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� 7 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 www.mooreattys.com email: pcmoore@mooreattys.com February 19, 2016 Board of Trustees Town of Southold Main Road PO Box 1179 Southold NY 11971 RE: GRACE BURR HAWKINS PREMISES: PRIVATE ROAD, FISHERS ISLAND PERMIT NUMBER: 8142 Dear Mr. Bredemeyer: With reference to the above permit(copy enclosed),please let this serve as a request for an extension of said permit for one year. My check is enclosed for the extension fee. Thank you. V- -. u , ours, // P: icia C. Moore FEB 23 2016 ° f? /oe,„, a SOU/1 John M.Bredemeyer III,President /�o°��� . , Town Hall Annex ` 54375 Route 25 Michael J.Domino,Vice-President ; , P.O.Box 1179 Glenn Goldsmith ; cep •x15 Southold,New York 11971 A.Nicholas Krupski f; �p� /A, Telephone(631) 765-1892 Charles J. Sanders � �y�,®U� � i°• Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 23, 2016 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: GRACE BURR HAWKINS PRIVATE ROAD, FISHERS ISLAND SCTM# 1000-10-4-10 1 Dear Mrs. Moore: • :n The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 23, 2016: RESOLVED that the Southold Town Board of Trustees grants the Last One-Year Extension to Wetland Permit#8142, as issued on April 17, 2013. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, John M. Bredemeyer III President, Board of Trustees JMB:dd .tea Farr John M. Bredemeyer Ill, President pSUFFUCA C Town Hall Annex Michael J. Domino, Vice-President ;— ��o� �G�� 54375 Route 25 Glenn Goldsmith cos _ ' P.O. Box 1179 A. Nicholas Krupski o �y Southold, NY 11971 Charles J. Sanders ' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 3/6/tG Completed in field by: /1/41.141PJ' Patricia C. Moore, Esq. on behalf of GRACE BURR HAWKINS requests the Last One-Year Extension to Wetland Permit#8142, as issued on April 17, 2013. Located: Private Road, Fishers Island. SCTM# 1000-10-4-10 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=-I Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside . review/consultant/application completeness/comments/standards:. JiJ in 0J - 5}ca- In16rworc� 9A Fur I /orek4-+�/s�,,✓. .1 Present were: V J. Bredemeyer V M. Domino ✓ G. Goldsmith ' N. Krupski VC. Sanders Other Page 1 of 2 John M Bredemeyer III, President oSu jKco Town Hall Annex Michael J. Domino, Vice-President Gyq 54375 Route 25 Glenn Goldsmith y a P.O. Box 1179 A. Nicholas Krupski o W Southold, NY 11971 Charles J. Sanders #4/0 `z,, #: Telephone (631) 765-1,892 -,,2 ) Fax (631) 765-6641 BOARD,OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: TA] I Completed in Work Session by: 3 ,Q)f Quor Patricia C. Moore, Esq. on behalf of GRACE BURR HAWKINS requests the Last One-Year Extension to Wetland Permit#8142,as issued on April 17, 2013. Located: Private Road, Fishers Island. SCTM# 10.00-10-4-10 Ch. '275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: ' B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: \D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the"natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT 'MET=X-or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. . 25% Expansion/Calcul tion Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: 1 LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: I J. Bredemeyer I M. Domino ( G. Goldsmith N. Krupski (-C. Sanders 1 E. Cantrell D. Di Salvo Other Page'2 of 2 s0�_ John M.Bredemeyer III, President /c `v 12 " Town Hall Annex Michael J. Domino,Vice-President ` 54375 Main Road * l�[, P.O. Box 1179 James F. King,Trustee N Southold, New York 11971-0959 Dave Bergen,Trustee �OQ�1�1 Charles J. Sanders,Trustee OlycOU Telephone (631) 765 1892 I Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 15, 2015 Ms. Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: GRACE BURR HAWKINS PRIVATE ROAD, FISHERS ISLAND SCTM# 10-4-10 • Dear Ms. Moore: The following action was taken by the Southold Town Board of Trustees at their Work Session held on Wednesday, April 15, 2015: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit#8142, as issued on April 17, 2013. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, dot_ qt.% eu#1.0,77.4. John M. Bredemeyer III President, Board of Trustees JMB/amn John Bredemeyer, President „,,,,,0,''s ” Town Hall Annex Michael J. Domino, Vice-President '�A� ��OGy; 54375 Route 25 James F. King ti $ P.O. Box 1179 Charles J. Sanders ``,%. Southold, NY 11971 Dave Bergen ' Ol , Telephone (631) 765-1892 " Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: Wg- I Patricia C. Moore on behalf of GRACE BURR HAWKINS requests a One-Year Extension to Wetland Permit#8142, as issued on April 17, 2013. Located: Private Road, Fishers Island. SCTM# 10-4-10 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: S T / Y '- - Present Were: 1/J. Bredemeyer M M. Domino J. King C. Sanders D. Bergen Bay Constable Other Form filled out in the field by d . 1//tv Mailed/Faxed to: Date: CC#: C13-37564 v.„4.4 t. _x h sx� y r „`•Y (f 4. COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 08/28/2013 under Liber D00012742 and Page 176 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 08/28/2013 . RECEIVE ll SUFFOLK COUNTY CLERK AUG 3 0 2013 ✓ JUDITH A.PASCALE outhoid Town Board of Trustees b� SEAL 11111111 liii 11111 11111 11111 11111 11111 11111 11111 Hit III 1111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE. Type of Instrument: DECLARATION Recorded: 08/28/2013 Number of Pages: 4 At: 10:18 :20 AYE! Receipt Number : 13-0108204 LIBER: D00012742 PAGE: 176 District,: Section: Block: Lot: 1000 010 .00 04.00 010.000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $5.20 NO RPT $60.00 NO Fees Paid $125.20 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County • . 1 2 • Number of pages9' ;..4.:". }C;.- This document will be public 1!.10i' record. Please remove all Social Security Numbers prior to recording. Deed,/Mortgage Instrument Deed/Mortgage Tax Stamp Recofding I Filing Stamps 3 • FEES Page/Filing Fee .'_ Mortgage Amt.. 1. Basic Tax _ Handling 20. 00 2. Additional Tax TP-584 Sub Total _ Notation Spec./Assit. . Y. or EA-52 17(County) Sub Total C� Spec./Add. __ EA-5217(State) TOT.MTG.TAX �- Dual Town Dual County R.P.T.S.A. C�G . '1 , Comm,of Ed. 5. QOM % Held for Appointment> Transfer Tax •Affidavit %y; (' $ Mansion Tax Certified Copy 3 " The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 S-5--.4'0 family dwelling only. Sub Total YES or NO Other Grand Total fS ' O If NO,see appropriate tax clause on page#_ of this instrument. 4 ! 2558103 Dist. z.00q oi000 0400 010000 • 05 Community Preservation Fund Real Property PTS II��II�I �IH�l�� f�IIIl�I� ��I Ill Up Consideration Amount$ Tax Service R POL Agency 27-AUG-7 Verification •,, CPF Tax Due $ __ _ Improved Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO; /.... Vacant Land • _ I F=/Crit 0- 7V0e,,44.37; J `� 1 • TD 999 ,-770�C� -'7i/&J P,} / TD 0' caiNDG > A-) / //579/ TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording .8z Endorsement Page This page forms part of the attached m"J S (SPECIFY TYPE OF INSTRUMENT) made by: /- ,94i/Z/O S The premises herein is situated in TSUFFOLK COUNTY,NEW YORK. TO In the TOWN of O7it" • In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO.RECORDING OR FILING. (over) DECLARATION OF COVENANTS AND RESTRICTIONS J ke i'd— DECLARATION made this day of-May, 2013, by GRACE BURR HAWKINS, residing at 4389 NW 50th Drive, #103, Gainesville, FL 32606, as owner, hereinafter referred to as the"Declarant". WITNESSETH: WHEREAS,the Declarant has title to certain land situate,lying and being at Private Road, Fishers Island, Town of Southold, Suffolk County, New York,SCTM 1000-10-4-10 said land being more particularly described in Schedule"A"which is attached hereto; and WHEREAS,the Property is situated in or adjacent to lands activities upon which are regulated by the Town of Southold Board of Trustees pursuant to Chapter 275 of the Town Code of the Town of Southold,as may be amended,and various activities conducted upon the property are subject to the jurisdiction, regulation and approval or disapproval of the Trustees prior to being conducted; WHEREAS,the Declarant has applied to the Town of Southold Board of Trustees for a wetland permit to construct a 20' X 56' two story single family dwelling with full basement; second floor 10' covered porch on north side of house and 10'X 56' covered cantilevered deck along east side of house with lower deck or patio under first floor porch and deck; install a sanitary system;install water line from street to house; and for a gravel parking pad 15' X 30'; and as depicted on the site plan prepared by CME Associates Engineering, Land Surveying and Architecture, PLLC, last dated March 25, 2013 and stamped approved on April 17; 2013. WHEREAS,the Town of Southold Board of Trustees,as conditions for the issuance of such Wetland Permit, required certain covenants and restrictions be placed on the property as shown on the aforesaid plans. NOW,THEREFORE,this Declarant witnesseth: That Declarant,for the purpose of carrying out the intentions expressed above does hereby make known, admit, publish, covenant and agree that the saidproperty herein described shall hereafter be subject to the following covenants which shall run with the land and shall be binding on all purchasers and holders of said premises, their heirs, successors, and assigns,to wit: 1. 4'X 8'drywells for roof run-off;a line of staked hay bales with slit fencing to be installed prior to construction along the 15'contour line;a 10'wide non- turf buffer(measured from hay bales)to be established and subsequently maintained;the area seaward of the 15'contour line to be established as a non-disturbance buffer and subsequently maintained with a 4'wide access path to cover;and as depicted on the site plan prepared by CME Associates Engineering, Land Surveying and Architecture, PLLC,last dated March 25, 2013 and stamped approved on April 17, 2013. 2. These covenants and restrictions can be modified only at the request of the then owner of the premises with the approval of the Town of Southold Board of Trustees after a duly noticed public meeting. Adjoining property owners shall be entitled to notice of such public meeting by publication or as otherwise deemed sufficient by the Board of Trustees but their consent to such modification shall not be required. 3. It is the responsibility of any party having any right, title or interest in the Property to consult Chapter 275 of the Town Code of the Town of Southold, as may be amended, and to obtain from the Town of Southold Board of Trustees review and such approvals as may be required by Chapter 275 for activities regulated therein on the Property. 4. Declarant grants the continuing right in perpetuity to the Town of Southold or any of its designated representatives to enforce the conditions and restrictions of the covenants. THE FOREGOING.covenants and restrictions shall bind the Declarant, its heirs, successors and assigns, and any and all person or persons who shall succeed to the ownership of said premises of any part thereof by transfer or otherwise. IN WITNESS WHEREOF,the Declarant has duly executed this Declaration the day and year first above written. ,/ 1 T." 1/ , 424v,444, Brace Burr Hawl�ins STATE OF.FLORIDA Hay ss.: COUNTY OF ALM,. On the Ids.,___ day of2013,before me,the undersigned, personally appeared Grace Buy; Hawkins,personally p m to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity and that by his signature on the instrument,the individual,or the person upon behalf of which the individual acted,execut the instrument and that such individual made such appearance before the undersigned in the ,\rji. C(.FL.. .(Insert the city or other political subdivision and the state or country or other place the acknowledgment was taken.). tti`,,s'O p°o% Notary Puhlia-StSEAN T PETERS ... ,�' _ ate of HMO , -___. f.—_,,— " --- 9 ssii4V My Comm.Expires Jan 6,2017 Notary 'it.lie $n Commission#EE 382764 � I SCHEDULE A 6ArFe5Z5'4' ALL that certain plot,piece or parcel of/and,with the buildings and improvements thereon erected, situate, lying and being at Eastlatiun,the County of Suffolk and State of New York,being more particularly bounded and described as follow: Lots 71, 72, 73 and 74(together with the right of way between lots 74 and 75)as shown on "Plan of Peninsula at Fishers Island, owned by Charles W. Hedge and Frances G.Thorp,made by Chandler,Palmer, Engrs.,Norwich,Connecticut '1913" and filed in the Office of the Clerk of the County of Suffolk on March 11, 1913,file no. 223. 0410912015 15:37 r.11 P.0011001 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel:(631)765-4330 Fax::(631)765.4643 April. 9, 2015 via fax & original to follow FiL �f by hand delivery on Monday, April 13, 2015 APR - 9 2015 i J Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 RE: GRACE BURR HAWKINS # 8142 PREMISES: PRIVATE ROAD, FISHERS ISLAND, NEW YORK SCTM # 1000-10-4-10 Dear President Bredemeyer and Board members: With reference to the above, please let this serve as a request to extend permit #8142 for an additional one year. Pat's check will follow in the amount of $50. 00 on Monday, April 13, 2015 when she returns to the office. We apologize for the lateness with our request. Ms. Hawkins had been involved in a terrible auto accident last year and spent many months in the hospital and then re-hab. Thank you for your courtesies in this matter. Very truly yo s, 13.7"-r . oore •y Bet 'y Pe ins LA bp MARTIN D.FINNEGAN SCOTT A.RUSSELL TOWN ATTORNEY 1,,,, Supervisor martin.finnegan@town.southold.ny.us •011*0 SO(j7 JENNIFER ANDALORO I ,`O� "' •Ol® Town Hall Annex,54375 Route 25 9 ASSISTANT TOWN ATTORNEY �� . P.O.Box Jennifer.andaloro@town.southold.ny.us N • i t Southold,New Yorkk11111971-0959 LORI M.HULSE 51% 4, �, Telephone(631) 765-1939 ASSISTANT TOWN ATTORNEY 'I `` Facsimile(631) 765-6639 lori.hulse@town.southold.ny.us 'oCOu ',00 OFFICE OF THE TOWN ATTORNEY TOWN OF SOUTHOLD Patricia C. Moore May 15, 2013 51020 Main Road Southold,NY 11971 RE: Grace Burr Hawkins, Wetlands Permit No. 8142 -y-/o Dear Ms. Moore, I have reviewed the Declaration of.Covenants draft you submitted to this office with respect to the above referenced application concerning the ten foot wide non turf buffer to be established and subsequently maintained and the area seaward of the fifteen foot contour line to be established and subsequently maintained as a non-disturbance buffer. 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, RECEIIVE . I MAY 1 5 2013 Lori M. Hulse Southold Town Assistant Town Attorney Board of Tru to•s - Cc: Board of Trustees " FFO(,p--- James F.King,President 'Odp Town Hall 53095 Main Rd. Bob Ghosio,Jr.,Vice-President �� Gy • Dave y en P.O:Boz 1179 > w Southold,NY 11971 John Bmdemeyer o i Michael J.Domino y�/� p`t 1 Telephone(631)765-1892 =..1 * Fax(63 l)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 / %2 constructed �/ Project complete, compliance inspection ,` %' t, ,I 77..7.:;, i ,,r.3)\(1 I' BOARD OF SOUTHOLD TOWN TRUSTEES _ , SOUTHOLD, NEW YORK aI PERMIT NO. 8142 DATE: APRIL 17,2013 , r. / ISSUED TO: GRACE BURR HAWKINS \ rJA PROPERTY ADDRESS: PRIVATE ROAD, FISHERS ISLAND ' I SCTM# 10-4-10 1 AUTHORIZATION \` / I 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 April 17,2013,and in /` consideration of application fee in the sum of$250.00 paid by Grace Burr Hawkins and subject to the Terms k and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: A 1 ` Wetland Permit to construct a 20'x56' two-story single family dwelling with full ry \% ' 7� " basement; second floor 10' covered porch on north side of house and 10'x56' covered cantilevered deck along east side of house with lower deck or patio under first floor porch and I I deck; 4'x8' drywell for roof run-off; a line of staked hay bales with silt fencing to be installed prior to construction along the 15' contour line; a 10' wide non-turf buffer(measured from hay / ' \\._;bales) to be established and subsequently maintained; the area seaward of the 15' contour line I / \ to be established as a non-disturbance buffer and subsequently maintained with a 4'wide µ; access path to cove; install a sanitary system; install water line from street to house; and for a �\\ 1� I gravel parking pad 15'x30'; and as depicted on the site plan prepared by CME Associates j I I Engineering,Land Surveying& Architecture,PLLC, last dated March 25,2013,and stamped } approved on April 17,2013. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, i� y and these presents to be subscribed by a majority of the said Board as of this date. � �,,i �Fffl(� �� �r, •: // • // 4 . o P.gi + "fig *aa II , ` - ' , , � • • TERMS AND CONDITIONS The Permittee Grace Burr Hawkins, residing at Private Road, Fishers Island,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County 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 Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. • • James F. King,President •i ' SOUaNsjy. Town Hall Annex Bob Ghosio,Jr.,Vice-President 'I' I.0 54375 Main Road P.O. Box 1179 Dave Bergen 111 41 Southold,New York 11971-0959 John Bredemeyer y Michael J.Domino ` S iTI 0�1� Telephone(631) 765-1892 D� COU � �• Fax(631) 765-6641 r •d BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 17, 2013 Ms. Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: GRACE BURR HAWKINS PRIVATE ROAD, FISHERS ISLAND SCTM# 10-4-10 Dear Ms. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 17, 2013 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of GRACE BURR HAWKINS applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated March 25, 2013, 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 found that the proposed application be Consistent with the standards of the LWRP, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 17, 2013, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 • • WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of GRACE BURR HAWKINS to construct a 20'x56' two-story single family dwelling with full basement; second floor 10' covered porch on north side of house and 10'x56' covered cantilevered deck along east side of house with lower deck or patio under first floor porch and deck; 4'x8' drywell for roof run-off; a line of staked hay bales with silt fencing to be installed prior to construction along the 15' contour line; a 10' wide non-turf buffer (measured from hay bales) to be established and subsequently maintained; the area seaward of the 15' contour line to be established as a non-disturbance buffer and subsequently maintained with a 4' wide access path to cove; install a sanitary system; install water line from street to house; and for a gravel parking pad 15'x30'; and as depicted on the site plan prepared by CME Associates Engineering, Land Surveying &Architecture, PLLC, last dated March 25, 2013, and stamped approved on April 17, 2013. 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 Very truly yours, )irra James F. King President, Board of Trustees JFK/amn , •�sof FOL,�co-- • ,'ti Peter Young,Chairman Ca - Town Hall,53095 Main Rd. Lauren Standish,Secretary toT • P.O.Box 1179 'F 4 Southold,NY 11971 ‘--.4* .a0 firTelephone(631)765-1892 ,l jig ,'' Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., April 10, 2013 the following recommendation was made: GRACE BURR HAWKINS to construct a single-family dwelling with a cantilevered deck along back of dwelling, 10' covered deck and 2nd floor deck over 1st floor. Located: Private Rd., Fishers Island. SCTM#10-4-10 The CAC did not make an inspection, therefore no recommendation was made. El EcEavt —1I r;!'R i tm. 2013 Southold lown Board of Irustees K. t 7y Gt1.1k.Ct• � 14‘ � , „,,-'44,;.; 01 f, :,,,.,?,_„0%,„,,,...........r.•.' 0P '{ y� '..*-414.i. � �, 1141 ki i .f ,1 {i1 111 F it F:. P' � ,.'Z' •' r �♦ 1R” } /. A': '1': ,:� :" : :414'-- :...4?' • 4 .,4v:y # AC's r iv- .. r..r It ' If "•. • � , Ai: k`'. ir ''i a ri s. L ; sj' r.: _ it ,• - • ' , ,.fro ., ;,. .. ,... , 1, ,. .._ , _ ,I , ‘ - ....- :4'- :.'" lit, i I ,, • , ilk• oi,--': . 1;c '• it - , . . ._ . i %,-iNit # i -- er , $ ,.<fi A.. X , .c. , /I: 4:1I., , ,i -!.3,;:i i 1 F,'''. fil. 11:::.4:,..:*,i'-:'i 47„_.". ,,,,,,7:...:11'......7a.' -%.' 1 VS , ', 7. - it - -,..ffs„, t . , . • 1 if-':.1 +1 +� I_ it JeFr : ';4 �r Lr 'f ,A,-' • ` .�- ,, \ J "► i t r k., ♦, + h du. may}; w- . • g........, ..... ���.�, '.tom ,E r• i-.1 •, _ r_.f...,_.. .._. . —1,---.,-, • -t _,-. 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Moore, Esq. on behalf of GRACE BURR HAWKINS requests a Wetland Permit to construct a 20'x56' two-story single family dwelling with full basement; second floor 10' covered porch on north side of house and 10'x56' covered cantilevered deck along east side of house with lower deck or patio under first floor porch and deck; 4'x8' drywell for roof run-off; a line of staked hay bales with silt fencing to be installed prior to construction along the 15' contour line; a 10' wide non-turf buffer (measured from hay bales) to be established and subsequently maintained; the area seaward of the 15' contour line to be established as a non-disturbance buffer and subsequently maintained with a 4' wide access path to cove; install a sanitary system; install water line from street to house; and for a gravel parking pad 15'x30'. Located: Private Road, Fishers Island. SCTM# 10-4-10 Type of area to be impacted: /taltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 other Type of Application: 'Wetland Coastal Erosion _Amendment _Administrative Emergency Pre-Submission Violation Info needed: ..t ieatiens.- S9MF- ,95 fief ru0cif[- y 19df ted1 n j-/-e r/s/L /yDDo, nexf C/C ///�D/'/ , Conditions: Present Were: � King B. Ghosio D. Bergen, �. Bredemeyer 'Michael Domino D. Dzenkowski other Form filled out in the field by K - ' -- Mailed/Faxed to: Date: + k '°' �/F *I1 • ,� ik e • +it 7 gr' f. • J flo ' ..,. �� ! err .� r* •••,,,,,, ,'�A • ' , $t• .. ai - _ �• _ •j• - , _ I 1- • 4011• -' ' A % ' . 4144 }yt _, +i 4 ' ,.. ' : ' . * ' - r x . �,.+ , • „ _ AI 40, . viiio :1k, _ *---• - * - /04,-- ', ..” ....` 10%. '` _n . • IIPI - s 'Ry • - . -.+ 0:fo-.. 4P'.-to" '" • 46. -.• � L ` . r:rMa ar • 40;♦ `. • . Y ..' 1i - 7► ''111411.k111111111 41". 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GOOSE M �6d { vA CI h E \ / 0 114 ll �. r�. off. � 9.919' 41010 2 2 :��. ate: iF R o � ; 9 r _�I ® 4 1 i Ere 'NNE'' , lal t 7 rv�.Y 147 ,:,a g34.`� ems,,,,. 4011::_.,..% ,e ID 2) iff 4411111Elif / 0 awa 1.4i " 7%. ' (e) .' • Ok \ REQ. 4 dr 5 w.eme. % AVFi F WND Pa YI\weA n 1 d FERRY B4 O2, \ Oa2 . 111 i ,cPwrt ` RNOT c COUNTY OF SUFFOLK © . SCUM= sr non MO —� - ''' h0,y Real ProperlyTax Sery oe Agency r 1.. .am S Cantrell, Elizabeth From: Randolph, Linda Sent Friday, April 12, 2013 10:26 AM To: Cantrell, Elizabeth Subject: LWRP's Hi I just spoke with Mark. He said to tell you all the LWRP's this month can be marked "inconsistent." Linda 1 1110 James F. King,President 't'�r��OF SQUj4^ ; Town Hall Annex Bob Ghosio,Jr.,Vice-President tri 1O � � 54375 Main Road P.O.Box 1179 Dave Bergen #[ Southold,New York 11971-0959 John Bredemeyer G Q 1� Michael J.Domino ` a.0 tl Telephone(631) 765-1892 ('.COU N tti1 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLDCEfi= Office Use Only /9 S ' V Coastal Erosion Permit Application MAR G' X Wetland Permit Application Administrative Permit 2 51013 Amendment/Transfe/Extension Received Application: 3asp 3 - 0" Received Fee:$,. S7j&'' Completed Applicationogi 3 Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) 4( LWRP Consistency As.essm-nt Form.3/c10 3 CAC Referral Sent: ' / ?ate of Inspection: Ig/3 Receipt of CAC Report: Lead Agency Determination: Technical Review: �p Public Hearing Held: t-/// 7//� Resolution: Name of Applicant 62AGE 6tJ22 ,74-tt/lKiiG S Address 4 3 k� N •W• 5o T�rty-c 103 tnsv I J (e c1ct . ,3 a-(o 0 S— Phone Number:( ) 3S-- 34-7 - 4 21 I Suffolk County Tax Map Number: 1000- /Q -. 'V - /0 Property Location: P2iV 9 - ,Qpft/J / 1 5He�2s ��giujO (provide LILCO Pole#, distance to cross streets, and location) AGENT: ?car ctu /ikon- £5%' (If applicable) � //�� �/ Address: 5°2-0 Main- t2cad, Sotdfc/d / 7/971 Phone: 4 5:,. 7(05- 4 330 �1 •rd of Trustees Applicata. GENERAL DATA Land Area(in square feet): AQ, .310 sf /fre q v,c Do%4iD Area Zoning: i9 a Previous use of property: Vacate f Intended use of property: 4.4f o ite-e Covenants and Restrictions on property? `4, Yes No If"Yes", please provide a copy.--TrL2/u-o Will this project require a Building Permit as per Town Code? X Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review. Does this project require a variance from the Zoning Board of Appeals? Yes )( No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes )C No Does the structure (s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date }� /las4-cc� 7og7 (�i�//rre /146uc :d/, 010/3) kij1 1774 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: See ed Project Description (use attachments if necessary): 95 ,shocvTl on (5141119 ( E G�aL4 3/057/3Z a toms-, P ' ' "r-4t �r er:�d /55r.ed iiaera cQoO7 /97-a4 /2ernt t exp :10/3 ' e4 /frteri# da/z /0 , 9 �r'ar is Can1e/GcL ve✓eel Lealanc bece,L kcusc td load j (D /: cc,, �ti Rs"tl �d/Ivor attic ovoc- /%r i0r diet • Hawkins Project Description Private Road, Fishers Island SCTM#1000-10-4-10 20' x 56' two story single family dwelling with full basement; second floor 10' covered porch on north side of house and 10' x 56' covered cantilevered deck along east side of house with lower deck or patio under first floor porch and deck ; 4'x 8' dry well; silt fence and haybales at 15' elevation, 10' non-turf buffer(measured from haybales); area seaward of 15' contour to be established after construction and planting as a non-disturbance buffer(except for 4'path); 4' path to Darbies Cove; sanitary system; water line from street to house; gravel parking pad 15' x 30'; all as shown on a survey last dated March 25, 2013 RECEIVE ) MAR 2 9 2013 Southold Town Board of Trustees • • Cantrell, Elizabeth From: betsy@mooreattys.com Sent: Wednesday, March 27, 2013 9:22 AM To: Cantrell, Elizabeth Subject: RE: burr-hawkins application the deck is 10 feet in width and the gravel parking area is 15 X 25 Betsy Perkins LA Moore Law Offices William b. Moore, Esq. 631.765.4663 Patricia C. Moore, Esq. 631.765.4330 mailing & physical address: 51020 Main Road Southold NY 11971 fax number for both 631.765.4643 www.mooreattys.com Original Message Subject: burr-hawkins application From: "Cantrell, Elizabeth" <elizabethc@town.southold.ny.us> Date: Tue, March 26, 2013 4:19 pm To: <betsy@mooreattys.com> Betsy, Pat revised the project description for Grace Burr-Hawkins when she was in here earlier, however, she did not state the size of the cantilevered deck or the size of the gravel parking area. Could you please ask her to figure out the square footage or basic dimensions or each and let me know a.s.a.p. Clerk Typist Town of Southold Board of Trustees 631-765-1892 1 Bad of Trustees Application. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 4�t t/ hawse_ 079 cif7Vc rcn) Area of wetlands on lot: j5a7 square feet Percent coverage of lot: 8 Closest distance between nearest existing structure and upland edge of wetlands: j/percut feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No X Yes r If yes, how much material will be excavated? i -t c yards How much material will be filled? t7 cubic yards Depth of which material will be removed or deposited: q 4e2 i feet (6vtc(a ter) Proposed slope throughout the area of operations: Ilk/ Manner in which material will be removed or deposited: \5 n1&C' OxCciA a 'D -Pro y✓/I7P.r t �i�ivn�Q✓b� kv/lr/a./z4A-- 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): it/92P - '%9— -e&-tiafvvru /S • PROJECT ID NUMBER 61720 APPENDIX C •• SEQR STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME G/Z4t Mo f/GKrius H--wK/A'S Novsc 3.PROJECT LOCATION: p2)chore- gx),4cD Municipality ,t I mss S c,44/D County 4.PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map /000 " /o 5.IS PROPOSED ACTION: XI New ❑Expansion f ]Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: I I N s r h�/C e nut cbut 7.AMOUNT OF LAND AFFECTED: Initially +7 acres Ultimately r 7 acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? .Yes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) XJResidential Industrial nCommercial Agriculture n Park/Forest/Open Space Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCYr'� (Federal, State or Local) - ` - p31 Yes n No If yes, list agency name and permit / approval: 7/ Zi /�{'7' ' l US err" c� a. M .rcti l its) e me- 49 '/ 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? n Yes nNo If yes, list agency name and permit / approval: re/sit 12. �AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? F fres ❑No e eclia-G a-ned ran—/l�eve °/�- I CERTIFY THAT.THE._INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Q/J t/o Applicant / i Sperfsor Na. ru frae4 /27cm Oc/Date: •�)) `//13 Signature if the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment • • PART II - IMPACT ASSESSMENT(To be completed by Lead Agency' A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. El Yes a 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) Cl. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: 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. Long term,short term,cumulative,or other effects not identified in C1-05? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy? Explain briefly: -- D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? (If yes,explain briefly: I� I I Yes Li No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: Yes E✓ No PART Ill-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box If you hive Identified one or more potentially large or significant adverse impacts which MAY occur.Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box If you have determined,based on the information and analysis above and any supporting documentation,that the proposed actior WILL NOT result In any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thit determination. Board of Trustees g Name of Lead Agency / / Date JA,UE S f /`//f/l� President a Print or T pe Name of Responsible Officer in Lead gency Title of Responsible Officer S' ture of Responsible Officer in ead Agen Signature of Preparer(If different from responsible officer) PATRICIA C. M , ATTORNEY ATOW •�® 51020020 Main Road 1011 Southold, NY 11971 LETTER (631) 765-4330 email: pcmoore@@m�0000reeattys.com Date 2,L1/2: / 9— /-3 '1 To {.��J `�—�— Subject_ �`t , \C— 0'3 _. Jl APR 1 < Southol0 i _... .. .. �� �/ Boar„,_ _ „ , N tT ILI fki `ems t_ fr ] PTS CC (Z•CI 0 (-e c c' v As cX= ,b(1---FE- CAP,{ O T LC= (L "iG IUB l c+tba 9 ��_ . SIGNED ❑ Please reply ❑ No reply necessary • • BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK x In the Matter of the Application of AFFIDAVIT OF GRACE BURR HAWKINS MAILING Applicant's Land Identified as 1000-10-4-10 x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, Betsy Perkins, residing at Mattituck, New York, being duly sworn, depose and say that: On theC day of April, 2013, deponent mailed a true cop of the Notice set forth in the Board of Trustees Application, directed to each of the persons listed on the attached list at the addresses set below their respective names; that the addresses set below the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said notices were mailed at the United States Post Office at Southold, New York, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Attached hereto is the white receipt post-marked by the Southold Post Office on said date. 77 r:eley /(Signatur:s Sworn to before me this 7,9 7-H day of ) 2-0i -3• � , � v 1✓/� • (Not''ry Public) MARGARET C. RUTKOWSKI Notary Public, State of New York No. 49d2523 Qualified in Suffolk County Commission Expires June a,90/S— • • GRACE BURR HAWKINS SCTM: 1000-10-4-10 ELBERT & DORIS BURR 44 EMERALD GLEN LANE SALEM CT 06420 SCTM: 1000-10-4-9.1 JOHN AHLGREN 169 CONESTOGA STREET WINDSOR CT 06095 SCTM: 1000-10-4-12.2 SUSAN GAIL SCHONGAR TRUST 1909 LUCINA CT FT. MYERS FL 33908-1608 SCTM: 1000-10-3-7.1 SEVILLE H. SIMONDS 10 ISLAND BAY CIRCLE GUILFORD CT 06437 SCTM: 1000-10-3-8.2 RECEIPT RECEIPT 7104243880900000 0969 RECEIPT RECEIPT 7104 2438 8090 0000 0938 FROM: 7104 2438 8090 0000 0945 7104 2438 8090 0000 0952 FROM: Moore Law Office FROM: FROM: RE.HAWKINS Moore Law Office Moore Law Office Law OS Moore Law Office RE HAWKINS RERE HAWKINS SEND TO;.. , SEND TPI ' � sDTO; .SIMONDS SEND TO: SE D TO: - 1�ISLAND env CIRCLE �� ELBERT 8 DORIS BURR SUS GAIL SCHONGAR TRUST 1LFORD CT 06437 J HC CONESTOGA 190 LINA CT � 44 EMERAL GLENlANE 1 GONEST STREET FT ERIN 33908-}f DB w1 SALEM fiT }P.d ,�.., WI DSOR CT 06095 .'N - +�`� 4 i , FS: D stage FEE�rr(��( rryye� FEES'. FEES.',RoStag, Ceh red Fee zy, PC tree ee — CU{2� Postage 0.46 Certified ..,� 2.95 Retur eiblr 235 C hied Fee 2.95 Certified Fee 2.95 Restricted rn Receipt 2.35Return Receipt 2.35 fte ZY Return Receipt 235 Restricted TOTAL $5.76 ResttScted Restricted TOTAL ,\� , $$.76 TOTAL $5.76 TOTAL $5.76 POSTMARK OR DATE POSTMARK OR DATE POSTMARK OR DATE POSTMARK OR DATE • • • PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel: (631)765-4330 Fax: (631)765-4643 April 5, 2013 CERTIFIED MAIL RETURN RECEIPT REQUESTED RE: GRACE BURR HAWKINS PROPERTY ADDRESS: PRIVATE ROAD, FISHERS ISLAND SCTM: 1000-10-4-10 Dear Neighbor: I represent the above with regard to property located on a Private Road on Fishers Island, New York. She has submitted an application to the Southold Town Board of Trustees for a permit as more fully outlined in the enclosed hearing notice toghether with a copy of the of the survey. The hearing on this matter has been scheduled for WEDNESDAY, APRIL 17, 2013 at or about 5: 30 p.m. at Southold Town Hall . If you have any questions, or you wish to support this application, please do not hesitate to contact me. Very trill yours, ricia C. Moore PCM/bp enc1S . C: Ms . Grace Hawkins (via email) • 4,OgpFFO('coGy • James F. King. President # Down Ilall, 53095 Main Rd. Bob Ghosio.Jr.. Vice-President y, P.O. Box 1179 Dave Bergen d '�1� Southold. NY 11971 John 13redemever t�7/ §, r� Telephone(631)765-1892 Michael J. Domino —�—� + i'�.'r Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD APR 1 7 • '3 • In the Matter of the Application of GRACE BURR HAWKINS COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO RE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I. Je �' CAWS , residing at /dba ??ic.e /rack- €4XLp e CX1 being duly sworn, depose and say: That on the I day of /M7 IL , 201 .; I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hear'•g. Date of hearing noted thereon to be held Wednesda A I i1 17 2013. Dated: .1 r 1 , ) /1f • (gn7W) - - j Sworn to before me this day of40, 2013 LA4 ! ) ' otary Nov • BETSY A.PERKINS Notary Public,State of New York No.01PE6130636 Qualified in Suffolk Cou!!�� , Commission Expires July 184445 NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. • OWNER(S) OF R CORD: To construct a 20'x56' two-story single family dwelling with full basement; second floor 10' covered porch on ric��✓�a�/� StAr'r . k�� north side of house and 10'x56' covered cantilevered �•�(� deck along east side of house with lower deck or patio SU BJ ECT OF PUBLIC HEARING: under first floor porch and deck; 4'x8' drywell for roof run- off; a line of staked hay bales with silt fencing to be installed prior to construction along the 15' contour line; a 10' wide non-turf buffer (measured from hay bales) to be established and subsequently maintained; the area seaward of the 15' contour line to be established as a non-disturbance buffer and subsequently maintained with a 4' wide access path to cove; install a sanitary system; install water line from street to house; and for a gravel parking pad 15'x30'. TIME & DATE OF PUBLIC HEARING: • GJecinesd0.y, Afiri a iz ao 13- off- or o bou-' S.'3o J'II If you have an interest in this project, you are invited to view the Town file(s) which are available for inspectionrior to the day of the hearing during normal business days between the hours ofp8 a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 • • Grace Bun Hawkins March 5, 2013 Patricia C. Moore, Esq. 51020 Main Road Southold NY 11971 Dear Ms. Moore: sGui A' rthil I, as owner of property known as Pm=ate Road, Fishers Island, New York (SCTM No. 1000-10-4-10 ) hereby authorize you to act as my agent regarding any and all applications with the Town of Southold Trustees, Zoning Board of Appeals Building Department, Suffolk County Health Department and any other agencies. Very truly yours, 61,442/A add% Prmt name: ��.(r a /rJ emi- Print address: 51,3 /►/jU/)-Nea ce_ seat 7Z �1-GSA, ed of Trustees Application • County of Suffolk State of New York CL,Acct- 1 ;Z2_ 4\+-42'C-\ LD'S BEING/LY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICAN, THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. tit A tri/t.�J' • Signature it- SWORN TO BEFORE ME THIS �� DAY OF Ale% ,20 /3 ost•N , SEAN T PETERS 1 + . + r tic j S Norery Public.Stale of flor da +�.. My Comm. Expires an 6.2017 '�.„;;; ,.•. . ti,.•� Commission 0EE 162751 FG/Z j'./07502 302 35 5620 gird of Trustees Application AUTHORIZATION (where the applicant is not the owner) Ek\k u, g -1 2 '; 1 � i;Ai S U r ��"�'. -` ' C 3 i v, residing at �, (print owner of property) (mailing address) �;�l 1 !,='ci•�, i_�,r e'CE\ do hereby authorize l ll,/ ( (Agent) c\ ; l C (A C to apply for permit(s) from the Southold Board of Town Trustees on my behalf. tie_ A VAL/4U L( wner's signature) c t 4 C i tin /id of Trustees Application County of Suffolk State of New York / Gtc o(c- y 2-2 ,`=1'1_u tv� BEING D[ILY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANrFOR 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 R. IEW OF THIS APPLICATION. 2✓/ :I/ Signa SWORN TO BEFORE ME THIS DAY OF/176"-X ,20/3 ntV' , SEAN T PETERS I1r) Notary Public-State of Raids My Comm.Expires Jan 8.p817 Notary Public ' 4 ._r Commission•EE 88278/ FC�/L f775"al )/-z 3I 1‘5.6' Fir d of Trustees Application • AUTHORIZATION (where the applicant is not the owner) = c3 I, residing at y 3-i-9 'c, (print owner of property) (mailing address) do hereby authorize 1ilam( 41 hi,le (Agent) 21 i:2 Lc (11/4 C u 1 Q — to apply for permit(s)from the Southold Board of Town Trustees on my behalf. wner's signature 2 f Off-f-AL i • • Grace Burr Hawkins March 5, 2013 Patricia C. Moore, Esq. 51020 Main Road Southold NY 11971 Dear Ms. Moore: POihCat I, as owner of property known as 1tcivatt Road, Fishers Island,New York (SCTM No. 1000-10-4-10 ) hereby authorize you to act as my agent regarding any and all applications with the Town of Southold Trustees,Zoning Board of Appeals Building Department, Suffolk County Health Department and any other agencies. Very truly yours, ..;4,: , ' ..L.." , r 'not name: , /G 4 i fiatemi5 Print address: `+C `i"` 5713 4/a 5)--4-414e cc illemesa/le_ ;.. 3us3 _ __ _ _ • APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. 11 // , � YOUR NAME: \nOt --\\k i ( C 1 A 1` A-uff1 1 MS (��"p i R JAZ (Last name, trst name,Middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 2(dayof k Ct4 20d3 Signature Print N e Form TSI c C C 1 R C M fY e.- , L eAut. (kPc,*J(i $ Town of Southold €? • _.':, Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM 1$ ... , g,; PROPERTY LOCATION: S.C.T.M.a: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A -: tit ', STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN •• District Section -8f«tk - of CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT YesNo a. What is the Total Area of the Project Parcels? (Include Total Area of all Parcels located within /- � Site?1 Will this Project Retain NI Storm-Water Run-Off the Scope of Work for Proposed Construction) /t`yGenerated by a Two(2")Inch Rainfall on SSite? Di(s.F./Anes) (This item will include all runoff created by site N/ b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all .L and/or Ground Disturbance for the proposed /J oao Site Improvements and the permanent creation of construction activity? impervious surfaces.) (S.F./Acres) Pla I Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Provide Mdtlonal Pages as Nestled) 2 Does the Site Lure Indicating Survey Showcaion?Thls ❑ Drainage SW aures Size&Location?This V �1 .,� � L, Item shall Include all Proposed Grade Changes and — r h[Sltl v/OUSG — Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion ❑ �-h/ �44.ce• P ,h9-4- ( and sediment control practices that will be used to % tt�� control site erosion and storm water discharges. This -- item item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural �/ Existing Grade Involving more than 200 Cubic Yards - of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities `, Encompassing an Area in Excess of Five Thousand a 7t. (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 F General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or 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 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that wig uftimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to • ,( including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious e for Storm Water Discharges from Construction activity-Permit No.GP-0.10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the NOL The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any 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 Area?(rub Item ala NOT Include the Installation of Driveway Aprons) Identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark 3.A0 SWPPPs that require the post-construction storm water management practice Ina Box and the construction site disturbance is between 5,000 S.F.di Acre In area, component shall be prepared by a qualified Design Professional Licensed In New York astorm-Water,Grading,Drainage a Erosion Control Plan is Requited by the Town of that Is knowledgeable in the principles and practices of Storm Water Management. Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. (NOTE: A Chedc Mark(4)ander Ansvcr for each Question is Required for a Complete APpication) STATE OF NEW YORK COUNTY OF 5e - % /k SS ��`' rCc / !'(That I being duly sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) ,�,t)� And that he/she is the ��46--rr (Owner,Contractor,Agent.Corporate Officer,etc) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Swotn_to before me d G'`S ay 4:vrrik/(gt_ti—C ' 20�3 Notary Public: . .... . ... A.PERKINS (Signature of Applicant) FORM - 0 10 Pub Si dNewlltMk No.01PE8130836 Qualified in Suffolk Count /3 'Commission Expires July 18, • A Town of Southold LWRP CONSISTENCY ASSESSMENT FORM 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. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 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. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 10 - 4 - 10 The Application has been submitted to (check appropriate response): Town Board Planning Dept. Building Dept. Board of Trustees X 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: t lens were revised to move the ,ro t osed house landward of bank. Pro t osed sanitary has been located to conform to required setbacks (100 feet to edge of wetlands). Proposed house located on Darbies Cove, Fishers Island. Four lots merged for purposes of construction of single family dwelling. A previous permit was issued which expires in March 2013. There has been no changes to the property since permit#7089 was originally issued. Location of action: Fishers Island Site acreage: .5 acres Present land use: vacant Residential Present zoning classification: r-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Grace Burr Hawkins (b) Mailing address: 4389 NW 50th Drive 103, Gainsville FL 32605 (c) Telephone number: Area Code (352-367-42711 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes No X If yes, which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III— Policies; Page 2 for evaluation criteria. Yes No Not Applicable The development of Fishers Island consists of homes on rocky waterfront parcels and along coves. The proposed house is located at the average front yard setback of adjacent homes. These homes are also developed close to the tidal waters of Darbies Cove. • The proposed home is only 20 feet in depth and set back from the top of the slope. A cantelevered deck is proposed which will retain the setbacks. 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 Fishers Island Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III— Policies Pages 6 through 7 for evaluation criteria Yes X No Not Applicable Placement of home is set back from water and at an average setback from street 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 X No Not Applicable The proposed location of the house is at an average front yard setback and maximized distance from the top of the slope. The development of the adjacent homes are spread towards the water. 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 Fishers Island served by public water Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III— Policies; Pages 22 through 32 for evaluation criteria. Yes X No Not Applicable No evidence that development along Darbies Cove. Fishers Island has been adversely • • impacted by existing devlopment. Proposed house will be constructed applying environmentally recognized design and approved sanitary system Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III— Policies Pages 32 through 34 for evaluation criteria. See Section III—Policies Pages; 34 through 38 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes 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. Yes No Not Applicable private property 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 Residential property not water dependent, but is desirable due to water views Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. • Yes X No Not Applicable Residential development does not adversely affect living marine resources as home is located 53 feet from the tidal waters and sanitary conforms to 100 foot setback._ Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages 62 through 65 for evaluation criteria. Yes No Not Applicable 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 �° nwiolllinunnlllimm�lmiuunnuui un1111u1ni111xnnlnu111111/Inclanal.nnwin111in1uinulidlnnlluinulunilinrll' °w ,--=` r11111n1111\11111.11111x11111.111/13111 r MI11111/III1111r11111n1111r111111111111.11111.11111a101n11111111111111/Ir111/Ir11111r11111.111/1.11111ri /' mp l.m L. 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I• 1®1,.wN. d j YYo�1 .w w.ww is Ate. ! , 011100101100.- 110. t i= } 8 ` . O / lrJ ........... CONTRACTORS j LAW 10Ba.01110 000 i. e R — vs vwPlmwaraoj-.- .,i- -.. - y®1••1R .wL w t20Se wu @aaN.e j t Y.� • 1IQf11O.W1fwe® 11111111111100 MOW.0001104 OS 0110002001. ra . 1.�M'segur eanaum YO M 4 0.061611100011006. PLAN FRONT weYo FOLNDATIONBASEF£NT PLAN 0000/a ...1.1@. 00.00•10110 WO .00111010 La awoIKOWS NY Yens 11 al 0 ,omg ANN !g!; fiat :ig§ iii mR zif �P S e • A C rrf {r t veYmM® P re®M® n ,tn L� bnmev w' vsrav�erue �rxxs'vMMPa O MSIP rm.YM ainnalnot Mien ` (V i8 . ea balMYn® 5 bsrMYL® L�.I !� YWm.OYLM.( 'P MYWAIOYGet r"' Ym11/e R. `f "'KR"' wrs'.a�._ _ ace"' 0 1 x / s v Yea)Ott 1 // 1a wms 1 .ems We MigiI ��'^ II^�am cm.vanar 'T u.mrm.n r- �, $ I+ / I L O6ReP49m \ P amM2.]f PPI `\ Q q [ ii i ; } Sg k . .., w. y.� �. . ` J-Yrmrue pK aW®f YmMP a I u °"mob ■ L] U . . . . .■ - # Y] U �1 -r -/ bPPfalPaa. 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I.WEER FRAFE-NEARTORIED OAK TIMBERS "Mam1pieYe 2.PORGIES-HEARTDRIED EYP TIMBERS se an ma 3.ALL WEEPS- ARID t CHAMFERED Ya.m.•.a at i it 1;1 1 d e, Mil a I- mW. \...... l Pp. 461/41/4. b4". r II a rs+s aanmies�°e , mwise 6� 00 1/4�� $ ira waenwamabu. �� g waaWsavobr �. s aYrWsamrla® II u/ .sYlaw esw wale OAS ISM Mar II- 'J '14' MOMS II d N O ap>mow ,., m @ \i MOMSwm �I , w 0 %. anrwaYYm �Ym11Lb�YmMt ymIORYa®f 0 NOW Pc ' IIIIIII1 PmrMaA.nOLn( ' aimrwmrnalY @ YmYe / �'*r a 0 WWMNe� YWMe >t I rt X. ulg Yc WWW a sem MIM a ` . � W i / II SOWS f _ OPnm®m II 1 `II thi. YWWamn a/ _4 I fdi nape r TM Ci t II Al , YWmlw seaman.' ` t iy-peg Z $ �btl /Naa( wAaA6 $ Z / RlWaal $ ;` Ig( /'arraaraa Yam anm ` S'. Yn.IRmW / a11Y11 �WWM! Ymm YWML 06Yrz ]aaOLb aarz® /(/ So IV oaa /` MIME Ymme /' ri. @ �. . `1 . . /. . . _ • a 4 r.LNWa / woi9N r'm /. / YWlve Saar 'W"K ~ YnMmlb LLLJJJJ I� ...LI y3 r-P� ' nYEMV. ( Ms im 1aarZ VYu.wbla LCs.. _� ////// i 1 I smarm i L Li WWMeL1 _. _ \ ` I Y�y �D MS b a gpayMl'la MUM _�DrlmbmlRN ara=Mat II / � TII a i Mb16111mlMRawaRm •. di* I Ym s:r¢-xmml OMR M6�a�laVwQpFaB ice^' Danmw�Da, J u6B novaegeza uI .rearmrl II i i Nc 9 @ $ $ I $ @ H w Et $ 8 $ 9 a @ t $ $ E $ 1 N II Hy Hr CZ ai rJDlml,m.wm v la O MN d 1 144 wa< -yaramm 5 @/-DaM11am y J l 1.---1/2-4 H.f r. P 1 . 1 r g meoaRama . Y a al ra' V r et nee navaevi M g maaaaRmla IMI aMIa W✓xmn ft*NM art ~" L9 7 A lm0.W� B+SEMBIT naa.iwra / / N ! YamasYavaa $ 8 wRwroa a mue�� `W,. 3 t la FINAL PRINT 0 PerriOaaLlrogil M/M/1. NL 1T lams la laalMLLMaWm SECTION o SCREENED PORCH saaeaaswaa wo CONTRACTORS •+-• . r.I... .._. „ . .. .. '^D NV, JVIfaMPB qib J SPECIAL ATTACH-ENT NOTES Jfi a ` I .ads. :J .aW• a w r. IT ''� am Cs ewe REAP BEFORE BIETP6 WISE SECTION 0 BEMs 5 6 6 MT"MA @"""r'bax '"" ' no :>a s:'Aa SECTION o Bert-7 3/11,00411091S I mm Jellm PO MIS I Ma MM blm+mV COM ab•Oa ft I Nawab MNbbla'aanrMaLL I 19iy®babOr¢aaabeb rw SINS rIUOM Ca MP fla'mMepp .. 'Q2NarbeISM olmiMR mC WNW MI .Wunbmb b mvrlT.Dea MOOD lYmlaIm.WSaVSTRIM®l.Aa6 PRODUCTION NOTES: m Wmaa a.. I.TIMBER FRAME -NEARTDRIED OAK TIMBERS MMma mW 2.PORCHES-HEARTDRIED EYP TIMBERS ZOOM nlam 3.ALL TIMBERS-PLD i CHAMFERED • ..Rama rant ANE _ E WEST s I HARBOR b" c'oci I '-/� ,a-, x x I C7rnmPOLE I I LocKINc cASiwG . ■ilk Ua EIIOGRADE OPOSED GRADE xx...nn 1�-]143,I \ / EVGICES ii— U a�yQ ��uJ I \ ELBERT M. BURR �F. Fr • n••I VACANT LAND'" MIN a' ��®�® ViaW " ' W N o mI \ 2" MIN, ABOVE INLET � � M I� U ro ELEV, 15 CONTOUR LINE- OUTLET INVERT 2" MIN. ■� �r ■: 9 7L�y O SINGLE FAMILY RESIDENCE I \ 16 LIMIT of ARTICLE O INF U ~ MUNICIPAL WATER 2s JURISDICTION _ ' 0 Y ON SITE SEPTIC SYSTEM I WAY BAFFLE REQUIRED . O ch , I U `4) m T OFITE ,._R LI -- PROPOSED N-ROOF LEA°ER MON. RIG r 1 \ IF INLET PITCH EXCEEDS �� ~ 9 RESIDENCE / I \ ® I N " E t/2' PER FOOT / 83.6'59 \ ) . .C4 € U) / ! 86.00' _ 12" OAK N i w (9 N / _, s Rvc wrE / (IRON I ROD r N D,a'; o_ rir (m m �. . 'k. ,I TYPICAL NOT TO SCALE BOX ♦` .<-'+ it;IC °vERRLGw APPROX LOCATION END.) \C�-(CHERY \ A ` ( " V' I, \� /" L R' LEN CUT EXISITNG 6' , � 1 �\ ' '\ \;.ye.Gt I ,. :: ' i° LENGTH MIN, fi^ SOIL COYER / \ \ OVER URYWELL BLOCKS AND CATCH WATER MAIN ,� iryvz / I I `� \ 1 t, answ GRATE TD GRADE 1 Z- J , Y , "� _ ti o (NEENAH R-05x5-F) oR EOIIAL / m C c 1 ,4-I H T U FarER FABRIC _ I I I ((( ^o L, J 8 -6 ,�,, fri-____! GGG111AAAyz PLS- _ / p.No� LT 3Qf�i{ I 1 'i1011I KNOCKOUT INLET AND 0'sP BEND ' 'L'1 0 0 0 0 0 _ .... V '1JIr,•.^ \ rI _m ® ® ® m / p \\ I CI�IER' I ' " OUTLET OPENINGSMx ,.-,5R• soR ssPvc = m ® ® ® m = 2' " A'.H 1 6 ',smPE AS REowRE° / \1i\ I ��E60 _1 \E \\ \I\ /, W � V RI95 1NSI1 . /0 ` . „-xoDEE r T1� l\\ '( � -! A L \SCREENED canvEL / £ N '\1I �1 C` I� ` �o�K IJ `� \\ \\4TORMWATFR DRYWFI I OFTAII 10 _L J� \ ,•r oI '^ ' „-m/ \ \ �4 .J A \ i o \ \ �ILOCATION MAP SCALE 1 x=400'Nor rD scA¢ / / �-` - l \ i �JCHE�1}RY� \I 114'�15R \ JW0�#"YI�VS� "\ \, \ DARBIES ` CAST glN NEfW}�°,� / IRO ° / IRON � � ROO r "��� ', \ \ : \ \ " ',\ G'O�/E CONCRETE COVERS GD R.6 T40` PIPE (END.) DRAINAGE CAI r` A�S1L._TI�N9 (END) IRON II/l�t i 1 �( �� 100 �1 �, V e' ,cc)a u�` / / PIPE \ C - •RY „ 1 9 ♦ \ ROOF AREA = 1442 SF / // (END.) /� ���__ c PLAN TEST HOIE DATA 191 REQUIRED = 1442 X 2/12 = 240 CF PANSIO "1dr6—�y� \ .yam \ l; \ \'\\,\:400/11H.:\'' I LIMITS• OF TIDAL WETIANDS BY R. STROUSE PE,LS 10/01/02 41'M1!11=+�IrS POOL 1 COVER LOCKING CASTING - " 240 CF / 50,27 CF/VF = 4 8 VF ` �.�` \ ` �� 64 B\ :\ Aye �K I VERIFIED BY C HAMILTON, NYSDEC TO GRADE TO GRADE 0"-12” TOPSOIL fir. cO7z , T 2` USE ONE(1) - e'0 X 6' DEEP DRY WELL \ l`fix" R JANUARY 29, 2007 IS USED 'T' 12"-36" SANDY SUBSOIL ' ' N \ IN U �\ fa;, CHER r i I IS USED FINISHED GRADE �I/ 4"n ,/ r,� PROVIDE 1- 4' If 8' DIA. 36"-14' MEDIUM SAND- COARSE GRAINED SOILS. SAND AND SANDY i� i �5�, 0 CHIMNEY E" £ � „ x: C - , pgp!` • \� DRY WELL FOR ROOF 4 x 4 12.6/12.6 A. wl'E MESH SOILS, CLEAN SAND (LITTLE OR NO FINES)-SW / AI ♦-V 1 %gel AT !�` DRAINAGE (SEE DETNL) >x 20^ 6 x 6 6 6 G•I 2IRE MESH \ ' 1 A. p min on D 6'• MOIST SAND C 14' (ELEVATION 3.5) / 0 `AC e� \ PROVIDE ANO MNNTNN �, _ 1 BOTTOM OF LEACHING POOLS TO BE SET AT ELEVATION 11.Of Q\ \ �, l (I \ N A C0IRIN000S UNE OF INLET IIT ��a T' vENr� I OUTLET APPROVED BY IRON „ \ \ y SILT FENCE BACKED WITH 1 3" VENT SEPTIC SYSTEM BASED ON 3 BEDROOM RESIDENCE- - ROD 7�y, •��{ \ O HAY BALES. PLACE AS I LIQUID LEVEL Y A.\ O `1 ° \_ \ � \ 9 b CONTINUOUS Hor ' PROVIDE tOD STRIBUTIONTIBOXANK \ \'•C` LIMTfS OF CONSTRUCTION. i a" GurLET ' Vt11.1, ,. y, 1' \ �•� '" \ \� \ 1*2ELEV. 15 CONTOUR el' ASPHALT SEAL aINEOEwxHPROVIDE 2- 8' DIA X 6' LEACHING POOLS BOARD OF TRUSTEES ND.) �� ; ei \ \ \ TOWN OF SOUTHOLD VACANT LAND" \ -1. s '�S,`� l ��1� �s'� /R^ PM p 7 4" SCHEDULE 4 NQ \ �l� \ rX� \ \c R\Y\ PROVIDE 10 FT. (MEASURED FROM a INLET eAFFLE 60' GAS �' c \ I T Q♦ '4 \ G ., DEFLECTOR e L�- I o \ FctH1p \ ��� \ \ y HAYBALES/SILT FENCE) NON-TURF BUFFER. DATE I 2 £ 0 �� 16.0 `i h n A C S�' I _ "y SAP REFERENCES J �Ivl 1 d '''.r� I •�, .'. AREA SEAWARD OF THE LIMITS OF CLEARING 221"91-ed /� Lr}- \£po\ 16.,��� , ^ �, +/_ ` iA" �\ (15' CONTOUR) TO BE ESTN3LISHFA ASA 4° 5 -g 3' 1.) PLAN OF PENINSULA AT FISHERS ISLAND OWNED BY CHARLES W. HEDGE & 21 ""`A� � L p 1 r1u r�,\ m�C �6 R.o L EF2 � NON-DISTURBANCE AREA 'EXCEPT FOR 4' WIDE FRANCES G. THORP; SCALE 50 FEET TO THE INCH; BY CHANDLER & PALMER Z V \\ (I 1LIl J1/} y F 'pal' ""\\,isk � 5 � \\ \\ WALKING PATH CROSS SECTION ENGRS.; NORWICH, CONN.; 1913 g $ Q 4 , °' 1e�\`t I�.`�1��`vll �i`I 1`�1\11v��� \ PROPOSEDRN)INGANDGROUND CLEARING. Z Z O £ �� J ;� I � \ \ s�' 1000 GALLON \k P J 1rt LA ��. A sA m �. DISTURBANCE (ECFV. 15 CONTOUR) z Y `I T, u x ,,� Alto," , 2 a —'�. No DISTURBANCE BELow ELEV. 1$ 2 COMPARTMENT S Q w•/ PER SECTION 100-230A 5, v D�; ie:., A. V \\\ ir �— ' N. 4IXCEPT FOR 4' WIDE WNHING PATH SEPTIC TANK 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED = a 1,jsIr , l . r r - _FRONT YARD SETBACK 22.5' p� \ \ \ 1 %'TI "l alyx TRT b `��y NOT TO SCALE HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TOZg LL. w z 22 7' PROVIDED a°0 \ V{', aW M+°`� '" '" �' a L- \ ��\ / BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE p Q / 2�'+' `E1 I I Ijl 1'r �4 \ - ENGAGEMENT. Z , PROVIDE WATER SERVICE \ 1y1 IJk 1 (I r i,),�� ' V v A �-—� ♦ w TO IXISTING 6" MNN AS W t pl r u"^" • °' Op NI/F • I \ -• 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS H EL O N ,/ F.I.DETERMINED BY WATER Co. '�\\la\ ���1• 104060 KEITH H. AHLGREN .'.' . =` ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN w w� m \���� M reRr\ �.� 4, ;1 5T SINGLE FAMILY RESIDENCE ,� \ , ` TEM IN ANY WAY.\\\\ 444` MUNICIPAL WATER / 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S a w • _ pquF'D'. ' N� i i I O II SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF E` GRAVEL �s �''" 1 ON SITE SEPTIC SYSTEM 0 N w/� -KING I.� % ' I i THE LAND SURVEYOR. IRON 2 \ k- di ; / 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC .•(!� ROD L? zm, .e ' I � SURVEY TRIANGULATION STATION "PROS" \y/r (FNO.)\\p e III /�_ /♦ `=i IPIOPE \ pp, i I EXISTING - 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000, EXISTING (END.) IRON PROVIDE BOULDER RESIDENCE ,�� .(�'� SECTION 0110, BLOCK 4, LOT 10. / ${ RESIDENCE '' ROD N 1965.67 WALL 2'-4' HIGH V / Y� S WRH GUARD RAIL PLAN 6.) TOTAL AREA = 0.40± ACRES. \ END') E 683.50 •\�/ / \ \ \ \ ♦• C 7.) SITE IS LOCATED IN R-40 ZONE. ,/ \ \ \ •t# 1\> .,�' • r---- ---� i 8.) APPLICANT: GRACE BURR WKINS $103 \ SHED \ ,ywn1 IIII£Y YY GAINESVILLE, FL 326D6 .N /\x EXISTING \ 2 2"x�2"X3' STAKES \ \ IXISTING DIRT ROAD ( )_ ❑❑ ❑OD ❑ (352) 367-4271 CG ct LY m rr p II RESIDENCE \ \ TO BE LOCATED TO FILTER ❑❑ DOD 0� r \ \ LOCATED 07'f \ \ brig RIGHT OF .. FILTER EACH BALE ❑❑ 000 ❑ \ \ FABRIC I FABRIC �O NEN ❑O n 9J SITE IS TO BE SERVICED BY MUNICIPAL WATER AND ON SITE SEWAGE - \ TO THE \\WAY AS NECESSNTY POST ❑� ❑�O �❑ Z o z o SOUTH OF \ In DISPOSAL SYSTEM. o !n '3NE7 :SUBJECT PROPERTY( ( ' •T ( \ ❑0 000 0❑ - z z \ x I'1 C0 17IO 0 0 0 ❑❑ 10.) BASE FOR LEVELS: NGVD 1929. o 0 o Z 0 o o w o m ��! �''�' ❑❑ 000 ❑❑ _ a 5 \ . , ICOMPACTED S`�'��j``/ ❑❑ E11011:1I= O❑ o a \ I \ '"--� BACKFILL ❑O ODD ❑❑ iro 11.) AREA OF UPLANDS- 16,340 SQ. FT. t. � o 0 m � � N � . ,� ❑a 000 0❑ 1 IMPERVIOUS AREA PROPOSED 1442 SQ. FT. a 0 o o z w \ \ \\ \ • ANGLE 10' UP SLOPE ❑❑ X00 ❑❑ 1 PERCENT OF LOT COVERAGE PROPOSED- 8.6% 0 0 0 0 0 o 0 o z ac 1 \ \ • FOR STABILITY AND CII T FENCE BACKED HI tit p g RY HAYBALE BARRIER _LEWD o . a 6 3 E SELF CLEANING ¢ 3 > s a En C \17.7' FRONT NOT TO SCALE ^ LJ r 0o c0 xi cn 01 0 o 0 0 ARD SETBACK LEACHING POOL DETAIL FF o 0 0 \ FIRST FLOOR 0, 0 0 NOT TO SCALE n o o \ SFS SOU/ARE FEET o 0 0 o m r 0 \ \ — 20 - - E%(STING CONTOURS m m d w n \ 7 10' --1191 PROPOSED CONTOURS \ EDGE OF BON) CANTILEVERED DECK \ // PROPOSED W/RNC ED STONE STAINING WALL PR \ HOUSEo 2b F.F. EL.-24.0 __. — ----___-__ _____-_ . -___-- - _. -R@v9 BUILDING DMG SREIE ACK LINE 1 30 SILT FENCE ELEVATION 15 CONTOUR-- 1-111-111:::-:11:11LIM-ITSIO-F-L(1_6ALIW-ETLA-- \K \ 22 PROPOSED LIMITS OF CLEARING BACKED WITH LIMBSOF CLEARING. GRADING - NDS- --- - D _ ___ 42 \ - - - - INVERT ELEVATION . . . ..;;o. .... PROPOSED HAY A o a N \ RESIDENCE -_-__----_ --.--_-__-_ _ ---_--_ _-.--._-____- ___- -- TEST HOLE z c w \ EXISTING \ LOCATED 208'+` 14 - __---__.—_—__--.—_—._. TH o "" 0 J _IXISTING ___ _ --__ . - _ _- _ PROPOSED-____-.--.-__-_._-__ _ --. -_ __-_ _ - _ _. -_ -__--_-_____ . .____ - SHORE LINE z - z o O \ O THE " GRADE -� DATE: 6 \ 0 10 GRADE BOULDER _ -. w u RECEIVEw SOUTH OPERTY — _ J a m g c4 V o lY \ \ SUBJECT PR AM FAMILIAR WITH APPROVAL MAR 19 2013 00 \ 6 -- SCALE: 1 " 20' 1 17 2 — — — — - — ,.—_- THE STANDARDS FOR -------- - ---___-_ _—.— Southold own -- -- --- --_____ ------------------- - - - - - --- - - AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCE n,7' FRONT -2 AND WILL ABIDE BY THE CONDITIONS SET FORTH YARD SETBACKTHEREIN AND ON THE PERMIT TO CONSTRUCT, QUALITY CONTROL CERTIFICATION _ 1+00 1+25 SHEET GROUP 11 IED cc"' mai E 0+00 0+50 20 10 0 20 1 OF 1 PROJECT MANAGER &gyin K1 'S APPLICANT GRAPHIC SCALE IN FEET SURVEY `Ii 9 �7 7 ENVIRONMENTALCIVIL CIVIL Y`l"S WARM STRUCTURAL ARCHITECTURAL