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HomeMy WebLinkAboutTR-8066A James F. King, President Bob Ghosio; .Ir., Vice-presid~nl Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Mala Rd. P.O. Box 1179 Southold, I',[Y 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE __ Pre-construction, hay bale line __ 1st day of construction ~ constructed __ Project complete, compliance inspection James F. K/ng, President Bob Gho$io, Jr., Vice-President Dave Bergen John Brederneyer Michael J. Domino Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8066A Date of Receipt of Application: February 5, 2013 Applicant: Michael & Daryl Malter SCTM#: 111-9-7 Project Location: 4450 Nassau Point Road, Cutchogue Date of Resolution/Issuance: February 20, 2013 Date of Expiration: February 20, 2015 Reviewed by: Trustee Dave Bergen Project Description: To replace existing block cesspool with new upgraded one in-kind. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by John T. Metzger, Land Surveyor, last dated on October 9, 2012, and stamped approved on February 20, 2013. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F. King, President Board of Trustees JamesF. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemcycr Michael J. Domino PO. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631) 765-6641 Date/Time: Southold Town Board of Trustees Field Inspection/Worksession Report Mark Schwartz, Architect on behalf of MICHAEL & DARYL MALTER request an Administrative Permit to replace existing block cesspool with new upgraded one in-kind. Located: 4450 Nassau Point Road, Cutchogue. SCTM# 111-9-7 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound ~ Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other ~<~% of Application: Wetland __Coastal Erosion __Amendment ministrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: __J. King __B. Ghosio 4~D. Bergen, J. Bredemeyer___ Michael Domino D. Dzenkowski __ Form filled out in the field by Mailed/Faxed to: Date: other PHOTO No.-A- PHOTO PHOTO No. PHOTO No. ~B- PHOTO No. PHOTO No~ ~H~ pHOTO No.-C- PHOTO No. PHOTO No,-b REVISIONS: < © OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southald, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11_971_ Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To; From: Date: Jim King, President Town of Southold Board of Trustees Mark Terry, Principal Planner LWRP Coordinator February 13,2013 FEB 1 5 20]3 S0utholdT0wn Board of }'rustaos Re: Proposed Wetland Permit for of MICHAEL & DARYL MALTER SCTM#1000-111-9-7 Mark Schwartz, Architect on behalf of MICHAEL & DARYL MALTER request an Administrative Permit to replace existing block cesspool with new upgraded one in-kind. Located: 4450 Nassau Point Road, Cutchogue. SCTM# 111-9-7 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 CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided that the Board consider relocating the leaching pools to 100' from top-of-bluff (not shown) to meet Chapter 275 Wetland and Shoreline regulations. The site is served by public water. 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 __Coastal Erosion Permit Application __Wetland Permit Application AmendmentJTrans fer/E~tension ~_._Rece~ved Application: ~Received Fee:$ /tgO ~_Completed App~ ~- __Incomplete __SEQRA Classification: Type I Type II Unlisted Coordinafion:(date sent)_ ~_LWRP Consistency Assessment Form CAC Referral Sent: ~_Date of Inspection: ~. Il ~/ ] ~ - __Receipt of CAC Repo~{: __Lead Agency Determination: Technical Review: ~_Public Hearing Held:~Z/oe-tg/,3 __Resolution: Office Use Only Administrative Permit F B 5 2013 Soathold Town Board of Trustees Name of Applicant Michael and Daryl Malter Address 4450 Nassau Point Road, Cutchogue, NY Phone Number:( ) 7.~.~' - $~/O ! Suffolk County Tax Map Number: 1000 - 111-09-07 Property Location: 4450 Nassau Point Road, Cutchogue, NY (provide LILCO Pole It, distance to cross streets, and location) AGENT: Mark Schwartz, Architect (If applicable) Address: PO 933, Cutchogue, NY 11935 Phone: 7J of Trustees Applicati~ GENERAL DATA Land Area (in square feet): gross: 38769 sq ft, to bulkhead: 36096 sq ft Area Zoning: R40 Previous use of property: single family residence Intended usc of property: single family residence Covenants and Restrictions: ~ Yes _ [~ No If "Yes", please provide copy. DoesthisprojectrequireavariancefromtheZoningBoardofAppeals [] Yes ~'] No If "Yes", please provide copy of decision. Will thi~ar.~ject require a~emolition as per Town Code or as determined by the Building Dept. I I Yes I~ No Does the structure (s) on property have a valid Certificate of Occupancy [] Yes [] No Prior permits/approvals for site improvements: Agency Date ? 3 Z r I I Z od C ~'] No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or SUSlX~ded by fa.eqvemmental agency? ~ No_.L~- Yes If yes, provide explanation: Project Description (use attachments if necessary): replace existing block cesspool with, new, upgraded one in kind of Trustees Applicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: replace existing block cesspool with, new, upgraded one in kind Area of wetlands on lot: 2673 .square feet Percent coverage of lot: 11.7 % Closest distance between nearest existing structure and upland edge of wetlands: 60.7(terrace) feet Closest distance between nearest proposed structure and upland edge of wetlands: none feet Does the project involve excavation or filling? V1 No 7] Yes If yes, how much material will be excavated? 50 cubic yards How much material will be filled? 45 cubic yards Depth of which material will be removed or deposited: 12 +/- feet Proposed slope throughout the area of operations: +/- 5% Manner in which material will be removed or deposited: Excavated shall be used for final grade, new fill for septic shall be contained on property. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The proposed work shall have a positive impact on the wetlands and tidal water through the installation of new, upgraded, septic system PROJECT ID NUMBER SEQR PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR Mark Schwa.~z 3.PROJECT LOCATION: Mm~c~y Southold 4. PRECISE LOCATION:_Sf~eet Addess and R=ad 44 0 Pefl' 617.20 APPENDIX C STATE ENVIRONMENTAL QUALn'Y REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2, PROJECT NAME 5. iS PROPOSED ACTION: [] New [~Expansl~q O MndlflcatJon/alteratio~ 6. DESCRIBE PROJECT BRIEFLY: remove and replace existing block cesspool with ltke tn kind 7. AMOUNT OF LAND AFFECTED: Initlallyno chanmmoras UItJmately no change acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? r~Yes [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE iN VICINITY OF PROJECT? (Choose as many as apply.) r~Resl~entl,l ~llndustrial F'-']Cornmerolal r~AgHculture r~lPark,ForestlOpenSpace F-~Omer 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal. State or Local} I~lYes r~No yes, agency name parfait I approval: t~st 11. DOES ANy ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? r~Yes r~No if yes. list name and / agency permit approval: i11~S A i~ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I IYas LY_JNo I CERTIFY THAT THE INFORMATION ~OVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE If the action It a Cos~l Ama, and you am a complete tha Coas~l ~sessm~t Form ~m ~ec~dlng w~ this assessment PART II - IMPACT ASSESSMENT (To be'completed by Lead A~lenc¥) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 if yes, coordinate the review process and use the FULL FAF. [--1 Y.es [~]No B. WILL .~CTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No. a negative declamfion may be superseded by abetbe~ involved agency. r--1 Yes [~]No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED VVITH THE FOLLOV~NG: (Answem may be handw~ifien, if legible) C1. Existing air quality, surfaco or gmuodwater qualffi/or quantity, noise leveis, existing traffic pattern, solid waste production or disposal. potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agflcoltural, archaeological, historic, or other natural or cultural resources: or community or neighborhood character? F-~lain briefly: C3. Vegetation or fauna fish, shellfish or wildkfe species, s~gnificant hahdats, or lhreatenod or endangered species? Expla n b y C4. A co~mundy'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: I 1 C6. Long term, short term, cumulative, or other effects not identified in C1 -C57 Explain briefly: C7. Other impacts Iinclodin~l chanties in use of either ({uanfit;/or type of energy.? Explain bri~fl;/: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA ICFAI? Ill yes, explain briefly': [~Yes [~].0I E. IS THERE, OR IS THERE LIKELY TO BEI CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ~'es ex~lain: PART III - DETERlliIINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectiden~edab~ve~determleewhetheritissubstan~a~,~arge~imp~rtant~r~the~wtsesigni~mant~ Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necesea~j, add attachments or reference suppoffing materials. Ensure that explanations ccotain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of pert ii was checked yes, the determination of signit'mance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Chec~ this box If you have identified one or mom potentially large or significant adverse impacts which I~IAY occur. 'rhen proceed dim{fly to the FULl FAF 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 actle~ WILL NOT resuti in any significant adverse environmental impacts AND provide, on attachments as necosea~, the masons supporting thi~ determination. Board of Trustees Name of Lead Agency ~ Pdnt or Type Name of Responsible Officer in Lead Agency ,~natum of Responsible Officer in Le~gency Date President [] Tftle of Responsible Officer Signature of Preparer (If different from responsible officer) Ord of Trustees Applicati0 County of Suffolk State of New York Z/~4/~ /~ ( ~-3~ ~.'/~~ 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. 1N COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS AP~v;tCATION. SWORN TO BEFORE ME THIS 5"'- DAYOF ~C) ,20~ Notary Public VICKI TOTH No. 01'1'06190696 Qualified in Saffo~k Count,/ Commission Expires July of Trustees Applicati~ AUTHORIZATION (where the applicant is not the owner) I, [~AJ~UC/~ ftc GT~/~_ residing at 4 ~Z f~t4J/~fJ'f~)xa [~f ~O (13tint 0wn~r of property) ' (mailing address) ~(~(_~/7'~ l~f~ ~ do hereby authorize  (Agent) ~//~ lC ~---t~to apply for ~it(s) ~om ~e Southold Board of Town Trustees on my behalf. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Sombold's Code of E~l~i~s amhibits col~i~s of in. test on the hast of to~n offiee~ and ~molovee& The m~osa of this form ia to m'ovid~ infotina~ion w~ich uso alert I~ town of ~ossibl~ ~flie~ of inmmzt and allow it to lake ~ ~ iq YOUR NAME: Mark Schwartz, Architect (Last name. fw~ name, ~nlddle initial, anless you nm applying in the name of ~meone el~ or otl~r eng., ~ ~; a ~orol~ny. I f so, imtlc~ the o~er per~on's or company's NAME OF APPLICATION: (Check all lh~ apply.) Tax grievance [~ Building Variance __~ Trustee Change of Zonc Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If'Other", naroe the activity.) Do you personally (or through your company, spouse, sibling, patent, or child) hav~ a relationship with any ofticer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest "Business interest" means a busine~, including a panne~hip, in which the town off~-r or empk)yee has even a partial ownership of(or employmem by) a coq~oratlon in which the town offcer or employee owns more than 5% of the sha~s. If you answered "YES", complete thc I~lanco of Ibis form and date and sign where lad:coted. Name of person employed by thc Town of ~outhold Title or position of that person Describe the mlagomhip between yourself(the applicant/agcol/reprcsenlat irc) and the town officer or employee. Either check the aPlxoprintc linc A) through D) and/or describe in Ibe space provi~L The town officer or employee or his or bet spouse, sibling, penmL or child is (check all that apply): V-IA) the owner of grnater than 5% of the shams of the corporate stock oftbe applicant ] (when lhe applicant is a coq~oration); B) Ihe legal or ~.nefi¢ial owner of any interes~ in a non-corpmMe entity (wl~n the 1applicant is no~ a corporation); C) an officer, director, parlner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM ~ LOCATION: ~.C,TJ~L~ THE FOLLOW/NG AOTION8 MAY REQUIRE ~ 8UBMI~MON OF A 1000 111 09 07 GTORAt~/A'I'~ ORADINGr DRAINAGE ANO ~ CONTROL PLAN D~wl~t 8~. .to~ ~ CERllFIED BY A OESIMf PROFE8810NAL IN ~ ~STA'TE ~ ~ YORK. SCOPE OF WORK - PROPOSED CONSTRULirlON l'lliM[# / WORKASSF_.~SMENT { Yes No a. Whal is th~ Tot~ Area o~ the P(oiect pamMs? (iht{nde Tote{ Area of s{{ Parc~is {coat~l Mthin '1 Wi]} this {:'miect Retain Ail Stomm-Water Run-(~ the Scope of Work b Pmpe~ed ~) Generated by a Two (2") Inc~ Rainfall cm Site? r'~ b. Whatisthe Totel Area of Land Clemthg (9.F./,~,~) {Thlsltemwflllnc~ddeallmn-offcreatedby~ and/or Ground Dislur~ance for lira proposed ~ Impmvemante and the pen~mmnt creation of con.~mcth3n ~ impetvteus surte~s.) (&F./Sz,~) 2 D~es the Site Plan end/or Survey Sh~w NI Proposed PROVIDE BR]g_~ PROJECT DESCRIrJ].ON 0.~P,~.=.m.~e Dr~ Sma~ums Indl~alth~ Size & Lo~atkm?3hls r~ i~ shal include all P~d Grade C~ and replace existing block cesspool with new, upgraded ~ Coatmlflng Surface Water Flow. 3 Does the Site Ptan and/or Sur~y descg/zm the em~ten one in kind and sediment conlrol practices that MI be u~ed to control ,~te ero~on end .term water d~ This Item rmmt be maintained throughout the Entire Cons~actlen Period. 4 W~I this Project Require any Land Filling, Grading or ExJst~g C-rede th~4ng mom than 200 Cublc Yards __ of Material wtth~ any Parcel? ~ Will this Application Req ulre Lar~l Dlstud~ing .N3tMfiee Ermompaa~Mg an Ama In Exces~ of Five Thousand (5,000 S.F.) Square Feet of Oround Surface? 6 Is them a Nateral Water Cowse Running through the Site? Is this Pmjant v/ahin the Trustees judsdk~n di~u~oen~o~one(1)a-mmeaae.; I~ludl~turb~m~a'le~anoneaa. ea~t ! 7 WllltberebeS#elxePara~°nonE.~dstingGredeSIopes a~ ~oari of a ~e~ger ~ommon plum Ih~ ~ ultlma~l~ dl~tlrb or~ or more a¢~ Mland; which E.~c~ed Flftmm (15) fee{ of Vortical Rl~e to SW~P~l';~hMImMhMt~)lnltmInMlIJIr~illentl~thlliP~(~nMMP~F411~ i 8 WlllD~v~ays, PafdngAreanorotherlmpervloua 1.331e ~ ~at~ be ~ ~1~, Io the ~bmW~l ~ the NOL The NOI ah~l be into and/or In tbe dtmclkm of a Town ~l~ht-of-way? 2. 'fhe SWPPP shall ~dbe the emefon ami sediment ~e~bet pmctl~ a~l wt~em 9 WIll this ProJant Require ~e Planemant of Mate~al, ~l~md, Ixm-~ons'~u~aon ~ w~er mam~m~nl pra~la~ Ihat MI be used an~l~. Ranleval of Vegeteflon and/or the ~ of any r~ STATE OFNEW YORK, ~'~.~-,., _ ~/ COUNTY OF .....d....~.~.!...~..k.. ~ ....... SS That l ......... ~_~..L .~..d..~ ........ ..~....'J.L..~.....L..7..L.... bein~ duly ~orn, delx~ and ~a~ that he/~h¢ i~ the applicant for P~mafit, And It]at he/she is the--~'"" --' - -../..~...~.,../.~r"--~ ............................................................... Owner and/or mpre*enta~ve of the O~er or Ownen, a~l i~ duly authorized to p~form or haw performed ~he ~aid work and to maim a~d file this applimtion; that all ~emcnt~ contained in thi~ application are ~ue to ~he be~t ofl~ knowlcd~ and I~li~ff; and that the work will be performed in the manner ~et ford~ in fl~¢ application filed Sworn to he_fore mc d~; ~ '~^ ~, /'7 ./TW FORM - 06110 Coral Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southuld Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits' not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfi'ont Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION 111 09 07 SCTM# The Application has been submitted to (check appropriate response): Town Board ~-~ Phinning Dept. N 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: Nature and extent of action: replace existing block cesspool with, new, upgraded one in kind At~ach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [~ Yes [~ No [-'] (Not Applicable - please explain) To the extent that this policy is applicable to the proposed project, visual quality and scenic resources will be protected at the site through the protection and maintenace of the well vegetated area buffering the developed portion of the site from the tidal wetlands of Little Peconic Bay. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~-~ Yes ~ NO [~] (Not Applicable - please explain) The project does not address nor affect erosion control structures or other erosion/flooding control initiatives. Policy 4 is not applicable to the project. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [~] Yes ~ No [-] (Not Applicable - please explain) The proposed project is consistent with Policy 5 via upgrade of existing cesspool system. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southoid ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes N No~ (Not Applicable - please explain) This project will be consistent with Policy 6 for the same reasons described for Policy 5; because there will be no loss Location of action: 4450 Nassau Point Road, Cutchogue, NY Site acreage: .89 Present land use: single family residential Present zoning classification: R40 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: Michael and DaryI Malter (b) Mailing address: 4450 Nassau Point Road, Cutchogue, NY (c) Telephone number: Area Code ()(631) 734-5101 (d) Application number, if any: 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? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ~'~Yes N No ~ (Not Applicable- please explain) This project entails replacing existing cesspool to the existing single family home in a heavily developed neighborhood. Policy 1 is not applicable to the project. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ~--] Yes ~-~ No ~ (Not Applicable - please explain) The subject property does not contain nor does the project affect historic or archeological resources; nor is the project located in a histodc madtime area. Policy 2 is not applicable to the project. I f th h outh~l T of wetlands and because the statutory and regu atory requirements o bo t e Sout o d Town rustees and the New York State Department of Conservation will be complied with. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southolfl. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. See Section III - Policies Pages; 34 through 38 for evaluation criteria. [-~ Yes [--] No [~ (Not Applicable - please explain) The project will neither affect nor have an impact on air quality in the Town of Southold, Policy 7 is not applicable to the project. Attach additional sheets if necessary Policy 8. Mininfize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [~ Yes N No [~ (Not Applicable - please explain) The project will neither create nor rrequire the handling of solid waste or hazardous substances. Policy 8 is not applicable to the project. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ Ye~ No[] (Not Applicable - please explain) The project is limited to the upland portion of the property, public access and recreational use of the adjacent coastal waters and public lands and resources will not be affected by the project. Policy 9 is not applicable to the project. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~Yes ~ No[~ (Not Applicable - please explain) The project neither proposes nor affects water-dependent uses. Policy 10 is not applicable to the project, Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section II1 - Policies; Pages 57 through 62 for evaluation criteria. ~-] Yes ~ No ~-] Not Applicable - please explain The project neither proposes nor affects commercial or recreational fishedes or other uses associated with the living madne resources of Long Island Sound. Policy 11 is not applicable to the project. At*ach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~Yes [-~ No[~] Not Applicable-please explain The project site is neither situated on nor adjacent to agricultural lands. Policy 12 is not applicable to the project. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [-'] Yes ['-] No ~-] Not Applicable - please explain The project affects neither the use nor development of energy and mineral resources. Policy 13 is not applicable to the project. N GARAGE SANITARY SYSTEM (0.5 BATH) f41t :,COB GALLO. BERTIO TANK DIA. x 12' DEEP LEACHING POOL WITH 3' SAND COLLAR 3' ABOVE GROUND WATER EXISTING WELL TO BE ABANDONED RIVE FEB 5 20B TEST HOLE DATA BY McDONALD GEOSCiENCE 2/2/2012 Elevations referenced to N.A.V.D. '88 / am familiar with the STANDARDS FOR APPROVAL AND CONST~UC770N OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and w/il ob/de by the conditions set forth therein end on the permit to construct. The /ocaUon of public weter, we#s and cesspools shown hereon from f/eld observations and or from dote obtained from others. ANY ALTERA?70N OR ADD/EON TO THIS SURVEY IS A ~OLA~70N OF SECiTON 7209 OF THE NEW YORK STATE EDUCATOR LAW. EXCEPT AS PER SEC~70N 7209-SUBDIVISION 2. ALL CERTIF/CA?7ONS HEREON ARE VALID FOR THIS MAP AND COP/ES THEREOF ONLY IF SAID MAP OR COP/ES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIONA ~JRE APPEARS HEREON. SURVEY OF PROPERTY A T NASSAU POINT TO,tN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-111-09-07 SCALE: 1~-30' FEBRUARY 2, 2012 APRIL 11, 2012 (PROP. CAR.) APRIL 16, 2012 (REVISIONS) AUGUST 28, 2012 (REVISIONS) OCTOBER 9, 2012 (FOUNDATION LOC. & REVISIONS) _/.o~NTg~ ~OA~ CA~r~ #961~ AREA=38,769 SO. FT. TO TIE LINE LOT NUMBERS REFER TO "AMENDED MAP A OF NASSAU POINT CLUB PROPERTY INC" FILED lN THE SUFFOLK COUNTY CLERK'S OFFICE ON AUGUST 46, lg22 AS MAP NO. 158. (631) 765-, 1) 765-1797 ~.~-BOX 909 1230 TRAVELER STREET $OUTHOLO, N.X ~7i 12-110