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HomeMy WebLinkAboutTR-8231A ��OF S0!/ry0 Town Hall Annex Michael J.Domino,President 54375 Route 25 John M.Bredemeyer III,Vice-President P.O.Box 1179 Glenn Goldsmith CIO Southold,New York 11971 A.Nicholas Krupski i0� Telephone(631) 765-1892 Greg Williams �l� Fax(631) 765-6641 CM BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 18, 2018 Dennis G. Waters P.O. Box 257 Peconic, NY 11958 RE: 1625 INDIAN NECK HOLDING CORP. 1625 INDIAN NECK LANE, PECONIC SCTM# 1000-86-5-8.1 Dear Mr. Waters: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, July 18, 2018: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#8231A from 1625 Indian Neck Holding Corp. to Dennis G. Waters, as issued on June 19, 2013, and Amended on February 15, 2017, and Amended again on May 16, 2018. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd Michael J. Domino, Pre t �Q Co Town Hall Annex John M.Bredemeyer II1, Vice-rresdent ��O Gym - 54375 Route 25 Glenn Goldsmith y a P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams y,�0� dap! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: C* ` DENNIS G. WATERS requests a Transfer of Wetland Permit#8231A from 1625 Indian Neck Holding Corp. to Dennis G. Waters, as issued on June 19, 2013, and Amended on February 15, 2017, and Amended again on May 16, 2018. Located: 1625 Indian Neck Lane, Peconic. SCTM# 1000-86-5-8.1 CH'' 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q 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:: 1 II Unlisted Action Type of Application: Pre-Submission ZAdmlnistrative 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: A P -ev 50 I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other —In F JUN - 4 2018 1 Southold Town Irk '. ��1tJ�s • ��(t i' i 1' I! i Ad C- AIC-r-C= P'C j�{►S �O.Q v`�ST '-f�.�t NS�E/L, i Pl:t/-AAtT A TI I E i E� f coovt� Pao PIE Cotll Ei i� �� C:.+`1�� 'f"�+.1 s'�]E�� �F—�►./�.$rQ� 1� �►1S'1�j ��C.s���itJ+ C p�'1 E� 4/3/2018 Board of Trustees Town of Southold TE � � VV Re: 1625 Indian Neck LanejE 0] Peconic, NY 11958 APR - 6 2018 Administrative Wetland Permit Southold Town Board f Trustoes Dear Sirs, I have completed the building of a new construction single family home at 1625 Indian Neck Lane, Peconic, NY 11958 SCTM# 1000-86-5-8.1, Southold Building Permit# 41914. The property was originally a vacant lot with no dwelling structure on it. The previous owner had a camper trailer and would stay there seasonally. There is an existing deck structure which was built circa 1970 and also an existing outside shower enclosure also built circa 1970. Deck dimensions are 12.2 ft by 12.2 ft, outside shower enclosure dimensions 4.3 ft by 4.3'ft. The deck and outside shower enclosure have been refaced and remain in the same exact location and dimensions since they were built in the early 1970's. Enclosed please find application for Administrative Wetland Permit-as built, for previous existing structures. If you have any questions feel free to call, 631-872-0268. Thank you for your time and consideration., Wt W24 James ac on Owner k- Z�-C'4 1625 Indian Neck Lane dA a4u� aW4�- Peconic, NY 11958 4/3/2018 EEfl : E Board of Trustees Town of Southold APR _ 6 2018 Southold Town a Tru to Re: 1625 Indian Neck Lane Peconic, NY 11958 Floor Plans and Elevation of 875 sq ft Covered Porch/Garage Dear Sirs, Enclosed please find 3 page Elevation and Floor Plan of 875 sq ft wrap around covered porch. The covered porch and garage are part of Southold Building Permit# 41914. The covered porch and garage are part of the original submission of said building permit and were not added on to structure and were always part of the new construction home which has just been completed. If you have any questions feel free to call 631-872-0268. Thank you for your time and consideration. James cks n Owner 1625 In ian Neck Lane Peconic, NY 11958 Michael J.Domino,President O��QF S0!/TTown Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski • iQ Telephone(631) 765-1892 O Fax(631) 765-6641 Greg Williams ��OOUNT'1, � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1445C REVISED Date: May 16, 2018 THIS CERTIFIES that the modifications of the as-built dimensions of the dwelling and Rarage to be a 55 5' wide by 37' long dwelling with a landward bump-out of 22.1' wide by 13' long for the attached image and a 14 1' wide by 9.5' deep seaward bump-out for a new first floor total square footage of 2,474.70 with a 875sq ft covered porch on seaward side, the existing 12 2'x12 2' wood deck and 4.3'x4.3' enclosed outdoor shower, At 1625 Indian Neck Lane, Peconic Suffolk County Tax Map#1000-86-5-8.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 16, 2013 pursuant to which Trustees Administrative Permit#8231A Dated June 19, 2013,was issued and Transferred and Amended on Februm 15, 2017, and Amended again on May 16, 2018 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the modifications of the as-built dimensions of the dwelling and garage to be a 55.5' wide by 37' long dwelling with a landward bump-out of 22 1' wide by 13' lone for the attached garage and a 14 1' wide by 9.5' deep seaward bump-out for a new first floor total square footage of 2,474.70 with a 875sq ft covered porch on seaward side; the existing 12.2'x12.2' wood deck and 4.3'x4.3' enclosed outdoor shower. The certificate is issued to 1625 Indian Neck Holding Corn. owner of the aforesaid property. m Authorized Signature f Michael J.Domino,President O��QF S�UjyOl Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Q Telephone(631) 765-1892 Greg Williams 'O Fax(631) 765-6641 ��OOUNTI,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 16, 2018 James Jackson 1625 Indian Neck Holding Corp. 166 Higbie Lane W. Islip, NY 11795 RE: 1625 INDIAN NECK HOLDING CORP. SCTM#: 1000-86-5-8.1 Dear Mr. Jackson: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, May 16, 2018: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Administrative Permit#8231A for the existing 12.2'x12.2' wood deck and 4.3'x4.3' enclosed outdoor shower; and as depicted on the survey prepared by Nathan Taft Corwin, III Land Surveyor, dated March 28, 2018, and stamped approved on May 16, 2018. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Ona Michael J. Domino President, Board of Trustees MJD/dd 2 f t .off -- Michael J. Domino,President 0f SUUjyOTown Hall Annex John M.Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski • �Q Telephone(631) 765-1892 Greg Williamsy00110, O Fax(631) 765-6641 � �� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: .2- 1( / Z 0 I Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/ constructed Project complete, compliance inspection. lei l=7 C� \ 1 i �I� c✓, INSPECTED BY. COMMENTS: -J A4 RJA CERTIFICATE OF COMPLIANCE: Michael J. Domino,Pres P tipS�FFp��cO s Town Hall Annex John M. Bredemeyer III, Vice- rresident y� Gy.A 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 ZM A.Nicholas Krupski Southold,NY 11971 Greg Williams ��0� dap! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: z `Z� �"� Completed in field by: James Jackson on behalf of 1625 INDIAN NECK HOLDING CORP. requests an Administrative Amendment to Administrative Permit#8231A for the existing 12.2'x12.2' wood deck and 4.3'x4.3' enclosed outdoor shower. Located: 1625 Indian Neck Lane, Peconic. SCTM# 1000-86-5-8.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 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: 1 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: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: /J. Bredemeyer /�I M. Domino G. Goldsmith N. Krupski VIG. Williams Other Page 1 of 2 Michael J. Domino,Presi, i �QS�FF01C� Town Hall Annex John M. Bredemeyer III,Vice-1'regident ��� Gym 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 ae A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: James Jackson on behalf of 1625 INDIAN NECK HOLDING CORP. requests an Administrative Amendment to Administrative Permit#8231A for the existing 12.2'x12.2' wood deck and 4.3'x4.3' enclosed outdoor shower. Located: 1625 Indian Neck Lane, Peconic. SCTM# 1000-86-5-8.1 _ 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. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 _ J• � Michael J.Domino,President pF SO(/T�,®� �l0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 jW P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith �® ® a0 Telephone(631) 765-1892 A.Nicholas Krupski �i�`�ou�N,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 15, 2017 James F. Jackson, President 1625 Indian Neck Holding Corp. 166 Higbie Lane W. Islip, NY 11795 RE: 1625 INDIAN NECK LANE, PECONIC SCTM#: 1000-86-5-8.1 Dear Mr. Jackson: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, February 15, 2017: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Administrative Permit#8231A, from Margaret Hallden to 1625 Indian Neck Holding Corp., as issued on June 19, 2013; and BE IT FURTHER RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Administrative Permit#8231A to modify the as-built dimensions of the dwelling and garage to be a 55.5'wide by 37' long dwelling with a landward bump-out of 22.1'wide by 13' long for the attached garage, and a 14.1' wide by 9.5' deep seaward bump-out for a new first floor total square footage of 2,474.70 with a 875sq.ft. covered porch on seaward side; and as indicated on the survey prepared by Nathan Taft Corwin, III, last dated March 18, 2016, and stamped approved on February 15, 2017. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at(631) 765-1892. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd SURVEY OF PROPERTY SITUATE PECONIC TOWN OF SOUTHOLD s SUFFOLK COUNTY, NEW YORK �$• \` S.C. TAX No. 1000-86-05-8.1 $4 SCALE 1"=40' MARCH 11 , 2013 JUNE 6, 2013 LATH PROP. HOUSE CORNERS APRIL 2, 2015 REVISED PROPOSED HOUSE APRIL 27, 2015 RELOCATED PROPOSED HOUSE ` JUNE 4, 2JULYR9 12015 ADDED ADDITIONAL STORMWATERTNOTES/02/2015 o, \ MARCH 18, 2016 FOUNDATION LOCATION A69 O5 o �\ AREA = 57,222 sq. ft. 1.314 cc. CERTIFIED T0: 1625 INDIAN NECK HOLDING Corp. MARGARET HALLDEN �l NORTHWOODS ABSTRACT Ltd. 10/Foglt Ca FIDELITY NATIONAL TITLE INSURANCE COMPANY �? o BEC��E• oB 'Co +moo N/o/F$�'UN E IN C ° C1�'ELo E1y�NGwP�R •fir► � �^ Ali,14 VIZ,-GG�P�R ,� g5•'sq \'�$ �I uses °0 1 �o.o \ 16 aAL AIL 0. Alk F NCO �� f°o35°5w \\\ \ \ \ \ - S 06.45+530 CP + ALMARK ,o ` IGH WANDS , Q+�\` \\� \�'�,C C\ \ \\ \\ E S 22OUAL .1'2145 45 r \J f© \ \ \ 22.57 Ioq•2�+Q 69.2 \mac \ \ ,r 2 . :�� \ colac. >" \ ,may\ \ \ \\ \\ \\ AL � s \ \ \ \ 5 1 9'56 E \ ' \ �, \ \ y� \ \ 7 z '--� x \ \ 6 vPt��$ y0 �`y x \\ Vol m TEsr HOLE\ !1s.d \ �I \5 x'S 1 \ 90 O, `�L \ �' \ \ ,^ ve- \ it 37.0 \ loco-- _ Ck o"> s 4e ,•�� \�� I�.o ��' ,_�;` \\ \ X Io.� �\�. ' �\\m\\ ` 1.1Fj�''�• fit"�� '� \ GNN ?o '�6G 1,.96 0} 1Q \ 03 \ \\ \ NOTES: A '''' \ \ 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: -QS \ -' \ � EXISTING CONTOURS ARE SHOWN THUS: - v PROPOSED CONTOURS ARE SHOWN THUS: N •O ��` �,'-' '' \ ^~ \ 2. MINIMUM SEPTIC TANK CAPACITY FOR A 5 BEDROOM HOUSE IS 1,500 GALLONS. ,� 1 TANK; 8' DIA. X 5' LIQUID DEPTH T'. 3. MINIMUM LEACHING SYSTEM FOR A 5 BEDROOM HOUSE IS 400 sq ft SIDEWALL AREA. 13-4 C,...." \ ADJACENT 4 POOLS; 4' DEEP, 8' die. KN,�yc1 i \ 1 HOUSE �Q9 66G• i'' \ N PROPOSED FUTURE 50X EXPANSION POOL PROPOSED 8' DIA. X 12' DEEP LEACHING POOL PROPOSED 1,500 GALLON SEPTIC TANK TEST HOLE DATA 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD ' \ OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. \(TEST HOLE DUG BY McDONAI n GFOSCIENCE ON MARCH 7, 2013) 5. FLOOD ZONE INFORMATION TAKEN FROM: `-I115 FLOOD INSURANCE RATE MAP No. 36103CO162 H a 0BrtO,YN SILTY SAND SM ZONE AE' BASE FLOOD ELEVATIONS DETERMINED \ i 1:l .i• g ZONE X': AREAS OF 0.2X ANNUAL CHANCE FLOOD; AREAS OF 1% ANNUAL CHANCE FLOOD �•.i� {E.E �•:;<. 2 WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN �,' S — 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 1X ANNUAL CHANCE FLOOD. Y-01 '�� w00° '� \ i' \� rj�GLji,SII L-`5�E ';p'3 .>,.•• ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. ,�\ .• ; g� IE \/ .-ZONING USE DISTRICT: R-40 ++ \ 1�8 �'•� A b[ATRUD �yNG �R :e:'::';s:• PALE BROWN FlNE TO MEDIUM SAND SP APPROVED�® �Y +QQ \ " ° , voNN cEftow 91�G wP I PREPARED IN ACCORDANCE WITH THE MINIMUM 69.2A \ % _ �sEs P� BOARD OF 1 t�USTEES BY THE L.IAL.S. AND-APPROVEDDS FOR TITLE SURVEYS AND ADOPTED D A � FFORTITLSUCH gEO8Y(3,i NEW q RK STATE LAND `;:c•;• ' TOWN OF SOUTHOL© >� �(< TCO • •1a WATER IN PALE BROWN DATE /5' 2.017 FINE To MEDIUM SAND SP %X \ f°U V 11'x/ r �' I i • _ Hca 17 69• 2! X 5 1-7 t•�� �(a �(P p0+ /•' N.Y.S. Lic. No. 50467 00 /. � �.yi• UNAUTHORIZED ALTERATION OR ADDITION L� 8THIS SURVEY IS A VIOLATION OF Nathan Taft Corwin III ED rP SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THLand Surveyor E LAND SURVEYOR'S INKED SEAL OR JAN - g 2017 TO BBE AFV VALID TRUSEAL E COPY.NOT BE CONSIDERED CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY Successor To: StanleyJ. Isaksen, Jr. L.S. SOu;h,;J jOWn IS PREPARED, AND ON HIS BEHALF TO THE TILE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S. a f Trut e LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI— Title Surveys - Subdivisions - Site Plans - Construction Layout TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 1586 Main Road P.O. Box 16 AND/OR EASEMENTS of RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 .I, .McCARTHT MANAGE VT, IANC: - TRANSMITTAL ; 46520 County Road 48 " SOUTHOLD,F'NEW,YORK'3_<1971 } k FS , . Ji - .•, , ze„ X11'- 4J. '% 'FI DATE .� ?,, 'JOB NO. (631) 765:5815 m i FAX.(631) 7651-5816 ATTENTION ^RE. WE.'ARE SENDING YOU ❑ Attached ❑.Under separate cover via the following items:3 i l; ' ' ❑ Siiop';.dravvings ❑ Prints' " ❑ Plans 0 Sai�iples F1 Specifications t. ;`' a°❑'Copy of,16ttdr ❑- Change order ❑ iA IJ COPIES DATE NO. DESCRIPTION V r� Y - THESE ARE TRANSMITTED as checked below: (� ❑ For approval ❑ Approved as submitted ❑ Res-Mmit copies for approval ❑ For your use ❑ Approved as noted, ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections O Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: PRODUCT 240T /f enclosures are not as noted,kindly notify us at once. SURVEY OF PROPERTY SI T UA TE N 6-3°p0 P E C O 1 V I C 1 \ Q. o. 2 TOWN OF SOUTH ® L® \ SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-86 -05-8. 1 SCALE 1 "=40' MARCH 1 1 , 2013 �� A55 p5 0, \ AREA = 57,222 sq. ft. \ 1 .314 ac. o ` -n \ 9� \ 0/F BIANCO, \ N/CAROMUDj) COCCA F \ N/O/F BRAUN �o sem, RE MORD ELv�E AP B��R 'o MICxAEL� ASA �e``G �o p�� \`\ \05 P o 0 2� ° 10 0 \\ 16i o \ o. 3 114 E F NCO s� S 0645 4 '�iARD/CEPOBIA PR ��� ° co`'S O\w MON \ BOJ CP , \ \ \ \\ \\ \\ 0c 20 53' `h �N �t1 FOUN 0' \ \ \ MARK (per\ ED ° FFG \ ��\ \�.O, S> \ \ \ \ \ \ \ \ HIGH WATER \ y VB EQUAL WETLANDS is U5ES P �� °� N xlz \\ \ \\ Op'\ \\�• \ woo° \ \\ \\ \ 1 S 22.1 575 �v v'r- \\� ? 2 DEG \ \ \_ 22• G09 W Ivo \\ °p 6g p° � >,\ Lon .7 P Y 72.5 AVC 1p \ \ \ o \No \ s \ r \ 6.65 `� \ \'OUTS R '9 N 0 �o \ tiQ f c^\ \ 2 2 SHpWE \ 00 q a °"\ ` \ \ \ Q c� 1 x12.3 \ 12 \ \ ��� S mmv \ O\ J\ \ \ U EST H05,�(J��\\ \ P�pPS 'p, o XX.11 \\ \\\��\ \3\ FSG SO. O. \ 0 \ \ � o,, F Q rF 10 \ \ 00 3 NOTES: r_, LID 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM \N WRE^,,�-^�"ol��1�y° \s EXISTING ELEVATIONS ARE SHOWN THUS: 700 v� 5 13 2 \ -''w \ EF ^�',.�'.�" EXISTING CONTOURS ARE SHOWN THUS: ----10--- - vFa FP x '\ /F�6 ^^ 1 n PROPOSED CONTOURS ARE SHOWN THUS: D W P° i�T ".._'5, TRF.F-5 1 2. MINIMUM SEPTIC TANK CAPACITY FOR AN 8 BEDROOM HOUSE IS 2,000 GALLONS. �' A4\ -' \r_y' ;^^�,r'1✓R°W 1 TANK; 10' DIA. X 4' LIQUID DEPTH ADJACENT 3. MINIMUM LEACHING SYSTEM FOR AN 8 BEDROOM HOUSE IS 600 sq ft SIDEWALL AREA. n 66 3.4 / i / \ i HOUSE 2 POOLS; 12' DEEP, 8' dia. oOJ' O %> PROPOSED FUTURE 50% EXPANSION POOL �oRF-S PROPOSED 8' DIA. X 12' DEEP LEACHING POOL F�NGE F1 w ��� �OJ�RNEpO PROPOSED 2,000 GALLON SEPTIC TANK 15.0 w -�t�� \\ TEST HOLE DATA 4. THE LOCATION OBSERVATIONS AOND/ORLDATADOBTAINECESSPOOLS FROMSHOWN HEREON ARE FROM FIELD OTHERS. (TEST HOLE DUG BY McDONALD GEOSCIENCE ON MARCH 7, 2013) 5. FLOOD ZONE INFORMATION TAKEN FROM: F wAxs EL. 11.5' p• FLOOD INSURANCE RATE MAP No. 3610300162 H LESIA BROWN SILTY SAND SM 70NE AE: BASE FLOOD ELEVATIONS DETERMINED FOG °FR IGI IG 2' ZONE X": AREAS OF 0.27 ANNUAL CHANCE FLOOD; AREAS OF 1% ANNUAL CHANCE FLOOD WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN 1 SQUARE rte\ i f5 MILE; DONNAGERTR °W��g�G �P�ER ZONE X: AREASS DETERMINED TO BE PROTECTED OUTSIDETHE02 LEVEES F % ANNUALCHANCE FLOODPLAIN.ROM 1% ANNUAL FLOOD. / � & 5�5 Pv 6, ZONING USE DISTRICT: R-40 G� Zn PALE BROWN FINE TO MEDIUM SAND SP PREPARED IN ACCORDANCE WITH THE MINIMUM G,' w\ 6 \ / / STANDARDS FOR TITLE SURVEYS AS ESTABLISHED �oTED "o, \\ 4N w RAS J�F // FOR BY TSUCH HE I USE BYNTTHEPNEWVYORKED NA STATE LAND FENG °W� Pp / Fy \� � TITLE ASSOCIATION. \ \ FOUNO \ d' EL. 1.1 e 10.4' a'- �� s ZZs \ \ FOUNON ^�� FS PROPOSED SEPTIC SYSTEM DETAIL WATER IN PALE BROWN X ,,f� �° FINE TO MEDIUM SAND SP lY (NOT TO SCALE) G 6812/ i 5 �x HOUSE TOP BURIED 17 F l Q F.FL. 13.5' 4' DEEP max. FINISHED GRADE ELEV. 12.7. FINISH GRADE FINISH GRADE ry A PRECAST REINFORCED CONCRETE COVER 24"dia. LOCKING. WATERTIGHT & INSECT PROOF ELEV. 12.0' ELEV. 12 0' BURIED 1' DEEP min. 2' DEEP max. CAST IRON COVER TO GRADE MIN. 4" din e . 20"min.�l 20"min. MIN. 4" dia, TOP EL. 10.9' 3 MIN. 4" dia. TOP EL. 10.6' 3 � ,�y''� = , �, .Y Lic. No. 50467 APPROVED PIPE f J APPROVED PIPE APPROVED PIPE ��0� PITCHED 1/4"/1' TOP ELEV. 11.T PITCHED 1/8"/1' 6' A PITCHED 1/B"/1' 6' A c L%�,i i*<}J`F"4S -y ^ o ET_y IN NL a a" dia. SAND�N UNAUTHORIZED ALTERATION OR ADDITION 3' CLEAN CROSSOVER COLLAR TO THIS SURVEY IS A VIOLATION OF INV. EL. 3,� �_ �z SAND Nathan Taft Corwin III 109 INVERT ui 5 INVERT z m< m- PIPE SECTION 7209 OF THE NEW YORK STATE ELEV. 10.7' °i_ < <m a COLLAR z ELEV. 102' < �A rn . ��<,� EDUCATION LAW. 3 FLOW BAFFLE io o �° w COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor DISTRIBUTION THE LAND SURVEYOR'S INKED SEAL OR POOL I I I EMBOSSED SEAL SHALL NOT BE CONSIDERED I I� 10• -1 I B u 3. TO BE A VALID TRUE COPY. '1 � B GRBOTTOM3 GROUND WATER BOTTOM - ELEV,1.1'OLIN WATER ELEV 4 t' ELEV, 1_1 ELEV. 4_4' CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY Successor To: Stanley J. Isaksen, Jr. L.S. SEPTIC TANK (1� IS PREPARED, AND ON HIS BEHALF TO THE Y LEACHING POOLS (4) TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S. DRAINAGE SYSTEM CALCULATIONS: 1. MINIMUM SEPTIC TANK CAPACITIES FOR AN 8 BEDROOM HOUSE IS 2,000 GALLONS. LENDING INSTITUTION LISTED HEREON, AND ROOF AREA: 1,063 s ft. 1 TANK; 10' DIA. x 4' LIQUID DEPTH TO THE ASSIGNEES OF THE LENDING INSTI- Title Surveys - Subdivisions - Site Plans - Construction Layout q' 2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi AT 28 DAYS. 1. MINIMUM LEACHING SYSTEM FOR AN 8 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. 1,063 sq. ft. X 0.17 = 181 cu. ft. 3 POOLS; 4' DEEP, 8' da. TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. 181 cu. ft. / 42.2 = 4.3 Vertical ft. of 8' dia. leachingpool required 3. WALL THICKNESS SHALL BEA MINIMUM OF 3", A TOP THICKNESS SI 6" AND A BOTTOM THICKNESS sf.4". 2. LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) PHONE (631)727-2090 Fax (631)727-1727 P q ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 3D0 psf. LEACHING STRUCTURES, SOLID DOMES AND/OR SLABS. PROVIDE (1) 8' dia. X 5' high STORM DRAIN POOLS i 4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT. 3. ALL (OVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). 5. THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX. TOLERANCE OF ±1/4 4.4. A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MAINTAINED. OFFICES LOCATED AT MAILING ADDRESS PROPOSED 8' DIA. X 5' DEEP DRYWELLS FOR ROOF RUN-OFF ARE SHOWN THUS: ON A MINIMUM 3" THICK BED OF COMPACTED SAND OR PEA GRAVEL. THE EXISTENCE NT RIGHTS OF WAY �� 6. A 10' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. 5. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS SHALL BE MAINTAINED. AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 6. AN B' min. DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED. ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 33-028 1/4/2017 FR E0C�Re: 1625 Indian Neck Lane Peconic, NY 11958 Permit# 8231 A JAiV - 9 2017, Southold Town Tstees Southold Trustees, Please amend Permit# 8231 A to a home with dimensions 55.5 ft wide by 37 feet deep with a bump out of 22.1 ft wide by 13 ft for garage in front of house. A rear bump out (breakfast area) of 14.1 ft wide by 9.5 ft deep. See enclosed updated surveys. First floor total sq footage 2474.70, covered wrap around porch 875 sq feet. Thank you for your time and consideration. If you have any questions feel free to call. Jim Jackson President 1625 Indian Neck Holding Corp 631-872-0268 December 15, 2016 Re: Wetlands Permit# 8231A Town of Southold Trustees, My name is James Jackson and I am a corporate officer of 1625 Indian Neck Holding Corp, a New York corporation which owns 1625 Indian Neck Lane, Peconic, NY 11958. Myself and Richard Guerrera are the sole shareholders of said corporation, and the corporation is the deeded owner of 1625 Indian Neck Lane, Peconic, NY 11958. Enclosed please find the Articles of Incorporation (as requested) showing we are the sole shareholders. As discussed with Liz in your office, we would like to extend the Wetlands Permit# 8231A which expired 6/19/2016 and also change the name of the permit holder to the deeded owner of the property. Thank you for your time and consideration. If you have any questions, feel free to call. X \u � James F ick n Shareholder 1625 Indian Neck Holding Corp. 631-872-0268 i DEC :2 3 2016 Michael J. Domino, Presi( Wit COG Town Hall Annex John M. Bredemeyer III, Vice-President ,� yam, 54375 Route 25 Charles J. Sanders C P.O.Box 1179 Cn Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski p! Telephone(631)765-1892 �OLl Fax(631)765-6641 BOARD OF TOWN TRUSTEES / TOWN OF SOUTHOLD Date/Time: Q/7/1-1 3 00f,-' Completed in field by: /J�ygursk' James F. Jackson on behalf of 1625 INDIAN NECK HOLDING CORP. requests a Transfer of Administrative Permit#8231A, from Margaret Hallden to 1625 Indian Neck Holding Corp., a's issued on June 19, 2013; and for an Administrative Amendment to Administrative Permit#8231A to modify the as-built dimensions of the dwelling and garage to be a 55.5' wide by 37' long dwelling with a landward bump-out of 22.1' wide by 13' long for the attached garage, and a 14.1' wide by 9.5' deep seaward bump-out for a new first floor total square footage of 2,474.70 with a 875sq.ft. covered porch on seaward side. Located: 1625 Indian Neck Lane, Peconic. SCTM# 1000-86-5-8.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q 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 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: Not 06-1 lssve Present were: J. Bredemeyer M. Domino G. Goldsmith ✓ N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino,Presic VFFO(KC®G Town Hall Annex John M. Bredemeyer III,Vice-President � 54375 Route 25 Charles J. Sanders z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: James F. Jackson on behalf of 1625 INDIAN NECK HOLDING CORP. requests a Transfer of Administrative Permit#8231A, from Margaret Hallden to 1625 Indian Neck Holding Corp., as,issued on June 19, 2013; and for an Administrative Amendment to Administrative Permit#8231A to modify the as-built dimensions of the dwelling and garage to be a 55.5' wide by 37' long dwelling with a landward bump-out of 22.1' wide by 13' long for the attached garage, and a 14.1' wide by 9.5' deep seaward bump-out for a new first floor total square footage of 2,474.70 with a 875sq.ft. covered porch on seaward side. Located: 1625 Indian Neck Lane, Peconic. SCTM# 1000-86-5-8.1 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. s25% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 s`�pF S0(/��, John M. Bredemeyer III,President ®V" ®�® Town Hall Annex Michael J.Domino,Vice-President 54375 Main Road P.O. Box 1179 James F.King, Trustee v, Southold, New York 11971-0959 Dave Bergen,Trustee ® Telephone (631) 765-1892 Charles J. Sanders, Trustee l�'(,'oU �`L'' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD_ June 17, 2015 Margaret Hallden 512 Ashland Avenue Baldwin, NY 11510 RE: MARGARET HALLDEN 1625 INDIAN NECK LANE, PECONIC SCTM# 86-5-8.1 Dear Ms.Hallden: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 17, 2015: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Administrative Permit#8231 A, as issued on June 19, 2013. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, .rte J101— John M. Bredmeyer III President, Board of Trustees JMB:eac �P 4e3 --- Yq fc A4� - - - - - - - - - - - - - - - - ---- - --- -- ---- - ------ --- - --- --- - -------- ----- - C - - - - - JUN---1 0 0 0 James F.King,President o�gUFfO(tco Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President ' lly P.O.Box 1179 Dave Bergen Southold,NY 11971 W John Bredemeyer A� Telephone(631)765-1892 Michael J. Domino 1 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 0 0 James F. King, President QF sooTy Town Hall Annex Bob Ghosio,Jr.,Vice-PresidentQV` 54375 Main Road �" O P.O. Box 1179 Dave Bergen # Southold, New York 11971-0959 John Bredemeyer H Michael J. Domino �p� Telephone(631) 765-1892 IFax(631) 765-6641 COU BOARD BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8231A Date of Receipt of Application: May 16, 2013 Applicant: Margaret Hallden SCTM#: 86-5-8.1 Project Location: 1625 Indian Neck Lane, Peconic Date of Resolution/issuance: June 19, 2013 Date of Expiration: June 19, 2015 Reviewed by: Board of Trustees Project Description: To construct a 25'x42.5' two-story single-family dwelling with attached 4'x7' stoop. 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 Nathan Taft Corwin III, Land Surveyor, last dated on June 6, 2013, and stamped approved on June 19, 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 i 0 o�SUF FO(�C lames F.Kine. President P.O. Box 1179 Bob Ghosio,Jr.,Vice-President �� �Z� Southold.NY 11971 Dave Bergen Telephone(631 765-1892 John Bredemeyer ,y Fax(63 1)765-6641 Michael 1.Domino 'F Southold Town Board of Trustees Field InspectionlWork Session Report Date/Time: G�i,�l/ 3 yS / .//, McCarthy Management, Inc. on behalf of MARGARET HALLDEN requests an Administrative Permit to a 25'x42.5' two-story single-family dwelling with attached 4'x7' stoop. Located: 1625 Indian Neck Lane, Peconic, SCTM# 86-5-8.1 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 _other Type of Application: — Wetland _Coastal Erosion _Amendment _Administrative_Emergency Pre-Submission Violation Info needed: Modifications: JI Ar F Conditions: Present Were: J. King t-S. Ghosio �D. Bergen, �J. Bredemeyer c--Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: • ' PHOTOGRAPHS 1/51 Photo taken facing west I a � "N,d`;�=ry.r. :'i . ._tet#- .�i1i�'•Mw ♦iJwiW^, 5 r �,i• Jw • • taken facing east ECEIVE q µ T 6 2013 1 � Southold Town L-- Board of Trustees Photo taken facing north 1 sfviy� t► f T 1 m,« �aaKa.aK »o�, J- V, 9 aWtl 93 ar I,O ,Wry �"\� pis Qp. rU J ✓ vHa 1 \ r 65 i 4 \ D e 2 aYf, r .. 41 COUNWOFSUFFOLK Reel PmG Tv l5s r.H9en% I ..a Fc86 N r M e.�.. .: a nn-v. .� .. � .� �e ...�.. OFFICE LOCATION: so MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 * Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 GO Q Telephone: 631 765-1938 .c �0 Fax: 631765-3136 ��y00UNiV,�c� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM E C4-- I V E 01 JUN 1 9 2013�I Southold Town To: Jim King, President Board ot Trustees Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: June 19, 2013 Re: LWRP Coastal Consistency Review for MARGARET HALLDEN SCTM#1000-86-5-8.1 McCarthy Management, Inc. on behalf of MARGARET HALLDEN requests an Administrative Permit to construct a 25'x42.5' two-story single-family dwelling with attached 4'x7' stoop. Located: 1625 Indian Neck Lane, Peconic. SCTM# 86-5-8.1 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 actions are CONSISTENT with the LWRP Policies and therefore, CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney zzrur�>� XP r � James F.King,President XP q S>7�/ly� Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road P.O. Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer CA Michael J.Domino i� Telephone(631)765-1892 Fax(631)765-6641 �'�OOUNPI, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ®g 2 —Coastal --- — Office Use Only n EC I L) Coastal Erosion Permit Applicatio _Wetland Permit Application Administrative Permit AmendmenUfranssff�r�/E tension MAY 1 6 2013 Received Application: S//(oL- Received Fee:$ /L _ —y Southold own _7 / �3 Completed Application T __Incomplete___ _SEQRA Classification: Type 1—Type 11—Unlisted oordination:(date sent) _LWRP Consistency Assessment Form CAC Referral Sem:_ Date of Inspection: 1 t /_ _Receipt of CAC Report." ' _ _Lead Agency Determination: _ Technical Review: _ Public Hearing Held: Resolution: Name of Applicant Margaret Hallden Address 512 Ashland Avenue, N. Baldwin, NY 11510 Phone Number:(5%) 316-5625 Suffolk County Tax Map Number: 1000 - 86-5-8.1 Property Location: 1625 Indian Neck Lane, Peconic, NY 11958 (provide LILCO Pole M,distance to cross streets, and location) AGENT: McCarthy Management, Inc. (If applicable) Address: 46520 County Road 48, Southold, NY 11971 Phone: 631-765-5815 Board of Trustees Application GENERAL DATA Land Area(in square feet):_57,222 _ Area Zoning: R-40 Previous use of property: Vacant Land Intended use of property:_ Single Family Dwelling Covenants and Restrictions: Yes x No If"Yes",please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes x 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 x No Does the structure(s)on property have a valid Certificate of Occupancy Yes No Prior permits/approvals for site improvements: Agency Date X 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: Project Description(use attachments if necessary): To construct a 2 story single family dwelling. Dimensions of house are 25'x42.5'. The stoop dimension is 4' X7' Hoard of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:_To obtain permits to construct 25' X 42.5' 2 story single family dwelling with a 4' X T stoo Jam_ Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands:_ 0 -feet Closest distance between nearest proposed structure and upland edge of wetlands: 100.5 feet Does the project involve excavation or filling? No x Yes for basement If yes, how much material will be excavated? 175 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 7' feet for basement Proposed slope throughout the area of operations: Flat Manner in which material will be removed or deposited:_ backhoe and trucked out 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): NA N N PROJECT ID NUMBER 61720 SEQR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME Margaret Hallden Proposed Dwelling 1PROJECT LOCATION: Municipality Southold Township county Suffolk 4.PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide map 1625 Indian Neck Lane, Peconic, NY 11958 5.IS PROPOSED ACTION n New ❑Expansion n Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: To construct 25' X 42.5 2 story single family dwelling with a 4' X 7' stoop 7.AMOUNTF LAND AFFECTED: Initially 1. 14 acres Ultimately 1.314 acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Eyes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) j X❑Residential E Industrial Commercial ElAgriculture E Park/Forest/Open Space Other (describe) R-40 10, DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, Stale or Local OYes nNo If yes, list agency name and permit / approvaLSuffolk County Health Department, NYS DEC, Southold Building Department 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? nYes nNo If yes, list agency name and permit / approval t I 12. AS A R BUILT OF NPRROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? es No I CERTIFY THAT H INF RMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name ----- Date: 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 coin feted by Lead Agency). A. DOES ACTION EXCEED ANY TYPE I'THRESHO(D IN 6 NYCRR,PART 617:4? If yes,coordinate the review process and use the FULL EAT. ❑Yes a No B. WILL ACT10N RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative My:" may be superseded by another involved agency. MI✓ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,If legible) C1. Existing air quality,surface of groundwater quality or quantity,noise levels,existing traffic patter,sold waste production ar disposal, potential for erosion,drainage or floodlxg problems? Explain briefly: Cz. Aeslxe6a agricultural.archaeological,httoric,or etlher natrxal ar cultural resthurces;or comm mgy or hborhood charade?Explain bdelly: C3. Vegetation"fauna,fish.sheflfiskor wldfifespeges,significant habitats,or tihreatened m endangered spedes?Explain briefly: C4. A community's existing plans or goals as offidally adopted,or achange-in use or intensity of use of land--mother natural resources?Explain briefly: C5. Growth,subsequent development,or related adivmies likely to be induced by the proposed action?Explain briefly: C6. long term,stwn.term,Cumulative,or other effects not identified in Cry C5? Explain briefly. C7.-Other impacts pricluding changes in use of either quantity or lype of enefgX, Lxplain brie fly: -" - - - D" WILL THE PROJECT HAVE AN IMPACT pN THE ENVIRONMENTAL AREA ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF R CRITICAL Yes Q No CFA? a es, lain briefl E IS THERE,OR IS THERE LIKELY TOSI-29YEROWASY RELATED TO POTENTI&ADVERSE [:] Yes Q No ENVIRONMENTAL B IMPACTS? yes explain: PART M-DETERMINATION OF SM141FICANCE(To be completed by Agency) . INSTRUCTIONS/ ForsaehadvemOfeatidenOWabm.determinewhedwftissubataoiakkwge,imporrarrtorothenvisesignifirartt Eadi e6Fect should be assessed In comedion I t Its(a)seafrg(Le.urban or recap:(b)probability of 0001uff0 rg:(o)duration (d)in riffic iblgq;(e) geograpxhic scop land{Q magngude If tteeassary,add attadtmeMs or reference slpporgng matertls. Ensure that eViiafta(ions ooatakt- WfiWaiddetailtoshowthatalnelevalttadvaraei parxshaw been habeenidentifiedandadequaleyraddressed. Nqueslondofptiawasdtgdced yes,ftdeWm*tadonofsigltifirxnoemustevaluaW teiwtOntialimpactefftPMPOsedacgwtenfheen*oranentaloharaderisficsof#WCEA. Check Oft box Oyouherleidentifiedone ormorepotemltflylaMeorsignificamadversekrpadswhMMAYoocw.Theriproceeddiredlylothe EAF and/or prepare a positive declaration. Check Ott box if YOU have dd mtkad,based on the Information and analysis above and any supporting documentation.that the proposed WILL NOT result M any significant adverse environmental impacts AND provide, On attachments as necessary, time reasons supporting(hi determination. Board of Trustees ij L7 ,p NN�ame of Lead Agency 7 z O rl///g�l C t ' Date �N(r' President � Print ola- f Responsible Officer in Lead Agency Title of Responsible Officer x' /. $ignalwe of esponsible Officer in Lead Agency Signature of Preoarer flf dxffemril brim recnnnclhln riff. i M �M Board of Trustees Application County of Suffbik V-� s s State of New York Margaret HaIlden BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS___I__DAY OF J�Yom, 20 13 Notary / — C THLEEN ANDREWS aMic-Sttle 01Now Yak O.OtAN6073697 Hlad in Nasaaa C nty /aaion Eapina BoaSof Trustees Application County of Suffolk State of New York Thomas J. McCarthy _BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH RE W OF THIS APPLIC TI AF�— Sign re rr 1 SWORN TO BEFORE ME THIS_ S I~ DAY OF 20 Ruth J Notary Public Ruth Love Notary Public State of New York No. OIL06054063 Qualified ;n Suffolk County Commission Expires March 5, 2 _ Ad of Trustees Application AUTHORIZATION (where the applicant is not the owner) 1, Margaret Hallden residing at 512 Ashland Ave. (print owner of property) (mailing address) Baldwin, NY 11510 do hereby authorize Thomas J. McCarthy (Agent) and/or McCarthy Management, Inc.to apply for permit(s)from the Southold Board of Town Trustees on my behalf. ( 's signa�� Margaret Hallden APPLICANUAGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Siuthold s Code of Ethics pnhibits connicls of interest on the part of town officers end employees The purpose of this form is to provide information which can alert Ne town of possible cQaflietc of interest and allow it tp take whatever actan is necessary to avoid same. YOUR NAME: McCarthy Management, Inc. (Last name,first name,diddle initial,unless you ere 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 X Change of Zone Coastal Erosion __- Approvalofplat 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 X 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 applicanVagcm/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided- The rovidedThe 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 day f j _4�200_ Signature_ Print Name _ �•1— Form TS I Town of Southold ® Erosions Sedimentation & Storm-Water Run-off ASSESSMENT FORM y PROPERTY LOCATION: S.C.T.M.a: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 1 TSTORM-WATER,GRADING,DRAINAGE ANLA D EROSION CONTROL PN e TIRREF euon � Tom_ CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION rTEM N / WORKASSFSSMFNI' Yes No a. What is the Total Area of the Project Parcels? (include Total Area of all Parcels located within 'I Will this Project Retain All Storm-Water Run-Off the Scope of Work for Proposed Construction) 57,222 Generated by a Two(2")Inch Rainfall on Site? — El(s F(�) (This item will include all runoff created by site X b. What h the Total Area of LBM Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed DI 00 Site Improvements and the 7P Permanent creation of construction activity? (s last impervious surfaces.) PROVIDE BRIEF PROJECT DESCRIPTION IPmvNe MIIYMY Poll.uN,tltl) 2 Does the Site Plan a dlor Survey Show All Proposed ❑ Drainage Structures Indicating Size&Location?This X Item shall Include all Proposed Grade Changes and To construct 25' X 42.5' 2 story Slopes Controlling Surface Water Flow. singe tamily awelling With a 4 X 7 stoop 3 Does the Site Plan and/or Survey describe the erosion and Sediment control practices that will be used to control site erosion and storm Water discharges. This 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 MX of Material Within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand El 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 X General DEC SWPPP Reauiremeres: or within One Hundred(100')feet of a Welland or Submission of a SWPPP is required tom all ConsbuWon activities involving soil Beach? d'olurbarices of one(t)or more acres; InduChmg dlslurbencea of loss Nen one sorathat 7 Will there be She preparation on Existing Grade Slopes ❑ — am part of a larger common pan that will uldnatery disturb one or more acres of Taal; which Exceed Fifteen(15)feet of Vertical Rise to X indudkrp Construction schvilies involving see disturbances of less Man ane(1)acre where One h Exceed ed(100')Of 15)feet Horizontal Distaste? the DEC has deferrrdned that a SPDES pemdt Is required for storm water discharges. I SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit ii Will Driveways,Parking Areas or other Impervious for Storm Water Discharges from Construction activity-Permit No.GP-040-0111.) Surfaces be Sloped to Direct Slorm-Water Run-Off ❑ X 1.The SWPPP shall be prepared prior to the submittal of IN 1,101.The Not shall oe Into antl/Or In ih6 direction of a Town right-of-way? submitted W the Depwi Tient poor to thiscommencBmeM of construction solidly. 2.The SWPPP she"descrLe IM erosion and sediment control pricffces and where 9 Will this Project Require the Placement of Material, required,Post-construction storm water management predkea that will bei used and/or Removal of Vegetation and/or the Construction of any contracted forest"Me Pollutants in slwm water discharges ami to seems Item Within the Town Right-of-Way or Road ShoulderX compliance with the tarns and cood dorm of this permit.In addition.the SWPPP shall Area?(me,Wm was NOT hnolude las IroYYehlah of on.,APrmhil identify potential sources of polutKKr which may ma nonably be expected to affect the quality of storm wall discharges. NOTE: If Any Answer to Owston Ona through Nine is Amnera l will s ChstitNark a.AN SWPPPs that squire the poslconsWctfon storm water management practice M a sox W the consbuetion Bila disturbance b between 0.000 S.F.d 1 Acre n ass, component shall be prepared by a qualified Design Professional Lleened in New Yale a su rhi Water,GrWbg,Drainage 0 Erosion Control Plan to RegaNW by the Town of that Is knowledgeable in the principles and practices of Storm Water Management Southold and Must be Sabmatsd for Review Pdw to Issuance of Any augding Pernik MOTE: Ached Mahk(J)erhNm Mswer for sad,Wesson lsWWired fwaCaryMN Applkalbn) STATE OF NEW YORK, Sff COUNTY OF......U......O..Ik lk..........................SS That I, Thomas ............J. McCarthy .,.,. .,being duly sworn,deposes and says that he/she is the applicant for Permit, ... ..................... ..(Name of ntiMduel aipNr,g Docurmher,l) And that he/she is the ...........................Agent .. ......... .................................................... ..........................--............... .................... (Owrmr,Cenuaccr.Agent.Comvreha Olfigr,c1c) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed Ute said work and to make and file this application;that all statements contained in this application are We to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed her th. _ Sworn to b � e this, c ti .....................�?.............. day of ..... . ,0.y10.1.a� Notary Public: .... .. . : ... .cu.................. ......).................................. ..... .... .. ... .............. . ......... ................ ignaius d Applicant) FORM - 06/10 Notary Public State of New York No. 01L06054063 Qualified in Suffolk County 15 Commission Expires March 5, 20_ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant scant beneficial and adverse effects upon the coastal area(which includes all of Southold Town) 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail listink both supportlne and non- supportine facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold 's website(southoldtown.northfork.net), the Board of Trust 'n Department, all local libraries and the Town Clerk's office. in E —� B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 86 - 5 _ 8•1 2:u-tho-IdTown 1 6 2013 PROJECTNAME MargaretHallden I The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 0 i I. 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) I (c) Permit,approval,license,certification: ❑ Nature and extent of action: -- To construct a 25' X 4252 story single family dwelling with a 4' X 7' stoop Location of action: 1625 Indian Neck Lane, Peconic, NY 11958 Site acreage: _1.314 Present land use: Vacant Land 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: McCarthy Management, Inc. (b) Mailing address:46520 County Road 48, Southold, NY 11971 (c) Telephone number:Area Code(631) 765-5815 (d) Application number,if any: Will the action be directly undertaken, require funding,or approval by a state or federal agency? Yes X❑ No❑ If yes,which state or federal agency?NYS DEC, SC Health Dept., Town of Southold, Building Department C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III —Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ❑ Not Applicable This would have no adverse effect on the rural character of the community and its natural resources. There are existing residental development in the surrounding area. i i 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 FA Not Applicable This will not have an adverse effect on the historic character of the town. This residential project is not --- ------------ ------- . _ _____ _ in a historical area of Southold -------- ------------- Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No ❑ Not Applicable This project will enhance visual quality. Protection to scenic resources will be used as per the LWRP section III pages 6 through 7 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 The proposed house is set back 104.3 feet from the shoreline and is outsi e o t e oo pain _ 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 The proposed construction will not have an impact on the water quality. The site will be supp ie wi pu is wa er. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes [:] No E] 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. 51 Yes ❑ No ❑ Not Applicable All solid waste will be removed from the job site and disposed at a transfer disposal that is in compliance with The NYS DEC Part 360 regulations. 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. ❑ Yc❑ No❑x Not Applicable There is no public access to the coastal waters on this parcel. The visual accessibility vantage points are of no concern. This parcel is down a private driveway and is not accessible to the pu ic. 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 [I Nox❑ Not Applicable This parcel is not in Marine l or II zoninq district. It is in R-40 zone. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island ,Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No E] Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No El 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. 0 Yes ❑ No ❑ Not Applicable The electric company that will be supplying this parcel is Long Island Power Authority. LIPA offers energy a sent incentives to promote appropriate use. Preservi nn an approve piafF— PREPARED BY TITLE DATE —I5 McCARTHY MANAGEMENT, IIT LETTER _ 46520 County Road 48 SOUTHOLD, NEW YORK 11971 " o ' Boa No. (631) 765-5815 FAX (631) 765-5816 Q ATTENTION TO b UU O (_40 eE: WE ARE SENDING YOU ❑ AtWChod ❑ Udder separate cover via the following items: ❑ Shop drawings -: 0 Prints ❑ Plans ❑ Samples ❑ Specifications . ❑ Copy of letter 0 Change order ❑ COPIESDATE NO. DESCRIPTION fc �� r�2 �o ttrn bf rv�. U�"i-1 o r IZ4: ( ISlti. 1 ca/v�•S - 1 mvaQ 15 UA 1. '9P lhA THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS Board f e COPY TO SIGNED: PRODUCT 240T if enclosures ala not as noted,kindly notify us at once. SURVEY OF PROPERTY tN65p0� J�UA7, - PECONIC TOWN OF SOUTHOLD $. SUFFOLK COUNTY, NEW YORK S. C . TAX No . 1000- 86 -05 - 8. 1 APPROVED BY MARCH 1 1 , SCALE 1 " 23=40' BOARD OF TRUSTEES HOU A65. JUNE 6, 2013 LATH PROP. HOUSE CORNERS TOWN OF SOUTHOLD x� AREA = 57,222 sq. ft. DATE (0 1Q 13 / o \ 1 .314 ac. elk, � ECEIVE JUN 10 2013 Ln o/F 1nNG0' c3 � p OR E /GppO11 JOGO N/O/E 000V ao Lr� 8 V'001; ND Eli CApGB �$ C1]AELo EyMGWP�a tea' ' 4 BICe�y`" opc��c wN p 5 \\o D►1 scs P�zy 9, PEES pe $ 2� 0n\`\ Un 0b•45' d \rnoo m 20.53` EDW�DDWJ��OG�eWHha \w.00; N \ \ \ \\ ` \\ \ wA oB x' \ cN PSEs e „ x \ \6 �.� \ \ \ \ \ \ FaU L 12 45„ b' �\`�`` \ g 2h�Op' \ \\mow \\ \\ \\ \ 5 2 22,57 ex \ 4� \ \ \ g,56N E ," \� � `\ n \ ,� \\ \,� � `\\ 5 172 65 a \` x12.3 \ @ \ ...:::.:..:y?:" :��".�' '.;. W-, =r��,\ \ O •\ O� \ \ a s . NO 0. 0s13- 4 0 Vu ` \ \ \ ilu On NDN O£ \ `\ \\ \\ e 1 \\ NOTES., 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM m�i1 EXISTING ELEVATIONS ARE SHOWN THUS: = Gp ,C.,TXi \ \ i- \ fit+ \= '(;i, EXISTING CONTOURS ARE SHOWN THUS: ----1D---- ,,. ~"1y PROPOSED CONTOURS ARE SHOWN THUS: to "'_`1""'- -p 1n 'O` ` \fN"' -'�✓ 2. MINIMUM SEPTIC TANK CAPACITY FOR AN 8 BEDROOM HOUSE IS 2,000 GALLONS. 1 TANK; 10' DIA. X 4' LIQUID DEPTH 3. MINIMUM LEACHING SYSTEM FOR AN 8 BEDROOM HOUSE IS 600 sq ft SIDEWALL AREA. AMUSE 2 POOLS; 12' DEEP, 8' dia. PROPOSED FUTURE 50% EXPANSION POOL PROPOSED B' DIA. X 12' DEEP LEACHING POOL N1Aq �� NORM'' W i rs\ PROPOSED 2,000 GALLON SEPTIC TANK 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD k150 w _ `\ TEST HOLE DATA OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 5. FLOOD ZONE INFORMATION TAKEN FROM: 76\ �� ^ PO`f" `Q � Eg (TES! HOLE OUG BY Mc00NALD cE05C1ENCE ON MARCH 7, 2013) FLOOD INSURANCE RATE MAP No. 36103CO162 H D- D' ZONE AE BASE FLOOD ELEVATIONS DETERMINED cVf ".1HH N% ESTA�ES�'S 2'BROWN SILTY SAME)SAME) SMAREAS 0.2% ANNUAL 1E 20NE X•: WORN AVERAGE DEPTH OF LESS CTHAN �DFOOT OR WITH DRDRAINAGEMFAS�LE590THAN S= d / i \ ����14`,��• E 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 1% ANNUAL CHANCE FLOOD. ' A ` W / i \� NNp RTgU pWEyNG Wp<ER ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. W DO & GE UeVC 6. ZONING USE DISTRICT: R-40 n E\\\ XSTANDA Y_A 9,TA�p0 W / �/ ' WGDa `�- PREPARED IN ACCORDANCE WITH THE MINIMUM LINE BROWN FINE lO MEDIUM SAND SP BY THE LI FOR TARE APPROVE ASD ESTABLISHED W\ 6�. - FOR SUCH USE BY THE NEW YORAJ_S. AND APPROVED K STATED LAND \ - y(nR . pO`f' 'o,`y- TIRE ASSOCIATION. 10.4' x /V 0� - FWINEroINL PALE ROW SP \ F° ' � vd PROPOSED SEPTIC SYSTEM DETAIL 4 „ 2A,'QO (NOT TO SCALE) GN(. 2x N 5 69/ / HOUSE TOP BURIED 17 ERE- 1,5• 4' DEEP max. FINISHED GRADE 7 43`fl'p / F!£Y�]2Z FINISH GIUDE FINISH GRADE )T PRECONCREIE COVFA 24'dla. LOCKING, WATERTIGHT h INSECT PROOF ELEV.J2JL' ELIV.J2JL' BURIED 1' DEEP min. 2' DFIP may. p GST IRON COVER N GRADE Z a� 0+ / MIN. 4' dio. 3, MIN. 4' dia. A TOP 0- 10.6' 3 N.Y.S. Lic. No. 50467 Q / APPROIv1I1 PIPE 20'min - 20'minj MIN. E dio. A TOP FL PITCH® 1 4' 1' TOP F1£V.J.1.I APPROVID PIPE a . 1 PnCNE 01 07 6 1P• Q;, PRCHED 1/8'/1' IPA N O 3' CFAN 3' CIFAN 4' ala. SWD UNAUTHORIZED ALTERATION OR ADDITION INy1De INVERT g a' I, pr p �% couAR SECTION 720TO THIS 8 SURVEY NEWnYO RK STATE �. R �., i 0I EDUCATION AW' Nathan Taft Corwin III BAFFLE. o W : e . � u COPIES OF THIS SURVEY MAP NOT BEARING `,Q y DISTRIBUTION THE LAND SURVEYOR'S INKED-SEAL OR ���_ Surveyor eyor POOL EMBOSSED SEAL SHALL Ni CONSIDERED - YY TO BE-A VAUD TRUE COPY. QOM 3 GROUND WATER py 3_ GROUND WATER OEY. - EIEV.3.1: El£V. -�' CERTFQ NI'lONS INDICATED HEREON SHALL RUN SEPTIC TANK (11 IS PREPARED, AND PERSON HIS BEHALF TTO THEA Successor To: Stanley J. Isaksen, Jr. L.S. TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno LS. - p IrA!d/'E IT �CIII,ATIONS' 1. MINIMUM SEPTIC TANK GAPNxDED FOR AN a BEDROOM HOUSE IS 2,000 GALLONS LEACHING POOLS (41 LENDING INSTITUTION LISTED HEREON, AND 1 TANK: 10' GA. X 4' UQUID DEPTH 1. MINIMUM UEACHING SYSTEM FOR AN 8 BEDROOM HOUSE 15 300 Aq ft SIDEWAIL ARTA. TO THE ASSIGNEES OF THE LENDING INSTI- Title Surveys - Subdivisions - Site Plans - Construction Layout ROOF--AREA: 1,063 sq. ft. 2. OONCREIE SHALL HAVE A MINIMUM COMPRESSNE STRENGTH OF 3,000 ME AT 28 GAYS. 1.063 sq.-ft. X_0.17 =-T81 cu--ft. - 3. WNL THICKNESS SHINU. BE A MINIMUM OF 3', A TOP THICKNESS OF �' AND A METUM THICKNESS OF P. 3 POOLS; L DEEP, 8' O TITIAION. CERTIFICATIONS ARE NOT 187-ou. ft:-/-42.2 =-4.3 verNaat it. of 8'- dia. leachingpoolrequired ALL wALLS, BNTO%MSD TOP SHNL CONTNN RONFaPdNO TO REBEr-AN APPLIED FORCE OF 300 pg. LEA 2. LEACHING POOLS ARE 10 BE CONSTRUCTED OF PRFKASi REINFORCED CONCRETE (OR EOLLLL) PHONE (631)727-2090 Fax (631)727-1727 PROVIDE (1) 8"-.dl°. X 8' •h!-.h STORM DPAIN POO'S i 4. AL JOINTS'SFWl BE SFi,IID SO THAT THE TANK IS WATERIKEW. ALL OGMG SN HALL BE, MUD OOMFS ANO/OR SIAAS. 5. THE SEPTIC TANK SH,LL BE INSTALLED AT LLVEL IN ALL DIRECTIONS (WIrH A M.X. TOUEPANCE OF *1/4-) 3. ALL COVERS SHALL BE OF PRECISE PFJG MILE CONRETE (OR FLHAL). OFFICES LOCATED AT MAILING ADDRESS ON A MINIMUM 3' THICK BED OF COMPACTED SAND OR PFA SPANIEL 4. A 10' min. DISTANCE BEOWERN AU. .EAG POOLS AND WATER LINE SIWl BE MNMNNED. THE EYISTFNCE OF RIGHTS-OF WAY PROPOSED o' DIA. X DEEP C-aYWELLS FOR ROOF RUN-OFF ARE SHOWN THUS: ' 6. A 10' In DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. 5. AN B' min. DISTANCE BETWEEN ALL I-EACIIING POOLS SHALL BE MTANK S AND/OR EASEMENTS OF RECORD,AF 1506 Main Road P.O. Box 16 e. AN e' in. OIsrN+cE eElwmN ALL IEACHNc vols AND SEPTIC TANK sHuu BE MNNruxm. ANY,-NOT SHOWN- ARE 7dDT-CUARAMTEED. - Ja nesp0rt, New--York 11947 Jamesport, New York 11947