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HomeMy WebLinkAboutTR-7894John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 CERTIFICATE OF COMPLIANCE Telephone (631) 765-1892 Fax (631) 765-6641 # 1077C Date: December 5, 2014 THIS CERTIFIES that the removal of roof and first floor walls down to first floor deck;.framing of new first floor walls and first floor addition; addition of second floor; removal and replacement of existingbrick rick patios; new two -car garage; 20' wide non -turf buffer from 10' contour line seaward; gutters to leaders to drywells; installation of armor approx. =L110'long by 6' wide of slope using 100-5001b. boulders on top of filter fabric At 1800 Broadwaters Road, Cutchogue, New York Suffolk County Tax Map # 104-9-10 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 1, 2012 pursuant to which Trustees Wetland Permit 07894 Dated August 22, 2012, was issued and Amended on October 16, 2013 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 removal of roof and first floor walls down to first floor deck: framing of new first floor walls and first floor addition; addition of second floor; removal and replacement of existing brick Ratios; new two -car garage; 20' wide non -turf buffer from 10' contour line seaward; gutters to leaders to drvwells. installation of armor approx. f 110'lona by 6' wide of slope using 100-5001b. boulders on top of filter fabric. The certificate is issued to ANTHONY & ANN MARIE MOSCHITTA owners of the aforesaid property. drA— *Vlk &J~7*P X�- Authorized Signature CC #: C14-50070 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK 1, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 12/15/2014 under Liber D00012800 and Page 115 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 12/15/2014 DEC 7 6 2014 SUFFOLK COUNTY CLERK JUDITH A. PASCALE SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 12/15/2014 Number of Pages: 5 At: 01:32:00 PM Receipt Number : 14-0164566 LIBER: D00012800 PAGE: 115 District: Section: Block: Lot: 1000 104.00 09.00 010.000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP -584 $0.00 NO Notation $0.00 NO Cert.Copies $5.20 NO RPT $60.00 NO Fees Paid $130.20 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 1112 Number of page RECORDED � 2014 Dec 15 01:32.00 PM JUDITH W. PASCALE This document will 'be public SUFFOLK OF , p � Slii" FULl�; GiJ�Jt�ITS record. Please remove all L Dobol: 800 Social Security Numbers P 115 prior to recording. Deed /Mortgage Instrument 3 Page/ Filing'Fee Handling TP -584 Notation .20. 00 EA -521,7 (County) 2849233 Real Property. EA -5217 (State) Tax Service R.P.T.S.A. Agency Comm, of Ed: 5. 00 Affidavit Crtifed Copy ` NYS Surcharge 15. 00 Other 4 J.Pist. 2849233 Real Property. P T S Tax Service R LWI A Agency 15 -DEC -14 Verification ri Deed / Mortgage Tax Stamp Recording,/ Filing Stamps FEES Sub Total 5 Sub Total � , ao Grand Total 1110 ,000 .o,oa oseo 010000 II�I�'llNlll�ll��n RECORD & RETURN TO: ez,856 Ll VC-0 L4 - Mail to: Judith A. Pascale, Suffolk County Clerk 310 Center 'Drive, Riverhead, NY .11 goi www-suffOlkcOuntYnY.gov/cl6rk 81 Su 7 Co. Name T,tl._._. 1k County Recordin �c Endors g ement Page 1. Basic Tax 2.Additional Tax Sub Total' ' Spec./Assit. or Spec, /Adds. TOT. MTG. TAX Dual Town Dual County Held for Appointment Transfer Tax Mansion Tax The property covered by this mortgage is or will be improved by a one or two family dwelling only. YES - or NO If NO, see appropriate tax clause on page 0 of this instrument. 5 Community Preservation Fund Consideration Amount $ CPF Tac Due $ Improved. Vacant Land TD TD TD Title Company Information This page forms part of the attached by: , r (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY, NEW YORK c.� 0 � In the TOWN of U,--���L (6U�J V1 C1 � � Ul � lily In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. made DECLARATION OF COVENANTS' THIS. DECLARATION made this I' day of December, 2014,' by Ann Marie Moschitta, residing at 138 Colonial Parkway, Manhasset, New York 11030, hereinafter referred to as "DECLARANT(S)II: W I'T N E S S E T H k: WHEREAS DECLARANT S ( ) is/are the owners 1`00 .Broadwaters Road "� Of certain real property located on Cutchogue, Town of Southold, County of Suffolk, State I + �ysf Neiat York described in the Suffolk Count y Tax Map as District. 1000, Section '1040,'Bloc:k 09.00, Lot 010..000 which is more particularly bounded and described as .set forth in Schedule "A " annexed hereto, hereinafter ref Property; erred to as the WHEREAS, the Property is situated on lands within the jurisdi Board of Trustees of the 'Town of Southold (hereinafter the "Trusteection of the to Chapter 275 ,of the Town Code of the Town Of outhold s ) Pursuant carious activities conducted upon the ro or its successor, and P perty may thus be subject �g�ulatid. to the W a on ;ana J �ppr.oval ',of the Trustees prior to being conducted; rheS DECLARANT (,) therefore made application to the Trustees for a o ie dands Law of the Town of Southold to e ) xt undertake certain '1�1 fl�i �'' � 1, f 7 j {^+" } �'.F rim,.'s .i . �', I�p, : k T . t A ' } • F t �� VE'REAS, as ` a, 'condition of the .granting of a Wetlands{ Permit to undert 'regulated activities the Take Trustees required that the owner's .main.tai.n a 20 foot wicreate and de "non -turf buffer" fro of Haywater's Cove as depicted on the survey. m the; 10 foot contour dine seXard ' y. prepared . b dated Jul 31 ' Y John C. Ehlers, last Y 2012 and stamped a pproved by the Board of Trustees of the Town' of Southold on December 28, 2012; i I I . NOW, THEREFORE, the DECLARANTS) do/does hereby covenant and agree as follows: 1) Uponthe substantial completion of the aforementioned permitted: activities there shall, be established and subsequently maintained in perpetuity a 20 foot wide "non -turf buffer" from the 10 foot contour line seaward of Haywater's Cove and as defined by Chapter 275 of the :gpTow(n; Code of the Town of Southold; and as depicted on the survey dated �Ju`ly p31,, ,:,2012 and st�amped'� approved by the Board of Trustees of the Town F of'Southold dated December 28, 2012; and in accordance with the Terms and Conditions of the Board of Trustees of the Town of Southold as set forth in Permit No. 7894 dated August 22, 2012. 2) These covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner (s) ';.day of r 2014. ;4g _ has/have duly executed this instrument this f TTA r� \ M STATE OF L' ss: COUNTY OF IV A< -COO On the day of in the year 20r before me the undersigned, a Notary Public in and for said State, personally appeared personally known to me or proved to me on the basis of 2 i satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in tiffs/her/their capacity, and that. by his/her/their signature(s) on the instrument, hef indi:vidual' or the persons on behalf of wh' e dividal (s) cted, executed ,1he�instrument . ' No y 1i fs TIMOTHY P. HIGGINS State of New Y 369073 Passau County iresiJuly 9, 2 �� " lq- f Title No: GSA -S-3387 4K ,�a r Schedule A Deset•ip'tion , Ming 44 s� * AI,l. that certain plot, piece or parcel of land situate, with [he buildings and improvements thereon erected, situate 1 and' �R `� being in Town of Southold, County of Suffolk, State of New York, known and designated as Lot 261 on .a certain map ' cntttled,Airiended Ma of Nassau P6int, Section A" and filed iri the Office of 1he:Clerk of the County of Suffolk on August 16; 1992 as ��p 7Jo. 156 and moil particularly bounded and described as -follows: *t'> ._ '• norlheasreriy.side of BEGINNING at a point on the northwesterly side of Broadwaters Road where same -is intersected -by the t Lot 262 on said map; and from said point of beginning: RUNN11dG THENCE along the northeasterly side of said Lot 262 north 46 degrees A8'nunUtes. 50 seconds west, 364;53 Net tozlhe apparent high water mark of Haywater's Cove as of August 1999. THENCE along a tib line: along said high water inark:north ] I deg 16 minutes 02 seconds east, 114.23 feet: to Lot 260,on t ., satd: map, THENCE along the southwesterly side of Lot 260 on.said map south 45 degrees 36'minutes 00 seconds east 462.OD feet to the northwesterly side of BToadWaters Road; THENCE ziloog the northwesterly side of Broadwaters. Road southerly along an irregular curve on a tic line.course bearing` i v, %e,` k rletnees 10 minutes west 94:9 feet to the point or place of BEGINNING. I Landsearch Ab t Avenue�C 65 Manhasse. Manhasset -NY '1'.1034 6), 3.65-4635 - (516) 36,5-397 fax 11 MARTIN D. FINNEGAN TOWN ATTORNEY martin.finnegan @town. Southold. ny.us STEPHEN F. KIELY' ASSISTANT TOWN ATTORNEY stephen.kiely@town.southold.ny.us LORI M. HULSE ASSISTANT TOWN ATTORNEY lori.hulse@town.southol'd.ny.us SCOTT A. RUSSELL - Supervisor Town Hall Annex, 54375 Route 25 P.O. Box 1179 Southold, New York 11971-0959 OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD Telephone (631) 765-1939 Facsimile (631) 765-6639 December 4, 2014 RE: Anthony and Ann Marie Moschitta, Wetlands Permit No. 7894 Dear Applicant, I have reviewed the Declaration of Covenants draft you submitted to this office with respect to the above referenced application concerning the twenty foot wide non -turf buffer area located from the ten foot contour line seaward, to be established and subsequently maintained with native vegetation as depicted on the survey prepared by John C. Ehlers, last dated July 31, 2012 and stamped approved December 28, 2012.. The covenants and restrictions document must be executed and filed with the County pursuant to §275-10(K) of the Southold Town Code. Please note that a copy of this document or, in the alternative, a sworn statement attesting to the filing is to be presented to the Office of the Board of Trustees within 90 days of issuance of the permit. Regards, f fi DEC - 4 2014 i Lori M. Huls Assistant Town Attorney Cc: , Board of Trustees V_ Krauza, Lynne Frons: Krauza, Lynne Sent: Thursday, December 04, 2014 1:53 PM To: 'Thriceblessed' Subject: RE: Emailing: Moschitta 20141204133513 Welcome! -----Original Message ----- From: Thriceblessed[mailto:thriceblessed@optonline.net] Sent: Thursday, December 04, 20141:52 PM To: Krauza, Lynne Subject: Re: Emailing: Moschitta_20141204133513 Thank you very much!! Sent from my iPhone c- l.7 i i DEC - 4 2014 i > On Dec 4, 2014, at 1:50 PM, "Krauza, Lynne" <Ivnne.krauza@town.southold.nv.us> wrote: > Attached please find a letter in connection with the Wetlands Permit for Anthony and Ann Marie Moschitta that Lori Hulse asked me to send to you. Please let me know if I can be of further assistance. Thank you. > Lynne Krauza > Secretaryto the Town Attorney > Town of Southold > (631) 765-1939 > Your message is ready to be sent with the following file or link attachments: > Moschitta 20141204133513 > Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. > <Mosch!tta_20141204133513.pdf> 1 John M. Bredemeyer 111, President�OgUFFD(,-019 Town Hall, 53095 Main Rd. Michael J. Domino, Vice -President ,�� �Gy P.O. Box 1179 James F. King ti Southold, NY t 1971 Dave Bergen Telephone (63 1) 765-1892 Charles J. Sanders l ,�c �Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE F INSPECTION: ( 12- Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre -construction, hay bale line/silt boom/silt curtain 1 st day of construction '/2 constructed Project complete, compliance inspection. INSPECTED BY: COMM.E'NTS: n CERTIFICATE OF COMPLIANCE: d 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino October 16, 2013 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Charles Thomas, Architect 206 Lincoln Street Riverhead, NY 11901 RE: ANTHONY & ANN MARIE MOSCHITTA 1800 BROADWATERS ROAD, CUTCHOGUE SCTM# 104-9-10 Dear Mr. Thomas: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 16, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit #7894 to install armor approximately +/-110' long by 6' wide of slope by installing 100-5001b. boulders on top of filter fabric; and as depicted on the revised site plan prepared by J.M.O. Environmental Consulting Services, received on October 3, 2013 and stamped approved on October 16, 2013. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincere , James F. King President, Board of Trustees JFK:amn 0 0 Cantrell, Elizabeth From: David Bergen Sent: Thursday, October 10, 2013 11:49 AM To: Cantrell, Elizabeth Cc: Bob Ghosio; Bredemeyer, John, Michael Domino Subject: FW: Moschitta Attachments: Moschitta_20131010082635.pdf This plan matches what I saw out in the field when I met with Glen and the architect. I feel that it can be done as an amendment to his permit. As it was submitted on 10/1 I would like to see it on the agenda for the October meeting. The majority of the work is NJ as only the patio was in our jurisdiction. So the rock retaining wall along the front of the patio and that section going along the southern property line back about 20 feet or so is within our jurisdiction. I discussed with Jim today and he is going to swing by and look at it Dave From: Cantrell, Elizabeth[mailto:elizabethcCcatown.southold.ny.us] Sent: Thursday, October 10, 2013 9:31 AM To: David Bergen Subject: Moschitta As requested. Clerk Typist Town of Southold Board of Testees 631-765-1892 I VA v M -a o0 - Applicant: Anthony & Ann Marie Moschitta Location: 1800 Broadwaters Road, Cutchogue Q Z 0 v M iv Purpose: Slope armor _ y O O< Datum: Apparent Low Water v O S.C.T.M.No. 1000-104-9-10 — w vM CA pip P'wo! Op` �� r ar� Q s` < D M rp 5F0 V) 1� I a O Gyj� 0 c� APPLICANT PROPOSES TO ARMOR APPROXIMATELY 1 f0"�e — OF SLOPE BY INSTALLING 100-500 LB BOULDERS ON T N I OF FILTER FABRIC. n D r - m N T. S. Applicant: Anthony & Ann Marie Moschitta Location: 1800 Broadwaters Road, Cutchogue Purpose: Slope armor Datum: Apparent Low Water S.C.T.M.No. 1000-104-9-10 FILTER CLOTH APPLICANT PROPOSES TO ARMOR APPROXIMATELY 1 0' OF SLOPE BY INSTALLING 100-500 LB BOULDERS ON TOP OF FILTER FABRIC. SHEET 2 OF 2 Jill M. Doherty, President James F. King, Vice -President Dave Bergen Bob Ghosio, Jr. John Bredemeyer DATE OF INSPECTION: Ch. 275 6 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ch. 111 INSPECTION SCHEDULE rJ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 —ZPre-construction, hay bale line/silt boom/silt curtain 1st day of construction % constructed Project complete, compliance inspection. INSPECTED BY: �/ o- �% /cye�- COMMENTS: Telephone (631) 765-1892 Fax(631)765-6641 Q 1< '-e S S // Z/Z&— 71� CERTIFICATE OF COMPLIANCE: Cantrell Elizabeth From: Richter, Jamie Sent: Thursday, March 07, 2013 10:34 AM To: Cantrell, Elizabeth Cc: Collins, Michael Subject: RE: Phone conversation today Elizabeth: Just to let you know, the type of silt fencing that was proposed by Mr. Barauskas is the standard we are required to approve. Most contractors do not provide the wire fence backing that is required. However, if they maintain the fencing in an upright condition we have not pressed the issue. If you look at the details that I gave to the Board some time ago you will see that it is the same as what he is questioning. I will call Mr. Barauskas to review this matter with him directly. Please let me know if you or the Board has any additional question related to this matter. Jamie James A. Richter Office of the Engineer Town of Southold, New York iamie.richter antown.southold.nv.us Office: 631-765-1560 Cell: 631-926-9430 CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. From: Cantrell, Elizabeth Sent: Wednesday, March 06, 2013 4:06 PM To: Collins, Michael Subject: Phone conversation today Hi Michael, The gentleman I called you about is Mark Barauskas from Eco Barrier. His cell # is 631-804-8044. 1 have sent you via inter -office mail a packet of the information about this type of run-off control fencing. This is also in regards to a property that has permits through this office. If this type of fencing is permissible, could you please let me know so that I can bring it to the attention of the Board of Trustees. Mr. Barauskas is eager to install the fencing so that construction can begin. Thank you. 1O'x- -1a MosU, �4, THE ECO GROUP COMBINING SERVICES TO PROMOTE BOTH LAND AND WATER ECOSYSTEMS COMPANY: ECOBARRIER CATEGORY: INQUIRY DATE: 3/7/13 SITE: 1800 BROADWATERS ROAD NASSAU POINT, NY COMMENTS: PLEASE REVIEW THE PROVIDED INFORMATION, SUCH THAT YOU MAKE A DETERMINATION WHETHER OR NOT IT WOULD BE PERMISSIBLE BY YOUR ENTITY THAT MY COMPANY MAY INSTALL HAND TRENCHED (6" DEEP) AND BACK FILLED, PRE -FABRICATED, 14.0 GUAGE WIRE BACKED SILT FENCING IN LIEU OF THE STANDARD SILT FENCING AND STAKED STRAW BALE FOR PURPOSES OF SEDIMENT CONTROL. THE BENEFIT OF USING THIS NEW, NYSDEC APPROVED TECHNOLOGY EXISTS PRIMARILY IN THE FORM OF THE FACT THAT STRAW BALES NEED NOT BE USED. AS YOU KNOW, STRAW BALES ARE COMMONLY STORED IN VERY OLD BARNS IN WHICH OTHER ORGANIC MATERIAL IS STORED. THESE BARNS ARE OFTEN RIDDLED WITH MOLD AND FUNGUS SPORES WHICH GET INTO THE BALES. WHEN THE BALES ARE TRANSFERRED TO JOB SITES, THOSE SPORES ENTER THE SOIL AND THE WETLANDS AREAS. THIS CREATES AND ENVIRONMENT FOR THE SPORES TO GROW AND PROSPER, CHANGING THE ECOLOGY/SOIL BIO -CHEMISTRY ADVERSELY. 0 0 ALSO, PEOPLE USSUALLY DON'T PAY TO HAVE THEIR STRAW REPLACED AS IT BIO -DEGRADES. THIS PRODUCT WILL LAST THE LIFE OF THE CONSTRUCTION PROJECT, ELIMINATING THE CHANCE THAT FOLKS WILL LET THE QUALITY OF THE SEDIMENT CONTROL SLIDE. I FORMALLY REQUEST THAT MY COMPANY BE ABLE TO USE THIS ALTERNATIVE TECHNOLOGY AS THE SEDIMENT CONTROL FENCING, AT #1800 BROADWATER ROAD, NASSAU POINT. NY. IF YOU HAVE ANY QUESTIONS REGARDING THIS MATTER, PLEASE CALL ME ON MY CELL AT 6312-804-8044. 1 LOOK FORWARD TO YOUR RESPONSE AND WOULD LIKE TO INSTALL THE SEDIMENT CONTROL SYSTEM AT THIS SITUATE EARLY NEXT WEEK. RESPECTFULLY, � t MARK T. BARAUSKAS OWNER AT ECOBARRIER, LLC WWW.THEECOGROUP.O RG. OFFICE / FAX: 631 208 9588 CELLULAR: 631 804 8044 P.O. BOX 1938, RIVERHEAD, NEW YORK 11901 9 New York State Department of Environmental Division of Water, Region One Stony Brook University 50 Circle Road, Stony Brook, New York 11790-34" Phone: (631) 444-0405 • Fax: (631) 444-0424 Website: www.dee.ny.aov October 3, 2012 It ECOBARRIER P.O. Box 1938 Riverhead, NY 11901 To whom it may concern, 0 Conservation y >a Ma:tms It has recently come to the Department's attention that confusion exists regarding Erosion and Sediment Controls required at sites subject to the SPDES General Permit for Stormwater Discharges from Construction Activity ("the Permit"). The question was raised seeking clarification as to which Controls constitute "Stade Standards", specifically in relation to silt fence and/or bay bale use as control practices. Attached aro the design specification pages for both silt fence and bay balm as contained in the New York Stade Standards and Specifications for Erosion and Sediment Control, commonly referred to as `The Blue Book". It is necessary for ownetWoperstors subject to the Permit to design Erosion and Sediment Controls plans in accordance with the'State Standards, so as to adequately protect surface water from sediment laden storrawater impacts. It is et the discretion of the site plan designer and the reviewing agency to dewrame if the practices selected from. the Standards meet this objective. Further, it is important to note that Municipal Separate Storm Sewer System operators (or MS4'9) have been assigned the lead reviewing agency for Erosion and Sediment Control plans associatcd withprol_eots within their,jhgisdictitons which are_suh1ectto_the Permit. In these areas, the MS4 requirements maybe more stringent then the State regcureaients ed amisaabove. _-- Please feel free to wulact me at shdormanQ2w.dec.statcnyus or 631-444-0425 for additional information/clarification. S ly, T Sam i -L Environgram Specialist ECOBARRIER UWFNST/INYG ENVIRONMENTAL SOLUTIONS W W W.ECOBARRI ER. NET OQi+SA1U 03140441044 nxc 031.2041.9588 RIVERNEAD,NEW YORK 11901 F%wm SA47 St mW Bale Dike - SYMB� FLOW 40 VERTICAL FACE r . To SP.ALE "s MMV*K AREA' HM NE#E 7HM1 1/4 ACRE PEii 108 FEET UF STRAW: BALE BDKE Fat KGPES LESS THWH 2ft ANGLE FIW I STAN TOWARDS PREVERM.Y LAM BALE FLOW 8 RE-amm gym PICTS M 80X1' STAIM PLACED 1 Mr TD r 1N alu m. TOP DAM ELM ALE. VITH N SCALE COtJSTRUCTION SPECIFICATIONS L BALES MILL. 1E RAM AT THE TOE W A =ME M W IME COW= AND DO A- RS WITH Elm'! T16 MY Whirr G THE ADJA:E?fR BALES. a EACH BALE MULL E EMMED DH THE WIL A MMM OF (4) DOSES, AND PLACED 30 THE 390OiS ARE /HWA Mffft- 3 BALES =mLL E smmmY Acwm IN PLACE v E mat nm STAKES OR DEE DRIVEN WMARDD THE PF&VVDMVEN MUM THE w Y LLAAW amx mu A AN Mm16LE FmECE Im SALES. TDBET M STAKES SHALL EDRIVEN-FUM VITH THE DA.E. 4. DK�CfDl1 SNA1 E MQ ENT• AND REPAM REPLACQOIT SHWA. SE NAE PRDKTLY AS I ES. S. WLM =W.L. E RD m vim THEY HNVE SERVER THEIR usau 1JESS Sfl AS mu TO Km m max mm FLOW an DRI umL r10L STRAW BALE DIKE New Yad[ 3tiedrds od 8peoi5ntiaos Fele SA -18 ANDW 2003 FarBtodm and 8edkmwconud r - . SM Fence ` • '' - SM Fence s WOVEN .WIRE FENCE SYMBOL (NK 14 GAUGE V/ MAX 6' NESH MAX. C. TO C. SPACING) FAM LLMM 11En4 POTS DRIVEN MIM. 16' Dim GROUND. HEIGHT OF FILTER 16, SON. 96' MIN, FENCE POST WOVEN VIBE FENCE QIOL 14 1R GAME V/- NAX 6' MESH SPACING) WITH FILTER PATH Boom 1 - lAND1STtAtED GRQAND EEMlPACTED SOH. EMBED FILTER CLOTH ��- A NK FF 6• IN GRO1HlQ VIEW CONSTRUCTION SPECIFICATIONS L WOVEN WIRE FENCE TO BE FATTENED SECURELY :Tll FENCE POSTS WITH WHRE TIES OR STAPLES• POSTS SHALL DE STEEL EITHER 'T' OR 'U' TYPE Ot HARM Z FILTER CLOTH TD BE TO BE FASTENED SN7CU WLX TO WOVEN WINE FENCE WITH TIES _ SPACED EVERY IW AT TIP AND MID SECTIOL `F$!CE SHALL BE WOVEM WISE, 6' MAXODAN MESH OPENING, 3 WHEN TWO SEICTIM OF FILTER PATH A&M EACH OTHER THEY SMALL BE OVER- LMPED BY SM INCHES MND etas FILTER CLOTH SHMJ. BE EMMFILTER X, MIRAFI UKSTAE.IKA T14AN, OR''M'PiB1VE1H EIAAIVALENT. 4, PREFABRICATED UNITS SHALL BE GEOFAB, EJIVIROFEKL OR APPRQVED ERUIVAIMM S MAINTENANCE SHALL BE PEiFOMED } As NEEDED AND MATEiBAL REMOVED WHEN 'BULGEr DEVELOP IN THE SILT FENCE, ADAPTED FIM ETMLS PfM nKD IM UDDA — NACS, �y � �� �A�� ¢ m. commAnx SILT FENCE NEW VOW STATE SOA. to VATER COIF MTM ComoTEE AaPort2005 Pw5A21 _ Naw3CodcS�adsad9peoi8aAioos Far Daoaim aad Sad®mt Cmha 0/18/12 New Yolk Standards and Spec�ri9 for Erosion and Sediment Controls (August, 200W Dept... 8 Printer -friendly II AZ Subjfct Index II q, Enter search words I1 Home s Chemical and Pollution Cons Water s Stormwater s Construction Stormwater Toolbox s New Yak Standards and ificaUons for Erasion and Sediment Controls (August, 2005) Outdoor Activities Animals, Plants, Aquatic Life New York Standards and Chemical and Pollution Specifications for Erosion and Control Sediment Controls (August, Viater Stormwater 2005) Construction Stomnwater. Toolbox The New York State Department of Environmental Conservation New York Standards and Specifications for Erosion and Sediment Controls (August, 2005) Energy and Climate Lands and Waters Education Permits and Licenses Public Imdmment and News Regulations and Enforcement Publications, Forms, Maps About DEC w .deanygo%fchemical/2a088htrnI announces the avaiebirdy of the updated NY Standards and Specilkatlon for Erosion and Sediment Control This docuanerlt Fovides Standards and specifications for selection, design and linplementation of erosion and sediment control practices. updates to the erosion and sediment control standards was In May 2002 and completed in August 2005. A request for tcomments was published in the Environmental Notice Bulletin on February 4, 2004. A Responsiveness Summary is provided to address the comments received through this review process. The NY Standards and Spee kation for Erosion and Sediment Contrd Is avalWe for download at this; site. Altemadvaly, the docxarlerd may be purchased as a paper copy by sending an order form (on the right cduntn of this page) to the Empire State Chapter Soil and Water Conservation Society. The Now York Guid Anes for Urban Erosion and Sediment Control is no longer available. Herd copies may be ordered from the Empire State Chapter of the Soll and Water Conservation Society. The electronic version of the updated standards may be downloaded in the form of individual sections and appendices, as went as the full document. Engineering Schematics appearing as figures in each chapter are Manual Purchase Order Form For help With PDFs on we page, pease can 51&4028111. Contact for th!s Page Dilision of Water 525 Broadway Albany, NY 12233- 3508 518402248233 Send us an email iris rage hovers Slim .alis York State also available via FTP as individual files for use in engineering drawing software. New York Standards and Specifications for Erosion and Sediment Control ECOBARRIER Table of Contents MANIFESTING ENVIRONMENTAL SOLUTIONS s Cover, Acknowledgments, Preface (PDF) (251 KB) WWW.ECOBARRIER.NET 0 unt 631-8048044 FAx: 631-208M Be RIVERHEAD, NEW YORK 1191 10/18/12 New York Standards end#ons for Erosion and Sediment Coneois (August, �- NYS Dept.. • Ih ction (PDF) (84 KB) • Erosion Control Planning and Site Management (PDF) (228 KB) • Vegetative Measures for Erosion and Sediment Control (PDF) (2.32 MB) Important Note: This large file may take a long time to download. For sections of this chapter, download from the following links: o Contents (Page 1 - 3.8) (PDF) (208 KB) o Standards and Specifications for Recreation Area Improvements (Page 3.9 - 3.16) (PDF) (780 KB) o Standards and Specifications for Recreation Area Improvements Continued (Page 3.17 - 3.22) (PDF) (633 KB) o Standards and Specifications 4 Vegetating Waterways (Page 3.23 - 3.38) (PDF) (340 KB) o Standards and Specifications for Sand Dunes and Tidal Banks (Page 3.39 - 3.47) (PDF) (777 KB) • Biotechnical Measures for Erosion and Sediment Control (PDF) (1.84 MB) Important Note: This large fie may take a long time to download. For sections of this chapter, download from the following finks: o Contents (Page 1 - 4.8) (PDF) (609 KB) o Standards and Specifications for Live Stakes (Page 4.9 - 4.16) (PDF) (726 KB) o Standards and Specifications for Tree Revetment (Page 4.17 - 4.23) (PDF) (634 KB) • Structural Measures for Erosion and Sediment Control (PDF) (358 KB) • Temporary Structural Measures for Erosion and Sediment Control (in parts listed below) o Contents (Page 1 - 5A14) (PDF) (692 KB) o Standards and Specifications for Pipe Slope Drain (Page 5A15 - 5A.26) (PDF) (622 KB) o Standards and Specifications for Storm Drain Inlet Protection (Page 5A.27 - 5A.32) (PDF) (694 KB) o Standards and Specifications for Turbidity Curtain (Page 5A.33 - 5A46) (PDF) (890 KB) o Standards and Specifications for Portable Sediment Tank and Sediment Basin (Page 5A.47 - 5A57) (PDF) (658 KB) o Sediment Basin Design and Riser Inflow Chart (Page 5A.58 - 5A62) (PDF) (1.06 MB) o Sediment Basin Dewatering and Anti Seep Collar Design (Page 5A.63 - 5A69) (PDF) (1.2 MB) o Design for Earth Spillway and Altering Sediment Basin Shape(Page 5A.70 - 5A78) (PDF) (874 KB) o Standards and Specifications for Temporary Access Waterway Crossing (Page 5A.79 - 5A.90) (PDF) (651 KB) www.dec.nygaAchemicaUP90661itm1 2/4 • Permanent Structural Measures for Erosion and Sediment Control (PDF) (5.94 MB) Important Note: This large file may take a "time to download. For sections of this chapter, download from the following No: o Contents, Standards and Specifications for Diversion (Page 1 - 4, 5B.1 - 5B.10) (PDF) (1.35 MB) o Standards and Specifications for Grassed Waterway (Page 58.11 - 5B.16) (PDF) (820 KB) o Standards and Specifications for Lined Waterway (Page 5B.17 - 5B.20) (PDF) (459 KB) o Standards and Specifications for Rock Outlet Protection (Page 56.21 - 5B.30) (PDF) (1.04 MB) o Standards and Specifications for Grade Stabilization Structure (Page 513.31 - 56.36) (PDF) (392 KB) o Standards and Specifications for Structural Streambank Protection (Page 58.37 - 5B.40) (PDF) (364 KB) o Standards and Specifications for Debris Basin (Page 5B.41 - 513.44) (PDF) (489 KB) o Standards and Specifications for Subsurface Drain (Page 58.45 - 5B.48) (PDF) (363 KB) o Standards and Specifications for Land Grading (Page 513.49 - 58.56) (PDF) (563 KB) o Standards and Specifications for Riprap Slope Protection (Page 5B.57 - 58.65) (PDF) (567 KB) • Appendices (PDF) (5.54 MB) Important Note: This large fie may take a king time to download. For sections of this chapter, download from the following liift: o Appendix A- Revised Universal Soil Loss Equation (RUSLE) (Page 1 - A5) (PDF) (685 KB) o Appendix A - Approximate K Values (Page A6 - A16) (PDF) (311 KB) o Appendix B, C & D - Performance Evaluations for Temporary Erosion and Sediment Control Practices/Cost Analysis for Erosion and Sediment Control Practices/Fertilizer Label and Pure Live Seed (PDF) (188 KS) o Appendix E - Erasion and Sedgy Control Plan for Small Flomesite Cartrol (PDF) (540 KB) o Appendix F - Sample Erosion and Sediment Control Plan (Page F.1 - F.9) (PDF) (477 KB) o Appendix F - Construction Specifications (Page F.10 - F.14) (PDF) (1 MB) o Appendix F - Temporary Diversions and Sediment Trap (Page F.15 - F.20) (PDF) (1.11 MB) o Appendix F - Grassed Line Channels and Riprap Channels(Page F.21 - F.26) (PDF) (1.09 &6) 10tI8;2 New York Standards andfor Erosion and sediment Console (August, 2* NYS Dept.. sp*ons • Appendix IF - Surface Roughening and Vegetative Plan (Page F.27 - F.31) (PDF) (1.07 MB) • Appendix G & H - Erosion and Sediment Control Plan Review Checidist/Construction Site Log Book (PDF) (120 KB) • Directories (PDF) (692 KB) • Glossary (PDF) (147 KB) New York Standards and Specifications for Erosion and Sediment Control (PDF) (24.3 MB) www.decmy.go4chomicab29066.hirnI 4/4 APPENDIX E EROSION & SEDBAENT CONTROL PLAN FOR SMALL HOMESITE CONSTRUCTION Lit of Figwo DeBBition................................................................................ 0 .................................... E.l ptupw................................................................................................................................. l� E.1 0ifri E.1 .................................................................................................................................. E.1 SpcciHcmims........................................................................................................................... Small Howe" h4bimam Ftcquhvments ......................................:.................................................. E.1 Small HammteWimpa (with Vere Roqmm=M and CompHaooe Farm) ....................................... E.3 ECOBARRIER NANIFaSTING EENNVIR�ONMENTAL�SO�LUTIONS WWW.ECOBARRIER.NET cauAm 881.8048044 FA.: ee1-308-9888 RIVERHEAD, NEW YORK 11901 l� ECOBARRIER NANIFaSTING EENNVIR�ONMENTAL�SO�LUTIONS WWW.ECOBARRIER.NET cauAm 881.8048044 FA.: ee1-308-9888 RIVERHEAD, NEW YORK 11901 Appendix by-- rank s®m, CPEW, crswQ Mone Co®ty sol a WOW Conserm ion Dish et List FiM E.1 E.2 E.3 E.4 E.5 E.6 0 Title Pae Erosion Control Plan Condition 1 ............................................................................ E.3 Erosion Control Plan Condition 2 .............................................................................. E.5 Erosion Control Plan Condition 3............................................................................. E.7 Erosion Control Plan Condition 4 ............................................................................. E.9 Construction Details for Stabilized Construction Entrance and Silt Fence .............................. E.11 Construction Details for Straw Rale Dike and Rock Check Dam ......................................... E.12 EROSION AND SEDIMENT CONTROL PLAN FOR SMALL HOMESITE CONSTRUCTION Small homeate aosion and sediment control plans are a group of numumna etcamet and sediment control pavewces and anrrgemmt techuxims that apply to shoal bamente twomucum activity an a single residendsl let, in ader to prevent polhtted discharge. This appends lays out a se iea ofrninfinum raganements for arodon and sediment control, and n mgameat practices that may be Used to meet these ragUkeMMtL Ike of these templates will hdp show compliance with the grand regatremmu far coestructiar activifles that ra afire bast atr®wwass<:pollution pmvwbm ph = (SWPPP). Tim applies to the commuct on of small homesites. The owns/ de Mqw mint complete the relevant conditions (1-4), or small parcel action and sediment cored pian included m this swoon, and submit the NO[ in order somas rwmpdiance with the WM General Peat for Starmwma Disclurgm From Canstruabon Activities. Generally, several types of practices are respired an any one site for elective roam and sediment cool. lhae we three broad rxtagoriec of censtrocdon-teased practices for controlling seam and sediment on small homeshe developments: 1. Cover Practices prevent awion by pm6eci ft the and surface from curlil and rrmoff Prevention of eroacn n the most preferable and cost-effective approach. These prectias mch&— peowcown of existing vegetation; temporary rmairg of expand wil by tenh htag, msttmg or cowering and permarmt site stabiliatim by wpsodirg, andlorsoddirg. 2. Structural Pracdem we structural controls tort either redact cmdon, control run4 or lmep sediment on the construction site. ftempies of these practices mdude stabilized construction etmwaes, fiber ftaeea, sediment traps, berms, sad check deme. 3. Management Mentees are construction miles methodsdue pew entorredtceroam potrffiiai and come the Poet* fond of emam and sediment coubw practices. Careful l onstra uon management can dramatically reduce the costs associated with erotica and Sediment problems. Examples oftlame maurgpemehntnenaes inchuda Presavmg custmg trees and grew where pooble to prevent erosion; Ro-vegeuding the site as soon as Possible; Imcwtong and piles zway from roads air waterways; Imittmg trucking of tend colo sttxls by reghmmg all vehicles to use designated access drives; Removing sediment cmmcd off -ate by vehicles or alarms; Installing downspont ewers to pevem ereaon from roofrwwM and Iftintainingerodwandsedirmalrattica through sed®mt removal, suractu a rgAao®mt, etc. Each construction site is I'M I The mmeddeveloper of a small construction site may choose sad follow one of the foes variadom ofESC pians ioehsdod in this section to develop a SWPPP in comptimx with the SPDES Construction Permit For Soo nownter Discharges From Cam4actim Activities. However, because ofd general uanae of the f dowing conditions, tie plus ■defied to Ws sxlfaa any test cover sl of the ressaca pratectisa needs e• a partlahr d* ani adds tram does not exempt an @wow from the respadhYky of Holt u NOL 1. Slad limed Cowan EutrancG To prevent vehicles and egoipmmt from ttacl®g sediment and and off -Oe, apply gmvd or crushed tock to the driveway, area and restrict buffic to this are two. This pracfla will help loop sal fiom stid®g to tires and slap MR firm washing off into the sheet Catty out periodic inspections and maintenance including wa"& top- draeg with additional ssmq nworiaag, and compaction. Pia for periodic street claming to remove any sediment *9 may have bow tradmd off eft Remove sediment by dwvd'mg or sweeping and transport to a suitable disposal arra whore it can be stabriliw& 2. Sid @zRdw s(Dem" Arana: Stabilization manures roust be initiated an soon as practicable, but in no ewe mare tom 14 days after the construction activity Ian caned. In fmaen ground omdidow stabilization measures mat be initiated an soon as pada Where construction activity on a portion of the site is tempcm* ceased, and pttli-didmbmg activities will be resumed wuhia twenty -me (21) days, temporary stabilization measures sednot be inifisind mthatportion ofthe site. Shia decoded aten by implementing sal covering PEWUM (0-& Wig. • Exposed soils are the most pmw to aowma firm mental and rmoff Vegetation helps protect the sal Am these fuses and povWm named aosian control. Plan construction to 1®t August 2003 Page Ill New York Standards and Specifications For E os m and Sediment Control F F- -1 L__A ft the amount of ciliosed area, and avoid grading activities during the rainy swop (November through March) es mnci as possible Clearing limits should be clearly marlmd and kept as small as pmnbic. Once construction is complated, the site mot be permanently stabilized with topsoflio& seeding and plantings, at sodding if needed. Oreleedan ofA*wmt KeV sediment on -oft byusing structural and source cool pmc ices (er& vegetative bitFS stripk sediment barriers, amt berms ere des etc). See Sectiaos 3, 4, or 5 es appropriate. Wherever possible, preserve abuffer of casting vegetrban around the site boundary. This vAR hep to decrease runoff velocities and trap in the runoff a1sa�YsoueirOetr�s When towavatiogbsxment sorts, move die and to a location did is,errwill be,vegetated, suchasindiebackyardaside yard area, This will die distance , ode"and east travel, through vegetation, to reach the storm saws system Files should be sima ed so Out sediment: does not run into die cleat or ag yarda. Sol Ales should be temporarily am" and aided with sett fence mag the wil is either replaced or removed. Backfill basement walls as soon as possible and road grade the tit. This will dimmate die large amt mounds, which are highly croMe, and prepare the lot for temporary cover. Abler bwkfiUing, grade or remove excess sail from dia site quickly, to dimiope say sediment low from sorpbut fill 4. Canowtrrtad Flo. For constructed drainage ways, or other area of eonoatruted flaw, install check dams according to the specifications on prge E12 to reduce erasion in the channel. As with other erosion controls, crock deme most be impacted, regplwly. Remove sediment accumulated behind the data as needed to allow dawel to thein &ran& the stone chair dam and prevart huge flows from carrying 40 sediment over the dam Replace doom as needed to maintain the design cress section of the structures. Sediment removal is crucial to the efficativmw of the dam—if notmsmhmed, bigh flows could ceases erosion wound the sides of the structures, adding significant sediment loads downstream. Maintain erosion and sediment control piactices through mgda ineQccbm R"dw ma dcounce is eshetaely important for the proper operation of sbuctaol Padres. After mitial groom, the bolder shall conduct site impectiom at last once every 14 calender days and within 24 boos of the end oft perm aven4 ofo.5 inches or lRwta- f. Ober Pradioa Use additional pacrices as required by the local plan approval authority to nutipoe of cab ofisaased runoff This may uwhtde providing additional controls to a locally protected stroem or resource aria, prottctisg riparian corrrrtidoms (vegetative stream baffas� eve- Individual homeowners and/or developers are responsible for researching additional requirements related to erosion and sediment runoff eonsiol esWAWked by their local 1 - New York Standards and Specifications Far E2 For Rasion and Sediment Control August 2005 0 0 Figure E.1 Erosion Control Plan Condition 1 ,J'jjeojj rg Its \ o � 0 ' L O N yyyF r =U= O O Is 7 a 1> $ / �y ,W STATE n"y�� OF AL A� ERUSION CONTROL NEW rams STATE SOL a VATM CUMSMATM CaBrTEE PLAN CONDITION 1 Augaet?A05 Page F3 Now YakSMnda*and,%m ificWx= For Fimm and SedmmW Cmftl Ll 0 P Condition 1—Vegetative Requirements & Compliance Form 1.) site Preparation A. Inaten needed water and reason caarol mesames and bsmg ams to be seeded to desbed grades ming a tura®a of 4 to. topsoil. B. Prepare seedbed by Warning sell to a depth of 4.6 hw hes. GLime toapHof6.5 IL Ferrdizea per sad teat ars if fertWxer most be applied before and test results am raceived, apply 850 pounds of 5-10-10 or equivalent per nem (20 un o00 sq.IL) F. Imaporan fine and hrtiNzw in top 24 orches ofbpmiL 0. Smooth. Remove d stones over I inch mdiemdw, sticim and foreign numer from the sorbca. Firm the seedbed 2.)P4otbg--SuneyLocwd m. Una cWdp Wer type seeder if possible. Sued to a 4ep1h of 1B to 1/4 inch. Hated is to be broadcast, wldpart or mR after seeding. If hydraaeeded, Hour and faulinQmaybeappliedthroo&WeaeedaadroBimgistutpacticeLSeed a mg Wefolbwurgmurandrata: 20% potential ryepm....................................................... &6-0.8 ......................... 26-35 15%Smfaam............................................................... 0.4-0.6 ......................... 19-26 Taw..........................................................................._ 3.0-4.0 ......................... 130-175 a, 100%Tall fescue, Tarf-type, free loaf ...................................... 3.4-4.6 ......................... 150.200 3.) Whmusiogthecalfipdrerabmdrmwodmattrod,mlehaaiogmaNgomstnw.apphodstambof2tmaperacma daoehas with anetYrgortack&w Hydraedapplications dauldmcmdemaMh,fiaa7iaerand sued. Common white aloveram be added to minima at the use of 1-2 Makore tobdp maintain Stam camr dodag be drysa®er period, however, Way will notwiWetod heavy hof k Faolimg-Fut your, (aping ataminy) dose to few wedu slim germination yiply 1 pound nkmpWI,000 sgme fed using a uegktie frmdisawith a 2-1-1 or 4-1-3 alio or a recommended by ad tat results. For ,tumor and only fill saediop, sp* a above arias air taapatlaa are above UT for extended ponad Waitmmd bat wave a ova to f xdbzL Forlate loth wimc sed'rep, fardiae it spring. Rahict aa --mw aeeamp dmald be prteemd Liam on for one loll year to ,Dow development of a dense and with pad root ntrramn. Please complete and sign Wis 2 -sided document (with Typical Emden Control Plan) and Much to BLUEFRRM and SITS PLAN prior to soy cw& diMmbrae. Thede dock trust be kept on site and be available far review as rammed by my agent of We NYSDEC. Thb 2 -sided farm es be and n a bade sMmwder padatian Prevention plan, but Will tut ecempt a laadovvra hens 19ling a Notice sth dant. R catifyundapoaabyofIns, thatI mdmmdardspalocomplywi r thetame adaoadaions of Wes ESC pia brthe construction city dmnabBSCpien aacoaMma(aatbOrbMdMmdiaelns8eatormwaeer Iabounderstand tittheopaamrmnstoomplywidt die t®aand conditions ofthe Now York Sims PWhdWDmbmpMusustienSymms COW" @mordpermitfirstaswoM discharges fiom construction activities and "it a twkwfid for my person to came, or adrbie to a vioLtim of wsaagnsiity stadarW BmldalCommetor (prim) S4pdwe Address Telephone Fax 13 -mad New Yodr Standards and Specifications Page E.4 August 2005 For Fansion and Sediment Control Figure E.2 Erosion Control Plan Condition 2 d 4 eta M 1 i e011 R O O r — 0 NEW YOM STATE MPNMO(r ff TRVGPCKfATab EROSION CONTROL tEV YM STATE DEPAR"m W DhmmmDffAL CO SMA7n1 NEW YM STATE SOL L VATER COI MATIM Camffrr E PLAN CONDITION 2 Augmc 2003 perm New Yodc Suodank and Spedfiadow For Emmou and Sedimmc Control 0 0 Condition 2—Vegetative Requirements & Compliance Form 1.) Site Preparation A Install needed water and maim control mason= and bring area to be seeded to dashed grades using a min® of 4 is topsoil. B. Frgaue seedbed by looae®B sail to a depr6 of 4.6 inches. C- lime to a of of 65 E Fern7ize m per sail tut or, if it 01sa must be appliedbefae and tee resdta are reoeived, apply 850 pends of 5-10-10 of equivalent per ase (2016x/1.000 W- IL) F. Inmtpon0e lime and Sadler fn top 2.4 inclem of tweed. Q. SmmSa. Remove all stoma ova I each an diameter, uicloz„ and fes eip<ma0rer Rom rhe smiace. Firm the seedbed. 2.) Plug.—Saeoylacatiao. Use a mhipaekertype sada lfpmaltla Seed to a depb of 1/8 to U4link Noted is to be brow lcae, mitipadc a roll B1kr scarfing. If hydraeeded,limeand fa now may be applied*an%*thewaft and raging isontFa daLSeedusloamefollowingmacBudrun: 150A or, 100% Tell leaner, rad -type, free lea£.......... 0.6-0.5 ......................... 2635 ... 04-0.6 ......................... 19.26 ._ 3.0.4.0 ......................... 130.175 3.44.6 ......................... 150.200 3.) WhmuiogthaallipadonalnaxI send medical, mukh using using ambi 6baw applied xt a raw of 2 breas per acre; and michor with aneUogertaddfra.Eydtoamdspli cuioe;shouldtoehadaaaokh,6 it' wandred. Common white dam an be added to cohere at 0e Me of 1-2 0w/aa s to hap muohio pan color deft do dry summer period, however, they will ad withstand beavy, trate Fwblm g --Font yaw, (Wing oeedmr) 0nm to frnarwnefa after gemination apply 1 pomddtrogm/I,000ogmmamtm®gaoompleber- — with a2-1-1er4-1-3 ado amrceammnededbysaltearanks. For ummw and cmiy JIM sced'etgs, apply m above takeover g aatraa ere above ll" f er cer adedperod. Waftssfil heat wave is over to f ndlize. For tato fiW where sadtup, fa6lme in spring. Restrict am—neem should be protected fiam we for as Ibll year to allow development of a dove and with good rose strocoan Graffi dM Statement Please complete and sign this 2-ided doatm est (with Typical Erodaa Control Pian) and attach to BUJMW4TS and SITS PLAN prior to way earth dieestemo . These docamem mat be inept an site and be arradable fir review as requested by any agent of die NYS . This 2-dded f wm as be used an a break deamwate r polndm prreveseian piss, but w® not exempt a bmdw mw hon Mft a Nedee of hakes R certify adcpmaHyof law the I mdmtaod Bol ape b complpwi& the sareas and cuadifiam of do ESC plmfbr the aoetrodim site identified in such ESC plan ma condom cf am wnndm io &shags atormamOQ Idaoaedmtmd fhutbe opemw mm complywi b Poe was and caodidons of die New Yah Sam Pobu"Dnchuge ERomubm Syskm ("SPDES") gmaal Pound foruo ditdtuger from aoeructim arrivitier sad me it is mlawfd5a wrypmm b eBme er nedolme to a vialEbw Of Mum gaft standards." Budwerroostructrar (Prijit) Address Tdq*mc Fax E-mail Now York Statldoods and Laos Pegs E.6 August 2005 For Finaon and Sediment Control ft ------------------------ -----w------------- ------- MEAN {flGH WATER LDE . . . . . . . . . . . . . . . . . 100'CRITICAI AREA INFFER . — Plsud on Contour B � � I HOLISE I ` iiad..w7=0 GARAGE N smd Y�MrehrpMy. STREET PRO.A= LWATcw PROOTY NWNh ANYMPA t6 STARM NATO aNnneACTNie Mo=—ATO CORiTIIAI NATO Sm TYPO SAM 0 Condition 3—Vegetative Requirements & Compliance Form 1.) Sita A InwO nmand water and ao®an comml measures and Luing arra to be seeded to dared grades ming a minim of in. topsoil B. Prepare seedbed by lig sal to a depth of4.6 indtm. C. Lime to a pH of 6.5 Il Fotilma ns per sal we or, iftnaliaer rust be applied before rel tot results am received, apply M ponds of 5-10-10 or equivalent persae(201bs lAWsq-fi.) F. Incorporate lime and faalizor in top 24 inolem; of topmel a. Smooth. Remove all dam over 1 rah in diomeotz, storks, adforeigo maaafiomihe sorfece. Fi®the seedbed. 2.)Pbnd --S�yLocation. Use a artripadca type seederifpms3lG Seed to a depth of IB to U4 ioeh If seed is to be 4roodrook cultopacic or roll AN seodiog. If hydroseeded, Jim and 0 may be applied dm)& the seeder and rolft is not pmcdc@L Seed ming rhe following mix and rata: 20%permiai ryeg-m ....................................................... 0.6-0.g ...... .................... 2635 155% £ma faseae............................................................... 0.4-0.6. ............ ........... 1926 TOW..........................................................................._ 3.0-4.0 ........................ 134175 a, 100% Tall fmue, Tu f-typq Brc Ins£ ... ................................ 3.4-4.6 ......................... 150-200 3.) Whmm theabilaclovabsadcadseadmalhod,molchoftsaallgamstraw.appliedatamroof2tonspaae:adaoeha wroth a netting at hddBa. Hydroseedapplications skald include andelt, fstolmw and seed. Commonwhilecloverrobeaddedtodamtmatdoe men of12llodaaetohelp maintain Stem color daring the drysammaprmd, however, Omywill cotwdbdmd heavy hoof . Fanl®g—First ymn (spmg secdliegs) *=to few Or alta ge®adon apply 1 pound ntbogWI,000 sgwre feat wings complete fsMmxa with a2-1-1 or 4-1-3 tado a semaemmmded by sal testresults. For summa and early 611 moodiogi, apply as above malas ser temperatures are above 95OF fa extended period. Wait asml heat wave m ova to fmliline. For Iota 61U winner seeditiM femlire in spring. Results nee—new seedlings ehoold be protected fiom use for ane fall year to allow development of a douse sued wide goad root anmatae. CgirdAtsfim Stat Plase complete and sips this 2,mded docam art (with Typical Erasion Caemd Plan) and attach to BLUFPRDI S srrd SITE PIAN prior to my cath dismbmce. Them documents must be kept on silo and be avolabde forroview as requested by any agent of the NYSDEC. IMs 2-ddd tars ca be teed as a bade starrswaaQ paidtlun p reveutlm plan, but w® sot evempt a ludowae tiros ElIng a Notice ofLteat. 'I certify under penalty of how dust I understood and sone to comply vft de: ftma; and fid of the ESC plan for tieeoasaaieasilt idmtifledmscbESCpho nsacmdinmofaodwdnfimtodfarI geetoonwmer.IabomdasdadtYtrheapamsrsaaetoomplywilh the tures and conditions of On NewYortSoft PoldamDidsoor Momentum Symms ('SU31generalparent for Yo®w� diertargesfrommsaetimsdvidesad60itismemorialformypencetocaseccamebaeecoavidorimofwatagsalitym dards" BruldaXontractor (prior) S*Dokm Address Telephone Fax E-mail Now York S4udsrds and Spe Ulcmdoos PaV LB August 2005 For Fros(on and Sodiumt Control SENSITIVE AREA r • • •"' ` �•"• ••r � •' � y ' .., MUST MITH 2SIG DR '' ,, •'•.' '• ... BUFFS GREATER SLIMES ANY I • AND 1 Min OKAI rpR,y� ♦ • \LPl=vd an *W comtow 1r5 •� 1� ' FDUSE I- 0 STREET A N A PLANK LEMM FFAMTr Lm — onrna MVJVAGE ►0010 lmom LO{R W0 aaw mm Ww4m SyLTT ��f��WCE OlaT031. nu PKMW lT01 avoodma ow 0AV0. mmm CL M*V M wM MwJ Wri IFA OM a WAn fw `tIN ow lw" 00 1mL=T LOCATm► FlWERTY WNLt, ANIlMTO STm m NATO CONTRACTOR ANTI ft= COPLCTM mm >m T" SLQO Condition 4—Vegetative Requirements & Compliance Form 1.) site Preparation A. Tnatall needed water as musico caahol amanaa and bring area to be seeded to desired grades acing a mio®m of4 in. topsoil. B. Prepare seedbed by looamieg sell to a depth of" hada. C. Lime to a pH of6.5 S. Fertilize as per all tae at, if faa'tiza ®es be applied befre eel tat results am morived, apply W pounds of 5-10.10 or equivalent per ane (201*11,000 sq. 8) F. Incorporate lime and fatltizarin top 2-4 ladta of sopwl G. SmoodL Remove all tithes ova 1 inch in d'ismeter, sticks, sad fangs mato fore the saGroe. Finn the seedbed. 2.) Plao4og—bbmy Locution. Use a eoldpadortype seeder if possible. Seed to a depth of 118 to U4 hxh. If seed is to be broodcaq, eultipari or roll ads wed'mg If hydroweded,limeand i tfflwmaybeappliedthroughtheaceI sadwftghndpmctkslSadum*thefflowhgmeandram: 20%peamht ryayw........... 15% dee fessue.................... Total................................. ...... 0."8 ......................... 2635 ...... 0, W.6 ......................... 19-26 ...._ 3.04.0 ......................... 130175 W, 100% Ton facer. Turf -Om fine lea :..................................... 3.44.6 ........................ 150200 3.) When oft tbo orbroadvest seed method. mukh using small gmnaiaw, applied st a raw of 2 tons per acm and washor with a natdag or tadddier. Hydmeeed applications should Ind de mdch, fahllaa and sad. Cammon white clever can be added to mmmer at the no of 1-2 Wawa to bdp mamtam grain cola daft doe dry ammapariod, however, they will not withstand learytm113a.FaNmog--Phot year, (spring seedlings) dueatohurvacksafter ouapplyl pound maeguufl00square fed wing aoaopleteA giawith a2-1-1err41-3taloernrecemmesdedbyndtattaunts.For summa and early fall seedmd,apply uabove unlessair' asI " an shove WTfor extended paiodWaitmailbaaweveisova to fertilize. For late 6W within seed'mgt, f rblim m spring. Rabid use --new seedlings should be ppeae I Sam use for nae full yaw to allow development ofa dome and with good maaaaas. - CardOCOM Sudement Pleur aaMslate seed not this 2AWed docent (With Typical Erosion Caouol Fin) and notch to BLDEPRDM and SSPE PLAN prim m say earth dlauabence. These documents must W Impt mt sire and W available ftrevkw as requested by my agent ofdw NYSDBC. This 2 -sided fru es be awe as a bade Wruwaea pulutMu prevadsu plat, but will not exeept a Vodywar ban Ming a Notice of haul, 'I ardfy aodapaYtyefhw that understand and ague ta comply with the mama and eeaditianof the ESC plan Mer the oaaaoaien site idn6fiadmsuchESCphn assonditimdaahoundintod'arhage.tormw . Iahoandsandstatheopenermweamplywith the tame and conditions of Me Now York Suft PollowDieduags Elimination System ('SPDESO) posted permit for ' diseLagafemconstruction a tivltiaamPoetisaLw61Lamypersonsocameor toaviolation of -am qultymeadow BaildedCwuaestr (print) sigoame Addmu Telephone Fez E -mal New Yo k Standards and Sp� Page E.10 August 2005 For Erosion and Sediment Control rl LWE Ljui'A!(2 MRM R'y� .�' L� AGIfI�r6 �'R UVJ r fv�MOLA F L a71M{6=a1R� 1RWM&T MY1R01 a&12* aram am w sw s rA MM67 wwm vm aV"TFW/vaWl ueip��7pJ%mIIpaaao�aaa ycc�yq- t MM M=M@a as MM M a�fii wp 1t 011q ,afoR L imam "nm um a N"Wo auvmw. I. wsAMlelm OM OWL ! cVAa DWMOFOQ. M AArOOa MKTWA R. R IIIMmM MILL t o M lam An IIR M I Aa ms VISI SILT FENCE CCNSTI=TMN SPECIFICATIONS L �Ot - W 1•+ SOI *UM a Hallen m MMO CO a r r w a A =I" � uw Mac • allutlaAc-WI RwmMmft 4 fj1 w4 OO 1 >Ni a 9MMM - VLL U RAM alo MI a AAM r M PLMMR O cal LW Ir VIMMARMYO SM1MWKYR. IM .>vs a FlMM mraI AMA lI1 MVM MAL s RMo atm mW i 0 I N C=TRl1CT113N SWLXIC&UM ° cam M tam rw arse im error sws is mw ° �sa°c sM � iMMeLer s��r � a~a�ira°"""mr�i �6°rnes. wrs.i roc «a a m CHM DAM t lAFW Mv�ir� Ii y� ns os�l�t ro a ° MN IrMLOWMAW ° r v co °om ire ILBUMMUNIMMEM s. ANMIW assoR Ms MW MrJAM r MA- s: eeC STRAW BALE DBS O 0 a 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael. J_ Domino i oto BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 0 Town Hall Annex 54376 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (�31) 765;6641 ^C; LOC T - 3 2213 APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT DATE ! Q • �I • . .a _�. • — AGENT , w s il' aALN6 PHONE ADDRESS PROPERTY LOCATION • (ihi:cmi UWe request an Amendment to Permit # 7 Signed B Ord of Trustees Applicatio County of Suffolk State of New York G &-A,' :DL.,S 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 REV F TI -11 PLICATION. Si nature SWORN TO BEFORE ME THIS 4_DAY OF .20(2—, FRANCIS J YA.KABOSKI Notary Public, State of New York Mot 'p No 9762290 Qualified in Suffolk County Commission Expires April 30, TG�!4P('j 4tard of Trustees Application X AUTHORIZATION ( whe (ree the eLppliCaat is not the I owner) I h h brie- C rie- 1 IQY; I fl -c�- residing at l d iS ��`DYl /a L (� , 1 (print owner o£ property) (mailing ad ess %a h YO CS/- � 1y T I I O3 0 do hereby authorize G n�� (Agent) 116 VA to apply for permit(s) from the of Town Trustees on my behalf. I 11 Town of Southold A. INSTRUCTIONS • All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 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 sigdficant 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in deta% listin¢ both su000rtur and non- sunoorlin¢fact If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall 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 CIerk's office. B.. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 - 104 -9-10 PROJECT NAME Proposed armored slope OCT - 3 '2013 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board ❑ Building Dept. ❑ Board of Trustees 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: ❑x Nature and extent of action: to Arm— app-oximately 110' of slope Location of action: 1800 Rroadwaters Road, Cutchogue Site acreage: 0.82 acres Present land use: Single family dwelling R - Present zoning classification: 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 & Ann Marie Moschitta (b) Mailing address: 138 Colonial Parkway Manhasset, NY 11030 (c) Telephone number. Area Code ( (d) Application number, if any: Unknown Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes F] No 0 If yes, which state or federal agency? N . Y . s . n . F . c . C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves opus 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 Attach additkmal sheds 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 59 Yes 0 No 0 Not Applicable The project will have no impact upon any historic nr arch a Pnlnaina1 i ES-. It is F W that this rejeet: is consistent with this pnlicy additional shuts 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 [;4 Yes ❑ No ❑ Not Applicable the visual quality of -Town- .. -. 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 ID Yes ❑ No ❑ Not Applicable The project will not causp accPIPratPA Psnsi„n adjacent be no loss of public- reerpatinnal esnurcas it +s €a]t that this project is consistent with this pnliny 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 9 Yes ❑ 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. 9 Yes No Not Applicable 0 The project will have no negative impacts upon the quality or function of any wetlands, ennsystems ar area4 of 4innificant Coastal Fish and Wildlife Habitat. It is felt that this project is consistent with this polity 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. a] Yes ❑ No ❑ Not Applicable l - -- - 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. W Yes ❑ No ❑ Not Applicable The project does not involve the use of or the disposal of solid waste or ha7ardo us suhstanc-ps and wasi-pc Ti- i s ft-It- that eltthat this project is consistent with this policy 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. YesQ No ❑ Not Applicable The project will have no impact upon public access to and the recreational use r)f cnastal waters, public-, lands nr thOi public resources of the Town Attach additional sheets if necessary 0 WOREING COAST POLICIES 0 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. G Yes ❑ No ❑ Not Applicable The projert will have na impart upon gnnthn1rj'g water-de.'-,penden uses or the siting of new water -dependent uses in suitable locations. It is felt that this project is consistent with this policy 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. [oyes ❑ No ❑ Not Applicable The . - - .. - - livir• marine rpsourcppif-.. . . - consistent with this . 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 Q Not Applicable The project does not involve aarinultural lands Tt is felt that this policy is not applicable to this project Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III — Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No [,9 Not Applicable The project 'does not involve the use of or development of energy or mineral resources. It is felt that this policy is not applirahle to this prnjpnt PREPARED BY Glenn E. ,lust TITLE Agent DATE4Y II James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino 0 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 0 Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 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 15t day of construction % constructed ✓ Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7894 DATE: AUGUST 22. 2012 ISSUED TO: ANTHONY & ANN MARIE MOSCHITTA PROPERTY ADDRESS: 1800 BROADWATERS ROAD, CUTCHOGUE SCTM# 104-9-10 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 August 22. 2012, and in consideration of application fee in the sum of $250.00 paid by Charles M. Thomas 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 remove roof and first floor walls down to first floor deck; frame new first floor walls and first floor addition; add new second floor; remove and replace existing brick patios; new two car garage; with the conditions of establishing and subsequently maintaining a 20` wide non -turf buffer from 10' contour line seaward; the use of a haybale line and silt fence at 12' contour line; installation of gutters, leaders and drywells, and as depicted on the survey prepared by John C. Ehlers, last dated July 31, 2012, and stamped approved on December 28, 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. 0 • TERMS AND CONDITIONS The Pennittee Anthony& Ann Marie Moschitta residing at 1800 Broadwaters Road, Cutchogue New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said 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. The Pennittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Pennittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino August 22, 2012 Mr. Charles Thomas 206 Lincoln Street Riverhead, NY 11901 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: ANTHONY & ANN MARIE MOSCHITTA 1800 BROADWATERS ROAD, CUTCHOGUE SCTM# 104-9-10 Dear Mr. Thomas: 0 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)766-6641 The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 22, 2012 regarding the above matter: WHEREAS, Charles Thomas, Architect on behalf of ANTHONY & ANN MARIE MOSCHITTA 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 August 1, 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 LWRP, and, WHEREAS, the Board of Trustees has furthered Policies 4.2 and 6 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: to establish and subsequently maintain a 20' wide non -turf buffer from 10' contour line seaward; the use of staked haybale line and silt fence at 12' contour line; the installation of gutters, leaders and drywells; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 22, 2012, at which time all interested persons were given an opportunity to be heard, and, 0 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement 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 approve the application of ANTHONY & ANN MARIE MOSCHITTA to remove roof and first floor walls down to first floor deck; frame new first floor walls and first floor addition; add new second floor; remove and replace existing brick patios; new two car garage; with the conditions of establishing and subsequently maintaining a 20` wide non -turf buffer from 10' contour line seaward; the use of a haybale line and silt fence at 12' contour line; installation of gutters, leaders and drywells, and as depicted on the survey prepared by John C. Ehlers, last dated July 31, 2012, and stamped approved on December 28, 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: $ 0.00 V ry truly yours, James F. King President, Board of Trustees JFK/amn James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino TO: Ci 11 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD • Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 Please be advised that your application dated Ale(1 yf� 1, 2fiJ2 has been reviewed by this Board at the regular meeting o- .CI- 2 9 0l Z and your application has been approved pending the completion of the following items checked off below. includi�9 q Zo��on-lur�' bu�� >/ Revised Plans for proposed project s{Aked Il�y bale tS,l+�'ehcE Ithe a4- 12l corrlour- / line t �tu�}erS�leac�erS,elrywellS �L Pre -Construction Hay Bale Line Inspection Fee ($5 00) 1 at Day of Construction ($50.00) '/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: HAy 8a)e. Line TY) spt07on - 4-5c) t> 'nal Tnspec)"w - 15 0. vz!) TOTAL FEES DUE: $ DO. bb BY: James F. King, President q Board of Trustees 111 IIS Z Peter Young, Chairman Lauren Standish, Secretary10 gpFF014, T �i 41 Conservation Advisory Council Town of Southold 0 Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 At the meeting of the Southold Town Conservation Advisory Council held Wed., August 15, 2012 the following recommendation was made: Moved by Doug Hardy, seconded by John Stein, it was RESOLVED to SUPPORT the Wetland Permit application of ANTHONY MOSCHITTA to remove roof and first floor walls down to first floor deck frame, new first floor walls and first floor addition; add new second floor; remove and replace existing brick patios; and new two -car garage. Located: 1800 Broadwaters Rd., Cutchogue. SCTM#104-9-10 Inspected by: Doug Hardy, Audrey Horton Vote of Council: Ayes: All Motion Carried • F F04 P o. Box 1179 .lames r- Kine. President y9 Southold. NY 11971 -1892 Bob Ghosi), .Ir.. ],resident �� ��' Telephone(765-63 1 6641 Dave Bergen awn fax (63 1) 766-6641 John Bredemeyer HHH p alie Michael J. Domino y�`;9 Southold Town Board of Trustees Field InspectionNVorksession Report Date/Time: r3[�i✓' Z.s�% Charles Thomas, Architect on behalf of ANTHONY & ANN MARIE MOSCHITTA requests a Wetland Permit to remove roof and first floor walls down to first floor deck; frame new first floor walls and first floor addition; add new second floor; remove and replace existing brick patios; new two car garage. Located: 1800 Broadwaters Road, Cutchogue. SCTM# 104-9-10 Type of area to be impacted: Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland E(D 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: 9 r7 7 l' Present Were: J. King Ghosio D. Bergen, ��_ Mic d. Bredemeyerhael Domino D. Dzenkowski other Form filled out in the field Mailed/Faxed to: Date: Z11512012 - At' N - � ■ 40 BROADWATER$ LOVE \ ,A 9 $� `• A_q 'Y TOWN Cf SOIITIKKD � \ N Ile 0. N.p q ' 9 O qJ � y. ./ ��Ov•moi`' �� � �� `—,� BROADWATER$ LOVE \ ,A 9 $� `• A_q 'Y TOWN Cf SOIITIKKD � \ N BROADWATER$ LOVE \ ,A 9 $� `• A_q 'Y TOWN Cf SOIITIKKD � \ F � � � y. ./ ��Ov•moi`' �� � �� `—,� "' HAYWATER COVE } / • '4, ?fix COUNTY OF SUFFOLK © o crwx RSI O _ —_.__ Red Peapetly Tar Saxi®PLprq104 OFFICE LOCATION: ��OF $vujyo MAILING ADDRESS: Town Hall Annex ,�O l� P.O. Box 1179 54375 State Route 25 y .1{, Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) T T Southold, NY 11971 N Telephone: 631765-1938 G Q ,r. • �O Fax: 631765-3136 ��y00UNTY,�� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: August 10, 2012 Re: Proposed Wetland Permit for ANTHONY & ANN MARIE MOSCHITTA SCTM#1000-104-9-10 AUG 1 0 2012 Sou"ihol.', Town Guard of Trustees Charles Thomas, Architect on behalf of ANTHONY & ANN MARIE MOSCHITTA requests a Wetland Permit to remove roof and first floor walls down to first floor deck; frame new first floor walls and first floor addition; add new second floor; remove and replace existing brick patios; new two car garage. Located: 1800 Broadwaters Road, Cutchogue. SCTM# 104-9-10 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the Policy Standards and therefore is INCONSISTENT with the LWRP provided that: 1. The plan lacks pre and post construction stormwater controls. In the event that the action is approved and to further Policy 4.2 Protect and restore natural protective features and Policy 6; it is recommended that a non -turf, vegetated buffer incorporating existing be established from the wetland to the 10' topographical contour. 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 l- �4��gOFFD(,�COGy Jill M. Doherty, President y Town Hall, 53095 Main Rd. James F. King, Vice -President ,y, P.O. Box 1179 Dave Bergendy • '� Southold, NY 11971 Bob Ghosio, Jr. �%/Q ! Telephone (631) 765-1892 John Bredemeyer �' Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application _ Wetland Permit Application Administrative Permit I tS l� LS V IS D _Amendment/Transfe /Extension Received Application: I /� Received Fee: I ;i AUG - 1 2012 u Completed Application /ds Type Classification: Type IType 11_Unlisted _ _Coordination:(date sent) LWRP Consistency Assessment Form -Y 3 / a, CAC Referral Sent: s / A Date of Inspection: L _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: Public Hearing Held: / Resolution: Name of Address Phone Number:( I w - ' Suffolk County Tax Map Number: 1000 - 104-- 9 —10 Property Location: /9&o&nvWalw=5 Fuemv (provide LILCO Pole #, distance to cross streets, and location) AGENT: _C44MA:ff2 7PA-flw,45 (If applicable) Sonthhold Town Board of Trustee 11107 B1#d of Trustees Applicatio0 GENERAL DATA Land Area (in square feet): ?j S 2 Cj� Area Zoning: - 1ro Previous use of property: 1.—Yin 1cC Lr Intended use of Drovertv: 41 NG btr 'Zv... f4p�r5vot;v,CX Covenants and Restrictions: Yes _X_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. Prior permits/approvals for site improvements: Agency Date __- C No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary): f::EY41F i1 An l am% Agip — se7- B g d of Trustees Applicatio0 WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: C-XfA lkN a6-17041 Area of wetlands on lot: ( (P square feet Percent coverage of lot: 10 % Closest distance between nearest existing structure and upland edge of wetlands: (p7, C I feet OMk- PA TW -( 3 , 2' H-00 5 k5 - Closest distance between nearest proposed structure and upland edge of wetlands: (o-7,9) feet B rJp CE}, ""e-) ,13.Z' Ln Does the project involve excavation or filling? Nom Yes If yes, how much material will be excavated? & ubic yards How much material will be filled? cubic yards J Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: O Manner in which material will be removed or deposited: &&AVA'CUT7,— 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): tJot)i B S d of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: CX Fi-n90 0gz2'11 /JLI Are wetlands present within 100 feet of the proposed activity? No VtwYes Does the project involve excavation or filling? No V Yes If Yes, how much material will be excavated? Gj (cubic yards) How much material will be filled? 1�2— (cubic yards) Manner in which material will be removed or deposited: a4AJAs fZ- 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) owli�- 0 0 Board of Trustees Application 0 6s0o County of Srffelk State of New York I' l l v l 11 1 u r i C' I I I" I TrCC _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 REPRESLNTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECTTHE PREMISES IN CONJUNCTIOIj i2 vIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ML THIS_j_DAY OF 906e 1 — 10j NOTARY PUBLIC ST TE IOF NEW YORK OUALIF ED IN�SUH14FFOLX COUNTY COMMISSION EXPIRES FEB. 23, Lj_.1 Cr 1-5'— Ward of Trustees Applicatim X AUMORiZATION (where the applicant is not the lowner) n� i, n f1af"4 I fl R residing at t3q CD(DO'la L �ll Ul�y (print owner of property) (mailing address) %a h Y CSL. T N Y I I D3 0 do hereby authorize G n � (Agent) IN11�7 to apply for permit(s) from the of Town Trustees on my behalf, • �O�gUfFO(,�c0 James F. King, President Bob Ghosio, Jr. , Vice -President yfts Dave Bergen V �' John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ANTHONY & ANN MARIE MOSCHITTA COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, depose a11d say: That on Te Ididay of Av4,,- a•— 2011fI personally posted the .A1 - - Town Hall, 53095 Main Rd. P.O. Box 1 179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 DEC E " E_ � AUG 2 2 2012D Southhold Town Board of Trustees as by placing the Board of Trustees official poster where it can easily be seen, and that I have chec 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., August 22, 2012. Dated: Aix �� -2,2l,Z �_ � tgnature Sworn to before me tkis 02 �k 6day of&�'/20 I, Notary Public DANIEL P. McCORMICK NOTARY PUBLIC, STATE OF NEWYORK NO.02MC5085814 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES SEPTEMBER 29, Z? Name: 0 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS rI pECE AUG 2 2 2012 D Southhold-..Town Board of Trustees Address: Q� ^ 1 {7Z,,C, F�- �u 1z (r ,rte I l i 3 i STATE OF NEW YORK COUNTY OF SUFFOLK e l kioa~A43 residing at, &? 4�L%1 aA- /J � , being duly sworn, deposes and says that on the / 3 day of „20 Z deponent mailed a true copy of the Notice set forth in the Board of rustees 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 assessmerx}t roll of the Town of Southold; that said Notices were mailed at -the -United States Post Office at,3S , that said Notices wer ailed to each of said persons by _ (certified) (registered) mail, Sworn to bpfore me this � 2h Day of � 20/ DANIEL P. McCORMICK NOTARY PUBLIC, STATE OF NEW YON NO 02MC5095814 /}Y QUALIFIED IN SUFFOLK COUNTY /01� COMMISSION EXPIRES SEPTEMBER Notary Public Bard of Trustees Applicatit County of Suffolk State of New York C &"�' I �' BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE 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 REVIE F THI PLICATION. Si nature jy SWORN TO BEFORE ME THIS__(DAY OF 120(1-, FRANCIS J Yte of Ne KI Notary Public, State of New'iork No 9762290 OtC Qualified in Suffolk County 1� Commission Expires April 30, 0 0 APPLICANUAGENUREPRESENTATI VE 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 forth 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: (Last name, first name,ifiiiddle initial, unless you are applying inihe name of someone else or other entity, such as a company. If so, indicate theother person's or company's name.) - NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other', name the activity.) Building Trustee Coastal Erosion Mooring Planning A, 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 than5%o he 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 South& 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 en the applicant is a corporation); B) the all beneficial owner of any interest in a noncorporate entity (when the applic t is not a corporation); _C) an officedirector, partner, or employee of the applicant; or D) the actual a licant. DESCRIPTION OF RELATIONSHIP Submitted this day of _2W /f Signature Print Name For TS I FRANCIS J YAKABOSKI Notary Public. State of New York No 9762290 Qualified in Suffolk County Commission Expires April 30748 �� Z PROJECT ID NUMBER 0 617.20 • SEQR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only rAK I '1 - rKVJMU I INr VKMA I IVN ( I o be completes Dy AppllCant or rro)ect sponsor) 1., APi'PL_ICAAN,.T I SSPPONSOR -�AMA5 2. PROJECT NAME 3. PROJECT LOCATION: / eiCo 1&94fAO(,t AI NJ F'1— Municipality n County 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc - or provide map �p �pDPtfl�! f='�.'�S � N 14�JS7nC✓ �1 f�T� r 'v - l t 5. IS PROPOSED ACTION: ❑ New ZExpanslon ❑ Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: T7e.,... ue ex S�,� -- �-- //�44 ��.t-"' �t �v�'l'�V�S ��NE�w4^^GG \ — l 7. AMOUNT OF LAND AFFECTED: (e[00 G Initially acres Ultimately acres7f= 8. WILL ROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes ❑ No If no, describe briefly: g. W AT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Ivi Residential ❑ Industrial 7 Commercial Agriculture ❑ Park / Forest / Open Space ❑ Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGE (Federal, State or Local) �--�L,� i� v Yes ❑ No If yes, list agency name and permit / approval: S DU t *o 1-1Q U t Loi F�J/L 3upL� Ga OF 11. DOES ANY AS CT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? 1-1 Yes o If yes, list agency name and permit / approval: 1I'2, AS A RE T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? tires No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applic t /Sponsor Nam Dale: Signature 7 �� c If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment 0 PART II - IMPACT ASSESSMENT (To be completed by Lead Aaencvl 0 A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617A? If yes, coordinate the review process and use the FULL EAF. ❑ Yes I✓ 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 character? 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 officially 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. Longterm, short term, cumulative, or other effects not identified in Cl -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 ICEAP If yes, explain briefly: Yes 0 Na L I E. IS THERE, OR IS THERE Yes ❑✓ No LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If Yes explain: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial,large, important or otherwise significant. Each erred 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 impact of the proposed action on the environmental characteristics of the CEA. Check this box it you have Identified one or more potentially large orsignificant adverse impacts which MAY occur. Then proceed directly to the F 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 at WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting determination. Board of Trustees Name of Lead Agency Prim or T NyAe ame of Respons�Offi/ce/r In ead Agency Sign re of Responsible Officer in Lead AgAcy o z o iZ Date President p Title of Responsible Officer Signature of Preparer (If different from responsible officer) r� ii Ill mil.- `G] Town of Southold oy'z Erosion, Sedimentation & Storm -Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A )/J� JQ STORM -WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN s e -b1=eRron` oc T- CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? (Include Total Area of all Parcels located withinQC-7 ' n _ 1 Will this Project Retain All Storm -Water Run -Off Generated by a Two (2") Inch Rainfall on Site? the Scope of Work for Proposed Construction) (This item will Include all run-off created by site (S.F. /Acres) b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all ❑ and/or Ground Disturbance for the proposed GjO Site Improvements and the permanent creation of construction activity? --{- (S.F. /Acres) impervious surfaces. / 2 Does the Site Plan and/or Survey Show AllProposed PROVIDE BRIEF PROJECT DESCRIPTION (Provide Atldltional Pages as Neetla J) PTI ✓// Drainage Structures Indicating Size &Location? This Item shall Include all Proposed Grade Changes and❑ Slopes Controlling Surface Water Flow. e-� 3 Does the Site Plan and/or Survey describe the erosion /❑ �,/ 5 r 6yoi- -' Aow"lJ 4- W and sediment control practices that will be used to v control site erosion and storm water discharges. This /� ► 1 W'�j)♦'Q item must be maintained throughout the Entire Construction Period. It / 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural F-1 Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Q -t Encompassing an Area In Excess of Five Thousand ❑ 1 -e' S (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 v or within One Hundred (100') feet of a Welland or General DEC SWPPP Requirements: Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one (1) or more acres; including disturbances of less than one acre that are part of a larger common plan that will ultimately disturb one or mora acres of land; which Exceed Fifteen (15) feet of Vertical Rise to / 7 Will there be Site preparation on Existing Grade Slopes El including Construction activities involving soil disturbances of less then one (1) acre where One Hundred (100') of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges. / I SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit for Storm Water Discharges from Construction activity - Permit No. GP -0-10-001.) 8 Will Driveways, Parking Areas or other Impervious ❑ -`/—// Surfaces be Sloped to Direct Storm -Water Run -Off 1. The SWPPP shall be prepared prior to the submittal of the NOL The Not 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 required, post -construction storm water management practices that will be used and/or 9 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any _I—✓// constructed to reduce the pollutants In storm water discharges and to assure Item Within the Town Right -of -Way or Road Shoulder ❑ compliance with the terms and conditions of this permit. In addition, the SWPPP shall identify potential sources of pollution which may reasonably be expected to affect the Areae (This Item ado NOT maluM the Installation aOriveway Aprons.) quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark 3. All SW PPPs that require the postronstmclbn storm water management practice in a Box and the construction site disturbance w twhvaen 5,000 S.F. & I Acre In area, component shall be prepared by a qualified Design Professional Licensed in New York that is knowledgeable In the principles and practices of Storm Water Management. a Storm -Water, Grading, Drainage & Erosion Control Pian is Required by the Town of Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. (NOTE: A Check Mark (4) and/or Answer for each puestiun is Required for a Complete Applica on) S1 -ATE OF NEW YORK, COUNTY OF ........................................... SS .......... . .... That I, ..C. .....'T. .... .Q.�. being duly swum, deposes and says that he/she is the applicant for Permit, individual igning (Name of Docu o And that he/she is the ...... ..s:'7?.:.:................................................................ ............................................................... (Owner, Contractor, Agent. Corporate Officer, etc.) Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed die said work and to make and file this application; that all statements contained in this application are true to die best of his knowledge Id belief; and that the work will be performed in the manner set forth in die application filed herewith. Sworn to before pe this; FRA IS J YAKA SKI Notary P bile, tate o Ne ork �/ day `20.t �'" No 97622 ............�....................... ... of ... ...............�Fi[..!.......... , . Q if Notary Public : ............ �............... Comm onfril�trP Apri 1 U.. C....tn.. ignatureb Applicant) ii Ill mil.- `G] Town of Southold • 0 LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for pemrits* 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 si ifing icant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non - supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# GD 4" -I-lo PROJECT NAME J,vlQSG}} In:A,_F:ff5iQ�Njl &i7 - The Application has been submitted to (check appropriate respons ): Town Board 1:1Planning Board ElBuilding 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: Location of action: M6 b/ W/O VJA LV7 Site acreage: �j `! t Present land use: 51060 Present zoning classification: — 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 (b) Mailing address: 3 Golt3vws L P w `1 NJ 4 110 r� (c) Telephone number: Area Code ( ) 5�4p — ?I q — &62 0 ¢ (d) Application number, if Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No �- If yes, which state or federal agency?. C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III — Policies; Page 2 for evaluation 7YJia.s No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L L"J Section III — Policies Pages 3 through 6 for evaluation criteria Yes 0 No ❑ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III — Policies Pages 6 through 7 for evaluation criteria iYes ❑ No ❑ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Seed III — Policies Pages 8 through 16 for evaluation criteria Seed ❑ No ❑ 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 — 7VYes . s Pages 16 through 21 for evaluation criteria ❑ 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 throug 32 for evaluation criteria. 7❑ ❑ Yes No Not Applele Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 2 through 34 for evaluation criteria. Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous sub�st nces and wastes. See LWRP Section III — Policies; Pages 34 through 38 for evaluation criteria. u Yes ❑ No ❑ 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. ❑ Yell No U Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES* 0 Policy 10. Protect Southold's water -dependent uses and promote siting of new water -dependent uses in suita le locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. 7Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Eand Town waters. See LWRP Section III — Policies; Pages 57 through 62 for evaluation criteria. K ❑ 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. ElYes 1:1 No U Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Sect' n III — Policies; Pages 65 through 68 for evaluation criteria. Yes ❑ No ❑ Not Applicable PREPARED BY G9*1Z'LkG51 'kAVW44e, TITLE AVCO ILOT' DATE 0 11oil— Is a APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOID " DATE Z % Z 8'112- I ND DEC 1 9 2012 COVE 5URVEY OF LOT # 261 "AMENDED MAP A OF NA55AU POINT GLUE PROPERTI E5" FILED A5 MAP # 156 51 TUATE: NA55AU POINT TOWN: 5OUTHOLD SUFFOLK COUNTY, NY SURVEYED JULY 31, 2012 SUFFOLK GOUNTY TAX # 1000- 104-q- 10 ax' 9 , o I6 - w 1 ND ,dx 61 * 1 s DRAINAGE SYSTEM GALGULATIOHri: 1 `, HOVE RG IIN6 tEW SC.fPOROH I 1 X .I =343 w. ft. 2016 sq.. . X OJT fC FINE SAND 343 . / cl,. it, vertkal it. of a' db. barMg pool ren,,red 14.2' ax' 9 , o I6 - NOTES ■ MONUMENT O PIPE TIDAL NETLAND5 BOUNDARY SHOWN THUS A5 DELINEATED BY EN-GONSULTANTS, ING., 2-4-11 FLOOD ZONE LINE FROM FIRM MAP# 36103G01641-1 SEPTEMBER 25,200q TOPO6RAPHIG DATA REFERENGE5 A U565 BENCHMARK TIED TO DATUM N6VD'2q AREA = 35,132 50 FT OR 0.82 AGRE5 PROPERTY ZONE R 40 6RAPHIG 5GALE I"= 50- I BrOad w 24 EL 20. Waters Road I..I:1.. IT 1.:11 �,.. GRADE w 1 BROWN A 1 61 * 1 s DRAINAGE SYSTEM GALGULATIOHri: 1 `, HOVE RG IIN6 tEW SC.fPOROH I 1 X .I =343 w. ft. 2016 sq.. . X OJT fC FINE SAND 343 . / cl,. it, vertkal it. of a' db. barMg pool ren,,red 14.2' X 4' PROVIDE 0) a' 8' d db. X 4' STGRN DRAIN POOL WATER USE 5' OF (1) B' db- X H' STORM GRAIN POOL HITT GARAGE ' 1 ' f'RDPOSm B' DIA. ORYYEIL5 FOR ROOF RIM-0FF ARE SP GARAGE RAF AREA: 120 eq. ft. �- 120 sq. f0. X 01-1❑3 w. ft. BROWN 123 w. ft / 422 = 2AI ver l ft. of B' db. b hmq pool regWW d 1-71 PROVIDE (U a' d�X 3' 5TO DRAIN POOL Iq• NOTES ■ MONUMENT O PIPE TIDAL NETLAND5 BOUNDARY SHOWN THUS A5 DELINEATED BY EN-GONSULTANTS, ING., 2-4-11 FLOOD ZONE LINE FROM FIRM MAP# 36103G01641-1 SEPTEMBER 25,200q TOPO6RAPHIG DATA REFERENGE5 A U565 BENCHMARK TIED TO DATUM N6VD'2q AREA = 35,132 50 FT OR 0.82 AGRE5 PROPERTY ZONE R 40 6RAPHIG 5GALE I"= 50- I BrOad w 24 EL 20. Waters Road I..I:1.. IT 1.:11 �,.. GRADE SM BROWN 61 SILTY SAND SP BROWN FINE SAND 14.2' WATER SP WATER IN BROWN 1-71 FINE SAND TEST HOLE Mr -DONALD SEOSGIENGE 10/23/12 LOT GOVERA6E GALGS. EXISTING HOUSE 1,8c18 S.F. OR 5.31 % EXISTING PATIO 3,814 S.F. OR 10.6 % PROPOSED GARAGE X20 S.F. OR 2% JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-TIGER\PROS\99-234 M gj ...... ■� ......... I■ �:::� .. .. e ■■■■■■ ...... ■■I ■I■ LTJ � —`�� ■�—, ...... ...... Owosso v v � f-1 O :0::: m m m m m . . uVdil Jllllllllllllu uuuii !!!III 111111hillu lifl.1; ...I'I _ iillih�l 1111111; II ;1111111_ _ e_ I, ■ ��� �■ •■ all .O ■.. ■■. 0 .■. I O. .■. ■■■ �■ ... ■.. '', . _ :::::: ��� IIImenIII III III v � I — – __ __–_ -- 9Eo OOu � �[ I a! 9.�.ns • ® 4 � Y_e i? w$t �"� � 1+—r _�_ _r –` � tf:. iT 1i A OI r. 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