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HomeMy WebLinkAboutTR-7808 \t''' ' *-4-VAri .--- \11-146V-4.7 ' . '- .1.47/1V Vitt, ( :.....,„.A. If 7 .-- ..w 6, .po,.. .. ,„ ...-0,,t\",, ,.. -, :0,A.",.,--. „ ,- '''''''i'-fit \.--.°6'4*‘..... ./4„,...: AA''1 r'''..---''' ''-'..". ",,...„''' '.----OA%.i.-'. ... .*.„, ---Ali lk” -- ill., ‘"\----- *- 1r,..N:' _,.,„ ....,„..""'-- -.-'-:-,,..,--.•).' fl, . :-::' ' -rP-xlrYIZL.TJWIPATTeMnAFJWZg`thin19,,7-M,1"2,WATM:,...721'AP,R•WSRVIAVIMMMIUMMAMYWYTI£ 3%?!..1',3150.MP7".°M.Wer,T2:AVUIV sv,ZIEW-or..7.02M7=2,7-..y,i ---ai:., - f 40. I .1:. , !!!!111,- .: 4711E, .4...--..,.. .*!-; \ `.. t i , PERMIT'NO. 780138OA" K ( OF SOUTHOLD TOWN TRUSTEES , SOUTHOLD,NEW YORK , , • ,I i, 1-11, , ., • DATE: MAY 16 201/ , . , - r :• , E 0.40 i --` '' . -,„„„ " ) C. -. 1):frit, _. • v--, -2 t'l '404 •S '‘,...r4 1 s'. ••t-*I ISSUED TO: ANTHONY= CAMPO- , ' _•7 , 1 , ., . . • ,- 'l. „,. Ijefer i-e, • $ Y SI il:' -4411 PROPERTY,ADDRESS: 1165 HAYWATERS RD., CUTCHO E - 2 4 ( ,.,.. 0.,,, ,.... SCTM#111-1-24,25,26 ( r• ...tf, 44 , „ , 4 ;ATHORIZA -,: •• • -• ,U,, .•,:,•10 ,-,,..•; ,TION t ; ), . .) 4 •-oot,2 ,...- ,.. ,, 1. ,,, . : , ' )Il ) 0,i,'„ ; 1 • , r'itJ.,,i,,•, k,- P) ,-,-- - Pursuant to the provisions of Chapter 275 and Chapterrll 1 of the TowuCode of the Town of Southold ...)J•,. ),• .• , ...; , n;•,-J ef ," 11 and in accordance with the Resolution of the Board of Trustees adopted at the meetmg held on May 16,2012 in .1070 f consider4tionof application fee M the sum of$250.00 paid by Anthony Campo and subject to the Terms and ( ( Conditions as stated in-'the liesointiOn:the.'goiititai to,4ii fiE5*.a iift rutee autkorLes and p-e'rmitii the following ( „0441 • i.11,', • , .11. . ..I „,". • f. !.• ',., .1.; J" -L '' " '' li 1• Wetland Permit to dethohst.the existing dwelling and keplace'in'ianie lotation and g j • st... ..41), meeting flood zone regulations; existing septic system to be removed and new one installed furthegl,. , A"lc; ;.. ... - ,••••. (.-s, 4-1-0-• • .(, .., . .)....1;,91,11-1p.,-bry" 4 .. .)..) .+.. •Ji , ,“.: ,1' ', " •" 04.: , ir ' '' from the water and at a higher elevation with retaining walls; install drywells ro'control water I 1 •- i(( )!, "'•1:.' ,' • • I , ‘1, run-off from the dwelling; construct alterations to existing shed; rebuild'deckI re-siti building • 1„1, and(remove existing bath utility use only,with the condition a line of staked hay bales,is placed jr • ( d', L, =) ,)'1f-V•L' It) ..'' ` buffer1 , , ,,i, 1, : (i.rill::: 1.zol.t,:.v, • et r 4 '0,..t. ,4 i along the landward side of tic non-disturbdnee prior to-erstictietton adtivities'and . 4.0t•:., 7•, '.5 maintained until completion of the project, and a's depicted on ihe'kte plan Orepated-hy Mark 0 5 Schwartz,Architect dated May 17,2012. r , a _ i 0 e f:i ?,111);Jrii ' ',. 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T 1 R-r1 II c. as f! Q/I , - , 14'-3- F-i OO 0 II■■I._ - _.•1UIII■■■■1� II - . 1\\--% , .:..1.■I.1■■■■1■■I.._ I L........�.:.1 I tT1.....1...1.....1...1.._ 11 11I 1111■■I■I■■■■I■■1■I.■■■1'1 - - -= a ■■■■■1■■III■■■■I■■III■■I j�'�1� MEM 1■I■■1■I■■■■I■■1■I■■■■1■1 ^ . I■■■■1■■I.1■■■■1■■I■1■■■I ■I■■1■ 1111■1■ - I■■■■1■■III■■■■1■■III■■I 11'11■ 1 IMI 0 PROJECT NORTH `FLOOR PLAN 1■I■■i■I■■■■I■■1■I.■■■1■1IIIIMII ■■■■I■■I.1■■■■1'■I■1■■■I 11 II 1- 1111■I' . Nill ■■■■■1■■■II■■■■1■■■II■■I :��■1■ 0 I��■ SCALE: 1/8"= 1' q 1■I■■I■I■■■■I■■I■IMOM■I■I �l ¢O 1111.111.1■111•111MIIIM1■III�1■-muIMMI -TT7TT-fTZJTl I 1 I - I = = EAST ELEVATION NORTH ELEVATION , ` �+I a SCALE: 1/8"= 1' SCALE: 1/8",'= T, - 3 ] a 11 - 3 - IE ' itfr, �lS�f vUu, 1 �y 1r f ' 'DRAWN. MH/MS lir)! :ii ,,,,,t ' A�II 2 ® 2®�2t t ' " h SCALE. NTS i - { a ' { Du®�IOB fiber' 07, 07,2011 _ , rSHEET NUMBER'R• - i , - "C:th'U .:w L =! . • • fOF SOFT John M. Bredemeyer III, President �� 4/0 � Town Hall Annex Michael J.Domino,Vice President ~O l0 ` 54375 Main Road P.O. Box 1179 James F. King,Trustee ; Southold, New York 11971-0959 Dave Bergen,Trustee `'G2►Oly �0����, Telephone (631) 765-1892 Charles J. Sanders,Trustee COUwm,� ,6" Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 18, 2015 Mr. Anthony Campo 17 Sea Forth Lane Huntington, NY 11743 RE: ANTHONY CAMPO 1165 HAYWATERS ROAD, CUTCHOGUE SCTM# 111-1-24, 25 & 26 Dear Mr. Campo: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 18, 2015: RESOLVED that the Southold Town Board of Trustees grants the Last One-Year Extension to Wetland Permit#7808, as issued on May 16, 2012. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, drit— .1" evilail,r John M. Bredemeyer III President, Board of Trustees JMB/amn • . John Bredemeyer, President '''$uFFoc Town Hall Annex Michael J. Domino, Vice-President ;'��°� c�a: 54375 Route 25 James F. King ? P.O. Box 1179 Charles J. Sandersqr Southold, NY 11971 Dave Bergen y�yQl ,� �0/ Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: V16/1 ANTHONY CAMPO requests the Last One-Year Extension to Wetland Permit#7808, as issued on May 16, 2012. Located: 1165 Haywaters Road, Cutchogue. SCTM# 111-1- 24, 25 & 26 Type of rea 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: JBredemeyer Domino KJ. King /6 Sanders D. Bergen Bay Constable Other Form filled out in the field by J ef, itp,a„, Mailed/Faxed to: Date: • • February 2nd 2015 r )1 Dear Southold Board of Trustees, MAR 9 2015 I am requesting an extension of permit#7808 which is set to expire April 14`h 2016. Enclosed is check of fifty dollars to cover the fees for extension of said permit. Yours Truly, AMPFAIP Anthony S. po : Own • • pF John M.Bredemeyer III,President • �� SO(/4f Town Hall Annex Michael J.Domino,Vice-President I• l& l0 0 54375 Main Road P.O.Box 1179 James F.King,Trustee sSouthold, New York 11971-0959 Dave Bergen,Trustee Q % i, �1 Telephone(631) 765-1892 Charles J.Sanders,Trustee wwy��ONt`I�A ego Fax(631) 765-6641 c•� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 19, 2014 Mr. Anthony Campo 17 Sea Forth Lane Huntington, NY 11743 • RE: ANTHONY CAMPO 1165 HAYWATERS ROAD, CUTCHOGUE SCTM# 111-1-24, 25 & 26 Dear Mr. Campo: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 19, 2014: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit#7808, as issued on May 16, 2012. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely,� y � � U John M. Bredemeyer III President, Board of Trustees JMB/amn • • John Bredemeyer, Presidentsuerni� Town Hall Annex Michael J. Domino, Vice-President ;+'�a� 54375 Route 25 James F. King i P.O. Box 1179 Charles J. Sanders 'tom©orvo; Southold, NY 11971 t. Dave Bergen =..f * " Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: �3 - � ; 1 4 140 ANTHONY CAMPO requests a One-Year Extension to Wetland Permit#7808, as issued on May 16, 2012. Located: 1165 Haywaters Road, Cutchogue. SCTM# 111-1- 24,25,&26 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: 7 Wetland Coastal Erosion Amendment _Administrative _Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed: Modifications: Conditions: `e-AH a,,„�^r Present Were: ' J. Bredemeyer M. Domino ( J. King C. Sanders Bay Constable Other Form filled out in the field by ‘._iT , 4r P L� Mailed/Faxed to: Date: II I March 6, 2014 D i � � r RF '„ MAR — 7 2014 seud:U1a n,,u Dear, Board of Southold Town Trustees, : o , r :. I am requesting an extension of permit#7808 which is set to expire April 14, 2014. Enclosed is a check of fifty dollars to cover the fees for extension of said permit. Sinp ely if Ant,:'y S.Ca ./.. : wner • • James F.King, ��President ''I� �C 4 O-; Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President S° P.O.Box 1179 Dave Bergen = Southold,NY 11971 - John Bredemeyer Telephone(631)765-1892 Michael J.Domino y�01 # Fax Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. / INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction 'h constructed ✓ Project complete, compliance inspection S...4*, �' A BOARD OF SOUTHOLD TOWN TRUSTEES 1 ' - SOUTHOLD,NEW YORK ?'` 1 y ti PERMIT NO. 7808 DATE: MAY 16, 2012 : ? t* , ISSUED TO: ANTHONY CAMPO � PROPERTY ADDRESS: 1165 HAYWATERS RD., CUTCHOGUE SCTM#111-1-24,25,26 a . i .- AUTHORIZATION Pursuant to the provisionsof Chapter 275 and Chapter,111 of the Town Code of the Town of Southold A and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on May 16,2012 in 4{ J �4. consideration of application fee in the sum of$250.00 paid by Anthony Campo and subject to the Terms and �1 Conditions as stated inthe Resolution,the Sout%old Town Board Of Trustees authorizes and permits the followin;l . , � - Wetland Permit to demolish the existing dwelling and replace in same location and I meeting flood zone regulations; existing septic system to be removed and new one installed furth 2. from the water and ata higher elevation with retaining walls; install drywells to control water 'i run-off from the dwelling; construct alterations to existing shed; rebuild deck; re-side building TA G and remove existing bath, utility use only,with the condition a line of staked hay bales is placed . " along the landward side of the non-disturbance buffer prior to construction activities and - maintained until completion of the project, and as depleted on the site plan prepared by Mark y Schwartz, Architect dated May 17,2012, ic e 171 WITNESS WHt REOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, ` and these pres0rt'ts to be subscribed by a{rnajo{rty of the said hoard as of this date. , y 'tilt' igiffkx Vwf y - \ s n[ r J i "i S� sAl. f t: r� `�-.J xZF IC�J'� ji®4`v"'f� �sj • • TERMS AND CONDITIONS The Permittee, Anthony Campo,residing at 1165 naywaters Rd..Cutchogue,NY 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 perfonnett-pursuantto this permit,and the said Permittee will,at his or hit 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. The-Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties OMtt s a notice covenant and deed restrictroo to the deed of the subject par . oe ice,shall be provided within ninety(90)dalendar days of issuance of tltzgpe = t 9. That the said Board will be notified by the Permittee of the Omphiffon b e*ork authorized. 10. 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. ! ! James F. King,President ��, QF Ski�,� Town Hall Annex Bob Ghosio,Jr.,Vice-President / O� t` 54375 Main Road Dave Bergen T j�; Southold,,New Boow Yorkk 11971-0959 John Bredemeyer Michael J. Domino 'QO �0 � Telephone(631) 765-1892 L I�COU Fax(631) 765-6641 ... '-S BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 16, 2012 Mark K. Schwartz, Architect P.O. Box 933 Cutchogue, NY 11935 RE: ANTHONY CAMPO 1165 HAYWATERS RD., CUTCHOGUE SCTM#111-1-24,25,26 Dear Mr. Schwartz: The Board of Town Trustees took the following action during its regular meeting held on Wed., May 16, 2012 regarding the above matter WHEREAS, Mark K. Schwartz, Architect on behalf of ANTHONY CAMPO applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance, application dated April 20, 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 recommended that the proposed application be found Inconsistent with the Local Waterfront Revitalization Program policy standards, specifically with Policies 4.1, 5.4, 6 & 6.3, and, WHEREAS, the Board of Trustees has furthered Policies 4.1, 5.4, 6 & 6.3 of the Local Waterfront Revitalization Program to the greatest extent practical through the imposition of the following Best Management Practice requirements: the placement of a line of staked hayables along the landward side of the non-disturbance buffer, installation of drywells to contain roof run-off in accordance with Chapter 236 — Stormwater Management of the Town Code, and the historic use of the shed, 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, 2 * 2 • WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, 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 for the mitigating factors and based upon the Best Management Practice requirements imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approves the application of ANTHONY CAMPO to demolish the existing dwelling and replace in same location and meeting flood zone regulations; existing septic system to be removed and new one installed further from the water and at a higher elevation with retaining walls; install drywells to control water run-off from the dwelling; construct alterations to existing shed; rebuild deck; re-side building and remove existing bath, utility use only, with the condition a line of staked hay bales is placed along the landward side of the non-disturbance buffer prior to construction activities and maintained until completion of the project, and as depicted on the site plan prepared by Mark Schwartz, Architect dated May 17, 2012. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $100.00 Very truly yours, Jame . King, Ped0" Board of Trustees JFK:Ims • • ,,,,g1►FFO(.4.0 4a James F.King,President Town Hall Annex Bob Ghosio,Jr.,Vice-President t p L+i 54375 Route 25,P.O.Box 1179 •Dave Bergen ` 4 �'. Southold,NY 11971 John Bredemeyer = dj � .1,'aO,,J Telephone(631)765-1892 Michael J.Domino _ „ ��'� Fax(631)765-6641 BOARD OF TOWN TRUSTEES /� TOWN OF SOUTHOLD TO: @ (KW Please be advised that your application dated q late in) has been reviewed by this Board at the regular meeting of cI I fir►(13' 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) 1/2 Constructed ($50.00) ✓ Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 100.00 BY: James F. King, President Board of Trustees • •••/iii- _- • eV ' }FF0L4. Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary . P.O.Box 1179 : O 5�ir Southold,NY 11971 ;y•*0 ear Telephone(631)765-1892 1 # y ,•' 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: Moved by John Stein, seconded by Audrey Horton, it was RESOLVED to SUPPORT the Wetland Permit application of ANTHONY CAMPO to demolish the existing dwelling and replace in same general location, meeting flood zone regulations; existing septic system to be removed and new one installed further from the water and at a higher elevation with retaining walls; install drywells to control water run-off from the dwelling; construct alterations to existing shed; rebuild deck; re-side building; and remove existing bath, utility use only. Located: 1165 Haywaters Rd., Cutchogue. SCTM#111-1-24,25,26 Inspected by: Audrey Horton, John Stein The CAC Supports the application with the Condition gutters, leaders and drywells are installed to contain roof run-off. Vote of Council: Ayes: All Motion Carried i • • FF James F.King,President •49 SCD S. P.O.Box 1179 Bob Ghosio,Jr.,Vice-President Southold,NY 11971 Dave Bergen y : Telephone(631 765-1892 John Bredemeyer Fax(631)765-6641 Michael J.Dominoid Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: -3-A/2_ /3/0 ANTHONY CAMPO requests a Wetland Permit to demolish the existing dwelling and replace in same general location, meeting flood zone regulations; existing septic system to be removed and new one installed further from the water and at a higher elevation with retaining walls; install drywells to control water run-off from the dwelling; construct alterations to existing shed; rebuild deck; re-side building; and remove existing bath, utility use only. Located: 1165 Haywaters Rd., Cutchogue.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: aL Ar /u, 1e/M-. r Presfint Were: J. Kings B. Ghosio ✓ D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: 1111 6 Town of Southold A 5 0 6 8 Suffolk County, NY The People of the State of New York vs. LAS E(OEFEN r NAME MIDDLE��_ MIDDLE INITIAL B ADDREs` "'VVVfff/// Q/' APT.NO. L d�G( / CIJif✓ A x7 '53 UCENSE OR REGISTRATIONMBER I I I STATE TYPE OF UCENSE DATE EXPIRES SEX ,.��DAIT'E OF BIRTH OPERATOR /L tI,fa I 19.OWNS VEHICLE OF I V� OYES ONO THE OPERATOR OR REGISTERED OWNER OF VEHICLE DESCRIBED BELOW • PLATE NO. DATE EXPIRES STATE PLATE TYPE O N.Y. ONJ. ❑N.Y. ❑N.J. 0 ❑PASS ❑Ca,.. • VEHICLE MAKE ❑ DODGE ❑ BUICK ❑ CHEV ❑ CADILLAC 0 PONTIAC ❑ FORD ❑ OLDS 0 PLYM ❑ TOYOTA 0 •a ❑ BODY ❑ 0 4DR ❑ BUS 0 MCY ❑ S.W. TYPE TRUCK ❑ TRAILER ❑ VAN ❑ VINN . R THE PERSON DESCRIBED ABOVE IS CHARGED AS FOLLOWS • /A5 QEQGCUR CE Das (J. c '-cI4G*gg 1 'mDAulti, !OFFENSE AN ❑ OTY T NLLAGE{O�HAML�T SUFFOLK COUNT Nr Iv/ 1 otiJ ISM IN ON OF SECTION SUED. OF THE 0 VEHICLE AND TRAFFIC LAW OF THE STATE OF NEW YORK CIFY) ei ❑O.S. OCOM OBIS ❑ AI M DEP VEH MATT I ❑ SPEEDING OTHER OFFENSE 1 I MPH IN A MPH ZONE Mc T MISDEMEANOR 0 • FACTUAL PART(NOT FOR TVB) • arid A� THE ABOVE NAMED DEFENDANT DID ON THE STATED DATE.TIME AND PLACE d►d "Mlle I 44) £)c•sr Crete C -vire sG fn•.i Aro/ ��F©L 4- ./d� utr ,�./ to�Issliocs-- 4- •mt-T/A,r T.Fonpd.y is based on @amoral knowladga)and/or I (s)of 'C11.4e Q,FO` L ei1X� dated /L in Ai PARKING SCHEDULED FINE S CONTACT COURT 0 THE PERSON DESCRIBED ABOVE IS SUMMONED TO APPEAR AT SOUTHOLD TOWN JUSTICE COURT,50095 ROUTE 25,SOUTHOLD.NY 11071 OF•SFA. NCEINOT FOS WBI ON /1.E7 /I AC AT I00 • FALSE STATEMENTS HEREIN ARE PUNISHABLY AS A CUSS A MISDEMEANOR PURSUANT TO S EOTON 210.0.5 OF THE P.LNY.S. COMPLAINANT DATE • I COURT COPY a — • • New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 p Phone: (631) 444-0365 Fax: (631)444-0360 - Website: www.dec.ny.gov Joe Martens Acting Commissioner February 4, 2011 Mr. Anthony S. Campo 17 Seaforth Lane Huntington NY 11743 • Re: Permit# 1-4738-03939/00001 APR 2 0 212 Campo Property , 1165 Haywaters Road Cutchogue • Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6 NYCRR, Part 621) we are enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerely, *air, kms. Matthew R. Penski Environmental Analyst 1 cc: Mark K. Schwartz Habitat - TW File Alb • NEW YORK STATE DEPARWNT OF ENVIRONMENTAL CONSERV JN Nur Facility DEC ID 1-4738-03939 PERMIT Under the Environmental Conservation Law (ECL) Permittee and Facility Information Permit Issued To: Facility: ANTHONY S CAMPO CAMPO PROPERTY 17 SEAFORTH LN 1165 HAYWATERS RDISCTM1000-111-1- 24,25,26 HUNTINGTON, NY 11743 CUTCHOGUE, NY 11935 (631) 734-4185 Facility Application Contact: MARK K SCHWARTZ PO BOX 933 CUTCHOGUE, NY 11935 (631) 734-4185 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 713.6 NYTM-N: 4542.7 Latitude: 41°00'27.1" Longitude: 72°27'36.2" Project Location: 1165 Haywaters Road, Cutchogue Authorized Activity: Demolish the existing single family dwelling and remove from the site and construct a new two story single family dwelling, deck, stairs, sanitary system, retaining wall, and drywells and reconstruct the existing retaining wall. All work shall be performed in accordance with the plans prepared by Mark Schwartz &Associates last revised on 1/7/11, and stamped "NYSDEC APPROVED" on 2/4/11. Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-03939/00001 New Permit Effective Date: 2/4/2011 Expiration Date: 2/3/2016 Page 1 of 6 • NEW YORK STATE DEPARWNT OF ENVIRONMENTAL CONSERVIDDN Numr Facility DEC ID 1-4738-03939 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is c i ntingent u•on strict compliance with the ECL, all applicable regulations, and all : •'tions included . , part of this permit. Permit Administrator: JOHN A WA AND, Dep Regional Permit Admini " ator T Address: N DEC `. GION 1 ADQUARTERS (%a SiTONY : ' OOKI50 CIRCLE RD .TO :RO� Y 11790 3409 A n Authorized Signature: (1 Date 4/0V/ C 0 Distribution List MARK K SCHWARTZ Habitat- TW Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 2. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Mark Schwartz &Associates last revised on 1/7/11, and stamped "NYSDEC APPROVED" on 2/4/11. 3. Custom Vegetated Buffer To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within the area on the tidal wetlands side (seaward) of the limits of clearing line shown on the approved plans. Page 2 of 6 95-20-1(11/03)-9d New York State Department of Environmental Conservation a NOTICE a V `I • The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of the approved work and any Department conditions applied to the approval, contact the Regional Permit Administrator listed below. Please refer to the permit number hown hown when ntacting the DEC. • 1 T739O373?/0o00 Regional Permit Administrator Permit Number Expiration Date C2 © /6 ROGEh EVANS NOTE: This notice is NOT a permit ,�• oryv C of = a �� W zE5 A� �� N L/] ``11/1 p® w O z a y- EXISTING CESSPOOLS AS `V J� Q PER OW SURVEY TO ,® V , vi 0. (.L REMAIN 4 n ,:iT[zTf 4 /1/ D --'M 73 • 201 � � �t=i, rn o � cp 4 !v ., • O Z7 pSs9\. � o ?W 9 c n ffli CP 1 12.00( NQ °00'0011 (STING ' •NE > c. 5 Q 'RIVEWA •' O (0 N V Ul x Gta cr.) REMAIN AP A o m _ ,wi - • it CA. 11 ` \ 11 r 0 cis ACZ ' \ m 1000-111-01-24 p Nt rr- n �, aA J LOT 19 M LO iD m'' 41 m Otr,. W f$ ry - ---- w ' r d 01N v E r m 4 C O r ^ G CA x E� I i - y ._ Q . x o d C..U fI f 4' 72.0 0, S� .e ,u 0. cip r, �' % n! 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Box 1179 54375 State Route 25 # sr_; Southold, NY 11971 • (con Main Rd. &Youngs Ave.) • Southold, NY 11971 • G, O�t Telephone: 631 7654938 • Fax: 631 765-3136 ,,� 0 4COM,4 .ee ..S LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD 'r MAY 1 0 2012 .; MEMORANDUM 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 ANTHONY CAMPO SCTM#1000-111-1-24,25,26 The Southold Zoning Board of Appeals issued a permit (attached)for the action on February 12, 2012. The survey submitted to the Board of Trustees does match the survey approved by the Zoning Board of Appeals specifically: 1. The limits of clearing/haybale line has been removed. 2. The natural area to remain as a non-disturbance buffer limits are not marked/clear. Mark K. Schwartz, Architect on behalf of ANTHONY CAMPO requests a Wetland Permit to demolish the existing dwelling and replace in same general location, meeting flood zone regulations; existing septic system to be removed and new one installed further from the water and at a higher elevation with retaining walls; install drywells to control water run-off from the dwelling; construct alterations to existing shed; rebuild deck; re-side building; and remove existing bath, utility use only. Located: 1165 Haywaters Rd., Cutchogue. SCTM#111-1-24,25,26 • • 0 C)0 _ ylrr. .(�. $' (�} mss. ♦ .mm . Figure 1Subject parcel. 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 determination that the proposed action is INCONSISTENT with the below listed LWRP polices and therefore INCONSISTENT with the LWRP: Policy 4.1 Minimize losses of human life and structures from flooding and erosion hazards." The following management measures to minimize losses of human life and structures from flooding and erosion hazards are recommended: specifically A. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. 3. Move existing development and structures as far away from flooding and erosion hazards as practical. Maintaining existing development and structures in hazard areas may be warranted for: a. structures which functionally require a location on the coast or in coastal waters. d. sites where relocation of an existing structure is not practical The "as built" shed and deck do not functionally require a location on the coast and is not water dependent. Policy 5.4 Limit the potential for adverse impacts of watershed development on water quality and quantity. A. Protect water quality by ensuring that proposed expansion or intensification of existing watershed development results in: 1. protection of areas that provide important water quality benefits 2. maintenance of natural characteristics of drainage systems, and 3. protection of areas that are particularly susceptible to erosion and sediment loss B. Limit the individual impacts associated with development to prevent cumulative water quality impacts which would lead to a failure to meet water quality standards • • Correspondingly, the proposed action does not comply with Policy 5.4 (above) and Chapter 236. Pursuant to § 236-15. The fill activities (2087 cubic yards) require that a Stormwater Management Plan be prepared. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem 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. B. Comply with statutory and regulatory requirements of the State's wetland laws. 3. Comply with the regulatory requirements of the Tidal Wetlands Act for the protection of mapped tidal wetlands including coastal fresh marsh; intertidal marsh; coastal shoals, bars and flats; high marsh or salt meadow; littoral zones; and formerly connected tidal wetlands. The "as built" shed and deck were constructed without the benefit of review and/or permits. Policy 6.3 Protect and restore tidal and freshwater wetlands. E. Maintain buffers to ensure that adverse effects of adjacent or nearby development are avoided: 1. Maintain buffers to achieve a high filtration efficiency of surface runoff. 2. Avoid permanent or unnecessary disturbance within buffer areas. 3. Maintain existing indigenous vegetation within buffer areas. If the action is approved, it is recommended that a perpetual NON-DISTURBANCE BUFFER (varying widths) be required landward from the tidal wetlands. It is recommended that the NON-DISTURBANCE BUFFER area be staked prior to any construction on-site. Pursuant to Chapter 268, the Board shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney • • BOARD MEMBERS ,r' nj SOO77- Southold Town Hall Leslie Kanes Weisman,Chairperson ,i' `h► O ; 53095 Main Road •P.O. Box 1179 ' '�� Southold,NY 11971-0959 James Dinizio,Jr. 2 Office Location: Gerard P.Goehringer t ,I Town Annex/First Floor.Capital One Bank George Homing ttt 54375 Main Road(at Youngs Avenue) Ken Schneider :leon�,�'�. Southold,NY 11971 http://southoldtown.northfork.net •ZONING BOARD OF APPEALS E LIVED TOWN OF SOUTHOLD • f' I . 3 ratTel.(631)765-1809•Fax(631)765-9064 � 1 2012 FINDINGS,DELIBERATIONS AND DETERMINA ��• ,'.S/Q!J'- MEETING OF FEBRUARY 15,2012 Southold Town Clerk ZBA FILE: 6531 NAME OF APPLICANT: Anthony Campo CTM: 1000-111-1-26/25 PROPERTY LOCATION: 1165 Fisherman's Beach Rd.(adj.to Cutchogue Harbor),Cutchogue,NY SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated January 12, 2012, stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued his recommendation dated January 24, 2012. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is INCONSISTENT with LWRP policy standards and therefore is INCONSISTENT with the LWRP. PROPERTY FACTS/DESCRIPTION: The Applicant's property is an irregular,triangular shaped 45,704.89 sq. ft. waterfront parcel in the R-40 Zone. The property consists of merged lots 1000-111-01-26 and 1000-111-01-25, separated by a 33 ft ROW between the two lots. The northerly lot line, including a portion of underwater area, is adjacent to Haywaters Cove. The southerly lot line is adjacent to another property and access to the 33 ft. ROW. The westerly lot line is adjacent to Cutchogue Harbor. After subtracting wetland areas, the property has 39,347.15 sq. ft. of remaining buildable area. The parcel is improved with a single family dwelling located on lot 26, and an accessory structure located on lot 25,as shown on the site survey S-I drawn by Mark Schwartz&Associates,dated Jan,07,2011. The subject of this Appeal relates to the proposed alterations to the"as built"accessory structure. BASIS OF APPLICATION: Request for Variance from Article XXIII Code Section 280-122,based on an application for building permit and the Building Inspector's April 13,2011, updated December 2,2011 Notice of Disapproval concerning'as built'alterations to existing shed and deck,at 1)nothing in this article shall be deemed to prevent the remodeling,reconstruction or enlargement of a nonconforming building containing a conforming use provided that such action does not create any new nonconformance or increase the degree of nonconformance with regard to the regulations pertaining to such buildings,the 'as built' structure has no record of a CO. RELIEF REOUESTED: The applicant requests a variance to make alterations to,and to construct a deck attached to a nonconforming "as built"accessory structure,with a conforming use,as a shed,that has no CO on record. Page 2of3-February 15,2012 • • ZBA File#653I -Campo CTM 1000-111-1-2625 ADDITIONAL INFORMATION: This property was the subject of a prior decision in Appeal 2184, dated Sept. 10, 1976, whereby the Applicant was granted a variance to relocate the existing single family dwelling to another location on this property,with a nonconforming,0 feet, front yard setback from a ROW that divides lot 25 from lot 26. Through ZBA action in the same decision of Appeal 2184,the existing accessory structure was granted use as a guest cottage and lot 25 and lot 26 were officially treated as merged. Since then, they are considered to be one property,even though the two lots are separated by a 33 ft unimproved ROW. This property was also the subject of a prior decision in Appeal 6411, dated Nov. 16, 2010, whereby the Applicant was granted a variance for the demolition and re-building of the existing single family dwelling,with variances granted for a nonconforming front yard setback of 4.4 feet measured to the edge of the ROW, a nonconforming rear yard setback of 26.5 feet, and a nonconforming setback from a bulkhead of 34 feet. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on February 2,2012,at which time written and oral evidence were presented. Based upon all testimony,documentation,personal inspection of the property, an assessment of the character of the neighborhood,and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: 1. Town Law 4267-b(3)(b)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The "as built" accessory structure has existed at the same location since prior to creation of Town Zoning Code. This property consists of two merged lots, although separated by a 33 ft. ROW, with an existing single family dwelling also located on the same property. Accessory structures are allowed by Code on property already containing a principal structure (dwelling), albeit by using a building permit process that did not exist when this accessory structure was built. 2. Town Law $267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. Because the accessory structure was built prior to Zoning Code,without a building permit,and does not have a valid CO or pre-CO,a variance is required for any alterations. 3. Town Law&267-b(3)(b1(3). The variance granted herein is not substantial, considering that it is a pre-existing accessory structure located on a lot merged with an adjacent lot,although separated by a ROW, and the combined merged parcel also contains a principal structure in the form of a single family dwelling. In addition,the applicant proposes to reduce the intensity of use by eliminating the guest cottage use and by using the structure only as a garden room and storage shed. 4. Town Law f267-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The accessory structure will have an outdoor water spigot,and minimum of electric service. The single family dwelling on the property, when re-constructed as directed by the decision in Appeal 6411, will be connected to a newly installed septic system. The accessory shed will be disconnected from an obsolete septic system that had served both structures, and the shed will not have any bathroom,or connection to the new septic system. 5. Town Law 5267-b(3)(b)(5). The difficulty has been self-created because the Applicant purchased the parcel after the Zoning Code was in affect, and it is presumed that the Applicant had actual or constructive knowledge of the limitations on the use of the parcel under Zoning Code in effect, prior to,or at the time of purchase. 6. Town Law 8267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a renovated shed and deck, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. Page of 3—February 15,2012 ZBA File#6531-Campo CTM: 1000-111-1-26/25 RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Horning, seconded by Member Schneider, and duly carried,to GRANT, the variance as applied for, and shown on The site survey S-I drawn by Mark Schwartz & Associates, dated Jan,07,2011. Conditions: 1. Utilities for the shed will consist of an outdoor water spigot,and electric service for lights and work receptacles. 2. No bathroom, bedroom,kitchen facilities or habitability are permitted. 3. The shed shall be fitted with gutters and leaders and a drywell to control on site roof runoff as per code 4. Town Board of Trustees permit is necessary before beginning any construction. 5. The existing R.O.W. shall remain with unobstructed access for the entirety of its length. That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. Any deviation from the survey,site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit,and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance given such as extensions,or demolitions which are not shown on the applicant's diagrams or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use,setback or other feature of the subject property that may violate the Zoning Code,other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board: Ayes:Members Weisman(Chairperson),Schneider,Dinizio.Horning. Member Goehringer was absent, This Resolution was duly adopted(4-0). Cita—1 (61114t4f4A-- Leslie Kanes Weisman,Chairperson Approved for filing a / he /2012 ��I--------- - --- w--- - mart Fera. '�y—, CO'C HOGOE HARBOR I� � — ........." ELEVATION VIEW 'FROM CUTCHOOUE HARBOR SCALENTS. STORMWATFR MMNAS$B 'FDOeRFMFNTS _ ' ' er' T \ � , y 1 I:11 � B "• x' F ✓ T of iP iii -» l _ 16 B * t w Yil Ca,l e � w4 „t, i�A a ki PRE-ASSEMBLED SILT FENCE I .tip ^ �` $ 1 !yI r - r` \ PROPOSED SEPTIC SYSTEM IIFTAII E z l 1 I. j{ . _ Ree:.. -' a_.._if ' 4 R yyn a iy 2{ ! F TEST HOLE DATA _ \ SITE PLAN 'e3j� srne.L. a ` FBUL YAP j.j'1, _, - .�a /2/ REVso YIaVEEgDB. W YY£ _ u WO' 04.6 (/ ..-...-Loo- �__ —. „..Dory r:'.. • 40 Office Use Only Coastal Erosion Permit Application y Wetland Permit Application Administrative Permit Amendment/TraW r/E tension ?C Received Application: K Received Fee:$ APR 2 0 2012 ./Completed Application `{(ac)%fl- Incomplete _ SEQRA Classification: Type I Type II Unlisted -Coordination:(date sent) a- 3- ,,--CAC ., -CAC Referral Sent: a ----Date of Inspection: '• 3 Receipt of CAC Report: Lead Agency Determination: Technical Review: public Hearing Held: C)(01i a-. Resolution: Name of Applicant Anthony Campo Address 17 Seaforth Lane, Lloyd Harbor, NY 11743 PhoneNumber:(es+) 988-4022 Suffolk County Tax Map Number: 1000 - 111-01-24,25,26 Property Location: 1165 Haywaters Road (aka Fisherman's Beach Road), Cutchogue, NY (provide LILCO Pole #, distance to cross streets, and location) AGENT: Mark K. Schwartz,Architect (If applicable) Address:P.O. Box 933, Cutchogue, NY 11935 (G' Phone:(631)734-4185 9,'\ �7 •rd of Trustees Applicati` GENERAL DATA Land Area (in square feet):25462,14 sq.ft. Area Zoning:R40 Previous use of property:single family residence Intended use of property:single family residence Covenants and Restrictions: Ln Yes pi No If"Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Fri l Yes n No If"Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency Date ZBA Permit No.6531,permit 6411 February 15,2012, November 16,2010 DEC Permit No. 1-4738-03939/00001 February 4,2011 Trustees Permit No.7156 August 19, 2009 FlNo prior permits/approvals for site improvements. Has any permit/approval ever been revoked or susr:a0ed byvernmental agency? Iv l No f- Yes If yes,provide explanation: Project Description (use attachments if necessary): Existing house to be demolished and replaced in same general location, meeting flood zone regulations. Existing system to be removed and new one installed further from the water being installed at higher elevation with retaining walls as required by the health department. Drywells to be installed to control water runoff from the house to reduce erosion. Alterations to existing shed; rebuild deck, re-side building, remove existing bath. Utility use only. lard of Trustees Applicatio, WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:To dismantle and reconstruct a new 2 story house, relocate septic system with retaining walls and install drywells for runoff. Area of wetlands on lot:3038.44 square feet Percent coverage of lot: 11.8 Closest distance between nearest existing structure and upland edge of wetlands:80.4 deck 72.6'house feet Closest distance between nearest proposed structure and upland edge of wetlands:72.4 deck 84.8'house feet Does the project involve excavation or filling? P1 No Irl Yes If yes, how much material will be excavated?100 cubic yards How much material will be filled?400 cubic yards Depth of which material will be removed or deposited:4 feet Proposed slope throughout the area of operations: +l-5% Manner in which material will be removed or deposited: Excavated shall be used for final grade, new fill for septic shall be contained with retaining walls. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The proposed work shall have a positive impact on the wetlands and tidal water through the installation of drywells to control water runoff, a pervious driveway for natural drainage and relocated septic system, further from the water. 111/rd of Trustees Applicatioe COASTAL EROSION APPLICATION DATA Purposes of proposed activity:dismantle existing 2 story house and reconstruct a new 2 story house with new, relocated septic system and drywells. Alterations to existing shed; rebuild deck, re-side building, remove existing bath. Utility use only. Are wetlands present within 100 feet of the proposed activity? nNo IN Yes Does the project involve excavation or filling? 11 No 0 Yes If Yes, how much material will be excavated?100 (cubic yards) How much material will be filled?400 (cubic yards) Manner in which material will be removed or deposited: Existing soil, excavated, shall be used for finished grade to level to ground within a 5% slope around house. New clean fill shall be used for the septic system, contained within retaining walls. Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) There are no impacts on the enviroment resulting from implementation of this project since the project shall be controlled with installing (and maintaining) hay bales with silt screen fencing to control errosion and debri around project work area. The project site will also maintain daily cleanup to control debri escaping the work site so as to not impact the wetlands,water and surrounding neighbors. • • 617.20 SEQR PROJECT ID 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 Anthony Campo Campo Property 3.PROJECT LOCATION: Municipality Cutchogue County Suffolk 4.PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map 1 165 Haywaters Road (aka Fishermans Beach Road) 5. IS PROPOSED ACTION: a New Expansion D Modification/alteration B.DESCRIBE PROJECT BRIEFLY: Existing 2 story house to be dismantled and a new 2 story house to be constructed, meeting current flood zone code requirements.The existing septic system to be removed and new one installed, further away from the water than the existing system,with elevated grade and retaining walls meeting county health department regulations. New drywells also to be installed to connect to downspouts from the house to collect water runoff from the roof. Alterations to existing shed; rebuild deck, re-side building,remove existing bath. Utility use only. 7.AMOUNT OF LAND AFFECTED: Initially acres Ultimately 0.7 acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes a No If no,describe briefly: e are unable to obtain the required set back from wet lands due to the existing site conditions. 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) OResidential ❑Industrial El Commercial DAgriculture 0 Park/Forest/Open Space Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ayes ❑No If yes, list agency name and permit / approval: Town Zoning Board, Health Department, D.E.C., Building Department 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Dies ElNoII yes, list agency name and permit / approval: 1 ASuAULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? es ✓ No — I CERTIFY THAT THE INFO ATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant /View/ Dale: Signature 0'4772-- If t 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(To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes.coordinate the review process and use the FULL EAF. IDl�Yes I INo 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. 0 Yes ED No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,If legible) Cl. 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 character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: 04. A community's existing plans or goals as officially adopted,or a change in use or Intensity of use of land or other natural resources?Explain briefly Cs. Growth,subsequent development,or related activities likely to be Induced by the proposed action?Explain briefly: C6. Long term,short term,cumulative,or other effects not Identified In C1-05? Explain briefly: . - .. C7. Other Impacts(including changes in use of either quantity or type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? (If yes,explain briefly: El Yes El No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: 0 Yes 0 No PART IS-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 of 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 determined,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 Date Print or Type Name of Responsible Officer In Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) C4 Ai PC Pleo ege d� Town of Southold • ' . t i 1 Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM -t . �yw PROPERTY LOCATION: S.QT.M./: �O/' THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 4 ', Il/ O/ 14u Z b STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN trkt section -Bim— CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT YesNo is. What is the Total Area of the Project Parcels? Will this (Include Total Area of all Parcels located .yo /within A� Project Retain All Storm-Water Run-Off the Scope of Work for Proposed Construction) Y' / Gl- Generated by a Two(2')Inch Rainfall on S%e? / (S.F.l Ate) b. What is the Total Area of Land Clearing (This item will Include all run-off created by site -V/ In clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed /(c47 Site Improvements and the permanent creation of construction activity? Y impervious surfaces.) (S.F.f Aeras) PROVIDE BRIEF PROJECT DESCRIPTION (ProvideMalmo P.an;Nserkd) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size&Location?This . / 11 Item shall include all Proposed Grade Changes and 1/ tier ME�1 0 L/f'feft. f/ �(J C �,/fe/ Slopes Controlling Surface Water Flow. /� 3 Does the Site Plan and/or Survey describe the erosion v C4A/f/ e r Nein- ' /mut, and sediment control practices that will be used to I d" control site erosion and storm water discharges. This W NvcI pi/ ./ Ski P/Tr1 C item must be maintained throughout the Entire G, Construction Period. /f ey fit.old - 0/G7 c'G-J Set 4 Will this Project Require any Land Filling,Grading or i v//(/�' ic. V.V a PP Fin f'T f�{�"� Excavation where there is a change to the Natural / ,ry Existing Grade Involving more than 200 Cubic Yards — TO ))) u� ` /' of Material within any Parcel? / V `/eve AAA-ti ge_//f/ .s7 /AJbr 5 Will this Application Require Land Disturbing Activities WI A✓011 tvf Oaa/G✓ 2oo��-r/ Encompassing an Area in Excess of Five Thousand — / / (5,000 S.F.)Square Feet of Ground Surface? CC 6 Is there a Natural Water Course Running through the 11r1����T111, Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or — Submission of a SWPPP Is required for all Construction activities InvoNirg son Beach? I disturbances of one(1)or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that win ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to ✓ Including Construction activities Involving son disturbances of less than one(1)acre where111 the DEC has delernted that a SPDES permit Is required for storm water discharges. One Hundred(100')of Horizontal Distance? (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off NI ✓/ 1.The SWPPP shall be prepared prior to the submittal of the NOI.The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 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 atom,water management practices that will be used and/or Removal of Vegetationand/or the Construction of any le constructed to reduce the pollutants In storm water discharges and to assure Item Within the Town RI ht-of-Way or Road Shoulder ycompliance with the terms and conditions of this permit In addition,the SWPPP shall g Y identify potential sons of pollution which may reasonably be expected to affect the Area?fibra nam rare NOT Include the rmw.0en of Driveway Aprons.) quality of storm water discharges. NOTE: if My Answer to Questions One through Nine Is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance is between 3,000SF.S 1 Acre In ane, component shat be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Control Plan Is Required by the Town of that is knowledgeable In the principles and practices of Storm Water Management Southold and Must be Submitted for Review Priorto i Issuance of My Building Permit. AChedx Mark(1)and/Or Maw for each Question is Retitled for a Complete Application) STATE OF O COUNTY i'Vf f c.0 SS That I, X44 2H t' i Z' being duly sworn,deposes and says that he/she is the li (Name of Individual signing Document) ppfor Perini 4 And that he/she is the G l�7)y(�/�.I. (own;,''' - 'p,Agent. ,paste Officer.etc.) Owner and/or representative of the Owner or Owners,and is/duly authorized to Re, onr,t • ve performed the said work and to make and file this application;that all statements contained in this appli ( rt ,�y his knowledge and belief;and that the work will be performed in the manner set forth in the application( e$tSI 008 Sworn to before a this; Qualified in Suffolk Coil n • Commission in S 19,2 S 0 day of 5 � ^J'^ 20..(� i � Notary Public: S � C(%7 ilk (Sign re or Want) FORM - 06/10 gpFFO( • C ;Ls, r. rfy James F. King,President • g + Town Hall,53095 Main Rd. Bob Ghosio,Jr. ,Vice-President W T • P.O. Box 1179 Dave Bergen ttSouthold,NY 11971 John Bredemeyer ; ����'',t Telephone(631)765-1892 �0 Michael J. Domino = i 41S, Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ANTHONY CAMPO COUNTY OF SUFFOLK) STATE OF NEW YORK) � /� AFFIDAVIT OF POSTING I, /�/ K LcHM7esidingat/dba Zr�4 9,r 4119-7/11 7ZO Ciff /to 6 ,e being duly sworn, depose and say: That on the4lt4ay of1-47 , 2011-I personally posted the property known as ( S HAy (.v/r7rxr' 20 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., May 16, 2012. Dated: / A (signature) Sworn to before me this 1(y?tday of`May.011. LAUREN M.STANDISH / Notary No.01ST616400f 8�Vork - .ut �.i I .lified in Suffolk County h . ary Public Commission Expires April 9.201_c • • (ho PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: (y E� P k/�9 K 5 "44 sr ) Pre?v esti N 7 f l 7 3-e STATE OF NEW YORK COUNTY OF SUFFOLK } �A Alm-telt £C.fPt/4tJ , residing at zit 7'�f / 1'y/ / ACo C6-7Z tft'C vt , being duly sworn, deposes and says that on the 9 day of ,4147 , 20 ft,, deponent mailed a true copy of the Notice set forth in the Board of T/ustees 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 C v TC., MVO-0C , that said Notices were mai e- toe of said persons by CERTIFIED MAIL/RETURN RECEIPT. (d Sworn to before me this er- Day of" u 1 , 20 �, Notary P .to of NSH York 1 No.Q1516154008 Qualified in Suffoik County aQ �a PA-c p Q A„ ir Commissicn Expires April 9, 0 otary Public Ead of Trustees Applicatio. County of Suffolk State of New York AfieiC 12 T p 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 T IS AP' ICATION. /A._d //�� Sig' SWORN TO BEFORE ME THIS nic DAY OF tireic ,20 / Z. LAu E: M.STANDNSH Notary Pc'livc,iST6S16g008 ata of New York n tn!k County Comss n 0 Su SP. 9,20 / r" _ , tau it -17.1 rca7li otary Public • • Anthony Campo 17 Seaforth Lane Huntington, New York 11743 631-988-4022 July 07, 2011 To Whom It May Concern: I, Anthony Campo, authorize Mark Schwartz, AIA - Architect, to act as agent for permit applications to the Southold Town Board of Trustees, New York State Department of Environmental Conservation and Southold Town Zoning Board of Appeals, Suffolk County Department of Health and the Southold Building Department. The proposed residential construction project is located at 1165 Fisherman's Beach Road, Cutchogue, New York (SCTM# 1000-111-01-24, 25, 26). Sincerely, oby Anthon/'ampo/ date: • • APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information, which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Campo, Anthony (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity,such as a company. If so, indicate the other person or company name.) NATURE OF APPLICATION: (Check all that apply.) Tax Grievance Variance 40 Special Exception If"Other", name the activity: TR u STEC S Change of Zone Approval of Plat Exemption from Plat or Official Map Other Do you personally, (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the Town officer or employee has even a partial ownership of (or employment by) a corporation in which the Town officer or employee owns more than 5%of the shares. YES I I NO ✓ Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person: Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D (below) and/or describe the relationship in the space provided. The Town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): 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 tr • /-41111!J Signat : ii Print . - e: .4i .i. I • S 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 ��J yfre // YOUR NAME: CI't CQ4fl n /"( (Last name,first name,middle irthial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee _ ✓ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO 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 0 da of ;nit/ 200 / �— Signature Vt 171 Print Name A4.4912K. J-t 17 '/t ft Form TS I A • , • • 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# 111 _01 _24,25,26 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: Demolish existing 2 story house with deck and rebuild new 2 story house with deck at compliant finished floor height elevation. Wood frame construction with a masonry crawl space foundation. Existing septic system to be removed and filled with clean sand. New Drywells to be installed. Alterations to existing shed; rebuild deck, re-side building, remove existing bath. Utility use only. • • • Location of action:near current location, but further from bodies of water Site acreage:gross =0.58 acres, flagged wetlands =0.51 acres Present land use:single family residential use Present zoning classification:R40 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:Anthony Campo (b) Mailing address: 17 Seaforth Lane, Lloyd Harbor, NY 11743 (c) Telephone number: Area Code( ) (631)988-4022 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No El If yes, which state or federal agency?DEC, Health, Bluilding, Town DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. EYes ❑ No n (Not Applicable- please explain) The project entails the reconstruction of a single-family dwelling on a previously developed site in a heavily developed community. Policy 1 is not applicable to the project. 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 C No ❑ (Not Applicable—please explain) The subject propoerty does not contain nor does the project affect historic or archaeological resources; nor is the project located in a historic maritime area. Policy 2 is not applicable to the project. • • Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No ❑ (Not Applicable—please explain) To the extent that this policy is applicable to the proposed project, visual quality and scenic resources will be protected at the site through the protection and maintainance of the well-vegetated embankment buffering the developed portion of the site from the tidal waters of Cutchogue Harbor and Haywaters Cove. 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 ti L 1 Yes ❑ No ❑ (Not Applicable—please explain) The project does not address nor affect erosion control structures or other erosion/flooding initiatives. Policy 4 is not applicable to the project. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ❑ (Not Applicable—please explain) The proposed project is consistant with policy 5 via (3)major project components: 1 - upgrade and relocation of the existing sanitary system more than 100 feet from the wet lands to ensure effective treatment of the sanitary waste; 2 - installation of a drainage system of drywells to control, manage, and recharge stormwater runoff; and 3 - retention of the existing vegetation on the site buffering the developed portion of the site from tidal wetlands, which is to be preserved permanently but also protected from site disturbance during construction by a project-limiting fence and stacked haybales. 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. C Yes ❑No❑ (Not Applicable—please explain) Project will be consistant with Policy 6 for the same reasons described for Policy 5; because there will be no net loss of wetlands; and because the statutory and regulation requirements of both the Town Trustees and NYS DEC will be S complied with. 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. See Section III —Policies Pages; 34 through 38 for evaluation criteria. n Yes ❑No n (Not Applicable—please explain) The project will neither affect nor have an impact on air quality in the Town of Southold. Policy 7 is not applicable to the project. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No ❑ (Not Applicable—please explain) The project will neither create nor require the handling of solid waste or hazardous substances. Policy 8 is not applicable to the project. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. n YeEl No (Not Applicable—please explain) As the project area is limited to the upland portion of the property landward of the top of an embankment, public access and recreational use of the adjacent coastal waters and public lands and resources will not be affected by the project. Policy 9 is not applicable to the project. Attach additional sheets if necessary WORKING COAST POLICIES • Policy 10. Protect Southold's water-dependent uses and promote sitinng of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ri No n (Not Applicable—please explain) The project neither proposes nor affects water-dependent uses. Policy 10 is not applicable to this project. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No❑` Not Applicable—please explain The project neither proposes nor affects commercial or recreational fisheries or other uses associated with the living marine resources of Long Island Sound. Policy 11 is not applicable to this project. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No❑✓ Not Applicable—please explain The project site is neither situated on nor adjacent lands. Policy 12 is not applicable to the project. 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. nYes n No ❑✓ Not Applicable—please explain The project affects neither the use nor development of energy and mineral resources. Policy 13 is not applicable to the project. - T _ _hllllpl�llll 1111II III _ _ _ _ _ _ _ _ _ REVISIONS: I' -it -;" - - _ _ __� _ - (MEETS AN ROMSURVEY BY: LICEN ED SURVE OR TRUSTEES$ET 06/05/2009 ORIGINAL SURVEY DATED: AUGUST 16,1996 DEC SET 02/22/2010 111 ��11 .' ■■■ 911 n `/ ■■■ : , : ® ® z PROPERTY IS IN FLOOD 20NE AE(EL.B) ooC/N usrs 04/05/201] C UTC R O G U E HARBOR AS SHOWN FLOOD INSURANCE RATE DEC R oV0]/]all _ _ _ �5 A MAP No.36103[0164-G' AEU TRUSTEES 05/1]/2012 n i■ r- ■ --- - N - MI MI . ■ • j S.C.TAX MAP No, 1000-111-0124 V MI „ tI,� ��' 1,11 II MI M■ • , • I'_. '1 LW. ®®® 0 ■ N N 1000.111-01-26 Irif1000,111-01-26 i �,� 111 CAMPO PROPOSED HOUSE ELEVATION VIEW FROM CUTCHOGUE HARBOR '� N o2° - - . SCALE : N.T.S. �____--- ; 15 I u STORMWATERMANAGEMENT REsUIREMENTS - --- -�o'` - 330 �- -� /r--� . ; , WHERE APPLICABLE UNITS OF CLEARING __ :),i, 2'X2"STAKES ) ' -0'�'gw _��,1�116 ;000 s6vaun vv.a DSM __ - ____- . ._I? 1 APfI\IMO 0 T MInvNON33.00 rT „;.2'IN THE GROUND nAarATS '. -_ _ - anew Bev D+-6 NL ` I4WIRETIE /� 106 ° __ ... - -- ___ - - _- ___ - __ - 1 L9BALES BUTTED .5 1` [�3EL 4 DN „ ` - ' W - 1N ! ' 1O `1 X31 ..,nax w w ` ) cA fil ncertv'rDGETHER A�A3� L -- �` I �, ate% °..SIIhl. //C\ \� \�'� F' rr NATURAL AREA O REMAINO �3°° I y I' eit L.' @ AS NONDISTURBANCE BUFFER 0 I IL- A $ Q 1 rr1�] -L., E w4`rcn Dkn Oss,�R - �L ' ° t .. Lq 3 - _ Z ! F LAND AREA 11,509.05 e ' Ft. ,33°'7" �/y Z i �Y6 1111O /� '` 9 �� 0.2 4 ec. �' �pr! ry lPO 6 O Y P, "° "'� LOT I8 .A jj�:. 9 Fo4. 10,00-III-OI-2 -0 An 7 �•� • 1000-III-OI-25 /f `49 d lis 0.$05 at.TO EE uN ,...6 ul ? p � u" �� (p O W ,�//\ 5 LAND AREA 3- 25,462.IC6.e Ft. c +� / ' W �. W ccr Illt %%/`::, t4 to o _ • `°; X° Y;j y 1--� 9 LO� 17 '� 1 ° O ver°.�„ e De 3. / SSIW. C5 "'1 1 I, / LIMITS OF „Nvel"° IL. `\, EE O yq -41' ill W '� \ LIm I I CLEARING 'a•_' .111111. 1.11 z 10•6� �/ 09 (l\ O C� O" \‘!.11DI ' BL.surTv me_a„plwlITm n mwnmu � 0.5~ , V '(f/ Yom' O ,O'� 4 �% 9 1$ ,•in.za,wnwwLnn.ra/w:x,aB.anr luT.aSee�:F6a�.e� _ NG;wl4.11.312444412224.1220 a'+I _ _ ry 1 ^ e . p - cfri2 � boy La W �7 c1, CP 0ti ♦ 0 'r FINISHED GRADE LV F. N. , �p?y 1 I I ELEVATION 9.5 I 9 _ , V 1 AYFsifOULL\ 9 \\.4S * / W LDvwEv3p JJ��+"/ S„ `n .9 i till. \ r q '\ 'E WWEp ANp RLLFD 9' A E 3S. • ,pJ r 1 D - i PER Hw RITxI REMEn1s 'a N: QT STRAW BALE AND SILT FENCE 5 � 4° 1r ,w ' H ��^' qm o u _ Qi>' `� O 0..: W Px I L . gre `� Tfl I.SAL 4E5 3r : 38.1 - - YXISTING FLUSH • '� / \� z � � 9E# /, O 3 i P+ WALK WAY 4• .6y • Q /� W <LoW IB.$ 4\114IN 14 OO _ __ , `V4R yA- Ill �'1 q ['�\`' ZJ p ,SEC ' 1 ° / a p E^'61.4 .\, W �fp/�,E/� '�• EP Lp Q *EC 2 STY. FRAMED HOUSE 7911..1:11 lll'_ .,1 �� MD _ 4.1 w SILT STOP °i' / �"- `G „a Q Lv .inN FL OR: MIN, 11.0' ' '� 'A �" rn POST O LP v11111111 da �, p F 43FINISHED GRADE EL.9.9 1.0" I.I 140 alma " v,5r • m LIII BACKFILL ,i\\ j�0`Ip��OI�j� \o; CI LP 111111. 1• : w in L„ zo' 1^= t " Oh `C �' I \S.:: N N 01 CLEAN FILL' a:c, _ �5p 1' D 9 ''i S ' ;\�i %\: {•, / 400 CU YDS. _/ 34 P� . D O 91P - _ //47 Ow :y\ I �y 5\A 4/ . ; \'"J ;E �3[i 11C •w `\.i I. �"�p�� i. NUE '-� 'W N°.4 REpnn 'l0.00µ ■F • w O hI ®roc. KS WATERPROOF CONCRETE,] .- `n DECK .•�`r3-€11,0 fr 14 0 .-. NATNE ,`, n\, ' RETAINING WALL PER 5CHC1$ s,, l r " � 'eL4,9'". ZO:' 'a Up <S 9 SOIL v`, .V'i 'W No.4 RElAR 9-.M1. O x .F�8:3',._. .,_ I .x' .1,.�0.::L`e`I C0.-n V / C '4' mx'oc HNISHEDGRADE EL4s'.s3 „�. OO,` _. �L .. t" �;' qq O RECOMMENDED 1.4-021591itringter` ` _ ['.II_'Jr: �� p ':. ti3 C7 p MEMBRANE WATERPROOFING Fi + �� SEPTIC: - _`_ D R x'11 IE 1Y ` ^2 !'� cn dU TOE-IN SEPTIC SYSTEM SIDE 1 400,�,40,�,••e - - : , : 'e:' ° `\ E O FT+V '; o;y'_s I. PRE-ASSEMBLED SILT FENCE ST: 4'XB' ,DDOgaI. SEPTIC TANK D W D W`w I REBUILD a%I TNG, .,?' a•'°:''\ (]4� l,' m W W .I•RETAINING W LL 2 F+ LP: 8'dia, X 3'deep LEACHING POOL 4,. V r�'t : „'' P }� A,. - N of°00'0011 E p " �z�! ° e `xY75.4,L6.`- *,:EXISTING 1 •NE § D41-------_. B 12.00 I'� I i DP: 8'dia. X 3'deep DISTRIBUTION POOL , '+'' 'a ". i•.`n' DRIVEWA ,' O.._' 1A"' /.' c= L-1 "�7 '. FINISHED GRADE EL 93' 2 �/nx; �.' .� , p, 1, pS ly Z �y HOUSE v; If^ a .. "'.'�. REMAIN ; . 411,s„.40. 1 N315;- di O al �y r € I I f" I I EP: EXPANSION POOL 40 •'" ;;'• . `� CV{ n �- _,NLeo '^ Ham' z - APPROVEDPIPE INVEL: 135' BOOB OOOC Na 3RElARQR"OC ° "� '� IV L:E O s MIN PITCH: e 0' INV EL.nPapaveD PPE 1-141 EL e .ff NOri�yD..PF s 'g:ti illi W �1,( 1/T/1'.0' ]S' MIN PITCH ]3' e e o e e 'aey. [SI 1000-IIi-0l-LT ,n - /q/Ip LEA<HPIG PLOL LEACHINLPDOL � � { NI- r i SEPTIC TMIk DISi0.111bOUSObL _ INf3EL p' � ' 6 1• y36 ''',.•'..,',.2. ]+ PA' ofs PbaL SYSICM.� I IT q„ n' 1 ti LOT 19 l r 2 11 WI A 1. 1 _� 114 LD a-r snrvD counR f �e< v ^ k 70 •� - __ „ 111/ _ i ' A° O 4 N P - 'L'J GROUND WATER rJNC ee ^ � ,°� nl 65 AD O O � - EL 1,3 Na.3 REBAR®IC'O,C I O f c�1T ry /r// lw'3Po H a '.„'."..',',?:t 81 a� 0 W D S , PROPOSED SEPTIC SYSTEM DETAIL °;,.° R' '' PROPOSED[DNC. RETAINING WAU DFTAII s " i',..,'; ". I !7 I I f (yGT T4SGA4E) .�.�� A .-,al.- a � m a :`.//(� e�tt .�','/� r `r el 0 a/ o SITE PREPERATION. J :',.• x DEC uLef. AREA: AREA P'VAL,°, ` B"k, ;t DO DECRIPTION. AREA: wunu°wu TOTAL TOTAL A ((( .L I).EXCAVATION MUST NOT BEGIN UNTIL THE LOCATIONS OF UNDERGROUND WIRES, SCRAM 0.0.W. SC11-1-35 *m^ °° buam IIA1Ma ESTIMATED EMFILL. U�i, $ // ,� W a'f� `� ^OO' O Q Q TOTAL AREA: 1Po0411-141-36 1Po0-11L b /' < CABLES AND PIPES HAVE BEEN MARRED OR UNTIL VERIFICATION FROM UTILITY n o+:Baa Pe'%u°u,nn:a, EXCAVATION: FILL. COMPANIES hIAT THE AREA IS CLEAR �p• 1lryryygyy PROPEpry 43,]M895C- FF. $.46].1450.FT 8,739.7(.200A,Fi, 1/.503.05 SQ,IT, P 1 V2 Q" wv��� • , 4?bzQ,3 Po 2).CONTRACTOR AND EXCAVATOR SHALL INSPECT PROPERTY FOR EXISTING UTILITIES (1.°49 AC.) (,515 AC] (.200 AC) 10 x64 AC) " pW w BEFORE EXCAVATION BEGINS.ANY DIGGING WYTHIN 24 ICHES OF VERITY MUST '4 ,:i: ) \ BE DONE EY HAND WETLANDS. 6.35]]4 SQ.FT. d.W9A}5Q FT, 494.4 SQ.FT. 578.552E24.9 SQ.FT, TA 4 {w py ti iDr © �y �. 3).arm A)-CUTHE SITE AT LEAST 20.25 FEET(IF APPLICABLE)FROM THE FOUNDATION. BUILDABLE AREA AND DEC. 39347.13 Q.FT 2x,423.750 FT. 12453 SQ FT, 857935 SQ.FT. Q m ,_, A A).CUT UP TREES(VERIFY WITH OWNER)AND HAUL THEM AWAY. (VSEO POR CALCULATIONS] (0.903 ACRES) (0,515 ACRES) 10.115 ACJ 10,191 AC) C14, N B) CHIPERUSI I. G ^ P. TEST HOLE DATA Q REMOVE STUMPS AND HAUL DIEM AWAY qry `oo rym D, 4).RETAIN AS MUM TOP SOIL AS POSSIBLE TO PRESERVETHE ENNROMENTAL r "4 32' AI/ �'j LA e :.'.:, oo ly QUALITY OF THE PROJECT SITE EXISTING HOUSE TO REMOVEB6B95Q FT �p6B95Q FT. j "', �' FEST HOLE DUG BY McDONALD GEOSCIENCE ON MARCH 22,2006) 205Iei..'a. n pp OD v 5).WHEN THE TOP SOIL If PRESERVED,TILL THE SOIL FIRST,AND THEN REMOVE EXISTING DECKS,PATIOS TO REMOVE -1029.650.FT. 1029.6 SQ.FT ;•'p: ° F O [11 SITE PLANMI EL 9.5' TO A SAFE LOCATION WITH A FRONT END LOADER n5 el ...4 ••A 0' EXISTING BRICK PAEO TO REMOVE: 333.5 SQ.FT, .92 B SQ FT. -2407 SQ,FT, 30 • 6) FOUNDATION E%CAVAEONS SHOULD IE AS LEVEL AS POSSIBLE SET ELEVATION 'T',1:".4 BENCH MAR%PRIORTO EXCAVATION. EXISTING STEPS TO REMOVE: .9B,x 5Q.FT. �94.]SO.FT. -0O SQ.FT, SCALE. 1" - GOI-OE '•''• II• �n- ]] OVER DIG FOUNDATION HOLES TO GIVE PLENTY Of ROOM FOR A WELL- / f%ISRNL RETAINING WALL REMOVE .13, f .: a) ES'•�.I A),LU DRAINING BACK PROVIDE ROOM FORA DIG QfT .13.0 fQ.FT. - • L••'.:4. ., PALE BROWN FINE TO MEDIUM SAND SP A),IF THE DEPTH OF EXCAVATION IS 6 FEET OR LESS OVER DIG BY 3.4 FEET. W 5.‘91.J.1" A . B) IF THE EXCAVATION IS DEEPER THAN]FEET.THE SIDES MUST BE SLOPED ,,._.q�T., .• OUTWARDS ATAM1E DECREE ANGLE ABOVE 4FEET O0.INSTALL SHORING EXISTING ACCESSORY BUILDING TO REMAIN: 204.5 S0.FT. 0. 0) HILLSIDE EXCAVATION EXCAVATE THE HILL HACK TO AN ANGLE OF REPOSE•THE 2°AS SQ,FT2.35v° rillissiel."1---Nr7 ILILIL4JJJ4+,,,: ' "' 33' ANGLEATWHICH ITHE NS) IS STABLE V53UALLY IACXTOASLOPE OF 21 EXISTING DECK TO REMAIN. 200,]50.FT. 200,]fQ,FT. - p,31q. v O (VERIFY SOIL CONDITIONS) - oAr '� WATER IN PALFBROWN FlNETO MEDIUM SAND SP RAN VNSHORED VE0.TICLFCIITSHOULO NOi F%LEEDS FEEFON ASIOPfD SITE. FXWINGB0.1Ck PUTFORMSfiAFRpN TO REMAIN: 64A SQ.FT 26.25Q FT. 39.6 fO FT p,3]M 044°h9).PROTECT GRASS,TREES ANp OTHER PLANTS WHENEVER POSSIBLE. AK � ciT4 t`,2 EXISTING SHED TO REMAIN 64859 FT 6415q.FT 0]H* O4 wOt- N Ipl DO NOT CLEAR OR EXCAVATE LARGE EEDEDAREAS ID ORADVANCE OF CONSTRUCTION; DISTURB VEGETATION ONLY AS NEEDED,THEN RESEED OR REMNT AS SOON AS EXISTING BRICK WALK TO REMAIN: 50.]50 FT B3 SQ.FT. 422 SQ.FT. 004%1051%I' O N PRACTICAL - /A� �� <L-' � q II)- LIMIT EQUIPMENT TRAFFIC IN AND OUT OF THE IDB SITE-DO NOT DRIVE OVER EXISTING WOOD WAD(TO REMAIN. 109,3 SQ.FT 46.1 SQ FT 627 SQ FT. - 055* 072°A ['�A.��C�.y,R' UNCLEARED AREAS PROTECT AROUND AREAS WITH SNOW FENCING OR OTHER EXISTING STEPS TO REMAIN 5115Q.FT, 1005 tv`� 2 __)� v TOTIJRf PLACESTEM.IF AROUNDTHEp0.1RU CANE OF NTBE5 TO PREVENTINJURYQ,FT aLISQ,FT. O,m% ' 0.47% LS y. S .3J S TO THE ROOT SYSTEM.IF A PERMANENT DRIVE NOT BE INSTALLED BEFORE �\ .(L' (W.,1'-‘ FWnI WATER IN PALE BROWN FINE TO COARSE SAND SW CONSTRUCTION BEGINS,ATEMFOA0.Y GRAVEL DRIVEWAY SHOULD BE INSTALLED EXISTING RETAINING WALLS.FENCING,EDGING TO REMAIN. pp,p SQ.FT. IO6.p SQ.FT. 64.0 SQ.FT • D.N%10]1% WHERE VEHICLES ENTEII THE JOB SITE1 ��M(, i mll,l LI U NCITE 16509sQ FT. 165°.OSQ.FT - \\�� Li, MAY 1 7 2012 ) 0 i G.C.TO ADD ADDITIONAL GRADE ON PROPOSED HOUSE ]35%I-I- 610 OPPOSITE SIDEOPRETAININGWALL �T ATSMSLOPf AWAY FROM RETAINING PROPOSED DECK/PORCH: 1P]BfO FT 15]x.BSQ.R. ].OIW - x . WALL ON PROPERTY. SP;,IhhrT lawn I PROPOSED NEW STEPS: 193150 FT 1594fQR °]I* I HSaHlt(TP P']P6$ 1 ESTIMATED EXCAVATION'250 CU YDS " (PROPOSED HOUSE) PROPOSED NEW RE RING WALLS 142,0 SQ FT. 192.0 SQ FT.- 0.63*1.1 61 ESTIMATED Hu 1314 cu YDS. *LOT COVERAGE DETERMINED - 5.5.-- 5.5.5.5. . '11 (EXISTING HOUSE) FROM WETLANDS(FLAGGED) CIA IB' - 1. REQUIRED DRYWELLS EXISTING SANITARY SYSTEM TO REMOVE 150 150 YO' APPROVED TRUSTEESBY :"N - , ROOF AREA:1ti6.pSQ.Fr. �C BOARD OF .W0%WATER RUNOFF:326.]CU. T. TOWN OF SOUTHOLD PROVIDE: PROPOSED SANITARY SYSTEM: 300 500 A ,rO S (4)B'DIA xz•DEEP ORYWELIS ALL SEfIACKSSHnu BE VERIFIED DRAWN- SEE PL CAPACITY EACH.NSCU.FT. IN FIELD WITH SURVEYOR PRIOR TO O �� TOTAL CAPACITY::]36N FT EXCAVATION AND CONSTRUCTION ��1� 21 ,1O�-i SCALE; PLAN NEW GRADE(TO LEVEL GRAZE AT EAST SIDE OP HOUSE) / 6 HAYBALES WITH SILT SCREENING TO BE 1400 INSTALLED PRIOR TO CONSTRUCTION AS PERVIOUS DRIVEWAY 2900 SQ FT JOH f{; INDICATED ERROSION CONTROL SHALL ,y 1f MAINTAINED DURING DURATION TOTALSQ/ May 17,2012 OF CONSTRUCTION UNTIL PROJECT IS (INCLUDING DRIVEWAY] 7,373,8B]µ FT. P COMPLETED(PERMIT CLOSED auE ( SHEET NUMBER. TOTALS: 4,473 B SQ.Fr - (NOTINCLUDININGppNEWAY) (13,996) 15549L12,39µ15,5]% B22 2997 ,