ I��CE -- & 5; FISHER'± ISLAND, NEW YORK; CHANDLER, PALMER & KING; NORWICH, CT.; \ FF ELEI/. 2,6.p 1 LOT 5 1500 GALLON - 2 COMPARTMENT DATE. AUGUST 3, 2000; SCALE: 1"=20', SHEET 1 OF 1 IRON oErAIL) / PRowoE � A = 0.976 ACRES SEPTIC TANK a PIPE '\ i- 0 DRY WELL ' I_I \ STAKE NOT TO SCALE N 0 FOUND - / FOR ROOF mom - - - - ---- - --- - DRAINAGE / I - i.) THIS SU 1' WAS PREPARED FOR THE PARTIES AND PURPOSE Lv OiCAIcU O a O C) W (SEE DETAIL) Z u- K Z _ HEREON ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO g Q F BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE CL W y Z M Z PR ANBURIED TERI ' _ ENGAGEMENT of oGl J� sOil \ /' 2 ) IT 15 A bIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS N LUQ d Y ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN of } U tSEPn�CIT 0 \ _ f SILT FENCE ITEM IN ANY WAY a g o it ``� k0 WOVEN WIRE FENCE (MIN. 14 L U GO La GAUGE W/ MM S' MESH 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'SZ ZFFSPACING) SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF Of DO THE LAND SURVEYOR. Ld 0 C �- $ j 1 STAKE IO CENTER T POSTS DRIVEN MIN.MIN LENGTH 16' 2V - ENTER INTO GROUND 'aPp / I III 4.) COORDINATE DISTANCES ARE MEASURED FROM US, COAST AND GEODETIC e 1 SURVEY TRIANGULATION STATION "NIN" +• y� ' PROPOSED STONE \' A'DRINII ANDp. BLOCK 33 LOT 4 I 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000, PARIONG AREA ? SINGLE FAMILY RESIDENCE III sEcnoN ao7 BLOCK 3, LOT 3.oz1 AA / HEIGHT OF FILTER - ,B" Mw 6.) TOTAL AREA = 0.976± ACRES. a MUNICIPAL WATER � � I� w G 7.) SITE IS LOCATED IN R-120 ZONE. ON SITE SEPTIC SYSTEM - -- - G' MI"' 8 ) APPLICANT' JAMES P RUTHERFORD i 11V26 COURSEVIEW ROAD BRONXVILLE, NY 10708 i Y �-� J/ PERSPECTNE VIEW 914-793-9185 rc PROVIDE A CONTINUOUS RO. % / r-I _ EXISTNG 9.) SITE 15 TO BE SERVICED BY MUNICIPAL WATER AND ON SITE SEWAGE \LINE OF SILT FENCE - MNNTAIN THROUGHOUT CON5IRUCTION O u\ l q L- � SEPTIC AREA DISPOSAL SYSTEM. V ) f 6.68• ) \I - -) WOVEN WIRE FENCE (MIN 14 �I DO Q 1. 6g• �I r j 1/2 cnucE w/ MA%, s" MESH i 10.) BASE FOR LEVELS: NGVD 1929. Z SPACING) WITH FILTER CLOTH F O 36- MIN FENCE POST IA z UNDISTURBED FLOW— GROUND O 'V � MONUMENT WgYFR A° N01269 19 v \\ 1� �� COMPACTED!GOIL' \l/ ? ) _ - FILCLOTH W TER CL \`\ ,v/ I Ff=OND \ /✓ ,� 685'95 _ A MIN OF OE B" IN GROUNDLOTH IIH N N "VACANT LAND" " FF FIRST FLOOR C < \ n \ SECTION NEW ELEV ELEVATION \ CONSTRUCTION SPECIFICATIONS '0 0 PaoPOSEO \ROaF ,EArcR 5F SQUARE FEET 0 RESOExcE \ \ 20 EXISTING CONTOURS O I WOVEN WIRE FENCE TO BE FASTENED SECURELY TO FENCE POSTS WITH WIRE TIES OR STAPLES, POSTS SHALL BE STEEL EITHER 'TOR 0' TYPE OR --- — PROPOSED CONTOURS HARDWOOD. PVC W1 OVEPFLOW 2 FILLER C r0 BE FD SECURELY ID WOVEN WIRE FENCE WITH TIES BUILDING SETBACK LINE \ SPACED EVERY TOP AY 24' AT TOP ANO MID SECTION, FENCE SHALL BE WOVEN WIRE, H � 8" MAXIMUM MESH OPENING. Q To PLENGTHTHT MIN. r SOIL COVER \ - - PROPOSED SILT FENCE a 01EX G`mMaU BLOCKS AND CATCH EL6N 3. WHEN TWO SECTIONS OF FILTER CLOTH ADJOIN EACH OTHER THEY SHALL BE /-MA9N GRATE TO GIIAW MR-LAPPED BY SIX INCHES ANO FOLDED, FILTER CLOTH SHALL BE EITHER FNIFN FApNIC / (MEENAX R-Rfi1fi-F) DR EQUAL \ FILTER %, MIRAn 100%, $TABILNNA T140N. OR APPROVED EQUIVALENT �/� PROPOSED LIMITS OF CLEARING Mm M� \ 4 PREFABRICATED UNITS SHALL BE GEOFAH. ENVIROFENOE, OR APPROVED U PROPOSED BURIED UTILITIES O W'BEND D"� MMINTEEQUIV1ENi, 0 O I O a 0 ® • O N D' N O ® O O 0 � 5 MAINTENANCE SHALL 9E PERFORMED AS NEEDED AND MATERIAL REMOVED WHEN �-�WLFX LIMITS OF FRESHWATER WETLANDS w 4' SD AS REWwFD 0 is Y O 0 PIULGES� DEVELOP IN THE SILT FENCE 0 Z Z Z Y J .' SDR ]e PVC pp _L7LO INVERT ELEVATION o �w Nr STONE oR m i a a o E3 El BBQ D❑ j -Yhh TH# TEST HOLE 0 N' i o SICKENED GAAW` 000 000 CID N APPROVED BY a m - e' ❑0 000 0❑ on BOARD OF TRUSTEES R �T TO SCALE DETAIL El El 000 ❑❑ DATE: 03/12/2012 00 =_= 00 TOWN OF SOUTHOLD SCALE: 1 " = 20' DRAINAGE CALCULATIONS o00 000 00 QUALITY CONTROL CERTIFICATION Do == = 00 DATE ,�1/1 7-n ROOF AREA = 2250 SF I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL ❑o =_ = on l " 6/ h�/Z GROUP REVIEWED TE AND CONSTRUCTION OF SUBSURFACE SEWAGE I APA - 6 2012 PROJECT MANAGER AY REQUIRED = 2250 SF X 1 0 x 2/12 = 375 CF DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCE 6'-6' SURVEY ° ! 375 CF / 50 27 CF/VF = 7 45 VF AND WILL ABIDE BY THE CONDITIONS SET FORTH 20 10 0 20 SHEET ENVIRONMENTAL rnIL USE TWO(2) - 8'0 X 4' DEEP DRY WELLS THEREIN AND ON THE PERMIT TO CONSTRUCT. I LEACHING POOL DETAIL GRAPHIC SCALE IN FEET 1 OF 1 STRUCTURAL NOT TO SCALE ARCHITECTURAL APPLICANT FILE 34952